Serveur d'exploration sur le lymphœdème

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Short-Course, High-Dose Rifampicin Achieves Wolbachia Depletion Predictive of Curative Outcomes in Preclinical Models of Lymphatic Filariasis and Onchocerciasis

Identifieur interne : 000184 ( Main/Exploration ); précédent : 000183; suivant : 000185

Short-Course, High-Dose Rifampicin Achieves Wolbachia Depletion Predictive of Curative Outcomes in Preclinical Models of Lymphatic Filariasis and Onchocerciasis

Auteurs : Ghaith Aljayyoussi ; Hayley E. Tyrer ; Louise Ford ; Hanna Sjoberg ; Nicolas Pionnier ; David Waterhouse ; Jill Davies ; Joanne Gamble ; Haelly Metugene [Cameroun] ; Darren A. N. Cook ; Andrew Steven ; Raman Sharma ; Ana F. Guimaraes ; Rachel H. Clare ; Andrew Cassidy ; Kelly L. Johnston ; Laura Myhill ; Laura Hayward ; Samuel Wanji [Cameroun] ; Joseph D. Turner ; Mark J. Taylor ; Stephen A. Ward

Source :

RBID : PMC:5428297

Abstract

Lymphatic filariasis (LF) and onchocerciasis are priority neglected tropical diseases targeted for elimination. The only safe drug treatment with substantial curative activity against the filarial nematodes responsible for LF (Brugia malayi, Wuchereria bancrofti) or onchocerciasis (Onchocerca volvulus) is doxycycline. The target of doxycycline is the essential endosymbiont, Wolbachia. Four to six weeks doxycycline therapy achieves >90% depletion of Wolbachia in worm tissues leading to blockade of embryogenesis, adult sterility and premature death 18–24 months post-treatment. Long treatment length and contraindications in children and pregnancy are obstacles to implementing doxycycline as a public health strategy. Here we determine, via preclinical infection models of Brugia malayi or Onchocerca ochengi that elevated exposures of orally-administered rifampicin can lead to Wolbachia depletions from filariae more rapidly than those achieved by doxycycline. Dose escalation of rifampicin achieves >90% Wolbachia depletion in time periods of 7 days in B. malayi and 14 days in O. ochengi. Using pharmacokinetic-pharmacodynamic modelling and mouse-human bridging analysis, we conclude that clinically relevant dose elevations of rifampicin, which have recently been determined as safe in humans, could be administered as short courses to filariasis target populations with potential to reduce anti-Wolbachia curative therapy times to between one and two weeks.


Url:
DOI: 10.1038/s41598-017-00322-5
PubMed: 28303006
PubMed Central: 5428297


Affiliations:


Links toward previous steps (curation, corpus...)


