Abstract
Leishmaniasis and Chagas disease are parasitic infections that affect millions of people worldwide, producing thousands of deaths per year. The current treatments against these pathologies are not totally effective and produce some side effects in the patients. Acrylonitrile derivatives are a group of compounds that have shown activity against these two diseases. In this work, four novels synthetic acrylonitriles were evaluated against the intracellular form and extracellular forms of L. amazonensis and T. cruzi. The compounds 2 and 3 demonstrate to have good selectivity indexes against both parasites, specifically the compound 3 against the amastigote form (SI = 6 against L. amazonensis and SI = 7.4 against T. cruzi). In addition, the parasites treated with these two compounds demonstrate to produce a programmed cell death, since they were positive for the events studied related to this type of death, including chromatin condensation, accumulation of reactive oxygen species and alteration of the mitochondrial membrane potential. In conclusion, this work confirms that acrylonitriles is a source of possible new compounds against kinetoplastids, however, more studies are needed to corroborate this activity.
Keywords: Chemotherapy, Toxicity, PCD, Leishmaniasis, Chagas, Acrylonitriles
Graphical abstract
Highlights
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New therapies against leishmaniasis and Chagas disease are needed.
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Acrylonitriles studied demonstrate activity against L. amazonensis and T. cruzi.
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The acrylonitriles induce programmed cell death in L. amazonensis and T. cruzi.
1. Introduction
The Chagas disease and Leishmaniasis are pathologies caused by trypanosomatids that produce severe problems in humans. Considered by the World Health Organisation (WHO) as Tropical Neglected Diseases (NTDs), leishmaniasis affects nearly 12 million people worldwide producing between 20 and 30 thousand deaths per year (de Vries and Schallig, 2022), while Chagas disease affects nearly 7 million people, mainly in Latin America, producing 7 thousand deaths per year (Organizacion Mundial de la Salud (OMS), 2021).
Chagas disease is caused by the protozoan parasite Trypanosoma cruzi, discovered by Carlos Chagas in 1909. This disease is transmitted by the triatomine and causes a severe pathology that affects, in the chronic phase, the intestines and the heart (Bern, 2015). Leishmaniasis is caused by more than 20 species of Leishmania, which can produce different clinical manifestations, cutaneous, mucocutaneous and visceral forms, making patients' lives complicated from a health point of view, but also socio-economically, as they are limiting and produce psychosocial problems (Bennis et al., 2017).
Reference treatments for Leishmania include pentavalent antimonials, amphotericin B, miltefosine and paramomycin (Fernandes et al., 2022). For Chagas disease, the treatment is the same as that discovered 50 years ago, benznidazole and nifurtimox (Pérez-Molina et al., 2021). The treatments for these two pathologies are long and costly, lead to enormous side effects and are not totally effective.
This lack of activity and the high occurrence of side effects for these two pathologies, together with other factors such as the emergence of resistance and the high cost, have made the search for new treatments an essential task. In recent years, much research has focused on the search for new therapies to control leishmaniasis. These include, for example, marbofloxacin, a third-generation fluoroquinolone, and DDD853651/GSK3186899, a pyrazolopyrimidine (Sheikh et al., 2024). Natural compounds such as chalcones, alkaloids, quinolines and pyridines have also been shown to be effective against these parasites (Pal et al., 2023), with ursolic acid, coumarin, gallic acid and apigenin, among others, being particularly active (Afonso et al., 2023). In addition, other strategies such as the combination of drugs with immunotherapy have shown encouraging results. Within this group we can highlight rldccys1, a recombinant cysteine protease from Leishmania, or the use of L. braziliensis antigens with saponin and monophosphoryl lipid-A (Yadagiri et al., 2023). Similarly, there has been an increase in the number of studies related to the search for new therapies against Chagas disease. The use of antimicrobial peptides, such as mastoparan or crotalicidin (Hagemann et al., 2024), tryptophan derivatives, such as melatonin (Manful et al., 2024), or pharmacological repositioning, cholesterol-lowering treatments or antihistaminics, have shown good results in the treatment of Trypanosoma cruzi (Porta et al., 2023).
Acrylonitrile derivatives have been studied in recent decades for their potential use in different pathologies. It is a big group found in a multitude of drugs or natural products with diverse biological activities. This type of compounds have been shown to be active against viruses, such as dengue (Han et al., 2017) or HIV (Duan et al., 2020), or different bacteria (Saczewski et al., 2008), including mycobacterium tuberculosis (Sanna et al., 2000). Furthermore, they have also demonstrated activity as anticancer (Penthala et al., 2013) or anti-inflammatory agents (Sivaramakarthikeyan et al., 2020). In addition, different activities against parasites, such Plasmodium (Sharma et al., 2018), Leishmania spp. (Barbosa et al., 2009; Junior et al., 2010; Nakayama et al., 2007) or Trypanosoma cruzi (Sandes et al., 2010, 2014).
