Abstract
Resistance to antileishmanial drugs such as sodium stibogluconate (SSG), amphotericin B (Amp-B), and miltefosine is on the rise, and alternate strategies for effective treatment have gained importance in recent years. Although nanoparticle (NP)-based composite drugs that have emerged recently have been found to be effective, the associated toxicity limits their usage. Bimetallic NPs produced through reduction with medicinal plant extracts are proposed to overcome the toxicity of the NPs. In the present study, three types of gold–silver bimetallic nanoparticles (Au–Ag BNPs) were synthesized through a single-step reduction process using fenugreek, coriander, and soybean leaf extracts. All of the three types of BNPs exhibited high antileishmanial effects against promastigotes with half-inhibitory concentration (IC50) values in the range of 0.03–0.035 μg/mL. The IC50 values of the BNPs are much lower compared to those of miltefosine (IC50 = 10 μg/mL). The synthesized BNPs induced the reactive oxygen species (ROS)-mediated apoptosis-like death in the promastigotes and could potentiate the antileishmanial activity of macrophages. The intracellular amastigotes were reduced by 31–46% in macrophages. The biogenic BNPs synthesized in this study and their potent antileishmanial activity provide further impetus to the ongoing quest for novel drugs to effectively manage leishmaniasis.
Introduction
Leishmaniasis is a tropical disease caused by the intracellular parasite Leishmania and is transmitted by female Phlebotomine sand flies. The disease is highly prevalent among the poor population of the world, living in tropical and subtropical countries. Infected individuals are observed to develop problems ranging from self-healing cutaneous lesions to life-threatening visceral disease.1−4 Worldwide, about 0.7–1.0 million new cases and 20 000–30 000 deaths due to leishmaniasis are reported annually.2 Among the clinical forms, visceral leishmaniasis (VL) or kala-azar is the most fatal, which is typically caused by Leishmania donovani in the Indian subcontinent. Every year, about 50 000–90 000 new VL cases are reported around the globe, with a high incidence in the Indian subcontinent and East Africa.2 VL is emerging as an opportunistic coinfection and is posing a threat in acquired immunodeficiency syndrome (AIDS) patients.3 The clinical symptoms of VL include fever, weight loss, anemia, pancytopenia, hyperpigmentation of skin, and hepatosplenomegaly, and the mortality rate is relatively higher (about 95%) in VL patients.2 Treatment mostly relies on chemotherapy, which is limited to a few drugs including pentavalent antimonials (SbV), amphotercin B (Amp-B), miltefosine, and paromomycin. High costs, life-threatening toxicity, and, more importantly, development of clinical resistance have been an impediment in using these drugs.5 Increased activity of membrane-associated efflux pumps on parasites, low bioavailability of drugs, reduced exposure time of drugs, delayed conversion rate of the prodrug forms to get activated,6 and plasticity of the parasite genome7 have been identified as predominant reasons to drug resistance in Leishmaniasis treatment. Further resistance has also been reported for miltefosine/paromomycin and sodium stibogluconate (SSG)/paromomycin combination therapies.8 In the light of increasing drug resistance against existing drugs, nanoparticle (NP)-based drugs have become one of the best options to combat resistance, and they have become the focus in search of developing alternate strategies for effective treatment of leishmaniasis.
In the recent past, although chemically synthesized NPs have been proposed for effective treatment of leishmaniasis,9−12 their toxicity on macrophages has limited their applications. However, NPs synthesized by green chemistry have assumed significance as alternatives with their biocompatible nature. Biogenic silver nanoparticles (AgNPs) were found to be more efficient than chemically synthesized AgNPs against Leishmania amazonensis promastigotes. With lower concentrations than Amp-B, biosynthetic AgNPs showed an equal effect on the inhibition of parasitemia, in vivo.4,13 With increasing evidence on bimetallic nanoparticles (BNPs), recent studies have shown that BNPs are relatively more effective than NPs generated by a single metal. Gold (Au)/Ag NPs14−17 alone were found to be less effective when compared to Au–Ag BNPs.18,19 Core–shell Au–Ag BNPs20 and nontoxic Au–Ag BNPs reduced by Gloriosa superba(21) and Mentha piperita(22) leaf extracts were reported to exhibit a strong antibacterial activity. However, very little information is available on the effectiveness of BNPs as antileishmanial agents. The activities of Au–Ag BNPs against L. donovani(19) and of Ti–Ag BNPs against Leishmania tropica (the causative agent of cutaneous leishmaniasis) and Leishmania infantum (the causative agent of VL) have been demonstrated. They induce reactive oxygen species (ROS)-mediated death of the parasites.23 The known promising antimicrobial potential of Au–Ag BNPs and the lack of similar studies on leishmaniasis inspired us to test the effect of BNPs on leishmaniasis. In the present study, we synthesized Au–Ag BNPs by green chemistry by utilizing fenugreek, soybean, and coriander leaf extracts separately and tested their activities against L. donovani promastigotes and intracellular amastigotes that reside in macrophages.
