Isobolographic analysis of co-administration of two plant-derived antiplasmodial drug candidates, cryptolepine and xylopic acid, in Plasmodium berghei

Increasing resistance to current anti-malarial therapies requires a renewed effort in searching for alternative therapies to combat this challenge, and combination therapy is the preferred approach to address this. The present study confirms the anti-plasmodial effects of two compounds, cryptolepine...

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Published in:Malaria journal Vol. 17; no. 1; p. 153
Main Authors: Ameyaw, Elvis O, Asmah, Kodwo B, Biney, Robert P, Henneh, Isaac T, Owusu-Agyei, Phyllis, Prah, James, Forkuo, Arnold D
Format: Journal Article
Language:English
Published: England BioMed Central Ltd 04-04-2018
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Summary:Increasing resistance to current anti-malarial therapies requires a renewed effort in searching for alternative therapies to combat this challenge, and combination therapy is the preferred approach to address this. The present study confirms the anti-plasmodial effects of two compounds, cryptolepine and xylopic acid and the relationship that exists in their combined administration determined. Anti-plasmodial effect of cryptolepine (CYP) (3, 10, 30 mg kg ) and xylopic acid (XA) (3, 10, 30 mg kg ) was evaluated in Plasmodium berghei-infected male mice after a 6-day drug treatment. The respective doses which produced 50% chemosuppression (ED ) was determined by iterative fitting of the log-dose responses of both drugs. CYP and XA were then co-administered in a fixed dose combination of their ED s (1:1) as well as different fractions of these combinations (1/2, 1/4, 1/8, 1/16 and 1/32) to find the experimental ED (Z ). The nature of interaction between cryptolepine and xylopic acid was determined by constructing an isobologram to compare the Z with the theoretical ED (Z ). Additionally, the effect of cryptolepine/xylopic acid co-administration on vital organs associated with malarial parasiticidal action was assessed. The Z and Z were determined to be 12.75 ± 0.33 and 2.60 ± 0.41, respectively, with an interaction index of 0.2041. The Z was significantly (P < 0.001) below the additive isobole indicating that co-administration of cryptolepine and xylopic acid yielded a synergistic anti-plasmodial effect. This observed synergistic antiplasmodial effect did not have any significant deleterious effect on the kidney, liver and spleen. However, the testis were affected at high doses. The co-administration of cryptolepine and xylopic acid produces synergistic anti-malarial effect with minimal toxicity.
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ISSN:1475-2875
1475-2875
DOI:10.1186/s12936-018-2283-8