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      In vitro Effects of Punica granatum Ellagitannins on Adult Worms of Schistosoma mansoni

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          Abstract

          Schistosomiasis ranks second behind malaria in terms of overall morbidity and mortality. We evaluated the lethal effect of Punica granatum ellagitannins, extracted from the fruit rind, placenta and barks of the root and stem, on adult worms of Schistosoma mansoni (S. mansoni). All four ellagitannins were lethal to S. mansoni adult worms. However, while the rind ellagitannins were the most potent, placental ellagitannins were the least. Rind ellagitannins were capable of killing 40% of adult worms at a concentration of 25µg/mL after 5 days. The killing of 100% of the worms was achievable by rind ellagitannins at a concentration of 50µg/mL after 5 days. The LD 50S of the rind ellagitannins after 96h and 120h were 41.25 µg/mL and 28.73 respectively. Ellagitannins-treated worms suffered from erosions, wrinkles, swellings and losses, degenerations of the surface tubercles and tegument. In addition, ellagitannins induced deformation and degradation of oral and ventral suckers and degenerations in the muscles of worms. Ellagitannins also caused a separation of coupled worms and reduction of their motility. Data obtained suggest that ellagitannins of pomegranate could be considered as a cheap candidate for the treatment of schistosomiasis.

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          Susceptibility or resistance of praziquantel in human schistosomiasis: a review.

          Since praziquantel was developed in 1970s, it has replaced other antischistosomal drugs to become the only drug of choice for treatment of human schistosomiases, due to high efficacy, excellent tolerability, few and transient side effects, simple administration, and competitive cost. Praziquantel-based chemotherapy has been involved in the global control strategy of the disease and led to the control strategy shifting from disease control to morbidity control, which has greatly reduced the prevalence and intensity of infections. Given that the drug has been widely used for morbidity control in endemic areas for more than three decades, the emergence of resistance of Schistosoma to praziquantel under drug selection pressure has been paid much attention. It is possible to induce resistance of Schistosoma mansoni and Schistosoma japonicum to praziquantel in mice under laboratorial conditions, and a reduced susceptibility to praziquantel in the field isolates of S. mansoni has been found in many foci. In addition, there are several schistosomiasis cases caused by Schistosoma haematobium infections in which repeated standard treatment fails to clear the infection. However, in the absence of exact mechanisms of action of praziquantel, the mechanisms of drug resistance in schistosomes remain unclear. The present review mainly demonstrates the evidence of drug resistance in the laboratory and field and the mechanism of praziquantel resistance and proposes some strategies for control of praziquantel resistance in schistosomes.
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            Therapeutic applications of pomegranate (Punica granatum L.): a review.

            The pomegranate, Punica granatum L., is an ancient, mystical, unique fruit borne on a small, long-living tree cultivated throughout the Mediterranean region, as far north as the Himalayas, in Southeast Asia, and in California and Arizona in the United States. In addition to its ancient historical uses, pomegranate is used in several systems of medicine for a variety of ailments. The synergistic action of the pomegranate constituents appears to be superior to that of single constituents. In the past decade, numerous studies on the antioxidant, anticarcinogenic, and anti-inflammatory properties of pomegranate constituents have been published, focusing on treatment and prevention of cancer, cardiovascular disease, diabetes, dental conditions, erectile dysfunction, bacterial infections and antibiotic resistance, and ultraviolet radiation-induced skin damage. Other potential applications include infant brain ischemia, male infertility, Alzheimer's disease, arthritis, and obesity.
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              Schistosomiasis: Life Cycle, Diagnosis, and Control

              Highlights • Three main schistosomiasis species can infect humans; S. haematobium, S. japonicum, and S. mansoni. • The parasites life cycle includes two kind of reproduction; asexual reproduction in snails and sexual reproduction in mammals. • Multiple diagnostic techniques are used. • Currently praziquantel is the only drug therapy approved for control of schistosomiasis but other promising candidate drugs (e.g. SpAE, and ruthenium compounds) are being tested. • A number of vaccine candidates exist including SmCB1, SjAChE, and SmCB. • Genetic manipulations are being investigated.
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                Author and article information

                Journal
                Res Rep Trop Med
                Res Rep Trop Med
                rrtm
                Research and Reports in Tropical Medicine
                Dove
                1179-7282
                05 October 2020
                2020
                : 11
                : 73-80
                Affiliations
                [1 ]Department of Microbiology, College of Medicine, Taif University , Taif, Kingdom of Saudi Arabia
                [2 ]Department of Microbiology and Immunology, Faculty of Pharmacy, University of Sadat City , Sadat City, Menoufia Governorate, Egypt
                [3 ]Division of Pharmaceutical Microbiology, Department of Pharmaceutics and Industrial Pharmacy, College of Pharmacy, Taif University , Taif, Kingdom of Saudi Arabia
                [4 ]Parasitology Department, Theodor Bilharz Research Institute , Imbaba, Giza, Egypt
                [5 ]Department of Microbiology and Biotechnology, Faculty of Pharmacy, Delta University for Science and Technology , Gamasa, Egypt
                Author notes
                Correspondence: Khalid H Abozeid; Mohamed F El-Badawy Email Khaled_abozeid@hotmail.com; Mohamed.Elbadawy@fop.usc.edu.eg
                Author information
                http://orcid.org/0000-0002-5896-3067
                http://orcid.org/0000-0002-8719-2476
                Article
                248604
                10.2147/RRTM.S248604
                7547181
                075eb32b-bedf-466c-a321-3142e227ef69
                © 2020 Abozeid et al.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 06 February 2020
                : 22 July 2020
                Page count
                Figures: 3, Tables: 2, References: 58, Pages: 8
                Categories
                Methodology

                punica granatum,ellagitannins,schistosoma mansoni,tegument,praziquantel

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