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Enhanced bioavailability and cysticidal effect of three mebendazole-oil preparations in mice infected with secondary cysts of Echinococcus granulosus

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Abstract

The aim of the present study is to explore the possibility to increase the efficacy of mebendazole (MBZ) against secondary cysts of Echinococcus granulosus harbored in mice by augmenting the solubility and bioavailability of the drug. Firstly, the saturated solubility of MBZ in nine kinds of oil was determined by high performance liquid chromatography (HPLC), and MBZ was found exhibiting the highest, secondary, and lowest solubility in oleic acid (OA), glycerol trioleate (GT), and soybean oil (SB), respectively. Secondly, MBZ-OA suspension, MBZ-GT suspension, MBZ-SB suspension, and MBZ suspended in 1 % tragacanth (MBZ-1 % tragacanth) were selected for further studies on pharmacokinetics and experimental therapy in mice. Four groups of mice were treated orally with one of aforementioned four MBZ preparations at a single dose of 25 mg/kg, and concentrations of MBZ in plasma obtained from each mouse at various intervals within 24 h postadministration were determined by HPLC. The major pharmacokinetic parameters calculated by MBZ plasma concentration–time curve demonstrated that the peak concentration of the drug (C max ) values obtained from three MBZ-oil preparation groups was 1.6–2.8 times higher than that of MBZ-1 % tragacanth group. The same was true that the area under the drug concentration–time curve (AUC0−∞) values of 19.8 (2.5)–28.2 (2.5) μg/ml × h revealed in the three MBZ-oil preparation groups was significantly higher than that of 11.6 (2.0) μg/ml × h in MBZ-1 % tragacanth group, and the bioavailability of the three MBZ-oil preparation groups was 71–143 % higher than that of MBZ-1 % tragacanth group. In mice infected with secondary cysts of E. granulosus for 8 months treated orally with MBZ-1 % tragacanth at a daily dose of 25 mg/kg for 14 consecutive days, the mean cyst weight was lower than that of untreated control, but the difference was not statistically significant with cyst weight reduction of 48 %. When the infected mice received three MBZ-oil preparations at the same oral dose schedule as aforementioned, the mean cyst weights were significantly lower than those in MBZ-1 % tragacanth group or control group with cyst weight reductions of 71.2–84.7 %. The results indicate that the solubility of MBZ in oils may increase to various degrees according to the kinds of oil used. Meanwhile, three MBZ-oil (OA, GT, and SB) preparations administered orally to mice not only improve the bioavailability of MBZ relative to that of MBZ suspended in 1 % tragacanth, but their effects against hydatid cysts also significantly enhance.

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References

  • Bekhti A, Pirotte J, Woestenborghs R (1986) A correlation between serum mebendazole concentrations and the aminopyrine breath test. Implications in the treatment of hydatid disease. Br J Clin Pharmacol 21:223–226

    Article  PubMed  CAS  Google Scholar 

  • Braithwaite PA, Roberts MS, Allan RJ, Watson TR (1982) Clinical pharmacokinetics of high dose mebendazole in patients treated for cystic hydatid disease. Eur J Clin Pharmacol 22:161–169

    Article  PubMed  CAS  Google Scholar 

  • Ceballos L, Elissondo C, Moreno L, Dopchiz M, Sanchez Bruni S, Denegri G, Alvarez L, Lanusse C (2008) Albendazole treatment in cystic echinococcosis: pharmacokinetics and clinical efficacy of two different aqueous formulations. Parasitol Res 103:355–362

    Article  PubMed  Google Scholar 

  • Chai JJ (2009) Echinococcosis control in China: challenges and research needs. Chin J Parasitol Parasit Dis 27:379–383

    Google Scholar 

  • Chiba Y, Kohri N, Iseki K, Miyazaki K (1991) Improvement of dissolution and bioavailability for mebendazole, an agent for human echinococcosis, by preparing solid dispersion with polyethylene glycol. Chem Pharm Bull (Tokyo) 39:2158–2160

    Article  CAS  Google Scholar 

  • Clemente TE, Cahoon EB (2009) Soybean oil: genetic approaches for modification of functionality and total content. Plant Physiol 151:1030–1040