Results
Ultraviolet (UV)–Visible Absorption Shows Characteristics of Au–Ag BNPs
UV–visible absorption spectral analysis showed peaks at wavelengths of 541, 533, and 522 nm for reduced Au–Ag BNPs generated by fenugreek, soybean, and coriander leaf extracts, respectively (Figure 1). The spectra indicate that the Au–Ag BNPs are in the form of an alloy and not a mixture of individual metal particles. This was further confirmed through lattice constants 0.408 and 0.409 nm for gold and silver, respectively.
Fourier Transform Infrared Spectroscopy (FTIR) Analysis
Au–Ag BNPs made of three leaf extracts of fenugreek, soybean, and coriander exhibited five significant peaks, viz. 646, 1511, 1636, 2358, and 3348 cm–1 for all (Figure 2). The peak at 646 cm–1 is due to the −CH– out-of-plane bending vibrations being substituted by ethylene systems −CH=CH– (cis). The band center at 1511 cm–1 can be attributed to amino acids containing −NH2– groups. The peak center at 1636 cm–1 can be attributed to the C=O stretch of amides of proteins or peptides formed as capping agents derived from all three leaf extracts. The band around 2358 cm–1 is due to Au–Ag bimetallic linking to the −CN–, indicating the presence of BNPs in the sample. Finally, the strong peak at 3348 cm–1 is due to the presence of the amine group.
Transmission Electron Microscopy (TEM) and Energy-Dispersive X-ray Spectroscopy (EDX) Analyses
The Au–Ag BNPs generated are well separated and appear spherical in shape (Figure 3A). The average particle size ranged from 10 to 12 nm for BNPs generated by fenugreek, coriander, or soybean leaf extract reduction (Figure 3B). The selected area electron diffraction (SAED) pattern shown in Figure 4 for the Au–Ag BNPs generated by the three different leaf extracts provided further evidence of their crystalline nature.
Induction of Cytotoxicity and Structural Aberrations in Promastigotes by Au–Ag BNPs
The ability of Au–Ag BNPs to induce cytotoxicity in promastigotes was tested with an MTT [3-(4,5-dimethylthiazol-2-yl)–2,5-diphenyl tetrazolium bromide] assay. Concentration-dependent cytotoxicity was observed when incubated for 48 h (Figure 5). The half-inhibitory concentration (IC50) values of Au–Ag BNPs synthesized by reduction with leaf extracts of soybean, fenugreek, and coriander were found to be 0.03, 0.035, and 0.035 μg/mL, respectively, whereas the IC50 for miltefosine was 10 μg/mL against promastigotes (Figure 5). Light microscopy images of promastigotes treated with the respective IC50 concentration of Au–Ag BNPs for 48 h revealed loss of structural integrity when compared to control parasites (Figure 6A). The untreated promastigotes appeared to have slender bodies and long flagella, whereas BNP-treated promastigotes appeared round/ovoid and majority of them had lost their flagellum. Scanning electron microscopy (SEM) analyses revealed structural abnormalities akin to those observed during apoptosis (Figure 6B).
