2021, Número 1
Leptospirosis, una zoonosis que impacta a la salud: diagnóstico, tratamiento y nuevas alternativas de control
Idioma: Español
Referencias bibliográficas: 54
Paginas: 1-24
Archivo PDF: 394.33 Kb.
RESUMEN
La leptospirosis es una zoonosis con potencial epidémico y de difícil diagnóstico que requiere un manejo integral para orientar las medidas de prevención y control; sin embargo, una de las dificultades es la existencia de más de 300 serovares, la supervivencia de la bacteria en el ambiente por más de 180 días y la importancia del agua como vehículo de transmisión. Esto asociado con los efectos adversos de los antibióticos y su efecto sobre la multirresistencia generada por la mayoría de las bacterias, hace que se evalúen nuevas alternativas a partir de la biodiversidad. Por lo tanto, el objetivo de este artículo es abordar la leptospirosis y su diagnóstico enfatizando en el control convencional de la infección y las alternativas de tratamiento a partir del uso de plantas medicinales. Para esto se realizó una revisión exhaustiva de artículos en bases de datos. La información encontrada permitió establecer los aspectos relevantes de la enfermedad, su diagnóstico y tratamiento, tanto con antimicrobianos convencionales como frente a nuevas alternativas de origen natural. Se concluye que es importante realizar investigaciones orientadas hacia la búsqueda de principios activos que puedan contribuir al control de Leptospira spp., agente causal de la leptospirosis, una de las zoonosis más importantes por su impacto en salud humana, veterinaria y del ecosistema.REFERENCIAS (EN ESTE ARTÍCULO)
Punnam Chander M, Vinod Kumar K, Shriram AN, Vijayachari P. Anti-leptospiral activities of an endemic plant Glyptopetalum calocarpum (Kurz.) Prain used as a medicinal plant by Nicobarese of Andaman and Nicobar Islands. Nat Prod Res [Internet]. 2015 Aug 18 [access: 04/04/2018];29(16):1575-7. Available from: http://www.tandfonline.com/doi/full/10.1080/14786419.2014.985679
Seesom W, Jaratrungtawee A, Suksamrarn S, Mekseepralard C, Ratananukul P, Sukhumsirichart W. Antileptospiral activity of xanthones from Garcinia mangostanaand synergy of gamma-mangostin with penicillin G. BMC Complement Altern Med [Internet]. 2013 Dec 19 [access: 05/04/2018];13(1):182. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23866810
Rajesh SS, Sivaraman T. Cheminformatic designing of de novo inhibitors to 3-methyl adenine DNA glycosylase I (LiTagA) from Leptospira interrogans serovar lai strain 56601. Med Chem Res [Internet]. 2013 Jul 23 [access: 05/04/2018];22(7):3434-43. Available from: http://link.springer.com/10.1007/s00044-012-0346-x
Carvalho M da C, Ribeiro-Andrade M, de Oliveira PRF, de Melo RPB, Aragão BB, Viana MP, et al. Serological evidence of Leptospira sp. in humans from Fernando de Noronha Island, Brazil. Comp Immunol Microbiol Infect Dis [Internet]. 2020 [access: 05/12/2020];71:101486. Available from: http://www.sciencedirect.com/science/article/pii/S0147957120300758
Jeyakumar NKC, AJA, Ranjit SCP, Beaulla H. Cytomorphological Changes and Inhibition of Inclusion Body Formation in Leptospira interrogans on Treatment with the Extracts of Adhatoda vasica. Adv Tech Biol Med [Internet]. 2013 [access: 05/04/2018];1. Available from: http://dx.doi.org/10.4172/atbm.1000101
LERG. Report of the Second Meeting of the Leptospirosis Burden Epidemiology Reference Group [Internet]. World Health Organization. 2011 [access: 05/04/2018] . Available from: http://apps.who.int/iris/bitstream/handle/10665/44588/9789241501521_eng.pdf;jsessionid=DCE2C96457C6990AE15CBAF8F981E498?sequence=1
Chander MP, Vinod Kumar K, Lall C, Vimal Raj R, Vijayachari P. GC/MS profiling, in vitro anti-leptospiral and haemolytic activities of Boesenbergia rotunda (L.) Mansf. used as a medicinal plant by Nicobarese of Andaman and Nicobar Islands. Nat Prod Res [Internet]. 2016 May 18 [access: 04/04/2018];30(10):1190-2. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26114982