Previous reports demonstrate that acrylonitriles induce apoptosis when used to treat different pathologies (Dang et al., 2018; Kim and Choi, 2020; Luo et al., 2022; Tretyakova et al., 2019), including leishmaniasis and Chagas disease (Bethencourt-Estrella et al., 2021, 2022). Apoptotic cell death is described as a type of programmed and controlled cell death, which, in the case of parasitosis, avoids the possible inflammatory response that would occur in the hosts. This type of death is associated with some characteristic events, including chromatin condensation, decrease of ATP, alterations in the mitochondrial membrane potential, or production of oxidative stress, among others (Bruchhaus et al., 2007; Menna-Barreto, 2019).
In this work, four new acrylonitrile compounds were evaluated against Trypanosoma cruzi and Leishmania amazonensis, and the cytotoxicity was also studied to determine their selectivity. Moreover, the mechanism of cell death that these products produce in the parasites was also studied.
2. Materials and methods
2.1. Chemical
All reagents from commercial suppliers were used without further purification. All solvents were freshly distilled before use from appropriate drying agents. Analytical TLCs were performed with silica gel 60 F254 plates. Visualization was accomplished by UV light. Column chromatography was carried out using silica gel 60 (230–400 mesh ASTM). NMR spectra were obtained on a Bruker Avance 400 MHz spectrometers and recorded at 25 °C. Chemical shifts for 1H NMR spectra are reported in ppm, chemical shifts for 13C NMR spectra are recorded in ppm relative to internal deuterated chloroform (δ = 77.2 ppm for 13C). Coupling constants (J) are reported in Hertz. The terms m, s, d, t, q refers to multiplet, singlet, doublet, triplet, quartet. 13C NMR were broadband decoupled from hydrogen nuclei. High resolution mass spectra (HRMS) was measured by EI method with a Agilent LC-Q-TOF-MS 6520 spectrometer.
The 4 tested novel compounds are acrylonitriles derivatives of Q7, previously reported for its activity against trypanosomatids (Table 1), producing apoptotic-like cell death. These compounds were synthetized as described by the original process (Tejedor et al., 2019). All the compounds were dissolved in dimethyl sulfoxide (DMSO) (Merck, Darmstad, Germany) and stored in the dark at −20 °C.
Table 1.
Previous results of the activity and cytotoxicity of Q7, compound from which those studied in this work are derived (Bethencourt-Estrella et al., 2021, 2022).
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IC50: promastigote stage of L. amazonensis | 109.36 ± 4.74 μM |
| IC50: epimastigote stage of T. cruzi | 15.52 ± 1.27 μM | |
| CC50: murine macrophages | 46.45 ± 3.81 μM |
IC50: inhibitory concentration 50; CC50: cytotoxic concentration 50.
2.2. Cultures
The parasites used in this work include promastigote forms of Leishamania amazonensis (MHOM/BR/77/LTB0016) cultured at 26 °C in Schneider's medium (SND) (Sigma-Aldrich, Darmstadt, Germany) supplemented with a 10% of foetal bovine serum (FBS) and epimastigote forms of Trypanosoma cruzi (Y strain) cultured at 26 °C in Liver Infusion Tryptose (LIT) supplemented with a 10% of FBS. For the cytotoxicity assays murine macrophages (J774A.1) were used, cultured at 37 °C with a 5% CO2 atmosphere in Dulbecco's Modified Eagle Medium (DMEM) supplemented with a 10% of FBS.
2.3. Antiparasitic activity
The antiparasitic activity was developed against Trypanosoma cruzi and Leishmania amazonensis. To develop the activity against the extracellular forms of the parasites, epimastigote forms of Trypanosoma cruzi and promastigote forms of Leishmania amazonensis were used. In sterile 96 well plates, serial dilutions of the compounds were added with quantity of 105 parasites per well in the growth medium of each parasite (LIT for T. cruzi and SND for L. amazonensis) reaching a finale volume of 200 μl per well. A 10 % of alamarBlue Cell Viability Reagent® (ThermoFisher Scientific, Waltham, MA, USA) was added. After 72 h at 26 °C, the fluorescence of each well (544 nm excitation, 590 nm emission) was determine using the EnSpire Multimode Plate Reader® (PerkinElmer, Thermo Fischer Scientific, Madrid, Spain). The inhibitory concentration 50 (IC50), concentration which inhibits the 50% of the parasite population, was calculated using a nonlinear regression analysis in the Graphpad Prism 9.0.0. (López-Arencibia et al., 2019a).