Induction of DNA Breaks and Intracellular ROS in Promastigotes by Au–Ag BNPs
Genomic DNA fragmentation by endogenous nucleases and the generation of intracellular ROS are the hallmarks of apoptosis in promastigotes.28 We observed that Au–Ag BNPs induced genomic DNA breaks in promastigotes by 48 h, as it appears like a smear on agarose gel (Figure 6C). To determine the extent of ROS generation by BNPs, the mean fluorescence intensity (MFI) of ROS labeled by the 2′,7′-dichloro dihydrofluorescein (H2DCF) green fluorescence dye was measured using flow cytometry. The MFI values were 13 ± 4, 32 ± 3, 33 ± 4, and 40 ± 4 for untreated cells and BNPs of soybean, fenugreek, and coriander leaf extracts, respectively (Figure 6D). The MFI was 31 ± 7 in promastigotes treated with miltefosine. These results indicate the induction of apoptosis-like death in promastigotes when treated with BNPs.
Biocompatibility of Au–Ag BNPs with Macrophages
In spite of the wide range of Au–Ag BNP concentrations (0.01–2.5 μg/mL) tested against the human macrophage cell line, we noticed only 20% cell death even at the highest concentration (2.5 μg/mL). The highest concentration of Au–Ag BNPs that we tested against macrophages was ∼70 times higher than that of IC50 values (0.03–0.035 μg/mL) that we calculated against promastigotes. If we consider these IC50 values against macrophages, the percentage death of macrophages was less than 10%. Hence, in the following experiments on macrophages, we used 0.03–0.035 μg/mL concentration of Au–Ag BNPs. As shown in our previous report,27 here too, miltefosine (1 μg/mL or 2.5 μM) showed ∼80% viability in macrophages (Figure S1).
Depletion of Amastigote Growth Inside Macrophages by Au–Ag BNPs
The ability of BNPs to abrogate amastigote growth inside macrophages was investigated. Localization of amastigotes in the macrophages under different conditions of treatment is shown in Figure 7. The average number of intracellular amastigotes per 100 macrophages was counted; it was 321 ± 19 in untreated macrophages and were 173 ± 30 (i.e., 46% reduction), 224 ± 53 (i.e., 31% reduction), and 178 ± 30 (i.e., 45% reduction) in BNPs of macrophages treated with soybean, fenugreek, and coriander leaf extracts, respectively. The positive drug control miltefosine (1 μg/mL or 2.5 μM) caused 62% reduction (122 ± 10) of amastigote growth (Figure 7).
Induction of ROS-Mediated Death in Amastigotes by Au–Ag BNPs
All three types of BNPs were able to induce ROS inside the macrophages that are infected with amastigotes (Figure 8). The MFI values of BNPs generated by leaf extracts of coriander, fenugreek, and soybean were 284.6 ± 5.7, 275.8 ± 6.9, and 281.9 ± 3.7, respectively, which were higher than that of the infected control (214.3 ± 13.04). On the other hand, L. donovani-infected macrophages showed reduced intracellular ROS levels when compared to that of uninfected cells (243.96 ± 9.04), which caused delayed phagolysosome formation30 and inhibited oxidative killing of the intracellular amastigotes.31 Miltefosine treatment was used as a positive control for ROS production inside the infected macrophages, and the MFI was 265.5 ± 8.3, which is significantly higher than the infected control.
Discussion
Chemotherapy is still recommended as a gold standard method for the treatment of leishmaniasis.32 They have several shortcomings, and quite often the treatment is not successful. The potential reasons for failure include low bioavailability and inappropriate localization or low specificity of the drug, drug resistance due to host genetic background,33 immune deficiency,34 and malnutrition.35 Recently, global warming is considered to be spreading leishmaniasis to new geographical regions.36 After the failure of drug combination therapies,8 nanotherapy has emerged as a potential alternative to combat drug resistance. It improves drug delivery and bioavailability. The nanoparticulation of antileishmanial drugs such as meglumine antimoniate,37 antimony sulfide,38 andrographolide,39 and curcumin40 is shown to improve the precise delivery to target cells, which reduced dosage and toxicity to the host cells. However, newer therapies using metal-based nanotherapies emerged to address the problems associated with conventional drugs.
