Evidence map›Paper›PMID 41237192›Full record

ArticlePloS one2025

Combined benznidazole and pentoxifylline therapy improves behavioral and cognitive changes in association with the regulation of systemic inflammatory profile in chronic experimental Chagas disease.

Glaucia Vilar-Pereira, Leda Margarita Castaño-Barrios, Isabela Resende Pereira, Ana Paula da Silva Pinheiro, Thayse do Espírito Santo Protásio da Silva, Lina L Hernandez-Velasco, Priscila Silva Grijó Farani, Aditi Kulkarni, Sourav Roy, Hílton Antônio Mata Dos Santos and 6 more

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Glaucia Vilar-PereiraLaboratório de Biologia das Interações, Instituto Oswaldo Cruz/Fiocruz, Rio de Janeiro, Rio de Janeiro, Brazil.
Leda Margarita Castaño-BarriosLaboratório de Biologia das Interações, Instituto Oswaldo Cruz/Fiocruz, Rio de Janeiro, Rio de Janeiro, Brazil.
Isabela Resende PereiraLaboratório de Biologia das Interações, Instituto Oswaldo Cruz/Fiocruz, Rio de Janeiro, Rio de Janeiro, Brazil.
Ana Paula da Silva PinheiroLaboratório de Biologia das Interações, Instituto Oswaldo Cruz/Fiocruz, Rio de Janeiro, Rio de Janeiro, Brazil.
Thayse do Espírito Santo Protásio da SilvaLaboratório de Biologia das Interações, Instituto Oswaldo Cruz/Fiocruz, Rio de Janeiro, Rio de Janeiro, Brazil.
Lina L Hernandez-VelascoDepartamento de Matematicas, Pontificia Universidad Javeriana, Bogotá, Colombia.ORCID https://orcid.org/0000-0001-7931-793X
Priscila Silva Grijó FaraniLaboratório de Biologia das Interações, Instituto Oswaldo Cruz/Fiocruz, Rio de Janeiro, Rio de Janeiro, Brazil.
Aditi KulkarniDepartment of Biological Sciences and Border Biomedical Research Center, University of Texas at El Paso, El Paso, Texas, United States of America.
Sourav RoyDepartment of Biological Sciences and Border Biomedical Research Center, University of Texas at El Paso, El Paso, Texas, United States of America.
Hílton Antônio Mata Dos SantosEscola de Farmácia, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil.
Raquel de Oliveira LopesLaboratório de Análise e Desenvolvimento de Inibidores Enzimáticos, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil.
Luzineide Wanderley TinocoLaboratório Multiusuário de Análises por Ressonância Magnética Nuclear (LAMAR), Instituto de Pesquisas de Produtos Naturais (IPPN), Universidade Federal do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0002-1299-6242
Constança BrittoLaboratório de Biologia Molecular e Doenças Endêmicas, IOC/Fiocruz, Rio de Janeiro, Rio de Janeiro, Brazil.
Otacílio Cruz MoreiraLaboratório de Virologia e Parasitologia Molecular, IOC/Fiocruz, Rio de Janeiro, Rio de Janeiro, Brazil.
Andrea Alice SilvaLaboratório Multidisciplinar de Apoio à Pesquisa em Nefrologia e Ciências Médicas, Faculdade de Medicina, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0001-5856-6128
Joseli Lannes-VieiraLaboratório de Biologia das Interações, Instituto Oswaldo Cruz/Fiocruz, Rio de Janeiro, Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0001-5503-6754

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronically Trypanosoma cruzi-infected mice show signs of behavioral and cognitive changes, resembling aspects of Chagas disease patients. Inflammatory mediators, such as cytokines and nitric oxide (NO) have been linked to mental disorders. Preclinical studies showed the partial effects of the trypanossomicidal drug benznidazole (Bz) on mnemonic alterations. Here, we investigated the participation of the parasite and systemic inflammatory profile in behavioral and cognitive changes, using Bz combined with the immunoregulator pentoxifylline (PTX). Chronically T. cruzi-infected C57BL/6 mice were treated with Bz (25 mg/Kg/day) and PTX (20 mg/Kg/day) as mono or combined therapies, submitted to behavioral tests, and canonical biological stressors were analyzed. Bz therapy had no effects on anxiety, but partially ameliorated innate compulsive behavior, depression, and memory loss, while PTX and, mainly, Bz + PTX had a broader beneficial effect on these changes. Bz and Bz + PTX reduced parasitemia. The three therapies decreased the parasite burden in the brain. Bz and Bz + PTX therapies reduced oxidative stress in the brain tissue, while PTX and Bz + PTX therapies efficiently controlled the elevated concentrations of GABA/glutamate in the cerebral cortex. Even after parasite control, serum concentrations of NO and tumor necrosis factor (TNF) enhanced as the disease progressed. Bz and, mainly, Bz + PTX treatments reduced NO levels. The three therapeutic schemes hamper the progressive increase of TNF levels. Reanalysis of available data on the systemic miRNA transcriptome supports the beneficial role of Bz + PTX therapy on pivotal hubs involved in inflammation of the central nervous system and neurodegenerative disorders. Moreover, principal components analysis (PCA-2D and 3D projections) underlined the distinction between the noninfected and vehicle-treated infected groups, while Bz + PTX-treated infected mice were closer to noninfected controls. The combined Bz + PTX therapy reduced parasite load and regulated pivotal neurochemical changes in the brain and the systemic inflammatory profile, improving behavioral and cognitive changes in a model of Chagas disease.

Indexed as

Behavior, AnimalChagas DiseaseCognitionNitroimidazolesPentoxifyllineTrypanocidal AgentsAnimalsBrainChronic DiseaseDisease Models, AnimalDrug Therapy, CombinationInflammationMaleMiceMice, Inbred C57BLOxidative StressbenzonidazoleNitroimidazolesPentoxifyllineTrypanocidal Agents

Identifiers

PMID41237192
PMCPMC12617855

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.