To develop the activity against the intracellular forms of the parasites, the amastigote forms, the same colorimetric method, based on the alamarBlue reagent was used. In 96 well plates, 104 murine macrophages per well with a high concentration of the parasites were added (105 for promastigote forms of L. amazonensis and 5 × 104 for epimastigote forms of T. cruzi) in DMEM medium. After incubating at 37 °C in 5% of CO2 atmosphere (24 h for L. amazonensis and 48 h in the case of T. cruzi) to promote the infection of the macrophages, the plates were washed to eliminate the non-internalized parasites, and serial dilutions of the compounds to test were added (previously prepared in DMEM in a deepwell). After 24 h of treatment, the compounds were removed and 30 μl of 0,05% SDS in medium (LIT for T. cruzi and SND for L. amazonensis) were added to produce the lysis of the macrophages. After 30 s, medium was added to reach 200 μl and disrupt the activity of the SDS. Finally, a 10% of alamarBlue reagent was added and the plates were incubated at 26 °C for 72 h. The fluorescence was measured using the EnSpire Multimode Plate Reader® to calculate the IC50 of the compounds (Bethencourt-Estrella et al., 2023).
2.4. Cytotoxicity against murine macrophages
To determine de cytotoxic concentration 50 (CC50), concentration that inhibits the growth of the 50% of the cell population, a colorimetric method based on the alamarBlue reagent was used. In a 96 well plates, 104 macrophages per well were added. After 3–4 h to complete the adherence of the cells, serial dilutions of the compounds were added in a finale volume of 100 μl with a 10% of alamarBlue reagent. After an incubation of 24 h at 37 °C and 5% of CO2 atmosphere, the fluorescence was measured using the EnSpire Multimode Plate Reader® and the CC50 was calculated using the Graphpad Prism 9.0.0. (López-Arencibia et al., 2019b).
At this point, with the results of CC50 and IC50 the selectivity index can be calculated, which reports how much selective were the compounds for parasites rather than mammal's cells.
2.5. Mechanisms of cell death
The most selective compounds, the acrylonitrile 2 and 3, were chosen to study the type of cell death produced in the parasites. To perform these assays different kits were used to demonstrate different events involved in a programmed cell death. To carry out these assays, the parasites (106 cells/ml) were incubated with the IC90 of the most selective compounds at 26 °C for 24 h. After this incubation, the kits were following the manufacturer's instructions.
2.6. Chromatin condensation analysis
To determine the presence of chromatin condensation the Vybrant® Apoptosis Assay Kit n◦5 (ThermoFisher Scientific, MA, USA) was used. This kit has two stains, the Hoechst 33,342, which dye on blue the chromatin condensed, and the Propidium Iodide (PI), the one that dye on red the death cells. After the incubation with the IC90 of the compounds, centrifugation was carried out (3000 rpm, 10 min, 4 °C), and the treated cells were resuspended in 50 μl of buffer. The Hoechst (5 μg/ml) and the PI (1 μg/ml) were added and, after 20 min of incubation at 26 °C, some pictures were captured with the EVOS® FL Cell Imaging System (ThermoFisher Scientific, MA, USA) using DAPI (excitation 350 nm/emission 461 nm, for Hoechst) and RFP (excitation 535 nm/emission 617 nm, for PI) light cubes (Bethencourt-Estrella et al., 2023).
2.7. Mitochondrial membrane potential analysis
The JC-1 Mitochondrial Membrane Potential Assay Kit® (Cayman Chemical, Ann Arbor, MI, USA) was used to detect changes in the mitochondrial membrane potential of the cells. After the incubation, the treated cells were centrifuged (3000 rpm, 10 min, 4 °C) and resuspended in 50 μl of buffer in a black plate. 5 μl of JC-1 was added and, after 30 min of incubation, the green (J-monomers, excitation 540 nm/emission 470 nm) and red (J-aggregates, excitation 485 nm/emission 535 nm) fluorescence were measured, and the result were expressed as percentage relative to the negative control of the ratio red/green fluorescence. A positive control was added, carbonyl cyanide m-chlorophenyl hydrazone (CCCP, 100 μM for 3 h) and a reference treatment, miltefosine for L. amazonensis and benznidazole for T. cruzi (García-Davis et al., 2023).
2.8. Analysis of ATP levels
CellTiter-Glo® Luminescent Cell Viability Assay (Promega, WI, USA) was used to detect variations in the levels of ATP. After the incubation, the treated parasites were centrifuged (3000 rpm, 10 min, 4 °C) and resuspended in 25 μl of buffer in a white plate with another 25 μl of the kit. After 10 min of incubation at room temperature, the luminescent was determined using EnSpire Multimode Plate Reader® (PerkinElmer). The results were expressed in percentage to the negative control, without treatment. Sodium azide (NaN3 20 mM for 3 h) was added as a positive control and miltefosine (L. amazonensis) and benznidazole (T. cruzi) as a reference treatments (López-Arencibia et al., 2021).
2.9. Integrity of the membrane permeability analysis
SYTOX® Green nucleic acid stain fluorescent dye (ThermoFisher Scientific, MA, USA) was used to elucidate if the plasmatic membrane permeability is altered. To develop the assay, the treated cells were centrifuged (3000 rpm, 10 min, 4 °C), resuspended in 50 μl of buffer and the kit was added at a final concentration of 1 μM. After 15 min of incubation at room temperature, fluorescence pictures were taken with EVOS® FL Cell Imaging System (ThermoFisher Scientific, MA, USA) in the GFP light cube (excitation 504 nm/emission 523 nm). Triton 0.1 % was used as a positive control and a reference treatment was added (Benznidazol for T. cruzi and Miltefosine for L. amazonensis) (San Nicolás-Hernández et al., 2023b).