The mono-metal NPs used against Leishmania species are required in high concentrations, which cause toxicity to macrophages. For example, AgNPs and AuNPs studied against L. major inhibited promastigote proliferation with low concentrations (10–100 μg/mL), but they were equally toxic to macrophages.9 The AgNPs against L. tropica promastigotes were effective at high concentrations (150–200 μg/mL) and toxic to macrophages with >10 μg/mL.2,41 At these toxic concentrations, AgNPs could induce oxidative stress, alterations in the gene expression profile, genetic damage, and necrotic death in higher eukaryotes.42 In contrast to these, the biogenic mechanisms and the green synthesis method of preparing nanoparticles has several advantages43 and are biocompatible with the host system. To overcome the limitations associated with mono-metal NPs, the green synthesis of Au–Ag NPs17,44−46 has been reported as a potential antileishmanial agent. In a comparative study, AgNPs synthesized by chemical and biogenic (Fusarium oxysporum) methods reported IC50 values of 103.5 ± 11.5 and 31.6 ± 8.2 μM, respectively.13 Similarly, AgNPs and AuNPs synthesized from Sargentodoxa cuneata showed IC50 values of about 4.37 and 5.29 μg/mL, respectively, against L. amazonensis.(47) These observations highlighted the advantage of phytomaterial composites toward reducing the IC50.
Thus, in this study, we synthesized BNPs using different plant extracts to study the antileishmanial activity. The differential compositions of plant extracts can influence the antileishmanial activity of similar metal NPs. It is evident from the previous48 report as well as the results of this study that depending on the type of plant extract used, the IC50 values varied. The metal salt concentration, reaction time, pH, and temperature can significantly influence the quality, size, and morphology of the synthesized NPs,49,50 which affect their activity. The monodispersed NPs are more effective than the polydispersed NPs;51 Au–Ag BNPs in this study are monodispersed with an average size of 10–12 nm, appeared spherical in shape with an organized structure (at 60 min), and showed a remarkable antileishmanial activity.
The spherical shape of BNPs allows them to enter cells52 via phagocytosis, resulting in the formation of a phagolysosome with an acidified medium (pH 4–5).53,54 At low pH, Au–Ag BNPs undergo oxidation and release free Au+ and Ag+ ions, which target intracellular amastigotes to death. As demonstrated previously with AgNPs, after their phagocytosis by macrophages increases the release of Ag+ ions by oxidation and favors the death of L. amazonensis.(55) In general, macrophages produce high levels of ROS to kill pathogens like viruses, fungi, and parasites.56 However, the Leishmania parasite evades ROS production by macrophages via modulating a few signaling cascade moieties to survive inside phagolysosomes.57 The intracellular ROS produced by macrophages drives the oxidation of NPs, which further enhances ROS production. We showed that Au–Ag BNPs could activate the macrophages for ROS production and that inhibited amastigote growth to a considerable extent without inducing death in the macrophage population. Results obtained in our study are in agreement with the previously reported mechanism of the action of metal-based NPs. Furthermore, we hypothesize that, along with the ROS, phytochemicals (capping agents) released from BNPs may have good differential effects in infected and uninfected macrophages, which might have boosted the antileishmanial activity through their immune modulatory effects by safeguarding the host cells. However, this is yet to be addressed while studying all possible deeper insight mechanisms of the BNP mechanism of action on the Leishmania parasite.
The three types of BNPs are similarly effective against L. donovani promastigotes in causing apoptosis-like death. The IC50 values of the BNPs produced against promastigotes are fascinatingly lower (about 285 times) than miltefosine, and the induction of ROS by BNPs in promastigotes was moderately higher when compared to miltefosine. It suggests that BNPs have a better antileishmanial potential than miltefosine on promastigotes. The IC50 of Au–Ag BNPs produced against promastigotes proved to be nontoxic to macrophages, which is in contrast to Ti–Ag NPs, whose lethal doses against L. tropica promastigotes were found to be toxic to macrophages and the nontoxic concentrations were inefficient against both promastigotes and amastigotes.23 This important feature of our BNPs is crucial and highlights the importance of selection of metals and plant material to synthesize BNPs. Altogether, this suggests that the synthesized BNPs appear to be a good alternative for chemotherapy in the near future. As demonstrated earlier, drugs with IC50 < 1 μg/mL and selective index (SI) > 20 are highly safe to macrophages and are the best predictors of antiparasitic activity.58 BNPs used in our study would fit into this category of drugs with the lowest IC50 concentrations against Leishmania.
