1. Introduction
American trypanosomiasis, known as Chagas disease, is a neglected tropical disease, which is caused by the flagellate protozoan
Trypanosoma cruzi [
1]. According to the
Drugs for Neglected Diseases initiative [
2], there are 6 million people infected in 21 countries in Latin America, where Chagas disease is endemic, and between 6 and 7 million people infected worldwide. Moreover, there are about 70 million people at risk of infection, and, in addition, the disease is responsible for 14,000 deaths in the endemic region [
2].
There are only two drugs, Nifurtimox (Nx) and Benznidazole (Bz), indicated for the treatment of acute
T. cruzi infection [
3,
4]. Nevertheless, both drugs could be considered not good enough to treat the disease because their efficacy is not higher than 70%. Besides that, when the patient is in the chronic phase of the disease, the performance of those drugs is even worse [
5].
Furthermore, those drugs commonly trigger several side effects in adults, which sometimes need to avoid long-term treatment or abruptly discontinue them [
6,
7,
8]. The low efficiency of Bz and Nx could not be attributed to limited tissue penetration, but to low absorption during first pass metabolism in the liver. These two processes occur before tissue biodistribution, especially during the chronic phase of the disease, when the parasites are confined mainly to the deep tissues, in which replication occurs [
9,
10,
11]. Moreover, the high cost, toxicity and the medicine resistance developed by the strains of
T. cruzi are further cons [
11,
12,
13].
Cutaneous leishmaniasis, in turn, is a vector-borned disease caused by protozoan parasites and is also considered as a neglected disease. This is the most common form of leishmaniasis caused by
L. amazonensis, an infirmity that affects 0.6 to 1 million people each year at 87 countries worldwide [
14]. It is known to develop skin lesions often on the face, which brings severe social stigma, particularly for women and children [
15].
After antimonial treatment failure in the 1950’s, pentamidine, amphotericin B, paromomycin and miltefosine were used as treatment drugs for leishmaniasis. Despite some positive aspects, all of them were considered unsatisfactory at least in one item such as efficacy, cost, safety, or treatment failure [
16]. Treatment of leishmaniasis in challenging and no vaccine or prophylactic drugs to prevent infection are currently available [
17].
Although chemotherapy is the most practical and effective treatment applied to all three major forms of leishmaniasis, some unfavourable features of chemotherapy include toxicity, high cost and long-term treatment [
18]. Thus, the search for new therapeutics options in mandatory.
Given this context, the need of new trypanocidal and leishmanicidal drugs that could be safer and more efficient for the treatment of Chagas’ disease and Leishmaniasis is evident and urgent.
One of the main sources of new substances with interesting biological activities has been the specialized metabolites from natural sources [
19]. Among the diversity of natural substances to be explored, there are the diterpenes. They constitute a numerous class of compounds that has gained prominence, justified by their promising profile that comprise several biological activities such as antimicrobial [
20], anticancer [
21], anti-HIV [
22], anti-inflammatory and antitumoral [
23], fungicide [
24], antitubercular [
25], antitrypanosomal [
26], among others.
A considerable number of different structures to be assayed can be obtained by structural modification of those isolated metabolites. The more structural variability of semisynthetic derivatives to be assayed, the higher the chance of success. So, the major components of some natural sources can be isolated and submitted to chemical reactions, with the perspective of obtaining more active substances.
Due to our research group’s interests in producing diterpene derivatives to reach more active compounds [
20,
24,
25], the present work describes the production of 14 semisynthetic derivatives from 4 labdane-type diterpenes, major constituents of
Copaifera langsdorffii oleoresin, named
ent-copalic acid (
1),
ent-3b-acetoxy copalic acid (
2),
ent-3b-hydroxy copalic acid (
3) and
ent-agatic acid (
4) (
Figure 1). This allowed the evaluation of the biological profile against
Trypanosoma cruzi of eighteen substances, in the search for more active and less toxic compounds, as described.
4. Discussion
As can be seen, compound
3 was the only natural compound that showed expressive anti-trypanosome activity (IC
50 = 0.425mM). Moreover, most of the active compounds obtained (
11 and
17) are derived from this compound to. One can all state that all active compounds in this work (
3,
11,
14 and
17) features a substituent in position 3, which seems to be a requisite for this kind of structure to be active. Another kind of requirement to display some activity seems to be the presence of two oxygenated functional groups, as all active compounds in this work. A careful look at compound
1 and its derivatives (
5,
9 and
13) shows the inactivity of only one functional group. Moreover, even if there are two functional groups, it seems to be required one of them in position 3, as compound
4 and all its derivatives (
8,
12,
16 and
18) are completely inactive. In addition, one can state that the hydrogenation is not one of the best transformations to perform in these diterpenes in the search for trypanocide substances, because from four active compounds in this group, only one presents single bonds between 8,17 and 13,14 carbons. Furthermore, the ester function seems also important to activity in this type of skeleton, since it constitute four of the functional groups in a total of eight in the active compounds (
3,
11,
14 and
17). These latter results agree with previous published work from Chavez and his co-workers [
31], which states that all prepared esters where more potent than the precursor acid diterpene.
