slide 1: 1361
Journal of Pharmacognosy and Phytochemistry 2018 75: 1361-1367
E-ISSN: 2278-4136
P-ISSN: 2349-8234
JPP 2018 75: 1361-1367
Received: 25-07-2018
Accepted: 26-08-2018
Om Prakash
Veterinary Polytechnic
Surajpur Chhattisgarh
Kamdhenu Vishwavidyalaya
Durg Chhattisgarh India
S Gomathinayagam
Department of Veterinary
Parasitology Madras Veterinary
College Tamil Nadu Veterinary
and Animal Science University
Chennai Tamil Nadu India
Tirunelveli Jeyagopal
Harikrishnan
Tamil Nadu Veterinary and
Animal Science University
Chennai Tamil Nadu India
Muthusamy Raman
Transboundary Research
Platform for Veterinary
Biological Tamil Nadu
Veterinary and Animal Science
University Chennai Tamil
Nadu India
V Pandiyan
Department of Veterinary
Biochemistry Madras
Veterinary College Chennai
Tamil Nadu India
P Azhahianambi
Transboundary Research
Platform for Veterinary
Biological Tamil Nadu
Veterinary and Animal Science
University Chennai Tamil
Nadu India
Correspondence
Om Prakash
Veterinary Polytechnic
Surajpur Chhattisgarh
Kamdhenu Vishwavidyalaya
Durg Chhattisgarh India
Is L-buthionine sulfoximine reverse the
benzimidazole resistance in Haemonchus contortus
of small ruminants
Om Prakash S Gomathinayagam Tirunelveli Jeyagopal Harikrishnan
Muthusamy Raman V Pandiyan and P Azhahianambi
Abstract
Anthelmintic resistance AR in parasites of livestock is an emerging problem in many parts of the
World. Hence finding new classes of anthelmintic drugs or anthelmintic resistance reversal agents is the
need of the hour to sustain the global livestock production. The aim of present study was to study the
Benzimidazole BZ resistance reversal property of L-buthionine sulfoximine L-BSO using in vitro egg
hatch assay EHA. Thiabendazole TBZ alone and combination of TBZ and 200µM 500µM
and700µML-BSO were used with proper control and the hatching percentage and ED50values were
recorded. It was found that significant P0.001 reversal of BZ resistance occurred when H. contortus
was treated with L-BSO 500µM and the effect was dose dependent. Hence L-BSO might potentially
be used as a BZ resistance reversal agent to treat BZ resistant nematode parasites of livestock
Keywords: Haemonchus benzimidazole buthionine sulfoximine small ruminants
Introduction
The Haemonchus contortus commonly known as the barber’s pole worm parasitic nematode
a major cause of loss of production in sheep and goat industry. This parasite can inflict a
considerable amount of damage to a flock or herd in a short span of time. Treatment and
control of this gastrointestinal parasite have been successful using various anthelmintics such
as benzimidazoles levamisole and ivermectin which exert selection pressure resulting in the
development of anthelmintic resistance Torres-Acosta et al. 2012
56
. Unraveling the
anthelmintic resistance mechanisms employed by H. contortus will help us to find solutions to
overcome the anthelmintic resistance and use better treatment and control methods. The effect
of glutathione GSH on the eggs of H. contortus susceptible/ resistance to anthelmintics was
investigated using in vitro egg hatch assay EHA. The modulators or GSH analogue like
Diethylemaleate D L-buthionine sulfoximine and patulin induce an unexpected decrease in
the susceptibility of egg to thiabendazole Kerboeuf and Aycaedi 1999
31
. L-BSO increases
the toxicity of nifurtimox benzidazole to the epimastigote trypomastigote and amastigote
stages of Trypanosoma cruzi Faundez et al. 2005
19
. The enzyme activity of Burgia malayi
the causative agent of lymphatic filariasis is irreversibly inhibited by the BSO Hussein and
Walter 2005
29
. Buthionine sulfoximine is a potent and specific inhibitor of γ-
glutamylcysteine synthetase and inhibits glutathione biosynthesis and causes depletion of
cellular glutathione levels Griffith and Meister 1979
25
. Glutathione S- transferase GST
which is part of parasite detoxification system associated with the establishment of parasitic
nematode infections within the gastrointestinal environment of the mammalian host Rossum
et al 2004
53
. On the above hypotheis the present study was conducted with the objective of
is BSO potentiate the activity of TBZ in H. contortus.
