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Table 3

Other compounds evaluated on Echinococcus multilocularis larvae. Effective concentration at 50% (EC50) is given for in vitro tests when specified in the original publication. Otherwise, the concentration used or the minimum concentration leading to a significant effect is given. For in vivo studies, comparison with albendazole is provided, when available.

Compound In vitro method Animal model Conclusion Reference
Anti-infective compounds
DB1127 (dicationic derivative of pentamidine) PGI Peritoneal secondary Active in vitro (EC50 = 6.1 μM) and in vivo through IP (=ABZ) but not oral route [52, 108]
Buparvaquone PGI and resazurin assay Peritoneal secondary Active in vitro (EC50 = 2.9 μM) but not in vivo [97]
Atovaquone PSC viability Primary liver Active in vitro (50 μM) and in vivo (<ABZ) [26, 27]
MMV665807 PGI and resazurin assay, PCGC viability Peritoneal secondary Active in vitro (EC50 = 1.2 μM) but not in vivo [109]
Clarithromycin Metacestode viability Not applicable Active in vitro (13 μM) [77]
Artesunate and dihydroartemisinin EmAP Peritoneal secondary Active in vitro (40 μM) and in vivo (synergy with ABZ) [106]
Itraconazole Metacestode viability Not applicable Active in vitro (1 mM) [91]
Artemether, caspofungin, miltefosine, rifampicin, cotrimoxazole Not active in vitro
HIV protease inhibitors Metacestode and PSC viability Peritoneal secondary Nelfinavir active in vitro (EC50 = 29 μM) and in vivo (=ABZ) [69]
Antineoplastic compounds
Nilotinib, everolimus PGI Subcutaneous secondary Active in vitro (nilotinib EC50 = 77 μM, everolimus EC50 = 33 μM) but not in vivo [42]
Imatinib Metacestode morphology, PSC and PCGC viability Not applicable Active in vitro (25 μM) [34]
Afatinib, U0126 Metacestode morphology, PSC viability Peritoneal secondary Active in vitro (10 μM Afatinib, 200 μM U0126) and in vivo (=ABZ) [19]
BI 2536 PCGC viability Not applicable Active in vitro (10 nM) [102]
Vincristine, navelbine, methotrexate Metacestode viability (inoculation) Not applicable Vincristine and navelbine active in vitro (0.1–60 nM), methotrexate increases parasite growth [39]
Docetaxel, paclitaxel, doxorubicin, vorinostat, navelbine Metacestode viability (inoculation) Not applicable Docetaxel (2–10 μM) and paclitaxel (2–10 μM) active in vitro [38]
Bortezomib PGI Peritoneal secondary Active in vitro (EC50 = 0.6 μM) but not in vivo [107]
PIM kinases inhibitors: SGI-1776, CX-6258 Metacestode morphology, PCGC viability Not applicable Active in vitro (10 μM) [48]
2-methoxyestradiol Em14-3-3 RT-qPCR Peritoneal secondary Active in vitro (5 μM) but not in vivo [105]
2-deoxy-D-glucose EmAP Peritoneal secondary Active in vitro (80 μM) and in vivo (=ABZ) [128]
3-bromopyruvate EmAP Peritoneal secondary Active in vitro (40 μM) and in vivo (=ABZ) [130]
Lonidamine EmAP Not applicable Active in vitro (40 μM) [131]
Plant-extracted compounds
Osthole Not applicable Peritoneal secondary Active in vivo (=ABZ) [135]
Ampelopsin EmAP Not applicable Active in vitro (40 μM) [129]
Thymol PSC viability Peritoneal secondary Active in vitro (67 μM) and in vivo (=ABZ) [2, 3]
Carvacrol Metacestode viability Peritoneal secondary Potentialization of ABZ in vitro and in vivo [71]
Crocin PGI, PSC and PCGC viability Peritoneal secondary Active in vitro (EC50 = 11.4 μM) and in vivo (=ABZ) [65]
Others
Metformin PSC and PCGC viability Peritoneal secondary Active in vitro (10 mM) and in vivo [70]
Endochin-like quinolones PGI and resazurin assay, PCGC viability Not applicable Active in vitro (EC50 = 0.2–1.7 μM) [18]
Verapamil Not applicable Liver secondary Active in vivo (=ABZ) [29]
Thiacloprid PGI and PSC viability Peritoneal secondary Active in vitro (5 μM) et in vivo (=ABZ) [66]
Isoprinosine, inosine, L-Phe-Phe-Ome PSC viability Not applicable Active in vitro (inosine and L-Phe-Phe-Ome EC50 ≈ 50 μM, isoprinosine EC50 ≈ 250 μM) [59]
R-propylamine PSC viability Peritoneal secondary Active in vitro (20 μM) and in vivo (=ABZ) [20]
Ruthenium complexes PGI Not applicable Active in vitro (EC50 = 1.4–4.7 μM) [53]

Note: ABZ, albendazole; PCGC, primary culture of germinative cells; EmAP, E. multilocularis alkaline phosphatase assay; IP, intraperitoneal; PGI, phosphoglucose isomerase assay; PSC, protoscolex; =ABZ, equivalent to albendazole; >ABZ, superior to albendazole; <ABZ, inferior to albendazole.

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