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<name sortKey="Wanji, Samuel" sort="Wanji, Samuel" uniqKey="Wanji S" first="Samuel" last="Wanji">Samuel Wanji</name>
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<title xml:lang="en" level="a" type="main">Short-Course, High-Dose Rifampicin Achieves
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Depletion Predictive of Curative Outcomes in Preclinical Models of Lymphatic Filariasis and Onchocerciasis</title>
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<institution>Department of Parasitology,</institution>
<institution>Liverpool School of Tropical Medicine,</institution>
</institution-wrap>
Pembroke Place, Liverpool L3 5QA UK</nlm:aff>
<wicri:noCountry code="subfield">Liverpool L3 5QA UK</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Davies, Jill" sort="Davies, Jill" uniqKey="Davies J" first="Jill" last="Davies">Jill Davies</name>
<affiliation>
<nlm:aff id="Aff1">
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0004 1936 9764</institution-id>
<institution-id institution-id-type="GRID">grid.48004.38</institution-id>
<institution>Department of Parasitology,</institution>
<institution>Liverpool School of Tropical Medicine,</institution>
</institution-wrap>
Pembroke Place, Liverpool L3 5QA UK</nlm:aff>
<wicri:noCountry code="subfield">Liverpool L3 5QA UK</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Gamble, Joanne" sort="Gamble, Joanne" uniqKey="Gamble J" first="Joanne" last="Gamble">Joanne Gamble</name>
<affiliation>
<nlm:aff id="Aff1">
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0004 1936 9764</institution-id>
<institution-id institution-id-type="GRID">grid.48004.38</institution-id>
<institution>Department of Parasitology,</institution>
<institution>Liverpool School of Tropical Medicine,</institution>
</institution-wrap>
Pembroke Place, Liverpool L3 5QA UK</nlm:aff>
<wicri:noCountry code="subfield">Liverpool L3 5QA UK</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Metugene, Haelly" sort="Metugene, Haelly" uniqKey="Metugene H" first="Haelly" last="Metugene">Haelly Metugene</name>
<affiliation wicri:level="1">
<nlm:aff id="Aff2">Research Foundation in Tropical Medicine and the Environment, Buea, Cameroon</nlm:aff>
<country xml:lang="fr">Cameroun</country>
<wicri:regionArea>Research Foundation in Tropical Medicine and the Environment, Buea</wicri:regionArea>
<wicri:noRegion>Buea</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="Aff3">
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0001 2288 3199</institution-id>
<institution-id institution-id-type="GRID">grid.29273.3d</institution-id>
<institution>Department of Microbiology and Parasitology,</institution>
<institution>University of Buea,</institution>
</institution-wrap>
Buea, Cameroon</nlm:aff>
<country xml:lang="fr">Cameroun</country>
<wicri:regionArea>Buea</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Cook, Darren A N" sort="Cook, Darren A N" uniqKey="Cook D" first="Darren A. N." last="Cook">Darren A. N. Cook</name>
<affiliation>
<nlm:aff id="Aff1">
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0004 1936 9764</institution-id>
<institution-id institution-id-type="GRID">grid.48004.38</institution-id>
<institution>Department of Parasitology,</institution>
<institution>Liverpool School of Tropical Medicine,</institution>
</institution-wrap>
Pembroke Place, Liverpool L3 5QA UK</nlm:aff>
<wicri:noCountry code="subfield">Liverpool L3 5QA UK</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Steven, Andrew" sort="Steven, Andrew" uniqKey="Steven A" first="Andrew" last="Steven">Andrew Steven</name>
<affiliation>
<nlm:aff id="Aff1">
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0004 1936 9764</institution-id>
<institution-id institution-id-type="GRID">grid.48004.38</institution-id>
<institution>Department of Parasitology,</institution>
<institution>Liverpool School of Tropical Medicine,</institution>
</institution-wrap>
Pembroke Place, Liverpool L3 5QA UK</nlm:aff>
<wicri:noCountry code="subfield">Liverpool L3 5QA UK</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Sharma, Raman" sort="Sharma, Raman" uniqKey="Sharma R" first="Raman" last="Sharma">Raman Sharma</name>
<affiliation>
<nlm:aff id="Aff1">
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0004 1936 9764</institution-id>