Material and Methods
Collection of Parasites and Harvesting of Eggs
Abomasums of sheep and goat were collected in normal saline from the slaughter house
Perumbur Chennai India and transported to the laboratory. Abomasums were cut open along
greater curvature and manual removal of adult H. contortus was carried out from the
abomasums content and mucosal fold. The worms were washed two times with normal saline
and female worms were separated and incubated in normal saline for an hour at 37
0
C for
release of eggs. After incubation normal saline was collected in centrifuge tube and
centrifuged Eppendorf 5810R Germany at 2000 rpm for 5 minutes to sediment the eggs.
The supernatant was poured off and sediment was examined for the presence of eggs. The
concentration of egg was adjusted to50 eggs/µl.
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Journal of Pharmacognosy and Phytochemistry
Assessment of benzimidazole resistance by EHA
Assessment of benzimidazole resistance by egg hatch assay
EHA was performed as using harvested eggs from the
slaughter house Perumbur Chennai India using pure
thiabendazole -99 percent Sigma Aldrich- T8904 USA in
five concentration of 0.05 0.1 0.3 0.5 and 1.0 µg/ml as per
the procedure of World Association for Advancement of
Veterinary Parasitology WAAVP proposed by Coles et al.
1992
12
with slight modification Lourde Raj et al. 2006
Laksmipriya 2012
41 36
.
Assessment of reversal effect of buthionine sulfoximine by
EHA
The effect of BSO was performed as similar to egg hatch
assay in this test different concentrations 200µM 500µM
and 700µM of BSO B2515 Sigma Aldrich USA added
along with thiabendazole.
Estimation of Intracellular glutathione concentration
The total intracellular glutathione GSH was determined by a
calorimetric method described by Greech et al. 1999
24
.
TBZ resistant eggs and larvae of H. contortus were used in
this assay. One gram of eggs and larvae were exposed to 1.0
µg/ml of TBZ and 200µM 500µM and 700µM of BSO at 2
4 and 6 hours intervals. The observance was read at 413nm
against a blank and the amount of glutathione is expressed as
nano mole per gram of larvae by UV-VIS mini-1240
spectrophotometer A109035i Shimadzu Asia Pacific Pte
Ltd Singapore.
Statistical Analysis
Data analysis was carried out using SPSS 20 version software
SPSS 20.0 Inc. Chicago Illinois USA. To analysis the
mean hatching percentage and intracellular glutathione level
between resistant populations before and after treatment with
BSO data were subjected to a multivariate analysis
ANOVA with Tukey’s post-host test. The differences were
considered statistically significant when P0.001. The ED
50
were calculated using probit analysis.
Result
In the present study a total of 1003 abomasal samples of
sheep and goat were examined at the slaughter house
Perambur Chennai India. Out of which 534 samples were
found to contain male and female worms of Haemonchus
contortus on dissection. Prevalence of H. contortus in small
ruminants slaughtered in Perambur slaughter house Chennai
Tamil Nadu India was 53.2 recorded.
Assessment of resistance by Egg hatch assay EHA
The assessment of resistance and susceptible worms were
based on the ability of eggs to hatch at concentration greater
than 0.1µg/ml of thiabendazole TBZ. In present study
samples were found to be resistant to TBZ by EHA where
larvae could be seen even at concentrations higher than 1.0
µg/ml of TBZ. The mean hatching percentage at different
concentrations i.e. control 0.05 0.1 0.3 0.5 and 1.0 µg/ml
was recorded and analysed Table 1. Using probit analysis
ED
50
value for benzimidazole resistance worm was
0.193µg/ml.