2.10. Analysis of the presence of reactive oxygen species
CellROX® Deep Red Reagent (ThermoFisher Scientific, MA, USA) was used to analyze the oxidative stress. After the 24 h of incubation with the compounds, the parasites were centrifuged (3000 rpm, 10 min, 4 °C), resuspended in 50 μl of buffer and incubated at 5 μM of CellROX reagent for 30 min. Then, the presence of reactive oxygen species was detected with the EVOS® FL Cell Imaging System (ThermoFisher Scientific, MA, USA) in the Cy5 light cube (excitation 644 nm/emission 665 nm). Hydrogen peroxide (H2O2 600 mM for 30 min) was used as a positive control and the reference treatments were also added (Benznidazol for T. cruzi and Miltefosine for L. amazonensis) (San Nicolás-Hernández et al., 2023a).
2.11. Transmission electron microscopy (TEM)
Transmission electron microscopy was used to develop the analysis of the ultrastructural changes of the treated cells. To see the morphological damage caused in the parasites JEOL JEM-1011 transmission electron microscope (JEOL Ltd., Tokyo, Japan) was used (Castelan-Ramírez et al., 2020). The assay was developed incubating the parasites with the IC90 of the compounds for 24 h. The samples were fixed with 2.5% glutaraldehyde and then fixed with 1% osmium tetroxide in cacodylate. The dehydration was done with ethanol and the parasites were embedded in epoxy resins. Finally, the thin sections were observed in transmission electron microscope (González-Robles et al., 2012). The TEM was developed in collaboration with the Facultad de Estudios Superiores Iztacala (FESI), Medicina, UNAM, Mexico (Nicolás-Hernández et al., 2023).
2.12. Statistical analysis
The inhibitory concentrations (IC50 and IC90) and cytotoxic concentration (CC50) were determined using a non-linear regression [Inhibitor] vs response – Variable slope (four parameters) by non-linear regression analysis with 95 % confidence, using the GraphPad Prism 9.0.0 statistical software. The experiments were performed in duplicate in three different days. The analysis was developed using a Tukey's test, considering significant values of p < 0.05. The ANOVA analysis was also done in the GraphPad Prism 9.0.0.
3. Results
3.1. Chemical
The tested novel compounds, 1–4 (Fig. 1), are acrylonitriles derivatives of Q7, synthetized following the general procedure (Coles et al., 2018); to a solution of alkyne (2.0 mmol), acetone cyanohydrin (2.1 mmol) and DABCO (0.020 mmol) in CH2Cl2 (4 ml) was stirred for 1 h at room temperature (Scheme 1). Solvent was evaporated under reduced pressure and the crude residue was flash chromatographed using silica gel. Elution with ethylacetate/hexanes (10:90 v/v) afforded the desired pure product (characterization in the supporting information). Their purity was confirmed by NMR spectroscopy (characterization in the supporting information).
Fig. 1.
Acrylonitriles synthetized and studied in this work.
Scheme 1.
General procedure to obtain the acrylonitriles studied (Coles et al., 2018; Tejedor et al., 2019).
3.2. Antiparasitic activity
The activity of the four acrylonitriles was studied against extracellular forms of Leishmania amazonensis and Trypanosoma cruzi. The results of the inhibitory concentration 50 (IC50), the concentration which inhibits the 50% of the population of parasites, against the promastigote form of L. amazonensis and the epimastigote form of T. cruzi were included in Table 2.
Table 2.
Activity against extracellular forms, promastigote stage of L. amazonensis and epimastigote stage of Trypanosoma cruzi.
| Structure | IC50 (μM) Promastigote (L. amazonensis) | IC50 (μM) Epimastigote (T. cruzi) | |
|---|---|---|---|
| 1 | ![]() |
27.08 ± 1.88 | 10.16 ± 0.97 |
| 2 | ![]() |
20.03 ± 4.74 | 12.32 ± 2.11 |
| 3 | ![]() |
8.14 ± 1.2 | 17.52 ± 1.71 |
| 4 | ![]() |
28.39 ± 5.2 | 5.06 ± 1.11 |
| M | ![]() |
6.48 ± 0.25 | |
| B | ![]() |
6.92 ± 0.77 |
IC50: inhibitory concentration 50; M: miltefosine, reference drug for L. amazonensis; B: benznidazole, reference drug for T. cruzi.
As well, the activity against the intracellular forms of the parasites was developed. The IC50 against the amastigote stage of L. amazonensis and T. cruzi were presented in Table 3.
Table 3.