<institution-id institution-id-type="GRID">grid.48004.38</institution-id>
<institution>Department of Parasitology,</institution>
<institution>Liverpool School of Tropical Medicine,</institution>
</institution-wrap>
Pembroke Place, Liverpool L3 5QA UK</nlm:aff>
<wicri:noCountry code="subfield">Liverpool L3 5QA UK</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Guimaraes, Ana F" sort="Guimaraes, Ana F" uniqKey="Guimaraes A" first="Ana F." last="Guimaraes">Ana F. Guimaraes</name>
<affiliation>
<nlm:aff id="Aff1">
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0004 1936 9764</institution-id>
<institution-id institution-id-type="GRID">grid.48004.38</institution-id>
<institution>Department of Parasitology,</institution>
<institution>Liverpool School of Tropical Medicine,</institution>
</institution-wrap>
Pembroke Place, Liverpool L3 5QA UK</nlm:aff>
<wicri:noCountry code="subfield">Liverpool L3 5QA UK</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Clare, Rachel H" sort="Clare, Rachel H" uniqKey="Clare R" first="Rachel H." last="Clare">Rachel H. Clare</name>
<affiliation>
<nlm:aff id="Aff1">
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0004 1936 9764</institution-id>
<institution-id institution-id-type="GRID">grid.48004.38</institution-id>
<institution>Department of Parasitology,</institution>
<institution>Liverpool School of Tropical Medicine,</institution>
</institution-wrap>
Pembroke Place, Liverpool L3 5QA UK</nlm:aff>
<wicri:noCountry code="subfield">Liverpool L3 5QA UK</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Cassidy, Andrew" sort="Cassidy, Andrew" uniqKey="Cassidy A" first="Andrew" last="Cassidy">Andrew Cassidy</name>
<affiliation>
<nlm:aff id="Aff1">
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0004 1936 9764</institution-id>
<institution-id institution-id-type="GRID">grid.48004.38</institution-id>
<institution>Department of Parasitology,</institution>
<institution>Liverpool School of Tropical Medicine,</institution>
</institution-wrap>
Pembroke Place, Liverpool L3 5QA UK</nlm:aff>
<wicri:noCountry code="subfield">Liverpool L3 5QA UK</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Johnston, Kelly L" sort="Johnston, Kelly L" uniqKey="Johnston K" first="Kelly L." last="Johnston">Kelly L. Johnston</name>
<affiliation>
<nlm:aff id="Aff1">
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0004 1936 9764</institution-id>
<institution-id institution-id-type="GRID">grid.48004.38</institution-id>
<institution>Department of Parasitology,</institution>
<institution>Liverpool School of Tropical Medicine,</institution>
</institution-wrap>
Pembroke Place, Liverpool L3 5QA UK</nlm:aff>
<wicri:noCountry code="subfield">Liverpool L3 5QA UK</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Myhill, Laura" sort="Myhill, Laura" uniqKey="Myhill L" first="Laura" last="Myhill">Laura Myhill</name>
<affiliation>
<nlm:aff id="Aff1">
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0004 1936 9764</institution-id>
<institution-id institution-id-type="GRID">grid.48004.38</institution-id>
<institution>Department of Parasitology,</institution>
<institution>Liverpool School of Tropical Medicine,</institution>
</institution-wrap>
Pembroke Place, Liverpool L3 5QA UK</nlm:aff>
<wicri:noCountry code="subfield">Liverpool L3 5QA UK</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Hayward, Laura" sort="Hayward, Laura" uniqKey="Hayward L" first="Laura" last="Hayward">Laura Hayward</name>
<affiliation>
<nlm:aff id="Aff1">
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0004 1936 9764</institution-id>
<institution-id institution-id-type="GRID">grid.48004.38</institution-id>
<institution>Department of Parasitology,</institution>
<institution>Liverpool School of Tropical Medicine,</institution>
</institution-wrap>
Pembroke Place, Liverpool L3 5QA UK</nlm:aff>
<wicri:noCountry code="subfield">Liverpool L3 5QA UK</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Wanji, Samuel" sort="Wanji, Samuel" uniqKey="Wanji S" first="Samuel" last="Wanji">Samuel Wanji</name>
<affiliation wicri:level="1">
<nlm:aff id="Aff2">Research Foundation in Tropical Medicine and the Environment, Buea, Cameroon</nlm:aff>
<country xml:lang="fr">Cameroun</country>