Table 1: Comparative egg hatching percentage Mean ±SEM after in vitro egg hatch assay EHA to see the anthelmintic resistance and
reversal of anthelmintic resistant in Haemonchus contortus in sheep and goat treatment with thiabendazole Alone and a combination of
thiabendazole and 200 500 and 700µM L- buthionine sulfoximine L-BSO compared with control
Treatment
Comparative egg hatching percentage Mean ±SEM
No L-BSO Alone TBZ L-BSO 200µM L-BSO 500µM L-BSO 700µM
Control No TBZ 82.44 ±1.59
78.02 ±1.31 77.31±1.29 79.75 ±1.14
TBZ 0.05 µg/ml 74.78 ±1.58
62.53 ±1.64 52.73±1.57 36.70 ±1.77
TBZ 0.1 µg/ml 62.04 ±1.90
54.34±1.96 40.04±1.88 26.29 ±1.18
TBZ 0.3 µg/ml 48.80 ±2.82
40.09±2.53 34.24 ±2.25 22.48±1.68
TBZ 0.5 µg/ml 37.56 ±2.16
24.80 ±1.93 16.39 ±1.39 4.53 ±0.86
TBZ 1.0 µg/ml 4.02±0. 64
2.80 ±0.39 1.21 ± 0.27 1.02 ±.23
ED50 0.193µg/ml 0.137 µg/ml 0.077 µg/ml 0.033µg/ml
Result Resistant Resistant Susceptible Reversed Susceptible Reversed
Level of significance: P0.001
Assessment of reversal effect of buthionine sulfoximine
The mean percentage of egg hatch at different concentration
of TBZ i.e. 0.05 01 0.3 0.5 and 1.0µg/ml with combination
of 200µM 500µ and 700µM were recorded and It was
significantly P0.001 reduced in all concentrations. Using
probit analysis the ED
50
values after the combination of TBZ
and 200 µM 500 µM and 700 µM concentrations of reversal
agent BSO as 0.137 0.077 and 0.033µg/ml TBZ were
recorded respectively.
Fig 1: Thiabendazole Resistance and effect of BSO in Thiabendazole resistance
slide 3: 1363
Journal of Pharmacognosy and Phytochemistry
Estimation of intracellular glutathione
Intracellular glutathione has been estimated in eggs and larvae
of TBZ resistant H. contortus before and after exposure to
different concentration of 200 500 and 700µµM of BSO and
OD values were taken at 412nm in2 4 6 hour intervals. It
was found that the glutathione level was significantly
P0.001 reduced in all concentrations Table. 2. Regression
coefficient R square between intracellular reduced
glutathione GSH and egg hatching percentage at 1.0µg/ml
of TBZ in 2 4 and 6 hours intervals were 0.372 0.615 and
0.354 calculated respectively.
Table 2: Reduced intracellular glutathione Mean±SEM in Haemonchus contortus when treatment with thiabendazole 1.0 µg/ml alone and
combination of thiabendazole and L-BSO 200 µM L-BSO 500 µM and L-BSO 700 µM at two four and six hours intervals
Treatment
Intracellular glutathione nmol/g Mean± SEM
Two hours Four hours Six hours
TBZ 1.0 µg/ml 39.09±1.08
24.65 ±0.61
14.04 ±0.82
TBZ+ L-BSO 200 µM 28.94±1.23 15.30 ±1.05
7.52 ±0.61
TBZ+ BSO 500 µM 18.02±0.69
8.08 ±0.19
2.14 ±0.30
TBZ+ BSO 700 µM 8.03±0.39
4.01±0.40
1.17 ±0.97
Level of significance: P 0.001
Fig 2: Estimated intracellular reduced glutathione nmol/gin H. contortus of sheep/goat after treatment with thiabendazole alone and
combination of thiabendazole 200µM L-BSO 500µM L-BSO and 700 µM L-BSO at two four and six hour interval
Discussion
The previous studied about prevalence of H. contortus
reported by scientist time to time. Fakae 1990
18
conducted
survey in the Nigerian derived savanna from August 1987 to
July 1988 on the seasonal fluctuations in the composition of
Haemonchus contortus burden of naturally infected West
African Dwarf sheep and goats and found that the incidence
of H. contortus infection was high 77.8–100 with no
definite seasonal distinction. H. contortus infection lowers in
the summer season as compared to winter and rainy season
Garg et al. 2003
20
. Yadav et al. 2006
60
recorded that
the seasonal variation throughout the year and was highest
during the rainy season 88.54 followed by summer
83.15 and winter 76.01. Shugufta et al. 2005
54
studied the incidence of gastrointestinal nematodes in sheep
of Kashmir valley. Five types of nematodes viz. strongyles
Trichostrongylus spp. Haemonchus spp. Nematodirus spp.
