Google Académico | Citações: 16429 | índice h: 32 | índice i10: 482
Tiosemicarbazonas como candidatos prometedores para el tratamiento de la leishmaniasis visceral: avances y perspectivas
PDF (portugués (Brasil))

Palabras clave

Leishmaniasis visceral
Tiosemicarbazonas
Quimioterapia
Protozoos
Leishmania infantum

Cómo citar

Tiosemicarbazonas como candidatos prometedores para el tratamiento de la leishmaniasis visceral: avances y perspectivas. (2025). Revista Eletrônica Acervo Saúde, 25(9), e21502. https://doi.org/10.25248/reas.e21502.2025

Copyright © | Todos los derechos reservados.

La revista posee los derechos de autor exclusivos para la publicación de este artículo en los términos de la ley brasileña 9610/98.

Reproducción parcial
El uso de partes de los textos, figuras y cuestionario del artículo es libre, siendo obligatoria la citación de los autores y revista.

Reproducción total
Está expresamente prohibido y debe ser autorizado por la revista.

Resumen

Objetivo: Recopilar la información principal disponible en la literatura sobre los avances, limitaciones y perspectivas del uso de tiosemicarbazonas como agente leishmanicida para Leishmania infantum, causante de la leishmaniasis visceral, abordando sus propiedades químicas, mecanismos de acción y resultados de estudios in vitro. Revisión de la literatura: La leishmaniasis visceral (LV) es una enfermedad tropical desatendida con alta morbilidad y mortalidad. El tratamiento convencional incluye fármacos como antimoniales pentavalentes, anfotericina B, miltefosina, pentamidina y paromomicina. A pesar de su eficacia, estas terapias presentan limitaciones significativas, como toxicidad sistémica, alto costo, dificultades de administración y la aparición de cepas resistentes. Por lo tanto, las tiosemicarbazonas (TSC) se han investigado como alternativas prometedoras. Estos compuestos orgánicos versátiles son capaces de modificación estructural, potenciando la actividad antiparasitaria y reduciendo los efectos adversos. Los estudios reportan diversos mecanismos de acción, incluyendo la despolarización mitocondrial, la interacción con el ADN del parásito, la inducción de apoptosis y la inhibición de proteínas esenciales. Los ensayos in vitro demuestran que los derivados de las CET presentan una significativa actividad leishmanicida, incluso contra cepas resistentes a la terapia convencional. Consideraciones finales: Según la literatura, las tiosemicarbazonas representan una alternativa prometedora para el desarrollo de nuevos tratamientos contra la LV, destacando como un foco relevante para futuras investigaciones.

PDF (portugués (Brasil))

Referencias

AHMED MF, et al. Design, synthesis, antiproliferative activity, and cell cycle analysis of new thiosemicarbazone derivatives targeting ribonucleotide reductase. Arabian Journal of Chemistry, 2021; 14(3): 102989.

ANDRADE-NETO VV, et al. Effect of itraconazole-ezetimibe-miltefosine ternary therapy in murine visceral leishmaniasis. Antimicrobial Agents and Chemotherapy, 2021; 65(5): 2676-20.

AOKI JI, et al. The polyamine pathway as a potential target for leishmaniases chemotherapy. IntechOpen, 2018.

AQUINO TM, et al. Synthesis, antileishmanial activity and in silico studies of aminoguanidine hydrazones (AGH) and thiosemicarbazones (TSC) against Leishmania chagasi amastigotes. Medicinal Chemistry, 2022; 18(2): 151–169.

ASTMAN N, et al. Tolerability and safety of miltefosine for the treatment of cutaneous leishmaniasis. Tropical Medicine and Infectious Disease, 2024; 9(9): 218.

AVILA IR, et al. Occurrence of human visceral leishmaniasis in the Central-West region of Brazil: A systematic review. Acta Tropica, 2023; 237: 106707.

BOSCH MM, et al. Neurological toxicity due to antimonial treatment for refractory visceral leishmaniasis. Clinical Neurophysiology Practice, 2021; 6: 164-167.

BRASIL. MINISTÉRIO DA SAÚDE. Secretaria de Vigilância em Saúde. Departamento de Vigilância Epidemiológica. Manual de vigilância e controle da leishmaniose visceral. Brasília: Ministério da Saúde, 2014; 1(5): 120.

CARNIELLI JBT, et al. Natural resistance of Leishmania infantum to miltefosine contributes to the low efficacy in the treatment of visceral leishmaniasis in Brazil. The American Journal of Tropical Medicine and Hygiene, 2019; 101(4): 789.

CASAS JS, et al. Synthesis and biological activity of tin(IV) complexes with thiosemicarbazones. Journal of Inorganic Biochemistry, 1998; 69: 283.

DAGA MK, et al. Leishmaniasis. Indian Journal of Critical Care Medicine, 2021; 25(2): 166–170.

DATTA A, et al. Therapeutic modalities in post kala-azar dermal leishmaniasis: A systematic review of the effectiveness and safety of the treatment options. Indian Journal of Dermatology, 2021; 66(1): 34-43.

GASTACA B, et al. Thiosemicarbazones synthesized from acetophenones: tautomerism, spectrometric data, reactivity and theoretical calculations. International Journal of Analytical Mass Spectrometry and Chromatography, 2019; 7(2): 19-34.

