Abstract
Trichomonosis, caused by the flagellate protozoan Trichomonas vaginalis, is the most common non-viral sexually transmitted disease worldwide. Actually, the infection treatment is based on 5-nitroimidazole drugs. However, an emergent number of resistant isolates makes important the search for new therapeutic arsenal. In this sense, the investigation of plants and their metabolites is an interesting approach. In the present study, the anti-T. vaginalis activity of 44 aqueous extracts from 23 Caatinga plants used in folk medicine was evaluated. After screening 44 aqueous extracts from 23 distinct plants against two isolates from ATCC and four fresh clinical isolates, only the Polygala decumbens root extract was effective in reducing significantly the trophozoite viability. The MIC value against all isolates tested, including the metronidazole resistant, was 1.56 mg/mL. The kinetic growth assays showed that the extract was able to completely abolish the parasite density in the first hours of incubation, confirmed by microscopy. In summary, this study describes the first report on the activity of P. decumbens from Caatinga against T. vaginalis, being directly related to the popular knowledge and use.
References
Agra MF, Baracho GS, Silva NK, Basílio IJLD, Coelho VPM (2007a) Medicinal and poisonous diversity of the flora of “Cariri Paraibano”. Brazil J Ethnopharmacol 111:383–395
Agra MF, Freitas PF, Barbosa-Filho JM (2007b) Synopsis of the plants known as medicinal and poisonous in Northeast of Brazil. Brazil J Pharmacogn 17:114–140
Agra MF, Silva KN, Basílio IJLD, Freitas PF, Barbosa-Filho JM (2008) Survey of medicinal plants used in the region Northeast of Brazil. Rev Bras Farmacogn 18:472–508
Altmann KH (2001) Microtubule-stabilizing agents: a growing class of important anticancer drugs. Curr Opin Chem Bio l 5:424–431
Arai M, Hayashi A, Sobou M, Ishida S, Kawachi T, Kotoku N, Kobayashi M (2011) Anti-angiogenic effect of triterpenoidal saponins from Polygala senega. J Nat Med 65:149–156
Arthan D, Sithiprom S, Thima K, Limmatvatirat C, Chavalitshewinkoon-Petmitr P, Svasti J (2008) Inhibitory effects of Thai plants beta-glycosides on Trichomonas vaginalis. Parasitol Res 103:443–448
Basso LA, da Silva LH, Fett-Neto AG, de Azevedo WF Jr, Moreira Ide S, Palma MS, Calixto JB, Astolfi Filho S, dos Santos RR, Soares MB, Santos DS (2005) The use of biodiversity as source of new chemical entities against defined molecular targets for treatment of malaria, tuberculosis, and T-cell mediated diseases—a review. Mem Inst Oswaldo Cruz 100:475–506
Blaha C, Duchene M, Aspock H, Walochnik J (2006) In vitro activity of hexadecylphosphocholine (miltefosine) against metronidazole-resistant and -susceptible strains of Trichomonas vaginalis. J Antimicrob Chemother 57:273–278
Cartaxo SL, Souza MM, de Albuquerque UP (2010) Medicinal plants with bioprospecting potential used in semi-arid northeastern Brazil. J Ethnopharmacol 131:326–342
Cheong MH, Lee SR, Yoo HS, Jeong JW, Kim GY, Kim WJ, Jung IC, Choi YH (2011) Anti-inflammatory effects of Polygala tenuifolia root through inhibition of NF-κB activation in lipopolysaccharide-induced BV2 microglial cells. J Ethnopharmacol article 137:1402–1408
Cherpes T, Wiesenfeld H, Melan M, Kant JA, Consentino LA, Meyn LA, Hillier SL (2006) The associations between pelvic inflammatory disease, Trichomonas vaginalis infection, and positive herpes simplex virus type 2 serology. Sex Transm Dis 33:747–752
Clardy J, Walsh C (2004) Lessons from natural molecules. Nature 432:829–837
Cotch MF, Pastorek JG, Nugent RP, Hillier SL, Gibbs RS, Martin DH, Eschenbach DA, Edelman R, Carey JC, Regan JA, Krohn MA, Klebanoff MA, Rao AV, Rhoads GG (1997) Trichomonas vaginalis associated with low birth weight and preterm delivery. The vaginal infections and prematurity study group. Sex Transm Dis 24:353–360
David JP, Meira M, David JM, Brandão HN, Branco A, Agra M, de Fátima, Barbosa M, Regina V, de Queiroz LP, Giulietti AM (2007) Radical scavenging, antioxidant and cytotoxic activity of Brazilian Caatinga plants. Fitoterapia 78:215–218
Diamond LS (1957) The establishment of various Trichomonas of animals and man in axenic cultures. J Parasitol 43:488–490
Emam AM, Moussa AM, Faure R, Favel A, Delmas F, Elias R, Balansard G (1996) Isolation and biological study of a triterpenoid saponin, mimengoside A, from the leaves of Buddleja madagascariensis. Planta Med 62:92–93
Fontenelle ROS, Morais SM, Brito EHS, Brilhante RSN, Cordeiro RA, Nascimento NRF, Kerntopf MR, Sidrim JJC, Rocha MFG (2007) Antifungal activity of essential oils of Croton species from the Brazilian Caatinga biome. J Appl Microbiol 104:1383–1390
Giordani RB, Vieira Pde B, Weizenmann M, Rosemberg DB, Souza AP, Bonorino C, De Carli GA, Bogo MR, Zuanazzi JA, Tasca T (2011) Lycorine induces cell death in the amitochondriate parasite, Trichomonas vaginalis, via an alternative non-apoptotic death pathway. Phytochemistry 72:645–650