and Marshallagia spp. were identified. The seasonal
prevalence of infections indicated that the nematode infection
overall was highest in summer 67.14 and lowest in
winter 44.31. Al- shaibani et al. 2008
1
observed for 12
months and H. contortus 24.6 were found to be
predominantly of gastrointestinal nematode parasites. Qamar
et al. 2008
50
found overall the highest 43.69 seasonal
prevalence in sheep and Goats was recorded during summer
followed by autumn 38.46 spring 37.12 while the
lowest 28.79 was recorded during winter. Lashari et al.
2015
37
reported the prevalence of Fasciolia hepatica
Avitellina centripunctata Haemonchus contortus and
Trichuris globulosa was 21.41 12.23 6.50 and 5.73
respectively and suggest that the age sex body weight and
breed are important factors which influence the prevalence of
gastrointestinal parasites. Tasawar et al. 2010
55
reported
the overall prevalence of Haemonchus contortus was 77.7
in sheep at Government Research Centre for Conservation of
Sahiwal Cattle RCCSC Jehangirabad District Khanewal
from February 2007 to June 2007. Mesele et al. 2014
46
perfomeda cross sectional was conducted to estimate the
prevalence of haemonchosis in small ruminants through
examination of 613 Abomasum of small ruminants 355 sheep
and258 goats. The overall prevalence in this study was 38.6
with a prevalence of 22.8 and 15.8 were recorded for
sheep and goats respectively. similarly number of studied
about prevalence of haemonchosis in sheep and goat
conducted time to time with 57.8 9.18 Degheidy et al.
2014
13
40.9 Gebresilassie and Tadele 2015insheep
and goats 67.2 and 56.6respectivelyBulbul et al. 2015
12.1 Boukhari et al. 2016
7
and 38.0 Castle 2017
11
.
Coles et al. 1992
12
given the procedure of egg hatch assay
and eggs hatching with an ED
50
value in excess of 0.1 g
TBZ per ml were indicative of benzimidazole resistance.
Varady and Corba 1999
59
found egg hatch assay to be
sensitive and accurate to determine benzimidazole resistance
in H. contortus. They demonstrated that the ED
50
in resistant
strain was different from the susceptible strain by resistant
factors. Calvete et al. 2012
10
also found 11 per cent of
slide 4: 1364
Journal of Pharmacognosy and Phytochemistry
TBZ resistant nematodes in sheep farms in Northeast Spain
using egg hatch assay. The mean percentage of egg hatch in
42 resistant samples was above the discriminating dose of 0.1
µg per ml of TBZ and larvae hatched even at higher
concentration of TBZ. This is similar to the report of Le
Jambre 1976
38
who showed that TBZ resistant strains
hatched in higher concentration of TBZ than non-resistant
strains. Taylor et al. 2002
57
reported eggs from susceptible
individuals rarely hatch at concentrations greater than 0.1µg /
ml of thiabendazole. In the previous studied many scientist
and researchers reported the anthelmintic resistance by egg
hatch assay with range of ED
50
Value as 0.586 Arunachalam
et al. 2005
2
0.627 0.678 and 0.388 µg / ml Easwaran et
al. 2009
16 17
and 0.8 and 0.6 µg/ml of benzimidazole
Lourde raj et al. 2006
41
17.9 Lakshmipriya 2012
36
ED50 for egg hatch was 0.196 with lower and upper limit
ofED
50
of 0.051 and 0.329 Dinesh 2013
14
0.059 µg/ml
Rialch et al. 2013
51
0.299µg/ml of albendazole
Minakshisundram et al. 2014
45
The ED
50
for egg hatch
was 0.196 indicating suspected resistance to benzimidazole
anthelmintics Kumbhakar et al. 2015
35
Egg hachability
19.66 Goncalves et al. 2016
23
.
