Immunochemotherapy for Leishmania donovani infection in golden hamsters: combinatorial action of poly ICLC plus L-arginine and sodium stibogluconate (Stibanate)

J Interferon Cytokine Res. 1999 Oct;19(10):1103-6. doi: 10.1089/107999099313037.

Abstract

We demonstrate that golden hamsters infected with Leishmania donovani amastigotes develop the capacity to eliminate intracellular pathogens on treatment with low-dose standard antileishmanial sodium stibogluconate (Stibanate) in combination with polyinosinic-polycytidilic acid stabilized with polylysine and carboxymethycellulose (poly ICLC), a potent inducer of interferon (IFN) and immune enhancer, plus L-arginine. Data suggest that low doses of both Stibanate and poly ICLC plus L-arginine provide marginal inhibition against L. donovani infection in golden hamsters. When given in combination, however, a significant inhibition was achieved without toxicity, as all the animals survived up to 45 or 60 days. These results suggest that combination therapy using Stibanate and poly ICLC plus L-arginine may be very effective in reducing the dose of Stibanate and, hence, its dose-dependent toxicity in clinical situations.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Animals
  • Antimony Sodium Gluconate / therapeutic use*
  • Carboxymethylcellulose Sodium / analogs & derivatives*
  • Carboxymethylcellulose Sodium / therapeutic use
  • Combined Modality Therapy
  • Cricetinae
  • Dose-Response Relationship, Drug
  • Immunotherapy / methods*
  • Interferon Inducers / therapeutic use*
  • Leishmania donovani*
  • Leishmaniasis, Visceral / therapy*
  • Male
  • Mesocricetus
  • Poly I-C / therapeutic use*
  • Polylysine / analogs & derivatives*
  • Polylysine / therapeutic use

Substances

  • Interferon Inducers
  • Polylysine
  • poly ICLC
  • Carboxymethylcellulose Sodium
  • Poly I-C
  • Antimony Sodium Gluconate