Goldstein F, Goldman MB, Cramer DW (1993) Relation of tubal infertility to a story of sexually transmitted diseases. Am J Epidem 137:577–584
Helms DJ, Mosure DJ, Secor WE, Workowski KA (2008) Management of Trichomonas vaginalis in women with suspected metronidazole hypersensitivity. Am J Obstet Gynecol 198:370–377
Kondo S, Mizuki E, Akao T, Onba M (2002) Antitrichomonal strains of Bacillus thuringiensis. Parasitol Res 88:1090–1092
Kou J, Si M, Daí G, Lin Y, Zhu D (2006) Antiinflammatory activity of Polygala japonica extract. Fitoterapia 77:411–415
Lapa FR, Freitas CS, Baggio CH, Missau FC, Pizzolatti MG, Santos AR, Marques MC (2007) Gastroprotective activity of the hydroalcoholic extract obtained from Polygala paniculata L. in rats. J Pharm Pharmaco l 59:1413–1419
Liang Z, Shi F, Wang Y, Lu L, Zhang Z, Wang X (2011) Neuroprotective effects of tenuigenin in a SH-SY5Y cell model with 6-OHDA-induced injury. Neurosci Lett 22:104–109
Lu C, Zhang HY, Ji J, Wang GX (2011) In vivo anthelmintic activity of Dryopteris crassirhizoma, Kochia scoparia, and Polygala tenuifolia against Dactylogyrus intermedius (Monogenea) in goldfish (Carassius auratus). Parasitol Res. doi:10.1007/s00436-011-2592-0
Machado IC, Lopes AV, Sazima M (2006) Plant sexual systems and a review of the breeding system studies in the Caatinga, a Brazilian tropical dry forest. Ann Bot 97:277–287
Moon T, Wilkinson JM, Cavanagh HMA (2006) Antiparasitic activity of two Lavandula essential oils against Giardia duodenalis, Trichomonas vaginalis and Hexamita inflate. Parasitol Res 99:722–728
Narcisi EM, Secor WE (1996) In vitro effect of tinidazole and furazolidone on metronidazole-resistant Trichomonas vaginalis. Antimicrob Agents Chemother 40:1121–1125
Newman DJ, Cragg GM, Snader KM (2000) The influence of natural products upon drug discovery. Nat Prod Rep 17:215–234
Paul S, Mandal SK, Bhattacharyya SS, Boujedaini N, Khuda-Bukhsh AR (2010) In vitro and in vivo studies demonstrate anticancer property of root extract of Polygala senega. J Acupunct Meridian Stud 3:188–196
Pizzolatti MG, Koga AH, Grisard EC, Steindel M (2003) Trypanocidal activity of extracts from Brazilian Atlantic Rain Forest plant species. Phytomedicine 10:422–426
Pizzolatti MG, Cunha A, Pereira WS, Monache FD (2004) A new styryl-2-pyrone derivative from Polygala sabulosa (Polygalaceae). Biochem Syst Ecol 32:603–606
Silva LCN, Silva JCA, Souza RM, Macedo AJ, Silva MV, Correia MTS (2011) Comparative analysis of the antioxidant and DNA protection capacities of Anadenanthera colubrina, Libidibia ferrea and Pityrocarpa moniliformis fruits. Food Chem Toxicol 49:2222–2228
Trentin DS, Giordani RB, Zimmerb KR, Silva AG, Silva MV, Correia MTS, Baumvol IJR, Macedo AJ (2011) Potential of medicinal plants from the Brazilian semi-arid region (Caatinga) against Staphylococcus epidermidis planktonic and biofilm lifestyles. J Ethnopharmacol 137:327–335
Upcroft JA, Dunn LA, Wright JM, Benakli K, Upcroft P, Vanelle P (2006) 5-Nitroimidazole drugs effective against metronidazole-resistant Trichomonas vaginalis and Giardia duodenalis. Antimicrob Agents Chemother 50:344–347
van Der Pol B, Kwok C, Pierre-Louis B, Rinaldi A, Salata RA, Chen PL, Van de Wijgert J, Mmiro F, Mugerwa R, Chipato T, Morrison CS (2008) Trichomonas vaginalis infection and human immunodeficiency virus acquisition in African women. J Inf Dis 197:548–554
van Vuuren SF, Naidoo D (2010) An antimicrobial investigation of plants used traditionally in southern Africa to treat sexually transmitted infections. J Ethnopharmacol 130:552–558
Viikki M, Pukkala E, Nieminen P, Hakama M (2000) Gynaecological infections as risk determinants of subsequent cervical neoplasia. Acta Oncol 39:71–75
World Health Organization (2001) Global prevalence and incidence of selected curable sexually transmitted infections. Overview and estimates, WHO, Geneva
Acknowledgments
The authors are grateful to the Brazilian agencies CAPES and CNPq for student's fellowships. We are very grateful to the curator of the Herbarium IPA for allowing access to the collection and the Instituto Chico Mendes de Conservação da Biodiversidade (ICMBio) for authorizing collections in PARNA do Catimbau (Sisbio 16.806). This work was supported by the NANOBIOTEC-Brazil program from CAPES and FAPERGS. AJM acknowledges CNPq (Nanotec Jovens Pesquisadores and Universal 2009).
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Amanda Piccoli Frasson and Odelta dos Santos contributed equally to this work.
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Frasson, A.P., dos Santos, O., Duarte, M. et al. First report of anti-Trichomonas vaginalis activity of the medicinal plant Polygala decumbens from the Brazilian semi-arid region, Caatinga. Parasitol Res 110, 2581–2587 (2012). https://doi.org/10.1007/s00436-011-2787-4
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DOI: https://doi.org/10.1007/s00436-011-2787-4