    Article  PubMed  CAS  Google Scholar 

  • Daniel-Mwambete K, Torrado S, Cuesta-Bandera C, Ponce-Gordo F, Torrado JJ (2004) The effect of solubilization on the oral bioavailability of three benzimidazole carbamate drugs. Int J Pharm 272:29–36

    Article  PubMed  CAS  Google Scholar 

  • Daniel-Mwuambete K, Ponce-Gordo F, Torrado J, Torrado S, Cuesta-Bandera C (2003) Effect of two formulations of benzimidazole carbamates on the viability of cysts of Echinococcus granulosus in vivo. Parasite 10:371–373

    PubMed  CAS  Google Scholar 

  • Davis A, Pawlowski ZS, Dixon H (1986) Multicentre clinical trials of benzimidazolecarbamates in human echinococcosis. Bull World Health Organ 64:383–388

    PubMed  CAS  Google Scholar 

  • Davis A, Dixon H, Pawlowski ZS (1989) Multicentre clinical trials of benzimidazole-carbamates in human cystic echinococcosis (phase 2). Bull World Health Organ 67:503–508

    PubMed  CAS  Google Scholar 

  • Dawson M, Allan RJ, Watson TR (1982) The pharmacokinetics and bioavailability of mebendazole in man: a pilot study using [3H]-mebendazole. Br J Clin Pharmacol 14:453–455

    Article  PubMed  CAS  Google Scholar 

  • Dawson M, Braithwaite PA, Roberts MS, Watson TR (1985) The pharmacokinetics and bioavailability of a tracer dose of [3H]-mebendazole in man. Br J Clin Pharmacol 19:79–86

    Article  PubMed  CAS  Google Scholar 

  • Dressman JB, Reppas C (2000) In vitro-in vivo correlations for lipophilic, poorly water-soluble drugs. Eur J Pharm Sci 11(Suppl 2):S73–80

    Article  PubMed  CAS  Google Scholar 

  • Dzhabarova VI, Dobrotvorskii AE, Krotov AI (1989) Experimental chemotherapy of alveolar hydatid disease. 12. The efficacy of drug forms of mebendazole and nocodazole with high bioavailability. Med Parazitol (Mosk)43-46

  • Eckert J, Pawlowski Z, Dar FK, Vuitton DA, Kern P, Savioli L (1995) Medical aspects of echinococcosis. Parasitol Today 11:273–276

    Article  Google Scholar 

  • Eckert J, Conraths FJ, Tackmann K (2000) Echinococcosis: an emerging or re-emerging zoonosis? Int J Parasitol 30:1283–1294

    Article  PubMed  CAS  Google Scholar 

  • Eckert J, Gemmell MA, Meslin FX, Pawlowski ZS (2001) WHO/OIE Manual on echinococcosis in humans and animals: a public health problem of global concern. Paris: Office International des Epizooties:21-72

  • Heath DD, Chevis RA (1974) Letter: mebendazole and hydatid cysts. Lancet 2:218–219

    Article  PubMed  CAS  Google Scholar 

  • Horton RJ (1997) Albendazole in treatment of human cystic echinococcosis: 12 years of experience. Acta Trop 64:79–93

    Article  PubMed  CAS  Google Scholar 

  • Jamshidi M, Mohraz M, Zangeneh M, Jamshidi A (2008) The effect of combination therapy with albendazole and praziquantel on hydatid cyst treatment. Parasitol Res 103:195–199

    Article  PubMed  Google Scholar 

  • Jaselskis B, Stemm NL, Johnston WD (1982) Determination of the fatty-acid composition of soybean oil by high-pressure liquid chromatography. Talanta 29:54–56

    Article  PubMed  CAS  Google Scholar 

  • Jiang CP (1996) Preliminary clinical obserations on mebendazole and traditional Chinese medicine treatment in 57 cases with echinococcosis. Chin J Parasitol Parasit Dis 4:209–210

    Google Scholar 

  • Jiang CP (2002) Today's regional distribution of echinococcosisi in China. Chin Med J 115:1244–1247

    PubMed  Google Scholar 

  • Keystone JS, Murdoch JK (1979) Mebendazole. Ann Intern Med 91:582–586

    PubMed  CAS  Google Scholar 

  • Ma SM, Maillard S, Zhao HL, Huang X, Wang H, Geng PL, Bart JM, Piarroux R (2008) Assessment of Echinococcus granulosus polymorphism in Qinghai province, People's Republic of China. Parasitol Res 102:1201–1206