Activity against intracellular forms, amastigote stage of L. amazonensis and Trypanosoma cruzi.
| IC50 (μM) Amastigote (L. amazonensis) | IC50 (μM) Amastigote (T. cruzi) | |
|---|---|---|
| 1 | 45.83 ± 3.61 | 92.30 ± 12.14 |
| 2 | 67.25 ± 1.73 | 23.08 ± 4.77 |
| 3 | 18.13 ± 3.53 | 14.86 ± 4.33 |
| 4 | 48.00 ± 2.8 | 127.9 ± 8.03 |
| M | 3.12 ± 0.30 | |
| B | 2.67 ± 0.39 |
IC50: inhibitory concentration 50; M: miltefosine, reference drug for L. amazonensis; B: benznidazole, reference drug for T. cruzi.
3.3. Cytotoxicity against murine macrophages
The toxicity produced by these acrylonitriles was developed against murine macrophages. The results of cytotoxic concentration 50 (CC50), concentration that inhibits the growth of the 50% of the cell population, were included in Table 4.
Table 4.
Cytotoxicity of the studied compounds.
| CC50 (μM) | |
|---|---|
| 1 | 38.75 ± 7.28 |
| 2 | 79.53 ± 12.14 |
| 3 | 109.39 ± 24.57 |
| 4 | 34.02 ± 7.71 |
| B | 399.91 ± 1.40 |
| M | 72.18 ± 8.85 |
CC50: inhibitory concentration 50; M: miltefosine, reference drug for L. amazonensis; B: benznidazole, reference drug for T. cruzi.
In addition, considering the values of IC50 and CC50, the selectivity of the tested compounds against intracellular and extracellular forms of the parasites was studied. The selectivity index (SI), the ratio CC50/IC50, were included in Table 5.
Table 5.
Activity against extracellular and intracellular forms of L. amazonensis and Trypanosoma cruzi.
| SI (L. amazonensis) |
SI (T. cruzi) |
|||
|---|---|---|---|---|
| Promastigote | Amastigote | Epimastigote | Amastigote | |
| 1 | 1.4 | 0.9 | 3.8 | 0.4 |
| 2 | 4.0 | 1.2 | 6.5 | 3.5 |
| 3 | 13.4 | 6.0 | 6.2 | 7.4 |
| 4 | 1.2 | 0.7 | 6.7 | 0.3 |
| M | 11.1 | 23.1 | ||
| B | 57.8 | 149.8 | ||
SI: selectivity index CC50/IC50; M: miltefosine, reference drug for L. amazonensis; B: benznidazole, reference drug for T. cruzi.
3.4. Mechanisms of cell death
Compounds 2 and 3 demonstrate the best activity-cytotoxicity relationship, with the highest selectivity index values, and for this reason, these two compounds were chosen to determine the type of death they produce in the parasites.
3.5. Chromatin condensation analysis
To determine the presence of chromatin condensation the double stain Vybrant™ Apoptosis Assay Kit was used. The propidium iodide, which shows on red the death cells, can be displayed in the RFP channel, the Hoechst, which shows chromatin condensed on blue, can be visualized in the DAPI channel, and, in addition, the morphology of the parasites can be observed in the transmitted light channel. The results of the incubation of this kit with compounds 2 and 3 against L. amazonensis and T. cruzi, were presented in Fig. 2, Fig. 3, respectively.
Fig. 2.
Results of Hoechst–propidium iodide staining in treated parasites. Results after 24 h of incubation of promastigotes of L. amazonensis against the IC90 of acrylonitriles. Images were captured using an EVOS FL Cell Imaging System (40×). Scale-bar: 50 μm. A: Non treated parasites in visible channel; B: Non treated parasites in DAPI channel; C: Non treated parasites in RFP channel; D: Parasites treated with acrylonitrile 2 in visible channel; E: Parasites treated with acrylonitrile 2 in DAPI channel; F: Parasites treated with acrylonitrile 2 in RFP channel; G: Parasites treated with acrylonitrile 3 in visible channel; H: Parasites treated with acrylonitrile 3 in DAPI channel; I: Parasites treated with acrylonitrile 3 in RFP channel.
Fig. 3.
Results of Hoechst–propidium iodide staining in treated parasites. Results after 24 h of incubation of epimastigotes of T. cruzi against the IC90 of acrylonitriles. Images were captured using an EVOS FL Cell Imaging System (40×). Scale-bar: 50 μm. A: Non treated parasites in visible channel; B: Non treated parasites in DAPI channel; C: Non treated parasites in RFP channel; D: Parasites treated with acrylonitrile 2 in visible channel; E: Parasites treated with acrylonitrile 2 in DAPI channel; F: Parasites treated with acrylonitrile 2 in RFP channel; G: Parasites treated with acrylonitrile 3 in visible channel; H: Parasites treated with acrylonitrile 3 in DAPI channel; I: Parasites treated with acrylonitrile 3 in RFP channel.
