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Biomarkers as Targeted Herbal Drug Discovery
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Biomarkers as Targeted Herbal Drug Discovery
CHAPTER 5
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Phytoconstituent-Centered Byproducts and Nanomedicines as Leishmanicidal Scavengers
SABYA SACHI DAS, P. R. P. VERMA, and SANDEEP KUMAR SINGH
Department of Pharmaceutical Sciences and Technology,
 
ABSTRACT
Leishmaniasis is considered as clinical expression triggered by the protozoal parasites of the genus Leishmania. Almost 1.6 million of new individual cases cutaneous leishmaniasis (CL) and more than half a million of new individual cases of visceral leishmaniasis (VL) ensue every year all over the world. Above half a century, the medical manifestations of this infection have been cured almost entirely with the pentavalent antimonial combinations. The major disad­vantage in the management of leishmaniasis includes its advent of resistance to the existing chemotherapeutics. Leishmanicidal agents need to be directed in low doses as the usually procured drugs show severe adverse effects, and henceforth drug resistance can occur promptly. To date, vaccination methods and approaches have been found to be unsuccessful to arrive for clinical trials, chemotherapy centered small molecular ailments are provisionally the exclu­sive curing strategy. Plants are the innocuous sources of bioactive compounds, which have been reported to be effective primarily, chemically stable, and least harmful as compared with the synthetic molecules. The natural products, chiefly plant-originated phytoconstituents and their byproducts of varied struc­tural groups and classes, displaying the anti-leishmanial activity (ALA), further could be established for their potential efficacy in drug development systems and biomedical research, have been reported in this review. New studies have
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Biomarkers as Targeted Herbal Drug Discovery
been emphasized with some biopharmaceutical nano-technologies for designing varied drug delivery approaches, including nanoparticles (NPs), nanocapsules (NCs), liposomes, micelles, cochleate, and nanotubes. Furthermore, the current resistance of anti-leishmanial available drugs and their lethal effects has fetched the drift to measure the ALA of several plant-derived phytoconstituents extracts and their refined compounds further briefed in this review.
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Leishmaniasis is considered as one of the most neglected parasitic disease chiefly caused by Leishmania (protozoan parasites) whose transmission and spreading to human beings is assisted through the infected female phleboto­mine sandflies bite. The pathology of this disease primarily takes three chief forms: VL (kala-azar), CL, and mucocutaneous leishmaniasis (MCL) (http:// www.who.int/mediacenter/factsheets/fs375/en, accessed on 18 October, 2017).
World Health Organization (WHO) estimated that almost 1.6 million of fresh leishmaniasis case reports ensue annually, of which half a million cases are related to CL (almost 90% appear in countries like India, Bangladesh, Nepal, Brazil, Sudan, and Ethiopia) and more than half a million cases are related to VL (almost 90% occur in Algeria, Afghanistan, Saudi Arabia, Iran, Brazil, Peru, Syria, and Sudan) (http://whqlibdoc.who.int/publica­tions/2010/9789241564090_eng.pdf). As per the reported data’s, Leishmani­asis presently affects an appraised of 12 million individuals and nearly 330 million individuals survive at peril of infection, while a projected count of 500 000 people dies yearly due to VL. Additionally, immunosuppressive disorders like AIDS, add on to the advent of extreme clinical forms of this disease. Till day, the Mediterranean basin has been reported for extreme incidence Leishmania-HIV co-infection (
http://www.cdc.gov/parasites/
leishmaniasis/, accessed 20 August, 2013; Columba et al., 2009).
CL, conventionally termed as Delhi Boil (Ayub et al., 2003), is frequently prevalent in tropical (humid) and subtropical sections of the world (Alrajhi,
2003). This situation of the disease is not lethal, but the defacement is a disgrace, which primes to communal segregation, mental stress, and minor
prospects of scal afuence (Rafferty, 2005). The usually reported causative
agents for CL are L. peruviana, Leishmania (L) braziliensis, L. panamensis, L. guyanensis, L. mexicana, L. pifanoi, L. venezuelensis, L. garnhami, L. aethiopica, L. killicki, L. lainsoni, L. major, L. colombiensis, L. amazonensis
and L. tropica (Reithinger et al., 2007). Imperfect or no cure of CL may lead to the subsequent expansion of MCL (Goto and Lindoso, 2010).
MCL is predominantly caused by the parasite species, L. braziliensis,
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while additional species (L. amazonensis and L. guyanensis) have also been reported (Amato et al., 2008). The contamination of mucocutaneous area by these parasites resulted in the extent of contamination at the site of pharyn­geal/oronasal mucosa and consequently conquers the soft matters (skin and tissues) as well as cartilages of the nook, which further causes spontaneous erosion. In disparity to CL, these abrasions do not reconcile instinctively. The potency of self-healing of the skin lesions or abrasions primarily depends on the immune response of the individual (Sacks et al., 2002).
If there is a state of immunity failure, the disease tends to be chronic, with infection continuing to the reticuloendothelial system (RES), further causing VL which is systemic and non-curative (Von Stebut and Udey,
2004). Complications caused by VL include episodic or unceasing malaise, cachexia, splenomegaly, limbs, liver megaly, intestinal protruding, trunk devastation, and pancytopenia (Badaro et al., 1996; Neva, 1990). Addition­ally, about 10% of the patients suffering from the disease, bone marrow are also affected (Feise et al., 2010). VL is commonly caused by L. donovani, appears in the Indian subcontinent region, Asia, and East Africa region, while L. infantum is liable for contaminations in North Africa, Europe, and Latin America region. Furthermore, if the treatment is not procured properly, VL can also cause death (95% of cases reported). VL is considered lethal because if treatment of the disease is not procured in time then the parasite gets spread systematically (Pearson and Sousa, 1996) (Figure 5.1).
Leishmaniasis (including all forms) has been treated by traditional medi­cations such as extracts of bark, leaves, and other plant parts because of their substantial widespread in underdeveloped and poorest areas of the world. In this context, an effort has been made by us to amass and review the published and infrequent unpublished information’s of the naturally occurring phyto­constituents and their purest metabolites, which have been conventionally used for healing leishmaniasis and associated diseases.
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Primarily, Knowledge of the leishmania (protozoal parasite) life cycle could be implicit by the numerous different phases of diverse species of the sand­fly. The female sand-fly takes a blood meal of humans or terrestrial animals, situation where they require a protein during the period of laying eggs, primes to evolution of leishmanial parasite. The life cycle of the parasite surrogates