Revisão Produção Nacional Revisado por pares

Promising natural products for the treatment of cutaneous leishmaniasis: A review of in vitro and in vivo studies

2023; Elsevier BV; Volume: 251; Linguagem: Inglês

10.1016/j.exppara.2023.108554

ISSN

1090-2449

Autores

R.C. Afonso, Raíssa Mara Kao Yien, Luciana Betzler de Oliveira de Siqueira, Naomi Kato Simas, Ana Paula dos Santos Matos, Eduardo Ricci‐Júnior,

Tópico(s)

Insect Pest Control Strategies

Resumo

Although there are available treatments for cutaneous leishmaniasis (CL), the drugs used are far from ideal, toxic, and costly, in addition to the challenge faced by the development of resistance. Plants have been used as a source of natural compounds with antileishmanial action. However, few have reached the market and become phytomedicines with registration in regulatory agencies. Difficulties related to the extraction, purification, chemical identification, efficacy, safety, and production in sufficient quantity for clinical studies, hinder the emergence of new effective phytomedicines against leishmaniasis. Despite the difficulties reported, the major research centers in the world see that natural products are a trend concerning the treatment of leishmaniasis. The present work consists of a literature review of articles with in vivo studies, covering the period from January 2011 to December 2022, providing an overview of promising natural products for CL treatment. The papers show encouraging antileishmanial action of natural compounds with reduced parasite load and lesion size in animal models, suggesting new strategies for the treatment of the disease. The results reported in this review show advances in using natural products as safe and effective formulations, which can stimulate clinical studies to establish clinical therapy. In conclusion, the information in this review article serves as a preliminary basis for establishing a therapeutic protocol for future clinical trials that can validate the safety and efficacy of natural compounds, providing the development of affordable and safe phytomedicines for the treatment of CL.

Referência(s)