Ilangovan A, Sakthivel P, Sivasankari K, Mercy CSA, Natarajaseenivasan K. Discovery of 6,7-dihydro-3H-pyrano[4,3-c]isoxazol-3-ones as a new class of pathogen specific anti-leptospiral agents. Eur J Med Chem [Internet]. 2017 Jan 5 [access: 05/04/2018];125:29-40. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27643561
Amarasiri A, Attanayake AP, Jayatilaka K, Mudduwa L. Acute nephroprotective and antioxidant activities of aqueous leaf extract of Plectranthus amboinicus (Roxb.) grown in Sri Lanka. ~ 155 ~ J Pharmacogn Phytochem [Internet]. 2018 [access: 20/08/2020];7(4):155-61. Available from: http://www.phytojournal.com/archives/?year=2018&vol=7&issue=4&ArticleId=4892
Adolor OE, Onyesom I, Opajobi AO, Mordi JC. Evaluation of Median Lethal Dose and Subchronic Oral Toxicity Assessment of Ethanolic Leaf Extract of Phyllanthus amarus. J Pharm Res Int [Internet]. 2019 [access: 20/08/2020];26(4):1-8. Available from: http://journaljpri.com/index.php/JPRI/article/view/30145
Vincent AT, Schiettekatte O, Goarant C, Neela VK, Bernet E, Thibeaux R, et al. Revisiting the taxonomy and evolution of pathogenicity of the genus Leptospira through the prism of genomics. Martins EAL, editor. PLoS Negl Trop Dis [Internet]. 2019 May 23 [access: 17/08/2020];13(5):e0007270. Available from: https://dx.plos.org/10.1371/journal.pntd.0007270
Thibeaux R, Iraola G, Ferrés I, Bierque E, Girault D, Soupé-Gilbert ME, et al. Deciphering the unexplored Leptospira diversity from soils uncovers genomic evolution to virulence. Microb genomics [Internet]. 2018 Jan 1 [access: 17/08/2020];4(1):e000144. https://www.microbiologyresearch.org/content/journal/mgen/10.1099/mgen.0.000144
Thibeaux R, Girault D, Bierque E, Soupé-Gilbert M-E, Rettinger A, Douyère A, et al. Biodiversity of Environmental Leptospira: Improving Identification and Revisiting the Diagnosis. Front Microbiol [Internet]. 2018 [access: 17/08/2020];9:816. Available from: https://www.frontiersin.org/article/10.3389/fmicb.2018.00816
Gopi C, Sastry VG, Dhanaraju MD. Microwave-assisted synthesis, structural activity relationship and biological activity of some new quinoxaline Schiff base derivatives as highly potent spirochete bactericidal agents. Beni-Suef Univ J Basic Appl Sci [Internet]. 2017 Mar 1 [access: 04/04/2018];6(1):39-47. Available from: https://www-sciencedirect-com.hemeroteca.lasalle.edu.co/science/article/pii/S2314853516300774
Challa S, Nally JE, Jones C, Sheoran AS. Passive immunization with Leptospira LPS-specific agglutinating but not non-agglutinating monoclonal antibodies protect guinea pigs from fatal pulmonary hemorrhages induced by serovar Copenhageni challenge. Vaccine [Internet]. 2011 Jun 15 access: 04/04/2018];29(27):4431-4. Available:http://www.ncbi.nlm.nih.gov/pubmed/21549788
Simpson GJG, Quan V, Frean J, Knobel DL, Rossouw J, Weyer J, et al. Prevalence of Selected Zoonotic Diseases and Risk Factors at a Human-Wildlife-Livestock Interface in Mpumalanga Province, South Africa. Vector-Borne Zoonotic Dis [Internet]. 2018 Jun 1 [access: 19/08/2020];18(6):303-10. Available from: https://pubmed.ncbi.nlm.nih.gov/29664701/
Rajapakse S, Rodrigo C, Handunnetti SM, Fernando DD. Current immunological and molecular tools for leptospirosis: Diagnostics, vaccine design, and biomarkers for predicting severity [Internet]. Vol. 14, Annals of Clinical Microbiology and Antimicrobials. BioMed Central Ltd.; 2015 [access: 18/08/2020]. p. 2. Available from: http://www.ann-clinmicrob.com/content/14/1/2
Ospina-Pinto MC, Rincón-Pardo M, Soler-Tovar D, Hernández-Rodríguez P. Alteration of the reproductive indicators by the presence of Leptospira spp. in sows of swine farms. Acta Sci Vet [Internet]. 2019 Jan 1 [access: 18/08/2020];47(1):1628.https://seer.ufrgs.br/ActaScientiaeVeterinariae/article/view/89894
