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Anthelminthic Agents01:15

Anthelminthic Agents

Anthelmintic drugs differ significantly from antiparasitic therapies targeting protozoa, primarily due to differences in parasite biology. Whereas most protozoal treatments act on proliferating cells, anthelmintics are typically directed against mature, nonproliferative helminths. The therapeutic approach considers the helminth's reliance on neuromuscular coordination, glucose metabolism, and microtubular integrity for survival, reproduction, and localization within the host. Most anthelmintics...

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Ivermectin Identified Using a High-Throughput Screening System Exhibits Anti-Clonorchis sinensis Activity in Rats.

Soon-Ok Lee1,2, Hyeryon Lee3, Ki Back Chu4,5

  • 1Department of Medical Zoology, School of Medicine, Kyung Hee University, Seoul 02447, Republic of Korea.

Antibiotics (Basel, Switzerland)
|August 28, 2025
PubMed
Summary
This summary is machine-generated.

Ivermectin shows promise as a new treatment for clonorchiasis, particularly against the larval stages of the parasite Clonorchis sinensis. This study identified ivermectin as a potential alternative drug for treating this parasitic infection.

Keywords:
Clonorchis sinensishigh-throughput screeningivermectinrat

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Area of Science:

  • Parasitology
  • Drug Discovery
  • Public Health

Background:

  • Clonorchiasis, caused by the parasite Clonorchis sinensis, is a significant public health issue in East Asia.
  • Current treatments for clonorchiasis have limitations, necessitating the search for alternative therapeutic agents.

Purpose of the Study:

  • To identify novel compounds with inhibitory activity against Clonorchis sinensis using high-throughput screening.
  • To evaluate the efficacy of ivermectin (IVM) as a potential anti-clonorchiasis drug, particularly against larval stages.

Main Methods:

  • High-throughput screening of 320 compounds to identify inhibitors of Clonorchis sinensis.
  • In vitro assessment of ivermectin's trematocidal activity against C. sinensis metacercariae (CsMC) and newly excysted juveniles (CsNEJs).
  • In vivo efficacy study in rats infected with CsMC, with ivermectin treatment targeting larval and adult stages at different post-infection weeks.

Main Results:

  • Ivermectin demonstrated dose-dependent trematocidal activity against CsMC and CsNEJs in vitro, outperforming praziquantel.
  • In vivo treatment with ivermectin at 1 week post-infection significantly reduced worm burden in rats, indicating efficacy against larvae.
  • Parasite-specific IgG and ALT/AST responses in treated rats were similar to the infection control group.

Conclusions:

  • Ivermectin exhibits significant anti-parasitic effects against Clonorchis sinensis, especially during the larval stages.
  • Ivermectin represents a potential alternative therapeutic option for treating clonorchiasis, targeting early parasitic development.