<wicri:regionArea>Research Foundation in Tropical Medicine and the Environment, Buea</wicri:regionArea>
<wicri:noRegion>Buea</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="Aff3">
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0001 2288 3199</institution-id>
<institution-id institution-id-type="GRID">grid.29273.3d</institution-id>
<institution>Department of Microbiology and Parasitology,</institution>
<institution>University of Buea,</institution>
</institution-wrap>
Buea, Cameroon</nlm:aff>
<country xml:lang="fr">Cameroun</country>
<wicri:regionArea>Buea</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Turner, Joseph D" sort="Turner, Joseph D" uniqKey="Turner J" first="Joseph D." last="Turner">Joseph D. Turner</name>
<affiliation>
<nlm:aff id="Aff1">
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0004 1936 9764</institution-id>
<institution-id institution-id-type="GRID">grid.48004.38</institution-id>
<institution>Department of Parasitology,</institution>
<institution>Liverpool School of Tropical Medicine,</institution>
</institution-wrap>
Pembroke Place, Liverpool L3 5QA UK</nlm:aff>
<wicri:noCountry code="subfield">Liverpool L3 5QA UK</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Taylor, Mark J" sort="Taylor, Mark J" uniqKey="Taylor M" first="Mark J." last="Taylor">Mark J. Taylor</name>
<affiliation>
<nlm:aff id="Aff1">
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0004 1936 9764</institution-id>
<institution-id institution-id-type="GRID">grid.48004.38</institution-id>
<institution>Department of Parasitology,</institution>
<institution>Liverpool School of Tropical Medicine,</institution>
</institution-wrap>
Pembroke Place, Liverpool L3 5QA UK</nlm:aff>
<wicri:noCountry code="subfield">Liverpool L3 5QA UK</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Ward, Stephen A" sort="Ward, Stephen A" uniqKey="Ward S" first="Stephen A." last="Ward">Stephen A. Ward</name>
<affiliation>
<nlm:aff id="Aff1">
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0004 1936 9764</institution-id>
<institution-id institution-id-type="GRID">grid.48004.38</institution-id>
<institution>Department of Parasitology,</institution>
<institution>Liverpool School of Tropical Medicine,</institution>
</institution-wrap>
Pembroke Place, Liverpool L3 5QA UK</nlm:aff>
<wicri:noCountry code="subfield">Liverpool L3 5QA UK</wicri:noCountry>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Scientific Reports</title>
<idno type="eISSN">2045-2322</idno>
<imprint>
<date when="2017">2017</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>Lymphatic filariasis (LF) and onchocerciasis are priority neglected tropical diseases targeted for elimination. The only safe drug treatment with substantial curative activity against the filarial nematodes responsible for LF (
<italic>Brugia malayi, Wuchereria bancrofti</italic>
) or onchocerciasis (
<italic>Onchocerca volvulus</italic>
) is doxycycline. The target of doxycycline is the essential endosymbiont,
<italic>Wolbachia</italic>
. Four to six weeks doxycycline therapy achieves >90% depletion of
<italic>Wolbachia</italic>
in worm tissues leading to blockade of embryogenesis, adult sterility and premature death 18–24 months post-treatment. Long treatment length and contraindications in children and pregnancy are obstacles to implementing doxycycline as a public health strategy. Here we determine, via preclinical infection models of
<italic>Brugia malayi</italic>
or
<italic>Onchocerca ochengi</italic>
that elevated exposures of orally-administered rifampicin can lead to
<italic>Wolbachia</italic>
depletions from filariae more rapidly than those achieved by doxycycline. Dose escalation of rifampicin achieves >90%
<italic>Wolbachia</italic>
depletion in time periods of 7 days in
<italic>B. malayi</italic>
and 14 days in
<italic>O. ochengi</italic>
. Using pharmacokinetic-pharmacodynamic modelling and mouse-human bridging analysis, we conclude that clinically relevant dose elevations of rifampicin, which have recently been determined as safe in humans, could be administered as short courses to filariasis target populations with potential to reduce anti-
<italic>Wolbachia</italic>
curative therapy times to between one and two weeks.</p>
</div>
</front>
<back>
<div1 type="bibliography">
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