Thursday, 13 December 2007

In vivo activity of NNRTI BBP153 against wildtype HIV-1

Pritsana Khamchaew, Edwin ten Winkel, bbPharma
BBP153, is shown to have potent in vitro activity, high genetic barrier to resistance development and favorable pharmacokinetics.

In Vitro Activity
BBP153, a new NNRTI, exhibits potent in vitro anti-HIV activity with an EC50 against wild-type HIV-1 of 0.5 nM, and little or no loss of activity against HIV-1 variants having key NNRTI resistance mutations.

This might be a result of the adaptability of the interaction between BBP153 and the NNRTI binding site of HIV-1 reverse transcriptase which allows the compound to bind in different modes and adjust in case of RT mutations.

Wednesday, 12 December 2007

Male preputium eversion in Biomphalaria straminea caused by fluoxetine

Lam Hoi-ka, Edwin ten Winkel, bbPharma

Fluvoxamine (=Fluvox®), a selective serotonin reuptake inhibitor (SSRI) was tested for its ability to induce preputium eversion in Biomphalaria straminea in order to clarify the physiological mechanism of eversion. Biomphalaria straminea is a snail species that was accidentally introduced to Asia in recent years। Methioheptin and serotonin were added as controls. Fluvoxamine was found to have an MED of 10-50μM (p<0.0001). The receptor antagonist methiothepin was found to have an MED of 1 -10 μM (p <0.0001). Serotonin did not induce eversion and did not block methiothepin-induced eversion. This suggests that fluvoxamine is not acting as SSRI, but possibly as a receptor ligand.



Reference
Yapp, J.: Distribution of the Schistosome Vector Snail Biompholaria straminea: J. Mollus. Stud. 1990; 56: 47-55

Male preputium eversion in Biomphalaria alexandrina caused by SSRI's

Lam Hoi-ka, Edwin ten Winkel, bbPharma
Abstract. Eversion of the male preputium is an initial step in the copulatory behavior of several species of freshwater snails. Serotonergic mechanisms are involved in eversion in Biomphalaria glabrata snails as methiothepin, a serotonin receptor antagonist, has been shown to cause long-lasting dose-dependent eversion.
A number of selective serotonin reuptake inhibitors (SSRI's) were tested for their ability to induce preputium eversion in B. alexandrina in order to clarify the physiological mechanism of eversion. Methioheptin and serotonin were added as controls. Results were as follows: (SSRI's) fluoxetine (=Prozac®, 10–100 μM; p<0.0001), fluvoxamine (=Fluvox®, 10-50μM; p<0.0001), paroxetine (=Seroxat®, 10-50μM; p<0.0001). The receptor antagonist methiothepin (1 -10 μM; <0.0001). Serotonin did not induce eversion and did not block methiothepin-induced eversion. This suggests that the SSRI's are not acting as SSRI, but possibly as a receptor ligand.

Schistosomiasis

Schistosomiasis (also known as Bilharzia) is a disease caused by a fluke worm (trematode) of the genus Schistosoma.
Schistosomiasis is the second most prevalent tropical disease in Africa after malaria and is therefore a great impact on public health and socio-economic developmentin the developing world. There are five major species of schistosomiasis that infect man. One is found in Africa and in South America, two are confined to Africa, and the other two are found only in the Far East in China and the Philippines.
Schistosoma mansoni – which causes intestinal bilharzia – originated in Africa (but might have come from Asia even earlier) but was carried to South America through the slave-trade, where, because a suitable and very productive snail host (Biomphalaria glabrata) existed, it became established, particularly in Brazil and initially the Caribbean. Snails of the genus Biomphalaria, are aquatic snails that live in irrigation canals, and along lake shores.
It has since spread into other neotropical Biomphalaria species and mammalian hosts. The distribution of S. mansoni is in a state of flux. In Egypt, S. mansoni has nearly completely replaced S. haematobium in the Nile Delta, and has spread to other regions of the country. A susceptible host snail, B. straminea, has been introduced into Asia and there are reports of S. mansoni transmission in Nepal. Dam and barrage construction has lead to an epidemic of S. mansoni in Senegal. Because of competition with introduced aquatic species and environmental changes, B. glabrata and consequently S. mansoni have become less abundant on the Caribbean islands.
Schistosoma haematobium – which causes urinary bilharzia – is transmitted by snails of the species Bulinus, which inhabit less permanent water bodies, because during their life cycle they prefer a period of hibernation in mud, during a dry season.
Schistosoma japonicum, is transmitted by amphibious snails of the species Oncomelania. It used to be widespread in the Far East and caused widespread morbidity and mortality. It affects not only man but also domestic and wild animals. As a result of effective control measures in Japan during the 1940’s and 1950’s S. Japonicum has been eradicated in Japan. Stringent snail control as well as socio-economic development in China, has reduced the prevalence in most areas, and this species is now found only in isolated areas in China and some islands in the Philippines.

Two other species of schistosoma exist; S. intercalatum which is confined to West Africa, and lives in mesenteric vessels in man causing abdominal pain and bloody diarrhoea, S.mekongi, which is another form of intestinal schistosoma is found predominantly in Southeast Asia. The main reservoir for this species is dogs.

Life Cycle
The schistosome life cycle is simple; It goes from human to water to snail to water and back to human. The adult worms live in the blood vessels of the human host, and the eggs that the female worms lay break from the blood vessels into the bladder or intestine of the host. These eggs then leave the human body in the feaces of an infected person. They hatch on contact with water and release microscopic larvae called miracidia. These larvae penetrate a specific fresh water snail. Once inside the snail host, the miracidium undergoes an asexual reproduction cycle to produce thousands of new parasite larvae (cercariae), which leave the snail to go into the water.
People are infected with these cercariae during contact with infested water during their normal daily activities such as washing or recreation but also through farming by irrigation.
The cercariae are capable of penetrating an individual's unbroken skin within a few seconds, and having done so they continue their biological cycle by migrating through the lungs to reach the liver. It takes about 45 days from penetration before the worms are adult and mature in the liver, and they then pair off. The male transports his mate to their final site in the human host blood vessel where they can live for several years producing many eggs every day.


Control Measures
Control measures focus on both the parasite as well as the snails, through molluscicides and helminticides. Biological controls have included control of the vegetation on which snails prosper through fish, the introduction of snail eating fish and competing species of snails and flushing of channels. Application of SSRI type anti-depressants seems to prevent copulation of snails, thus opening a new way of control.

















References
Ibrahim, Mohamed: Population dynamics of Chaetogaster limnaei (Oligochaeta: Naididae) in the field populations of freshwater snails and its implications as a potential regulator of trematode larvae communityParasitology Research, Volume 101, Number 1, June 2007 , pp. 25-33(9,), Springer

Kenawy, El-Refaie; El-Maghraby, Azza: New Polymeric Formulation for the Control of Biomphalaria Alexandrina Based on Pharmaceutical Waste Gelatin, Journal of Biobased Materials and Bioenergy, Volume 1, Number 2, August 2007 , pp. 215-219(5), American Scientific Publishers

Remais, J.; Hubbard, A., et al.Weather-driven dynamics of an intermediate host: mechanistic and statistical population modelling of Oncomelania hupensis: Journal of Applied Ecology, Volume 44, Number 4, August 2007 , pp. 781-791(11)