In the view of trypanocidal activity, our results are promising, since there are two obtained derivatives (
11 and
14) with activity at the same magnitude than the reference drug, Benznidazole. Moreover, one of the assayed natural precursors (
3) was even more potent, in a greatness of ten, than the positive control. Those can be considered very promising results in the search for active compounds against
T. cruzi. When compared to the results in literature for diterpenes versus
T. cruzi [
31,
32,
33,
34], or more specifically, labdanes against
T. cruzi [
35,
36,
37], it can be reaffirmed that the results obtained in the present work are very promising. In one work [
33], even the preparation of 32 derivatives, the most active compound displayed activity only with a concentration threefold the Bz concentration in mg/mL. Ullah and co-workers [
34] show the most active compound needing 3.7 times the concentration of Bz in mM to be active. Besides that, another published work dealing with trypanocidal activity of diterpenes [
31] concluded that there was reached only a moderate activity. Only one of the searched works [
32] had promising results of the same magnitude of this present one and, nevertheless, the structures assayed were completely different from all compounds here presented. Regarding labdane diterpenes against
T. cruzi, the three cited references showed only seven substances of this class assayed. Four of them [
36] are somewhat different than the copalic analogues, and involved two potentially active, displaying a high value for lysis in one unique concentration (125 mg/mL). Nevertheless, IC
50 was not calculated neither there was a positive control, turning results not comparable. From the other reference [
37], they were two labdanes more like copalic analogues assayed and one of them displayed also promising activity against
T. cruzi. They were compared to Nx (IC
50 = 7.7 mM) as positive control and one assayed compound demonstrated to be as active as it (IC
50 = 9.8 mM). The only reference found showing the same kind of structure, was the work by Sartorelli and his co-workers [
35]. In this work,
ent-copalic acid is assayed and does not show significant activity against the amastigote form of
T. cruzi.
Thus, relatively to the literature, the present results are promising, and, from our knowledge, this is the work that most evidence promising trypanocidal activity of copalic acid analogues labdane diterpenes.
One last issue that deserves to be discussed is concerning the comparison between natural (3) and semi-synthetic (11, 14 and 17) active products. The most active compound is the natural diterpene 3, precursor of 11 and 17 showing that in both cases the structural modification turned the activity worse. Nevertheless, from the perspective of compound 14, derived from 2 and with potentially the same activity as Bz, the structural modification seemed to be extremely important. Moreover, results should not be evaluated in such an isolated manner. The obtention of more than one promising substances at in vitro assays, enhances the chance to get one or two active compounds at future in vivo experiments. Toxicity evaluation also can bring even more important information for the constant search for new trypanocide agents.
For the leishmanicidal activity case, a greater number of the natural compounds expressed some measurable activity. Nevertheless, none of them displayed good activity, being the best with IC50 = 30.65 mM (compound 1). On the other hand, the improve of activity by chemical transformations is more expressive in this case. From the fourteen transformations performed in this work, nine of them improved leismanicidal activity; two of them caused no change and only three transformations decreased activity.
The most significant transformation was the esterification, once in almost all cases there was an improvement of activity. However, the hydrogenation, which decreased activity in most cases, led to one of the most active compounds – compound 6 – with IC50 = 5.94 mM. Moreover, the most active compound obtained in this work, with an IC50 = 5.3 mM, was produced by both transformations in sequence (compound 16).
These results seem to be promising, but they are not so easy to compare to other results in the literature, mostly because there are several different species of
Leishmania. This work evaluated the activity of compounds against promastigote forms of
L. amazonensis. Using Web of Science search tool, we were unable to found articles combining the terms “labdane” and “
Leishmania amazonensis”. Nevertheless, we could find some leishmanicidal results for labdane diterpenes against
L. donovani [
38,
39,
40], most with promastigote forms, but also most results in mg/mL, not mM.
Therefore, the only way to make a slight comparison would be considering the positive control activity compared to assayed substances activities. The results obtained by Fokialakis and co-workers are expressed in mg/mL and there are 21 results for labdane diterpenes in that paper [
40]. A total of 6 results present IC
50 values are considerably higher (IC
50 above 30.0 mg/mL) than for amphotericin B (IC
50 = 0.17 mg/mL), the positive control, and 11 results could be considered intermediary (30.0 mg/mL > IC
50 > 10.0 mg/mL). On the other hand, there are four results that could be considered promising with IC
50 lower than 10 mg/mL (between 3.5 and 8.0 mg/mL). For this present work, similar results were achieved, despite being for
L. amazonensis and with IC
50 values expressed in mM. Compounds
1-
5,
7,
8,
17 and
18 are not active with IC
50 above 30.0 mM, while amphotericin presents IC
50 = 0.043 mM. With intermediary activity, compounds
9,
10,
13 and
14 displayed IC
50 values between 10.0 and 30.0 mM. The best activities were obtained for compounds
6,
11,
12,
15 and
16, which presented IC
50 below 10 mM, highlighting compounds
6 (IC
50 = 5.94 mM) and
16 (IC
50 = 5.31 mM).
Another partial comparison can be done with Afolayan and co-workers article [
39], where three labdanes very similar to our structures were assayed against
L. donovani with results as IC
50 expressed in mM. For this case, similar results were obtained, with the best activity reaching IC
50 = 7.82 mM. The results obtained by Ghorbani and collaborators [
38] can be considered the best ones of this discussed set. Despite assaying only two labdane diterpenes, the obtained results can be considered promising (both IC
50 between 0.06 and 0.09 mM). These substances were new structures at the occasion and presented different organic functions (aldehyde and epoxide) then the compounds in this present work and although the authors did not present IC
50 for amphotericin B in that work, we are clearly facing good results.