Amebicidal Effect of Adamantane-Azole Gold(I) Complexes: Cell Death Mechanisms and Synergistic Action with

Gabrieli Eduarda Israel1, Gabriella da Rosa Monte Machado1, Dayara Corrêa Matiola1

  • 1Laboratório de Investigação Aplicada a Protozoários Emergentes (LADIPE), Programa de Pós-Graduação em Farmácia, Centro de Ciências da Saúde, Universidade Federal de Santa Catarina, Florianópolis, SC 88040-900, Brazil.

ACS Omega
|February 16, 2026
PubMed

Insights

New gold-(I) complexes show potent activity against Acanthamoeba, a parasite causing severe infections. These compounds effectively target both parasite forms with minimal toxicity, offering promising therapeutic potential.

Area of Science:

  • Microbiology
  • Medicinal Chemistry
  • Parasitology

Background:

  • Acanthamoeba species are protozoa responsible for serious human infections like amebic keratitis and granulomatous amebic encephalitis.
  • Current treatments for Acanthamoeba infections are limited, necessitating the development of novel therapeutic agents targeting both trophozoite and cyst stages.

Purpose of the Study:

  • To evaluate the anti-Acanthamoeba activity of novel adamantane-azole gold-(I) complexes.
  • To investigate the mechanism of action, including potential molecular targets like thioredoxin reductase (TrxR).

Main Methods:

  • Synthesis and characterization of adamantane-azole gold-(I) complexes.
  • In vitro testing of amoebicidal activity against Acanthamoeba trophozoites and cysts.
  • Cell cycle disruption, phosphatidylserine exposure, and mitochondrial membrane potential assays.
  • Molecular docking studies to identify potential protein targets.
  • In vitro and in vivo toxicity assessments.

Main Results:

  • Complexes C2, C3, and C4 demonstrated significant amoebicidal activity with low IC50 values (0.12-14 μM).
  • These complexes induced cell cycle arrest and phosphatidylserine externalization, with C4 also causing mitochondrial depolarization.
  • Ultrastructural damage, synergistic effects with chlorhexidine, and lack of toxicity in host cells and animal models were observed.
  • Molecular docking identified thioredoxin reductase (TrxR) as a likely molecular target.

Conclusions:

  • Adamantane-azole gold-(I) complexes (C2, C3, C4) exhibit potent anti-Acanthamoeba activity.
  • These compounds offer a promising therapeutic strategy for Acanthamoeba infections due to their efficacy and low toxicity.
  • Further research into their precise mechanisms of action is warranted.

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