Conclusions
In conclusion, we report the synthesis of Au–Ag BNPs using herbal extracts that reduced metal toxicity. The IC50 values of BNPs generated against promastigotes were very low when compared to the standard drug miltefosine. The ability to reduce amastigote survival, induction of apoptosis, and generation of intracellular ROS with BNPs were significant and also comparable to miltefosine. To the best of our knowledge, this is the first report on the antileishmanial activity of BNPs prepared with the leaf extracts of herbs.
Experimental Section
Preparation of Leaf Extracts
Fresh leaves (20 g each) of fenugreek, coriander, and soybean were obtained from the fields and thoroughly rinsed with distilled water. The leaves were chopped into small pieces and then boiled in 50 mL distilled water for 5 min; resulting extracts were filtered and cooled to room temperature (RT) and stored at 4 °C until use.
Synthesis of Au–Ag BNPs
The leaf extracts were used as capping and reducing agents for AgNO3 and HAuCl4 to synthesize Au–Ag BNPs. Briefly, an aliquot of 1.5 mL of each extract (fenugreek, coriander, and soybean) was dissolved separately in 15 mL of 10–3 M HAuCl4, H2O, AgNO3, and HAuCl4·H2O + AgNO3 for fenugreek and coriander (1:1) and for soybean (50:50). Then, the prepared solution was boiled at 80 °C for 30 min, which resulted in the transformation of the colorless solution to a red color, indicating the formation of Au–Ag BNPs. The synthesized Au–Ag BNPs were spun down at 10 416g for 30 min and then washed twice with an excess of distilled water; then, the obtained Au–Ag BNPs were used in further biological experiments.
Characterization of Au–Ag BNPs
The JASCO UV–visible spectrometer was used to measure the absorbance of synthesized BNPs. The structural analysis of BNPs was performed using 200 kV ultrahigh-resolution TEM (JEOL-2010). To measure the size of BNPs, carbon-coated copper grids were used by placing a drop of extract on them, followed by drying under a lamp. To determine the composition of elements present in Au–Ag BNPs, we used an EDX detector attached to SEM (JEOL JSM-5300, Japan). To study the presence of functional groups, we performed FTIR analysis using the JASCO FTIR-5300 model.
Cultivation of the Parasite
The experimental parasite strain Dd8 of L. donovani promastigotes was obtained from ATCC (American type culture collection) and cultured in a complete M199 (cM199) medium supplemented with 15% heat-inactivated fetal bovine serum (FBS), 20 mM HEPES (4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid), 4 mM NaHCO3, pH 7.4, 100 U/mL penicillin, and 100 mg/mL streptomycin at 25 °C ± 1.
Cytotoxicity Assay on Promastigotes
Cytotoxicity of Au–Ag BNPs on L. donovani promastigotes was studied by the MTT assay. In a 96-well plate, log-phase promastigotes (1 × 106 cells/well) were incubated with different concentrations (0.005, 0.01, 0.02, 004, 0.08, and 0.16 μg/mL) of Au–Ag BNPs for 48 h. Selection of this concentration range is based on a previous study on Au–Ag NPs against active and dormant mycobacteria.24 After incubation, 20 μL of MTT (5 mg/mL) was added and incubated for 4 h at 5% CO2 and 37 °C. The developed formazan crystals were carefully spun down and dissolved in 150 μL of dimethyl sulfoxide (DMSO). Optical density (OD) was measured at λ540nm using a microplate reader (Quant Bio-tek Instruments, Inc.). Percentage of the parasite viability and IC50 values of Au–Ag BNPs were calculated for further use. Miltefosine (concentrations of 0.3, 0.6, 1.25, 2.5, 5, 10, 20, and 40 μg/mL) was the positive control. The experiment was performed in triplicates, and the percentage of viability was calculated using the following formula:
Microscopic Analysis of Promastigotes
To observe promastigote morphology in the presence or absence of Au–Ag BNPs after 48 h, Giemsa (Himedia, India) staining25 and SEM25,26 were performed. The images were captured using a light microscope at 100× magnification and an XL30 ESEM-make FEI.