    Article  PubMed  CAS  Google Scholar 

  • Moro P, Schantz PM (2009) Echinococcosis: a review. Int J Infect Dis 13:125–133

    Article  PubMed  CAS  Google Scholar 

  • Morris DL, Dykes PW, Dickson B, Marriner SE, Bogan JA, Burrows FG (1983) Albendazole in hydatid disease. Br Med J (Clin Res Ed) 286:103–104

    Article  CAS  Google Scholar 

  • Mueller PR, Dawson SL, Ferrucci JT Jr, Nardi GL (1985) Hepatic echinococcal cyst: successful percutaneous drainage. Radiology 155:627–628

    PubMed  CAS  Google Scholar 

  • Rigter IM, Schipper HG, Koopmans RP, van Kan HJ, Frijlink HW, Kager PA, Guchelaar HJ (2004) Relative bioavailability of three newly developed albendazole formulations: a randomized crossover study with healthy volunteers. Antimicrob Agents Chemother 48:1051–1054

    Article  PubMed  CAS  Google Scholar 

  • Schantz PM, Van den Bossche H, Eckert J (1982) Chemotherapy for larval echinococcosis in animals and humans: report of a workshop. Parasitol Res 67:5–26

    CAS  Google Scholar 

  • Spicher M, Roethlisberger C, Lany C, Stadelmann B, Keiser J, Ortega-Mora LM, Gottstein B, Hemphill A (2008) In vitro and in vivo treatments of echinococcus protoscoleces and metacestodes with artemisinin and artemisinin derivatives. Antimicrob Agents Chemother 52:3447–3450

    Article  PubMed  CAS  Google Scholar 

  • Vutova K, Mechkov G, Vachkov P, Petkov R, Georgiev P, Handjiev S, Ivanov A, Todorov T (1999) Effect of mebendazole on human cystic echinococcosis: the role of dosage and treatment duration. Ann Trop Med Parasitol 93:357–365

    Article  PubMed  CAS  Google Scholar 

  • Wang LY, Wu WP, Zhu XH (2010) The endemic status of hydatidosis in China from 2004 to 2008. Chin J Zoonoses 26:699–702

    Google Scholar 

  • Xiao SH, You JQ, Jiao PY, Guo HF (1990) Studies on the effects of mebendazole, albendazole and their metabolites in an experimental therapy of mice infected with secondary cysts of Echinococcus granulosus. Endem Dis Bull 5:11–19

    Google Scholar 

  • Xiao SH, Yang YQ, You JQ, Shen BG, Jiao W, Chai JJ (1994) Effects of benzimidazole compounds on mice infected with secondary cysts of Echinococcus granulosus. Chin Med J (Engl) 107:521–532

    CAS  Google Scholar 

  • Xiao SH, You JQ, Wang MJ, Jiao PY, Gao FH, Chai JJ, Jiao W, Hotez P (2002) Augmented bioavailability and cysticidal activity of albendazole reformulated in soybean emulsion in mice infected with Echinococcus granulosus or Echinococcus multilocularis. Acta Trop 82:77–84

    Article  CAS  Google Scholar 

  • Yang YQ, Zhang CW, Xiao SH (1992) Histological comparison of the effects of praziquantel, mebendazole and albendazole on Echinococcus granulosus Cyst in Vivo and in Vitro. Endem Dis Bull 5:17–20

    Google Scholar 

Download references

Acknowledgments

We are most grateful to Qinghai Institute for Endemic Disease Prevention and Control for their kind provision with protoscolices. We are also grateful to Professor Xiao Shuhua for his advice and help in preparing this manuscript. This investigation was funded by International collaboration on drug and diagnostics innovation of tropical diseases in PR China (International S&T Cooperation 2010DFB73280) and special funds of technology development research for science research institute (2011EG150312).

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Correspondence to Hao-bing Zhang.

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Liu, Cs., Zhang, Hb., Jiang, B. et al. Enhanced bioavailability and cysticidal effect of three mebendazole-oil preparations in mice infected with secondary cysts of Echinococcus granulosus . Parasitol Res 111, 1205–1211 (2012). https://doi.org/10.1007/s00436-012-2954-2

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