Hindawi Publishing Corporation
Evidence-Based Complementary and Alternative Medicine
Volume 2013, Article ID 163404, 6 pages
http://dx.doi.org/10.1155/2013/163404
Research Article
Natural Sesquiterpene Lactones Induce Oxidative Stress in
Leishmania mexicana
Patricia Barrera,
1
Valeria P. Sülsen,
2
Esteban Lozano,
1
Mónica Rivera,
1
María Florencia Beer,
2
Carlos Tonn,
3
Virginia S. Martino,
2
and Miguel A. Sosa
1
1
Instituto de Histolog´ ıa y Embriolog´ ıa “Dr. Mario H. Burgos” (IHEM-CONICET), Facultad de Ciencias M´ edicas,
Universidad Nacional de Cuyo (UNCuyo), CC 56 (5500) Mendoza, Argentina
2
Instituto de Qu´ ımica y Metabolismo del F´ armaco (IQUIMEFA) (UBA-CONICET), C´ atedra de Farmacognosia,
Facultad de Farmacia y Bioqu´ ımica, Universidad de Buenos Aires, Jun´ ın 956 2
∘
P, 1113 Buenos Aires, Argentina
3
Instituto de Investigaciones en Tecnolog´ ıa Qu´ ımica (INTEQUI-CONICET), Facultad de Qu´ ımica,
Bioqu´ ımica y Farmacia, Universidad Nacional de San Luis, 5700 San Luis, Argentina
Correspondence should be addressed to Virginia S. Martino; vmartino@fyb.uba.ar
Received 9 April 2013; Accepted 20 May 2013
Academic Editor: William Setzer
Copyright © 2013 Patricia Barrera et al. Tis is an open access article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Leishmaniasis is a worldwide parasitic disease, caused by monofagellate parasites of the genus Leishmania. In the search for more
efective agents against these parasites, the identifcation of molecular targets has been attempted to ensure the efciency of drugs
and to avoid collateral damages on the host’s cells. In this work, we have investigated some of the mechanisms of action of a group
of natural sesquiterpene lactones that are efective against Leishmania mexicana mexicana promastigotes. We frst observed that
the antiproliferative efect of mexicanin I (Mxc), dehydroleucodine (DhL), psilostachyin (Psi), and, at lesser extent, psilostachyin
C (Psi C) is blocked by 1.5 mM reduced glutathione. Te reducing agent was also able to reverse the early efect of the compounds,
suggesting that lactones may react with intracellular sulfydryl groups. Moreover, we have shown that all the sesquiterpene lactones,
except Psi C, signifcantly decreased the endogenous concentration of glutathione within the parasite. Consistent with these
fndings, the active sesquiterpene lactones increased between 2.7 and 5.4 times the generation of ROS by parasites. Tese results
indicate that the induction of oxidative stress is at least one of the mechanisms of action of DhL, Mxc, and Psi on parasites while
Psi C would act by another mechanism.
1. Introduction
Leishmaniasis is a parasitic disease caused by fagellated
parasites of the genus Leishmania and transmitted by phle-
botomine sandfies. Tese parasites exhibit a heteroxenous
life cycle, alternating between intracellular amastigotes in the
mammalian cells and fagellate promastigotes in the vector.
Leishmaniasis afects about 12 million people worldwide
and, according to the World Health Organization (WHO),
2 million of new cases occur annually and 350 million
people are considered at risk of contracting leishmaniasis [1].
Te clinical forms of the disease depend on the species of
Leishmania involved and include local infections of the skin,
subcutaneous tissue, and regional lymphatic nodes (cuta-
neous leishmaniasis); metastatic infections of the oronasal
mucosa (mucocutaneous leishmaniasis); and disseminated
infection involving visceral organs (visceral leishmaniasis)
[2].
Leishmaniasis is distributed worldwide with foci of infec-
tion in Central and South America, Southern Europe, North
and East Africa, the Middle East and India [3]. In Argentina,
this parasitosis afects the northern region of the country with
an incidence that has increased over the last two decades [4].
Current drugs used to treat leishmaniasis include pen-
tavalent antimonials, pentamidine, and amphotericin B,
which induce serious toxic efects on patients. Parasite
resistance to these drugs has also been described. New
formulations, such as liposomal amphotericin B and other
drugs (miltefosine, paromomycin), have serious drawbacks
such as parenteral route of administration, duration of the