Buthionine sulfoximine BSO was used as reversal agent in
the present study and found significant reversal effect which
was dose depended. The reversal of resistance occurred when
TBZ resistance eggs were treated with BSO and resulted in
inhibition of egg hatching. Beugnet et al. 1997
5
performed
egg hatch assay EHA and demonstrated the relationship
between P-glycoproteins p-gp and benzimidazole resistance
through the use of the p-gp inhibitor verapamil a calcium
channel blocker. They had shown that in the presence of
verapamil the toxicity of the drug increased and that
benzimidazole resistance could be partially reversed.
Kerboeuf et al. 1999
31
examined membrane drug transport
mechanism of resistance to anthelmintics by flow cytometry
using rhodamine 123 a p-gp transport probe and found a
higher level of green fluorescence in eggs of resistant H.
contortus indicating high levels of expression of pgp in
resistant eggs. Riou et al. 2003
52
confirmed that
cholesterol could modulate p-gp activity on nematode eggs
and change the level of resistance to anthelmintics. They
suggested changes in membrane lipid contents could provide
another way to improve the reversion of resistance and to
increase the efficacy of anthelmintics. Kerboeuf et al. 2008
32
suggested that the combination of anthelmintic targeting
nematodes with an inhibitor of p-gp efflux pumps had a
significant effect on both egg excretion and the number of
worms coming from anthelmintics resistant nematodes. They
opined that this discovery would open up new perspectives in
nematode control by maintaining a good efficiency of the
treatment while reducing the doses of active compound. They
analyzed the functional consequences of the localization for
xenobiotic transport and drug resistance in nematodes and
compared with results obtained in vertebrates. They suggested
that understanding of such mechanisms was crucial in
overcoming the failure of drug treatments due to the
development of resistance. In this study addition of BSO to
TBZ has inhibited hatching of resistant eggs by increasing
toxicity of TBZ. Blackhall et al. 2008
32
studied an
association between a specific allele of p-gp and survival of
benzimidazole treatment. They suggested that by reducing the
amount of drug to reach its target p-gp could act as a general
defensive mechanism against xenobiotics. Bartley et al.
2009
a
3
showed the influence of various p-gp interfering
compounds on the efficacy of ivermectin sensitive and
resistant nematode isolates. They also demonstrated that in
the presence of p-gpinterfering agents the in vitro
susceptibility to ivermectin of both sensitive and resistant
isolates of T. circumcincta and H. contortus was increased.
Bartley et al. 2009
b
4
described the increased sensitivity of
resistant larvae to ivermectin after the co-incubation with
pluronic 85 but in vivo co-administration of ivermectin with
this p-gp modulator to sheep did not show an improved
efficacy against resistant H. contortus. Lifschitz et al. 2010
a
39
showed by field trial done in Argentina that the efficacy
of both ivermectin and moxidectin against resistant Cooperia
spp. in cattle tended to increase after their co-administration
with loperamide LPM as a p-gp modulator. Lifschitz et al.
