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the inhibitory properties of and mode of action of plant essential oils ...

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Lemon balm, also known as balmint, has been tested in vitro against T. brucei <strong>and</strong> L.<br />

major both <strong>of</strong> which have conventional treatments available but are currently<br />

expensive or have strong side effects. The <strong>essential</strong> oil was found to inhibit <strong>the</strong><br />

growth <strong>of</strong> T. brucei (ED50 3.9 µg ml -1 ; Suramin ED50 0.5 µg ml -1 ) <strong>and</strong> L. major (ED50<br />

7 µg ml -1 ; amphotericin B ED50 0.3 µg ml -1 ) (Mikus et al. 2000). When tea tree oil<br />

(TTO) was used in <strong>the</strong>se experiments <strong>the</strong> results for T. brucei inhibition indicated<br />

that this oil might be an alternative to Suramin ® for <strong>the</strong> treatment <strong>of</strong> trypanosomiasis<br />

(ED50 0.5 µg ml -1 for both compounds). One <strong>of</strong> <strong>the</strong> major constituents <strong>of</strong> TTO is<br />

terpinen-4-ol which has a greater <strong>inhibitory</strong> <strong>action</strong> on <strong>the</strong> blood stream forms <strong>of</strong> T.<br />

brucei (ED50 0.02 µg ml -1 ) <strong>and</strong> was over a 1000 fold more toxic to <strong>the</strong> parasite than<br />

<strong>the</strong> human cell line HL-60 (Mikus et al. 2000). It was proposed that a deeper<br />

investigation <strong>of</strong> <strong>the</strong>se compounds trypanocidal activity should be undertaken to<br />

determine <strong>the</strong>ir effectiveness as a new drug <strong>the</strong>rapy.<br />

Antitrypanosomal activity <strong>of</strong> PEOs<br />

Again garlic appears to be <strong>the</strong> most active compound, with <strong>the</strong> constituent allicin<br />

being <strong>of</strong> particular importance (Table 1.1). The chemically stable transformation<br />

product <strong>of</strong> allicin is diallyl trisulphide (DAT) <strong>and</strong> is effective in inhibiting <strong>the</strong> growth<br />

<strong>of</strong> <strong>the</strong> many species <strong>of</strong> <strong>the</strong> bloodstream form <strong>of</strong> trypanosomes, especially those<br />

responsible for African trypanosomiasis (Lun et al. 1994). These include T. brucei<br />

brucei, T. b. rhodesiense, T. b. gambiense, T. evansi, T. congolense <strong>and</strong> T.<br />

equiperdum with DAT inhibiting growth at concentrations comparable to <strong>the</strong><br />

commercial drug Suramin ® (trypanosome IC50 = 0.8 - 5.5 µg ml -1 (4.5 – 31 µM);<br />

Suramin ® IC50 = 10 µM; Lun et al. 1994). This compound has been reported to have<br />

been used in China for <strong>the</strong> treatment <strong>of</strong> many diseases, such as bacterial <strong>and</strong> fungal<br />

infections, with only mild side effects (Lun et al. 1994). A condensation product <strong>of</strong><br />

allicin is effective against both <strong>the</strong> epimastigote amastigote forms <strong>of</strong> T. cruzi to an<br />

even greater degree. Ajoene immediately inhibits <strong>the</strong> proliferation <strong>of</strong> epimastigotes at<br />

a concentration <strong>of</strong> 80 µM, reducing <strong>the</strong>ir proliferation by 50% with 40 µM <strong>and</strong><br />

causing cell lysis within 24 h with 100 µM (Urbina et al. 1993). Concentrations as<br />

low as 40 µM were enough to completely eliminate T. cruzi amastigotes from Vero<br />

cells in vitro within 96 h. The inhibition <strong>of</strong> epimastigote growth was accompanied by<br />

8

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