Sesquiterpene lactones as potential therapeutic agents against Naegleria fowleri

Iñigo Arberas-Jiménez1, Aitor Rizo-Liendo1, Nathália Nocchi2

  • 1Instituto Universitario de Enfermedades Tropicales y Salud Pública de Canarias (IUETSPC), Universidad de La Laguna (ULL), Avenida Astrofísico Francisco Sánchez s/n, 38203 La Laguna, Tenerife, Spain; Departamento de Obstetricia y Ginecología, Pediatría, Medicina Preventiva y Salud Pública, Toxicología, Medicina Legal y Forense y Parasitología, Universidad de La Laguna, Tenerife, Spain; Red de Investigación Cooperativa en Enfermedades Tropicales (RICET), Spain.

Insights

Sesquiterpene lactones from Palythoa aff. clavata show promise against Naegleria fowleri, the cause of primary amoebic meningoencephalitis (PAM). Two compounds demonstrated significant anti-amoeboid activity and induced programmed cell death, suggesting potential new treatments for this fatal brain infection.

Area of Science:

  • Marine Natural Products Chemistry
  • Parasitology
  • Neuroscience

Background:

  • Naegleria fowleri causes primary amoebic meningoencephalitis (PAM), a devastating and often fatal central nervous system infection.
  • High mortality rates (>90%) and limited therapeutic options necessitate the urgent discovery of novel anti-Naegleria treatments.
  • Aquatic exposure, particularly in warm waters, is a common risk factor, with infections predominantly affecting children and young adults.

Purpose of the Study:

  • To evaluate the anti-amoeboid activity of sesquiterpene lactones isolated from Palythoa aff. clavata against Naegleria fowleri.
  • To investigate the mechanism of cell death induced by active compounds.
  • To analyze structure-activity relationships and assess the potential of these compounds to cross the blood-brain barrier.

Main Methods:

  • Twelve sesquiterpene lactones were isolated from the zoanthid Palythoa aff. clavata.
  • In vitro assays were performed to determine the anti-amoeboid activity (IC50 values) against Naegleria fowleri trophozoites.
  • Programmed cell death induction mechanisms were evaluated for the most potent compounds.
  • Lipophilicity (log P values) was calculated to predict blood-brain barrier penetration.

Main Results:

  • Anhydroartemorin (2) and 1(10)Z,4E,14-acetoxy-costunolide (3) exhibited significant anti-amoeboid activity with IC50 values of 23.02 ± 1.26 and 28.34 ± 6.27, respectively.
  • Both active compounds effectively induced programmed cell death in Naegleria fowleri.
  • Calculated log P values suggest these sesquiterpene lactones possess favorable characteristics for crossing the blood-brain barrier.

Conclusions:

  • Sesquiterpene lactones, specifically anhydroartemorin and 1(10)Z,4E,14-acetoxy-costunolide, show significant potential as therapeutic agents against Naegleria fowleri.
  • These compounds induce programmed cell death and possess properties conducive to treating PAM, including potential blood-brain barrier penetration.
  • Further research into these marine-derived compounds could lead to the development of effective treatments for primary amoebic meningoencephalitis.