3.6. Mitochondrial membrane potential analysis
To determine the alteration in the mitochondrial membrane potential the JC-1 Mitochondrial Membrane Potential Assay Kit® was used. The results were expressed in percentage of mitochondrial membrane potential relative to the negative control (without treatment) in the following graphs (Fig. 4, Fig. 5).
Fig. 4.
Results of mitochondrial membrane potential alterations (△Ψm) expressed as percentage relative to negative control (C-), carbonyl cyanide m-chlorophenyl hydrazone (CCCP), positive control, and miltefosine, the reference treatment, were added. A Tukey test with the GraphPad.PRISM® 9.0.0 software was done to test the statistical differences between means. (p < 0.0001 [****]). All experiments were performed in duplicate in three different days. 2: Parasites treated for 24 h with the IC90 of the acrylonitrile 2; 3: Parasites treated for 24 h with the IC90 of the acrylonitrile 3.
Fig. 5.
Results of mitochondrial membrane potential alterations (△Ψm) expressed as percentage relative to negative control (C-), carbonyl cyanide m-chlorophenyl hydrazone (CCCP), positive control, and benznidazole, the reference treatment, were added. A Tukey test with the GraphPad.PRISM® 9.0.0 software was done to test the statistical differences between means. (p < 0.0001 [****]). All experiments were performed in duplicate in three different days. 2: Parasites treated for 24 h with the IC90 of the acrylonitrile 2; 3: Parasites treated for 24 h with the IC90 of the acrylonitrile 3.
3.7. Analysis of ATP levels
To analyze the variations in the levels of ATP the CellTiter-Glo® Luminescent Cell Viability Assay kit was used. The results of percentage of ATP relative to the negative control were included in these graphs (Fig. 6, Fig. 7).
Fig. 6.
Results of the ATP levels represented as the percentage relative to negative control, miltefosine was used as the reference treatment, and sodium azide was used as positive control. A Tukey test with the GraphPad.PRISM® 9.0.0 software was done to test the statistical differences between means. (p < 0.0001 [****]). 2: Parasites treated for 24 h with the IC90 of the acrylonitrile 2; 3: Parasites treated for 24 h with the IC90 of the acrylonitrile 3.
Fig. 7.
Results of the ATP levels represented as the percentage relative to negative control, benznidazole was used as the reference treatment, and sodium azide was used as positive control. A Tukey test with the GraphPad.PRISM® 9.0.0 software was done to test the statistical differences between means. (p < 0.0001 [****]). 2: Parasites treated for 24 h with the IC90 of the acrylonitrile 2; 3: Parasites treated for 24 h with the IC90 of the acrylonitrile 3.
3.8. Integrity of the membrane permeability analysis
To determine whether the integrity of the membrane is maintained after treatment, the Sytox® Green kit was used. Alterations in the integrity of the membrane allow the stain to enter in the cells emitting green fluorescence, which can be observed in the GFP channel (Fig. 8, Fig. 9).
Fig. 8.
Detection of plasmatic membrane permeability using SYTOX® Green staining in promastigote stage of L. amazonensis. Images were captured using an EVOS FL Cell Imaging System (40×). Scale-bar: 50 μm. A: Non treated parasites in visible channel; B: Non treated parasites in GFP channel; C: Parasites treated with acrylonitrile 2 in visible channel; D: Parasites treated with acrylonitrile 2 in GFP channel; E: Parasites treated with acrylonitrile 3 in visible channel; F: Parasites treated with acrylonitrile 3 in GFP channel; G: Parasites treated with Triton 0.1%, positive control, in visible channel. H: Parasites treated with Triton 0.1%, positive control, in GFP channel.
Fig. 9.
Detection of plasmatic membrane permeability using SYTOX® Green staining in epimastigote stage of T. cruzi. Images were captured using an EVOS FL Cell Imaging System (40×). Scale-bar: 50 μm. A: Non treated parasites in visible channel; B: Non treated parasites in GFP channel; C: Parasites treated with acrylonitrile 2 in visible channel; D: Parasites treated with acrylonitrile 2 in GFP channel; E: Parasites treated with acrylonitrile 3 in visible channel; F: Parasites treated with acrylonitrile 3 in GFP channel; G: Parasites treated with Triton 0.1%, positive control, in visible channel. H: Parasites treated with Triton 0.1%, positive control, in GFP channel.
3.9. Analysis of the presence of reactive oxygen species
To demonstrate the presence of reactive oxygen species the CellROX® Deep Red Reagent was used. The presence of red fluorescence, which indicates presence of reactive oxygen species, can be observed in Fig. 10, against L. amazonensis, and Fig. 11, against T. cruzi.
Fig. 10.
Detection of reactive oxygen species using CellROX® Deep Red staining in promastigote stage of L. amazonensis. Images were captured using an EVOS FL Cell Imaging System (40×). Scale-bar: 50 μm. A: Non treated parasites in visible channel; B: Non treated parasites in Cy5 channel; C: Parasites treated with acrylonitrile 2 in visible channel; D: Parasites treated with acrylonitrile 2 in Cy5 channel; E: Parasites treated with acrylonitrile 3 in visible channel; F: Parasites treated with acrylonitrile 3 in Cy5 channel; G: Parasites treated with H2O2 600 mM, positive control, in visible channel. H: Parasites treated with H2O2 600 mM, positive control, in Cy5 channel.