2010
b
40
reported the effects of loperamide LPM a p-gp
modulating agent on both ivermectin kinetic behaviour and
anthelmintic activity in infected lambs. Described that the
raft-like structures RLSs in egg shell colocalized with a
large proportion of the p-gp. They analyzed the functional
consequences of the colocalization for xenobiotic transport
and drug resistance in nematodes and compared with results
obtained in vertebrates. They suggested that understanding of
such mechanisms was crucial in overcoming the failure of
drug treatments due to the development of resistance. Godoy
2010
22
studied that the expression of HcPgp-A in
transfected LLC-PK1 cells and to see the effect of ivermectin
and moxidectin on inhibition of rhodamine 123 transport by
the transfected cells. Rhodamine 123 was actively transported
by HcPgp-A. Ivermectin was four fold more potent at
inhibiting rhodamine 123 transport by HcPgp-A than was
moxidectin. The result provided the first information that
MLs can inhibit the transport of Pgp substrates by a parasitic
nematode ABC transporter and may indicate an active role for
H. contortus Ppgs in ML resistance. Heckler et al. 2014
26
evaluated the in vitro effect of eight P-gp modulating drugs to
potentiate IVM efficacy against an IVM-resistant field isolate
of H.placei. The association of IVM with cyclosporin-A
ceftriaxone dexametha-sone diminazene aceturate quercetin
trifluoperazine verapamil or vinblastine resulted in increased
IVM 10−4M efficacy of 5.1 49.06 76.42 3.31 28.85
13.74 45.64 and 43.61 respectively.
Hussein et al. 1996
28
reported that effect of DL- buthionine-
S R sulfoximine BSO a selective glutathione GSH
depleting agent on the GSH synthesis of Ascaris suum. The
GSH concentration of reproductive and muscle tissues of A.
suum was 8.5 ± 0.3 and 14.3 ± 1.3 nmol/mg protein
respectively and after treatment of parasites with BSO for 24
h the GSH content of reproductive tissue was totally depleted
as compare to untreated control. Faundez et al. 2005
19
found that L - buthionine-S R sulfoximine BSO increased
the toxicity of nifurtimox and benzimidazole towards the
epmastigaote tryapomastigote and mastigote form of
Trypanosoma cruzi. BSO at 500µm decreased the total
glutathione-derived thiol by 70 to 80 in 48 hours. Hussein
et al. 2005
29
the Treatment of the Brugia malayi with
different concentrations of 20 100 200 and 500 μM BSO
lowered the GSH content by 70 47 35 and 23
respectively. The effect of BSO is dose dependent. Buthionine
sulfoximine S-n-buty1 homocysteine sulfoximine is a
potent and specific inhibitor of y-glutamylcysteinesynthetase
administered to animals orincorporated into tissue culture
media it inhibits glutathione biosynthesis and causes depletion
of cellular glutathione levels.
Glutathione the most abundant intracellular
nonproteinsulihydryl compound has various cellular
functions mainly related to the thiolgroupof the cysteine
slide 5: 1365
Journal of Pharmacognosy and Phytochemistry
residue. The reduced glutathione GSH as a cosubstrate of
glutathione peroxidase plays an essential protective role
against oxygen-reactive species that may be generated under
various conditions. This protective mechanism results in
increased formation of oxidized glutathione GSSG which is
actively transported across the cell membrane so that its
intracellular concentrations are kept low. Drug resistance has
been correlated to increased GST and GSH level in certain
nematodes like Haemonchus contortus Kwalek et al. 1984
30
. Ullah et al. 2017
58
estimated reduced glutathione as
total acid soluble sulfhydryl concentrations colorimetrically
using Ellmans reagent 5 5-dithiobis-2-nitrobenzoic acid or
DTNB according to thymoquinone and curcumin effect on
Fasciola gigantica. The level of reduced glutathione was
significantly inhibited by both curcumin as well as
thymoquinone at the highest concentration 60 μM used. The
present study showed the increase GSH level in resistance H.
contortus and after treatment with GSH inhibitors BSO level
of GSH was decreased.
The our studied showed the relationship between egg hatching
percentage and reduced glutathione with regression of
coefficient at 24and 6 hours interval after treating with
thinbendazole and L-BSO. When reduced intracellular
glutathione is responsible for is 61.5 hatching of egg when
treated with 500µM L-BSO.
Conclusion
The present experiment was conducted to see the potentiation
of thiabendazole efficacy by buthionine sulfoximine BSO.
BSO can be used as AR reversal agent along with BZ drugs.
Enhances the TBZ toxicity by reducing the GSH
concentration. Suppressing the antioxidant/redox potential of
the worms.
Acknowledgement
The Dean Madras Veterinary College Tamil Nadu
Veterinary and animal Science University Chennai India
600 007 for providing facilities to conduct research work.
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