Nanoparticles based therapeutic efficacy against Acanthamoeba: Updates and future prospect

Exp Parasitol. 2020 Nov:218:108008. doi: 10.1016/j.exppara.2020.108008. Epub 2020 Sep 23.

Abstract

Acanthamoeba sp. is a free living amoeba that causes severe, painful and fatal infections, viz. Acanthamoeba keratitis and granulomatous amoebic encephalitis among humans. Antimicrobial chemotherapy used against Acanthamoeba is toxic to human cells and show side effects as well. Infections due to Acanthamoeba also pose challenges towards currently used antimicrobial treatment including resistance and transformation of trophozoites to resistant cyst forms that can lead to recurrence of infection. Therapeutic agents targeting central nervous system infections caused by Acanthamoeba should be able to cross blood-brain barrier. Nanoparticles based drug delivery put forth an effective therapeutic method to overcome the limitations of currently used antimicrobial chemotherapy. In recent years, various researchers investigated the effectiveness of nanoparticles conjugated drug and/or naturally occurring plant compounds against both trophozoites and cyst form of Acanthamoeba. In the current review, a reasonable effort has been made to provide a comprehensive overview of various nanoparticles tested for their efficacy against Acanthamoeba. This review summarizes the noteworthy details of research performed to elucidate the effect of nanoparticles conjugated drugs against Acanthamoeba.

Keywords: Acanthamoeba; Acanthamoeba keratitis; Anti-acanthamoebic drugs; Granulomatous amoebic encephalitis; Nanomedicine; Nanotherapeutics.

Publication types

  • Review

MeSH terms

  • Acanthamoeba / drug effects*
  • Acanthamoeba / growth & development
  • Acanthamoeba Keratitis / drug therapy
  • Acanthamoeba Keratitis / parasitology
  • Amebiasis / drug therapy
  • Amebiasis / mortality
  • Amebiasis / parasitology
  • Amebicides / administration & dosage*
  • Amebicides / pharmacology
  • Amebicides / therapeutic use
  • Biguanides / administration & dosage
  • Biguanides / pharmacology
  • Biguanides / therapeutic use
  • Central Nervous System Protozoal Infections / drug therapy
  • Central Nervous System Protozoal Infections / mortality
  • Central Nervous System Protozoal Infections / parasitology
  • Chlorhexidine / administration & dosage
  • Chlorhexidine / pharmacology
  • Chlorhexidine / therapeutic use
  • Drug Delivery Systems
  • Immunocompetence
  • Immunocompromised Host
  • Infectious Encephalitis / drug therapy
  • Infectious Encephalitis / mortality
  • Infectious Encephalitis / parasitology
  • Nanoparticles / administration & dosage*
  • Nanoparticles / classification
  • Nanoparticles / therapeutic use
  • Trophozoites / drug effects

Substances

  • Amebicides
  • Biguanides
  • polihexanide
  • Chlorhexidine