Fig. 11.
Detection of reactive oxygen species using CellROX® Deep Red staining in epimastigote stage of T. cruzi. Images were captured using an EVOS FL Cell Imaging System (40×). Scale-bar: 50 μm. A: Non treated parasites in visible channel; B: Non treated parasites in Cy5 channel; C: Parasites treated with acrylonitrile 2 in visible channel; D: Parasites treated with acrylonitrile 2 in Cy5 channel; E: Parasites treated with acrylonitrile 3 in visible channel; F: Parasites treated with acrylonitrile 3 in Cy5 channel; G: Parasites treated with H2O2 600 mM, positive control, in visible channel. H: Parasites treated with H2O2 600 mM, positive control, in Cy5 channel.
3.10. Transmission electron microscopy (TEM)
To evaluate the morphological alterations and the ultrastructural produced in promastigotes of L. amazonensis and epimastigotes of T. cruzi by the tested compounds, the transmission electron microscopy (TEM) was used (Fig. 12, Fig. 13).
Fig. 12.
Ultraestructural analysis of transmission electron microscopy of L. amazonensis treated with the IC90 of acrylonitriles for 24 h. A: Non treated parasites; B and C: Parasites treated with acrylonitrile 2; D, E and F: Parasites treated with acrylonitrile 3. In the images, some organelles were observed (M: Mitochondria; N: Nuclei; FP: Flagellar pocket; F: Flagellum; K: Kinetoplast; R: Reservosome; V: Vacuole).
Fig. 13.
Ultraestructural analysis of transmission electron microscopy of T. cruzi treated with the IC90 of acrylonitriles for 24 h. Images were captured using JEOL JEM-1011 transmission electron microscope. A: Non treated parasites; B, C, D and E: Parasites treated with acrylonitrile 2; F, G, H and I: Parasites treated with acrylonitrile 3. In the images, some organelles were observed (M: Mitochondria; N: Nuclei; GA: Golgi apparatus; FP: Flagellar pocket; F: Flagellum; K: Kinetoplast; R: Reservosome; V: Vacuole; MB: Multilamellar bodies; AV: Autophagic vacuole; *: Chromatin condensation).
In the images of L. amazonensis (Fig. 12), it is possible to observe in untreated parasites (Fig. 12A) the characteristic morphological elongated form of the promastigotes, normal nucleus without condensation and well conditions of the rest of the organelles. In the parasites treated with the IC90 of the compounds 2 (Fig. 12B and C) and 3 (Fig. 12D–F) some morphological changes are shown. The most visible feature is the change in the general morphology of the cells, the treated cells lost the characteristic elongated form, appearing to be rounding and swelling, but preserving the plasmatic membrane. Additionally, the cell interior is in disarray, without cytoplasmic content, with clear signs of organelle digestion which makes it difficult to differentiate between organelles.
More in depth, talking about specific organelles with genetic material, disorganization of the nucleus can be observed (Fig. 12B and C), as well as the loss of shape of the kinetoplast (K), which is observed to be enlarged (Fig. 12C and F). In addition, two nuclei can be observed in the same cell (Fig. 12F), which would indicate an alteration in the normal development of the life cycle.
Other important changes are seen in the flagellum (F) and flagellar pocket (FP) (Fig. 12B), which could affect the motility of the parasite. As well as an increase in the amount of reservosomes (R), lipid bodies that may be associated with the protection of the cell by building up energy reserves.
In the case of the negative control of T. cruzi (Fig. 13A), the morphological characteristic elongated form of the epimastigotes is also maintained, and the organelles can be observed in perfect conditions as well. Seeing the images of parasites treated with the IC90 of the compounds 2 (Fig. 13B–E) and 3 (Fig. 13F–I), some damages and changes compared to the negative control can be observed.
The most ultrastructural change observed is the loss of the elongated form, the treated epimastigotes take a rounded shape (Fig. 13B and F), also the alteration of the continuity of the cytoplasm is noticeable in treated parasites.
As well as in the case of L. amazonensis, organelles present some alterations. The enlargement of the kinetoplast (K), the disruption in the flagellum (F) and flagellar pocket (FP), the increase in the number of reservosomes (R) or the loss of shape of the nucleus are presented. Moreover, the condensation of the treated nuclei also appears (*).
In addition, the non-characteristic elongated and distended form of endoplasmic reticulum (ER) (Fig. 13C and F), the presence of multilamellar bodies (MB) and the huge number of vacuoles (V) can be observed in treated epimastigotes.
