Amiodarone promoted autophagy and enhanced tissue repair, outperforming albendazole in treating the muscular phase of experimental trichinellosis spiralis

Theodor Bilharz Research Institute

Bibliographic Information

Authors: Abdelhamid G.A.; Abdel-Aal A.A.; Badawi M.; Abd-Alghany A.R.; Fahmy M.-E.A.

Journal: Journal of Molecular Histology

Publisher: Springer Science and Business Media B.V.

Publication Date: 10 November 2025

Volume / Issue: Volume 56 / Issue 6

Article No.: 369

ISSN: 15672379

DOI: 10.1007/s10735-025-10637-7

Scopus: View on Scopus

PubMed: 41212438

Document Type: Article


Authors and Affiliations

Abdelhamid G.A., Department of Medical Parasitology, Faculty of Medicine, Cairo University, Cairo, Egypt; Abdel-Aal A.A., Department of Medical Parasitology, Faculty of Medicine, Cairo University, Cairo, Egypt, Department of Postgraduate Studies & Scientific Research, Armed Forces College of Medicine (AFCM), Cairo, Egypt; Badawi M., Department of Pathology, National Research Centre, Giza, Egypt; Abd-Alghany A.R., Department of Medical Parasitology, Faculty of Medicine, Cairo University, Cairo, Egypt; Fahmy M.-E.A., Medical Parasitology Department, Theodor Bilharz Research Institute (TBRI), Giza, Egypt


Abstract

Targeting autophagy as a therapeutic approach against infections has gained significant attention nowadays. Amiodarone (AMD), the antiarrhythmic drug with autophagy-stimulating property, was used in this study, compared to Albendazole (ALB) (the commonly used drug) against experimental trichinellosis. Our in vivo study used two assessment tools for evaluating the autophagy process: quantitative analysis of local microtubule-associated protein 1 light chain 3 (LC3) autophagy protein marker, in addition to detecting autophagic compartments by transmission electron microscopy (TEM). AMD showed the most significant upregulation of local LC3 expression (15.54 ± 1.33 vs. 13.37 ± 2.03 with ALB, P < 0.005), besides identification of a wide range of autophagosomal cellular compartments, which most likely succeeded in controlling infection and inflammation, compared to few phagosomes and numerous macrophages seen in the ALB-treated group reflecting the lesser ability of the latter to stimulate the full autophagy process and suppress inflammation. In addition, signs of cellular repair were also noticed in TEM in the AMD-treated group, such as normal nuclear chromatin distribution with relatively normal mitochondrial allocation and regular muscle fibers. Autophagy detected in the ALB-treated group, despite being characterized by significant expression of LC3, seemed dysfunctional and inefficient in regulating inflammation and recovering normal cellular features. Our results revealed, for the first time, the exceptional potential of AMD as an autophagy modulator and regenerative supporter in treating trichinellosis. Thus, further investigations for the role of autophagy inducers as therapeutic options against other parasitic infections are recommended. © The Author(s), under exclusive licence to Springer Nature B.V. 2025.


Keywords

LC3 expression; Albendazole; Amiodarone; Autophagy; TEM; Trichinella; Animals; Disease Models, Animal; Mice; Microscopy, Electron, Transmission; Microtubule-Associated Proteins; Trichinella spiralis; Trichinellosis; bendax; cardiomep; microtubule associated protein 1; microtubule associated protein; animal experiment; animal model; animal tissue; Article; autophagosome; autophagy (cellular); cell regeneration; chromatin; controlled study; experimental trichinellosis; female; immunohistochemistry; in vivo study; inflammation; intracellular space; macrophage; mouse; muscle cell; nonhuman; phagosome; protein expression; quantitative analysis; tissue repair; transmission electron microscopy; ultrastructure; upregulation; animal; disease model; drug effect; drug therapy; metabolism; parasitology; pathology; trichinosis


Citation Information

Scopus Citations: 0


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