Saravanan R, Saradhai P, Rani E. Effect of Phyllanthus amarus extract on SphH gene of Leptospira autumnalis studied by an in-house PCR. INDIAN J Appl Microbiol [Internet]. 2012 [access: 18/08/2020];15:5. Available from: https://www.researchgate.net/profile/Manikandan_Natesan2/publication/262046893_In_vitro_Antibacterial_activity_of_Cardiospermum_halicacabum_extracts_against_Bacterial_isolates_from_Pus_samples/links/004635367aea2b9816000000/In-vitro-Antibacterial-activity
Moreno LZ, Miraglia F, Lilenbaum W, Neto JSF, Freitas JC, Morais ZM, et al. Profiling of Leptospira interrogans, L. santarosai, L. meyeri and L. borgpetersenii by SE-AFLP, PFGE and susceptibility testing--a continuous attempt at species and serovar differentiation. Emerg Microbes Infect [Internet]. 2016 Mar 9 [access: 04/04/2018];5(3):e17. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26956446
Chakraborty A, Miyahara S, Villanueva SYAM, Gloriani NG, Yoshida SI. In vitro sensitivity and resistance of 46 Leptospira strains isolated from rats in the Philippines to 14 antimicrobial agents 2 3. Antimicrob Agents Chemother [Internet]. 2010 [access: 04/04/2018]; Available from: http://aac.asm.org/
Boss J, Dance DAB, Chanthongthip A, Newton PN, Wuthiekanun V, Robinson MT. Antimicrobial susceptibility testing of Leptospira spp. In the Lao People's democratic Republic using disk diffusion. Am J Trop Med Hyg [Internet]. 2019 Mar 18 [access: 19/08/2020];100(5):1073-8. Available from: https://www.ajtmh.org/content/journals/10.4269/ajtmh.18-0955
Department of Health and Human Services. CDC's Antibiotic Resistance Threats in the United States, 2019 (2019 AR Threats Report) includes the latest national death and infection estimates that underscore the continued threat of antibiotic resistance in the U.S. [Internet]. 2019 [access: 19/08/2020]. 150 p. Available from: https://www.cdc.gov/drugresistance/biggest-threats.html
Shivamallu C, Sharanaiah U, Kollur SP, Mallesh NKR, Hosakere RD, Balamurugan V. Pseudo-peptides as novel antileptospiral agents: Synthesis and spectral characterization. Spectrochim Acta Part A Mol Biomol Spectrosc [Internet]. 2014 Jan 24 [access: 04/04/2018];118:1152-7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24184586
Andreia C, Cornelia M, Cristina T, Oana C, Ana-Flavia B, Bianca I, et al. Phenolic and sterolic profile of a phyllanthus amarus extract and characterization of newly synthesized silver nanoparticles. Farmacia [Internet]. 2018 [access: 21/08/2020];66:5. Available from: https://doi.org/10.31925/farmacia.2018.5.13
Mekseepralard C, Seesom W, Sondonprai S, Kitprapiumpon N, Jarintanan F, Tanechpongtamb W. Screening of medicinal plants for their antileptospiral activity and synergistic response with ampicillin. Rev Clin Pharmacol Drug Therapy [Internet]. 2017 [access: 20/08/2020];15(Supl 1). Available from: https://cyberleninka.ru/article/n/screening-of-medicinal-plants-for-their-antileptospiral-activity-and-synergistic-response-with-ampicillin
Ismail SR, Ismail S, Deris ZZ, Ismail N. In Vitro Antileptospiral Activity of Trigona thoracia Propolis and its Synergistic Effects with Commonly Prescribed Antibiotics [Internet]. Vol. 19, IIUM Medical Journal Malaysia. 2020 Apr [access: 21/08/2020]. Available from: https://journals.iium.edu.my/kom/index.php/imjm/article/view/1317
Rangel HA, Martínez FL, Sánchez MI, Pérez PI. Aceites esenciales como antioxidantes y antimicrobianos naturales. 2015. [access: 19/08/2020]; Available: https://scholar.googleusercontent.com/scholar?q=cache:4WMhrhUqgTcJ:scholar.google.com/+Aceites+esenciales+como+antioxidantes+y+antimicrobianos+naturales.&hl=es&as_sdt=0,5&as_ylo=2015&as_vis=1