GOSWAMI RP, et al. Combination therapy against Indian visceral Leishmaniasis with Liposomal Amphotericin B (FungisomeTM) and short-course miltefosine in comparison to miltefosine monotherapy. The American Journal of Tropical Medicine and Hygiene, 2020; 103(1): 308.

GRAUR V, et al. Synthesis, characterization, and biological activity of novel 3d metal coordination compounds with 2‐acetylpyridine N4‐allyl‐S‐methylisothiosemicarbazone. Applied Organometallic Chemistry, 2021; 35(4): 6172.

GRIENSVEN JV, et al. The status of combination therapy for visceral leishmaniasis: An updated review. The Lancet Infectious Diseases, 2024; 24(1): 36-46.

HENDRICKX S, et al. Evaluating drug resistance in visceral leishmaniasis: the challenges. Parasitology, 2018; 145(4): 453-463.

KIMUTAI R, et al. Safety and effectiveness of sodium stibogluconate and paromomycin combination for the treatment of visceral leishmaniasis in eastern Africa: results from a pharmacovigilance programme. Clinical Drug Investigation, 2017; 37(3): 259-272.

KUMARI S, et al. Amphotericin B: A drug of choice for Visceral Leishmaniasis. Acta Tropica, 2022; 235: 106661.

leishmanicidal activity and ultrastructural studies. Chemico-Biological Interactions, 2020; 315: 108899.

LIESEN AP, et al. Métodos de obtenção, reatividade e importância biológica de 4-tiazolidinonas. Química Nova, 2008; 31: 369-376.

MANZANO JI, et al. Arylthiosemicarbazones as antileishmanial agents. European Journal of Medicinal Chemistry, 2016; 123: 161-170.

MARTIN R e LEE VR. Antimony Toxicity. In: StatPearls [Internet]. StatPearls Publishing, 2024.

MORADZADEH R, et al. Effectiveness of paromomycin on cutaneous leishmaniasis in Iran: A systematic review and meta-analysis. Iranian Journal of Medical Sciences, 2019; 44(3): 185.

OLIVEIRA JF, et al. Synthesis of thiophene-thiosemicarbazone derivatives and evaluation of their in vitro and in vivo antitumor activities. European Journal of Medicinal Chemistry, 2015; 104: 148-156.

OLIVEIRA VVG, et al. Study of in vitro biological activity of thiazoles on Leishmania (Leishmania) infantum. Journal of Global Antimicrobial Resistance, 2020; 22: 414–421.

PALIĆ S, et al. An update on the clinical pharmacology of miltefosine in the treatment of leishmaniasis. International Journal of Antimicrobial Agents, 2022; 59(1): 106459.

PASQUALE L, et al. “Aryl thiosemicarbazones for the treatment of trypanosomatidic infections.” European Journal of Medicinal Chemistry, 2018; 146: 423-43.

PICCICA M, et al. Efficacy and safety of pentamidine isethionate for tegumentary and visceral human leishmaniasis: a systematic review. Journal of Travel Medicine, 2021; 28(6): 65.

POKHAREL P, et al. Efficacy and safety of paromomycin for visceral leishmaniasis: A systematic review. Journal of Tropical Medicine, 2021; 2021(1): 8629039.

QUEIROZ CM, et al. Thiosemicarbazone and thiazole: in vitro evaluation of leishmanicidal and ultrastructural activity on Leishmania infantum. Medicinal chemistry research: an international journal for rapid communications on design and mechanisms of action of biologically active agents, 2020; 29(11): 2050–2065.

RAMESH V, et al. Assessing the efficacy and safety of liposomal amphotericin B and miltefosine in combination for treatment of post kala-azar dermal leishmaniasis. The Journal of Infectious Diseases, 2020; 221(4): 608-617.

REIMÃO JQ, et al. The preclinical discovery and development of oral miltefosine for the treatment of visceral leishmaniasis: a case history. Expert Opinion on Drug Discovery, 2020; 15(6); 647-658.

ROMÁN-ÁLAMO L, et al. In vitro evaluation of aerosol therapy with pentamidine-loaded liposomes coated with chondroitin sulfate or heparin for the treatment of leishmaniasis. Pharmaceutics, 2023; 15(4): 1163.

SCARPINI S, et al. Visceral leishmaniasis: epidemiology, diagnosis, and treatment regimens in different geographical areas with a focus on pediatrics. Microorganisms, 2022; 10(10): 1887.

SILVA AC, et al. Aryl thiosemicarbazones: In vitro and immunomodulatory activities against L. amazonensis. Experimental Parasitology, 2017; 77: 57–65.

SILVA EA, et al. Potential leishmanicidal of the thiosemicarbazones: A review. Results in Chemistry, 2024; 9: 101609.

SILVA PR, et al. Novel indol-3-yl-thiosemicarbazone derivatives: Obtaining, evaluation of in vitro, 2020.

TENÓRIO RP, et al. Tiossemicarbazonas: métodos de obtenção, aplicações sintéticas e importância biológica. Química Nova, 2005; 28(6): 1030-1037.

VERREST L, et al. Geographical variability in paromomycin pharmacokinetics does not explain efficacy differences between Eastern African and Indian visceral leishmaniasis patients. Clinical Pharmacokinetics, 2021; 60(11): 1463-1473.

WHO. WORLD HEALTH ORGANIZATION. Leishmaniasis: WHO; 2025. Disponível em: https ://www.w ho.int/news-room/fact-sheets/detail/leishmaniasis. Acessado em: 26 de junho de 2025.