4. Discussion
Acrylonitriles have been shown to be a source of compounds with numerous biological activities. They have shown anti-inflammatory (Sivaramakarthikeyan et al., 2020) and anticancer (Penthala et al., 2013) activity, as well as numerous activities against microorganisms such as viruses (Duan et al., 2020; Han et al., 2017), bacteria (Saczewski et al., 2008; Sanna et al., 2000) or parasites (Barbosa et al., 2009; Junior et al., 2010; Nakayama et al., 2007; Sandes et al., 2010, 2014; Sharma et al., 2018).
The four compounds studied demonstrated activity against both parasites, Leishmania amazonensis and Trypanosoma cruzi. The activity against extracellular forms ranges between IC50 of 8.14 ± 1.2 and 28.39 ± 5.2 μM in L. amazonensis and from 5.06 ± 1.11 and 17.52 ± 1.71 μM in T. cruzi. Against the intracellular forms the most active was the compound 3 in the two parasites.
The current treatments against trypanosomatids produce several side effects, including neurological and gastrointestinal problems (Barrett and Croft, 2012; Mathison and Bradley, 2023). For this reason, it is necessary to evaluate the cytotoxicity of the compounds to test, this varied between 34.02 ± 7.71 and 109.39 ± 24.57 μM, being the least toxic the compound 3.
Regarding the results of selectivity, the compounds that seem to give the best profile are the compounds 2 and 3 against both stage forms if the two parasites. Highlighting the selectivity indexes of compound 3 against promastigote forms of L. amazonensis (13.4) and against amastigote forms of T. cruzi (7.4).
The type of cell death produced in the parasites may condition the response of the host, since a necrotic death could produce an inflammatory process fatal for the patient. For this reason, it is important to know what kind of cell death the compounds induce in the parasites. This was evaluated with the compounds 2 and 3, for that purpose, different events involved in the apoptosis death were studied, namely, chromatin condensation, plasmatic membrane permeability and oxidative stress, among others.
The results of the different mechanisms of action demonstrate that compounds 2 and 3 induce chromatin condensation, observable in the images of Hoechst and TEM, and induce oxidative stress, which in this case is demonstrated by the presence of red fluorescence in the images with cellROX®, the amount of fluorescence is directly proportional to the amount of ROS, and thus, oxidative stress. Another important alteration occurs in the mitochondria, and this could be observed in the morphological changes with TEM images and the decrease in levels of ATP and mitochondrial membrane potential.
The plasmatic membrane is necessary to protect the cell contents. The parasites treated with the compounds 2 and 3 exhibit green fluorescence in the presence of SYTOX® Green stain, and the integrity of the cells is maintained. This disruption in the membrane permeability with maintaining the integrity of the cell is characteristic of programmed cell death.
Another striking event appear in TEM images, such as the alterations in the flagellar pocket, the high numbers of reservosomes or vacuoles, the presence of multilamellar bodies or the changes in the morphology of important organelles such as nuclei or kinetoplast, essential for the biological processes of the parasite.
All these events, the chromatin condensation, the alterations in the mitochondria, the decrease of ATP, the changes in the normal morphology of organelles, and the alterations in the plasmatic membrane, among others, are events involved in a programmed cell death. Previous studies demonstrate the induction of programmed cell death caused by acrylonitriles (Sandes et al., 2010, 2014). In addition, previous works by this group has demonstrated the existence of apoptosis like death caused by this type of compounds (Bethencourt-Estrella et al., 2021, 2022).
5. Conclusion
In summary, this work demonstrates that compounds 2 and 3 have activity against both forms of L. amazonensis and T. cruzi, this is consistent with previous studies in the literature, even improving on published data. In addition, the studies of mechanisms of cell death demonstrates that these compounds produce an apoptotic like cell death, which makes them good candidates for further studies. Moreover, the consistency of these data with those found in the literature makes this group of compounds, the acrylonitriles, good candidates for the design of drugs against Leishmania spp. and Trypanosoma cruzi.
Fundings
This study was supported funded by the Consorcio Centro de Investigación Biomédica (CIBER) de Enfermedades Infecciosas (CIBERINFEC); the Instituto de Salud Carlos III, 28,006 Madrid, Spain [CB21/13/00100]; C.J.B.E [CC20230222, CABILDO.23] was funded by Cabildo Insular de Tenerife 2023–2028 and the Ministerio de Sanidad, Spain. C.J.B.E. [TESIS2020010057] was funded by a grant from the Agencia Canaria de Investigación, Innovación y Sociedad de la Información, co-funded with 85% by Fondo Social Europeo (FSE).
Conflict of interest
The authors declare no conflict of interest.
Footnotes
Supplementary data to this article can be found online at https://doi.org/10.1016/j.ijpddr.2024.100531.
Contributor Information
Carlos J. Bethencourt-Estrella, Email: cbethene@ull.edu.es.
David Tejedor, Email: dtejedor@ipna.csic.es.
Jacob Lorenzo-Morales, Email: jmlorenz@ull.edu.es.
José E. Piñero, Email: jpinero@ull.edu.es.
Appendix A. Supplementary data
The following is the Supplementary data to this article:
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