In vitro and in vivo efficacies of artesunate in the treatment of cystic echinococcosis
Abstract Background: In this study, we aim to investigate the efficiency of artesunate (AS) in treating cystic echinococcosis (CE). Methods: Eosin staining and transmission electron microscope (TEM) were utilized for the evaluation of treatment efficiency. DHR123 method and comet assay were utilized to detect reactive oxygen species (ROS) content and DNA damages. Results: Both in vivo and in vitro experiments showed that AS showed significantly higher anti-parasitic effects on CE compared to albendazole (ABZ), especially under in vitro conditions. AS could elevate the ROS level in the protoscoleces (PSCs), which resulted in obvious DNA damages. AS could significant improve the liver function in infected mice compared with the model group (P < 0.05). Moderate and high doses of AS could decrease the TNF-α content compared with the model group (P < 0.05). The content of H2O2 in hydatid fluid treated by AS showed significant decrease compared with the model group (P < 0.01), while the T-SOD level showed significant elevation compared with model group (P < 0.01). Conclusions: In this study, we confirmed that the effects of AS on PSCs may be related to the DNA damages induced by oxidative stress, which provided solid information for the research and development of drugs for hydatid disease.