RT Journal Article T1 In-Vitro Activity of Silybin and Related Flavonolignans against Leishmania infantum and L. donovani A1 Olías Molero, Ana Isabel A1 Jiménez Antón, María Dolores A1 Biedermann, David A1 Corral Caridad, María Jesús A1 Alunda Rodríguez, José María AB Flavonolignans from the seeds of the milk thistle (Silybum marianum) have been extensively used in folk medicine for centuries. Confirmation of their properties as hepatoprotective, antioxidant and anticancer has been obtained using standardized extracts and purified flavonolignans. Information on their potential effect on Leishmania is very scarce. We have investigated the effect of silymarin, silybin and related flavonolignans on the multiplication of promastigotes in vitro and ex vivo on intracellular amastigotes of L. infantum (Li) and L. donovani (Ld), causative agents of human and canine visceral leishmaniasis (VL). In addition, the potential synergistic effect of the most active molecule and well-established antileishmanial drugs against promastigotes was explored. Dehydroisosilybin A elicited the highest inhibition against Ld and Li promastigotes with an approximate IC50 of 90.23 µM. This molecule showed a moderate synergism with amphotericin B (AmB) but not with SbIII or paromomycin, although it was ineffective against amastigotes. Antileishmanial activity on intracellular amastigotes of the two diastereoisomers of dehydrosilybin (10 µM) was comparable to that elicited by 0.1 µM AmB. Antiproliferative activity and safety of flavonolignans suggest the interest of exploring their potential value in combination therapy against VL. PB MDPI SN 1420-3049 YR 2018 FD 2018-06-27 LK https://hdl.handle.net/20.500.14352/12525 UL https://hdl.handle.net/20.500.14352/12525 LA eng NO Unión Europea. FP7 NO Unión Europea/Cooperación Europea en Ciencia y Tecnología (COST) NO Ministry of Education, Youth and Sports (MEYS) NO Czech Science Foundation DS Docta Complutense RD 29 abr 2024