Effect of Moringa oleifera and ivermectin nanoparticles on the immunopathological response during experimental

Magda Said Ahmed Abdeltawab1, Alshaimaa M R Hamed1, Shimaa Saad El-Din2,3

  • 1Department of Medical Parasitology, Faculty of Medicine, Cairo University, Cairo, Egypt.

Gut Pathogens
|November 14, 2025
PubMed

Insights

Ivermectin nanoparticles (IVM-NP) and Moringa oleifera leaf extract (MOL-NP) combat trichinosis by reducing inflammation. Combination therapy effectively decreased parasite load and intestinal damage compared to single treatments.

Area of Science:

  • Immunology
  • Parasitology
  • Nanomedicine

Background:

  • Trichinella spiralis infection triggers M1 macrophage polarization, exacerbating pro-inflammatory responses.
  • Macrophage polarization plays a critical role in the immunopathology of trichinosis.

Purpose of the Study:

  • To investigate the immunomodulatory effects of ivermectin nanoparticles (IVM-NP) and Moringa oleifera leaf extract nanoparticles (MOL-NP) on macrophage polarization during Trichinella spiralis infection.
  • To evaluate the therapeutic potential of IVM-NP and MOL-NP, alone and in combination, for treating trichinosis.

Main Methods:

  • Swiss albino mice infected with T. spiralis were treated with IVM-NP, MOL-NP, or a combination.
  • Parasitological, histopathological, immunohistochemical, and gene expression analyses (RT-PCR for Arginase-1, TNF-α, IL-10) were performed.
  • Assessed markers included NF-κB and iNOS to evaluate pro-inflammatory pathways.

Main Results:

  • Both IVM-NP and MOL-NP treatments reduced pro-inflammatory markers (iNOS, TNF-α, NF-κB) and increased anti-inflammatory cytokine IL-10.
  • Combination therapy demonstrated superior efficacy in reducing parasite burden and intestinal pathology compared to monotherapy.
  • Nanoparticle formulations modulated macrophage polarization, shifting from pro-inflammatory to anti-inflammatory profiles.

Conclusions:

  • IVM-NP and MOL-NP are effective in modulating macrophage polarization and mitigating the inflammatory response in trichinosis.
  • Combined IVM-NP and MOL-NP therapy offers a promising strategy for managing trichinosis by reducing parasite load and alleviating intestinal damage.

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