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International journal for parasitology. Drugs and drug resistance2017; 7(3); 388-398; doi: 10.1016/j.ijpddr.2017.10.006

P-glycoproteins play a role in ivermectin resistance in cyathostomins.

Abstract: Anthelmintic resistance is a global problem that threatens sustainable control of the equine gastrointestinal cyathostomins (Phylum Nematoda; Superfamily Strongyloidea). Of the three novel anthelmintic classes that have reached the veterinary market in the last decade, none are currently licenced in horses, hence current control regimens focus on prolonging the useful lifespan of licenced anthelmintics. This approach would be facilitated by knowledge of the resistance mechanisms to the most widely used anthelmintics, the macrocyclic lactones (ML). There are no data regarding resistance mechanisms to MLs in cyathostomins, although in other parasitic nematodes, the ABC transporters, P-glycoproteins (P-gps), have been implicated in playing an important role. Here, we tested the hypothesis that P-gps are, at least in part, responsible for reduced sensitivity to the ML ivermectin (IVM) in cyathostomins; first, by measuring transcript levels of pgp-9 in IVM resistant versus IVM sensitive third stage larvae (L3) pre-and post-IVM exposure in vitro. We then tested the effect of a range of P-gp inhibitors on the effect of IVM against the same populations of L3 using the in vitro larval development test (LDT) and larval migration inhibition test (LMIT). We demonstrated that, not only was pgp-9 transcription significantly increased in IVM resistant compared to IVM sensitive L3 after anthelmintic exposure (p < 0.001), but inhibition of P-gp activity significantly increased sensitivity of the larvae to IVM in vitro, an effect only observed in the IVM resistant larvae in the LMIT. These data strongly implicate a role for P-gps in IVM resistance in cyathostomins. Importantly, this raises the possibility that P-gp inhibitor-IVM combination treatments might be used in vivo to increase the effectiveness of IVM against cyathostomins in Equidae.
Publication Date: 2017-10-25 PubMed ID: 29121562PubMed Central: PMC5681340DOI: 10.1016/j.ijpddr.2017.10.006Google Scholar: Lookup
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  • Journal Article

Summary

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This research investigates the way P-glycoproteins are involved in ivermectin resistance in cyathostomins, parasites that commonly affect horses, suggesting a new treatment intervention that could enhance ivermectin’s effectiveness.

Objective and Problem

  • The study addresses a significant global issue, anthelmintic resistance, particularly in the control of equine gastrointestinal parasites known as cyathostomins. This kind of resistance is a severe challenge because no new anthelmintic (anti-parasitic) drugs have been licensed for horses in the last decade.
  • The research primarily focuses on the role of P-glycoproteins (P-gps) in causing resistance to the drug ivermectin (IVM), a widely used anthelmintic treatment under the macrocyclic lactones (ML) class, in cyathostomins.

Method and Analysis

  • The researchers hypothesized that P-gps plays a central role in reducing cyathostomins’ sensitivity to IVM. They tested this by comparing the transcript levels of a particular P-gp, pgp-9, in both IVM-resistant and IVM-sensitive cyathostomin larvae before and after IVM exposure in a laboratory setting.
  • The team also examined the impact of various P-gp inhibitors on the effectiveness of IVM against these two kinds of cyathostomin larvae populations.
  • The in vitro tests carried out during the study were the larval development test (LDT) and the larval migration inhibition test (LMIT).

Findings

  • The study found a significant increase in the transcription of pgp-9 in IVM-resistant cyathostomin larvae compared to the IVM-sensitive ones after they were exposed to the anthelmintic treatment.
  • Notably, using P-gp inhibitors considerably improved the cyathostomin larvae’s sensitivity to IVM in the lab environment, a phenomenon that was only witnessed in the IVM-resistant larvae in the LMIT.
  • These findings point to a substantial contribution by P-gps to IVM resistance in cyathostomins.

Impact and Future Research

  • The implications of this research are critical to the future of equine health, suggesting that using a combination of P-gp inhibitors and IVM could potentially heighten the drug’s effectiveness against cyathostomins in horses.
  • This gives rise to an opportunity for more detailed exploration on the use of P-gp inhibitor-IVM blend treatments in active equine environments.

Cite This Article

APA
Peachey LE, Pinchbeck GL, Matthews JB, Burden FA, Lespine A, von Samson-Himmelstjerna G, Krücken J, Hodgkinson JE. (2017). P-glycoproteins play a role in ivermectin resistance in cyathostomins. Int J Parasitol Drugs Drug Resist, 7(3), 388-398. https://doi.org/10.1016/j.ijpddr.2017.10.006

Publication

ISSN: 2211-3207
NlmUniqueID: 101576715
Country: Netherlands
Language: English
Volume: 7
Issue: 3
Pages: 388-398

Researcher Affiliations

Peachey, L E
  • Institute of Infection and Global Health, University of Liverpool, Liverpool Science Park IC2, Brownlow Hill, Liverpool, United Kingdom. Electronic address: peachey14@hotmail.com.
Pinchbeck, G L
  • Institute of Infection and Global Health, University of Liverpool, Liverpool Science Park IC2, Brownlow Hill, Liverpool, United Kingdom.
Matthews, J B
  • Moredun Research Institute, Pentlands Science Park, Bush Loan, Midlothian, Scotland, United Kingdom.
Burden, F A
  • The Donkey Sanctuary, Sidmouth, Devon, United Kingdom.
Lespine, A
  • Toxalim (Research Centre in Food Toxicology), Université de Toulouse, INRA, ENVT, INP-Purpan, UPS, Toulouse, France.
von Samson-Himmelstjerna, G
  • Institute for Parasitology and Tropical Veterinary Medicine, Freie Universität Berlin, Berlin, Germany.
Krücken, J
  • Institute for Parasitology and Tropical Veterinary Medicine, Freie Universität Berlin, Berlin, Germany.
Hodgkinson, J E
  • Institute of Infection and Global Health, University of Liverpool, Liverpool Science Park IC2, Brownlow Hill, Liverpool, United Kingdom.

MeSH Terms

  • ATP Binding Cassette Transporter, Subfamily B / antagonists & inhibitors
  • ATP Binding Cassette Transporter, Subfamily B / drug effects
  • ATP Binding Cassette Transporter, Subfamily B / genetics
  • Animals
  • Anthelmintics / pharmacology
  • Drug Resistance / genetics
  • Horses / parasitology
  • Ivermectin / pharmacology
  • Lactones / pharmacology
  • Larva / drug effects
  • Larva / genetics
  • Larva / growth & development
  • Levamisole / pharmacology
  • Strongyloidea / drug effects
  • Strongyloidea / genetics

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