DNA Fragmentation Assay
The genomic DNA of untreated promastigotes and those treated with Au–Ag BNPs for 48 h were extracted using a standard protocol.27 The fragmentation pattern of genomic DNA was visualized under UV light, and the image was captured using Gel doc 2000 (Bio-Rad).
Estimation of ROS Levels in Promastigotes
To estimate the ROS levels generated inside the promastigotes cultured in the presence or absence of Au–Ag BNPs for 48 h, we used 2′,7′-dichloro dihydrofluorescein diacetate (H2DCFDA) dye. The ROS levels were measured as MFI by a flow cytometer, BDTM fluorescence-activated cell sorting (FACS) Calibur.27,28
Macrophage Culture and Activation
The human monocytic leukemia suspension cell line (THP-1) was obtained from the National Center for Cell Science (Pune, India) and cultured in an RPMI-1640 medium supplemented with 10% (v/v) FBS, glucose 4.5 g/L, 10 mM HEPES, 1 mM sodium pyruvate, 100 U/mL penicillin, and 100 mg/mL streptomycin at 37 °C and 5% CO2. At the time of experiment, suspension cells were stimulated with 10 ng/mL phorbol 12-myristate 13-acetate (PMA) for 24 h to transform them into macrophage-like phenotypes, which formed a uniform layer on the bottom of the culture plate.
Cytotoxicity Assay on Macrophages
As mentioned above, cytotoxicity of Au–Ag BNPs (concentrations of 0.01, 0.02, 0.04, 0.08, 0.16, 0.32, 0.64, 1.25, and 2.5 μg/mL) was measured against PMA-activated THP-1 macrophages (2 × 104 cells/well) using MTT after 48 h of treatment. Miltefosine (2.5 μM or 1 μg/mL) treatment was the positive control.27 The experiment was performed in triplicates, and the percentage of macrophage viability was plotted against the BNP concentration.
Microscopic Analysis of the Infection Rate
We performed infectivity studies in 8-well chamber slides by coculturing PMA-activated THP-1 macrophages (2 × 104 cells/well) with early stationary-phase promastigotes in a 1:10 ratio for 6 h. The noninternalized parasites were washed out with sterile 1× PBS (phosphate-buffered saline), and the infected cells were treated with Au–Ag BNPs (0.03–0.035 μg/mL) for 48 h. Miltefosine (1 μg/mL) was used as the positive control.27 Slides were developed with Giemsa stain and observed under a light microscope. The experiment was performed three times and each time run in triplicates, and the average number of intracellular amastigotes per 100 macrophages was enumerated.
Measurement of ROS Production Inside Macrophages
According to our previous report,29 we measured intracellular ROS levels produced in PMA-activated and L. donovani-infected macrophages (3 × 104 cells/well) that were cultured in the presence or absence of Au–Ag BNPs for 6 h. We used infected cells without BNP treatment as controls and miltefosine (2.5 μM or 1 μg/mL)-treated cells as positive drug controls for ROS (represented as MFI) levels.
Statistical Analysis
All of the experiments were done in triplicates, and the significance was calculated using the two-tailed unpaired t-test (Prism GraphPad software). The p values were labeled as *p ≤ 0.05, **p ≤ 0.01, and ***p ≤ 0.001.
Acknowledgments
We greatly acknowledge the DST-PURSE fellowship for financial support and DST-FIST for flow cytometry facility, Department of Animal Sciences, University of Hyderabad. R.M. lab acknowledges University of Hyderabad for lab maintenance grant. We thank Suresh Yenugu, Department of Animal Biology, University of Hyderabad, for his critical evaluation and suggestions on writing the manuscript.
Supporting Information Available
The Supporting Information is available free of charge at https://pubs.acs.org/doi/10.1021/acsomega.0c02032.
Cytotoxicity of Au–Ag BNPs on macrophages (PDF)
Author Contributions
D.A. helped with the investigation and wrote the first draft, M.V.R. helped in nanoparticle characterizations and interpretation of results, D.N.R. discussed BNP results and helped with editing, and R.M. and S.K.K. helped with the concept, investigation, scoping of the article, result analysis, and editing the final draft.
The authors declare no competing financial interest.
Supplementary Material
References
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