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The avermectins are a series 16-membered macrocyclic lactone derivatives with potent anthelmintic and insecticidal properties.[1][2] These naturally occurring compounds are generated as fermentation products by Streptomyces avermitilis, a soil actinomycete. Eight different avermectins were isolated in 4 pairs of homologue compounds, with a major (a-component) and minor (b-component) component usually in ratios of 80:20 to 90:10.[2] Other anthelmintics derived from the avermectins include ivermectin, selamectin, doramectin and abamectin.

Avermectins

History

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In 1978, an actinomycete was isolated at The Kitasato Institute from a soil sample collected at Kawana, Ito City, Shizuoka Prefecture, Japan. Later that year, the isolated actinomycete was sent to Merck Sharp and Dohme Research Laboratories for testing. Various, carefully controlled broths were fermented using the isolated actinomycete. Early tests indicated that some of the whole, fermented broths were active against Nematospiroides dubius in mice over at least an eightfold range without notable toxicity. Subsequent to this, the anthelmintic activity was isolated and identified as a family of closely related compounds. The family of compounds were finally characterized and the novel species that produced them were described by a team at Merck in 1978.[3]

In 2002, Yoko Takahashi and others at the Kitasato Institute for Life Sciences, Kitasato University and at The Kitasato Institute, proposed that Streptomyces avermitilis be renamed Streptomyces avermectinius.[4]


Avermectin biosynthesis

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Diagram showing the schematic synthesis of avermectins.

The gene cluster for biosynthesis of avermectin from Streptomyces avermitilis has been sequenced [5]. The avermectin biosynthesis gene cluster encodes enzymes responsible for four steps of avermectin production: 1) production of the avermectin aglycon by polyketide synthases (PKS), 2) modification of the aglycon, 3) synthesis of modified sugars and 4) glycosylation of the modified avermectin aglycon. This gene cluster can produce eight avermectins which have minor structural differences. [6]

Organization of the Avermectin Polyketide Synthase

The avermectin initial aglycon is synthesized by the polyketide synthase activity of four proteins (AVES 1, AVES 2, AVES 3, and AVES 4). The activity of this enzyme complex is similar to type I polyketide synthases.[6] Either 2-methylbutyrl CoA or isobutyrl CoA can be used as starting units and are extended by seven acetate units and 5 propionate units to produce avermectin “a” series or “b” series, respectively.Cite error: A <ref> tag is missing the closing </ref> (see the help page). AveF has NAD(P)H-dependent ketoreductase activity which reduces the C5 keto group to a hydroxyl.[6] AveC influences the dehydratase activity in module two (affecting C22-C23) although the mechanism by which it does this is not clear.[6][5] . AveD has SAM-dependant C5 O-methyltransferase activity.[6] Whether AveC or AveD act on the aglycon determines whether the resulting avermectin aglycon will produce avermectin series “A” or “B” and series 1 or 2, respectively.

There are nine open reading frames (orf1 and aveBI-BVIII) downstream of aveA4 which are known involved with glycosylation and sugar synthesis[6]. AveBII-BVIII are responsible for synthesis of dTDP-L-oleandrose and AveBI is responsible for glycosylation of the avermectin aglycon with the dTDP-sugar.[6] The sequence of orf1 suggests that its product will have reductase activity, but this functionality does not appear to be necessary for avermectin synthesis.[6]

Avermectin therapy for rodent fur mite infestation

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A commonly used therapy in recent times has been based on oral, parenteral, topical, or spot topical (as in veterinary flea repellant "drops") administration of avermectins. They show activity against a broad range of nematodes and arthropod parasites of domestic animals at dose rates of 300 microgram/kg or less (200 micrograms / kg ivermectin appearing to be the common interspecies standard, from humans to horses to housepets, unless otherwise indicated). Unlike the macrolide or polyene antibiotics, they lack significant antibacterial or antifungal activities.[7]

CAUTION: As such veterinary preparations are generally widely available without prescription, cheap (<$1 per 100 kg weight of subject treated in cattle or equine generic formulations), and commonly dispensed in fluid or paste form for adjustable dosage, non-professional end users should take care to notice that doses are in MICROgrams per kg (1/1000th of a milligram or 1/ 1,000,000th of a gram) and re-check any computations when administering to smaller or juvenile animals, especially when using directions found online. Typos, the lack of an easy way to type the SI designation for micro-, and easily overlooked decimal points when expressing in miligrams (200 micrograms = 0.2 mg, often expressed as .2 mg) creates much potential for error or misreading. If unsure and whenever possible, leave administration to a veterinary professional.

Mechanism of action

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The avermectins block the transmittance of electrical activity in nerves and muscle cells by stimulating the release and binding of gamma-aminobutyric acid (GABA) at nerve endings.[8][9] This causes an influx of chloride ions into the cells, leading to hyperpolarisation and subsequent paralysis of the neuromuscular systems.[10] GABA-ergic receptors are found at the neuromuscular junctions and the central ventral cords in nematodes, whereas in mammals they are found primarily in the brain. Ivermectin does not readily cross the blood-brain barrier in mammals at therapeutic doses.

Toxicity and side-effects

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Avermectin therapy is not without its drawbacks. Resistance to avermectins has been reported, which suggests use in moderation.[11] Research on ivermectin, piperazine, and dichlorvos in combinations also shows potential for toxicity.[12] Avermectin has been reported to block LPS-induced secretion of tumor necrosis factor, nitric oxide, prostaglandin E2, and increase of intracellular concentration of Ca2+.[13] Adverse effects are usually transient; severe effects are rare and probably occur only with substantial overdose, but include coma, hypotension, and respiratory failure, which can lead to death. No specific therapy exists, but symptomatic management usually leads to a favorable prognosis.[14]

Other uses

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Abamectin is the active ingredient in some commercial ant bait traps.

See also

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  • Milbemycins are a chemically closely related group of parasiticides.

References

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  1. ^ "Discovery, Chemistry, and Chemical Biology of Microbial Products". Pure and Applied Chemistry. 79 (4): 581–591. 2007. doi:10.1351/pac200779040581. {{cite journal}}: Unknown parameter |authors= ignored (help)
  2. ^ a b "New Ventures in the Chemistry of Avermectins". Bioorg. Med. Chem. 17: 4085–4095. 2009. doi:10.1016/j.bmc.2008.12.069. {{cite journal}}: Unknown parameter |authors= ignored (help)
  3. ^ "Avermectins, New Family of Potent Anthelmintic Agents: Producing Organism and Fermentation". Antimicrobial Agents and Chemotherapy. 15 (3): 361–367. March 1979. doi:10.1128/AAC.15.3.361. PMC 352666. PMID 464561. {{cite journal}}: Unknown parameter |authors= ignored (help)
  4. ^ "Streptomyces avermectinius sp. nov., an avermectin-producing strain". International Journal of Systematic and Evolutionary Microbiology. 52: 2163–2168. 2002. doi:10.1099/ijs.0.02237-0. PMID 12508884. {{cite journal}}: Unknown parameter |authors= ignored (help)
  5. ^ a b Ikeda, H; Nonomiya, T; Usami, M; Ohta, T; Omura, S (1999). "Organization of the biosynthetic gene cluster for the polyketide anthelmintic macrolide avermectin in Streptomyces avermitilis". Proceedings of the National Academy of Sciences of the United States of America. 96 (17): 9509–14. Bibcode:1999PNAS...96.9509I. doi:10.1073/pnas.96.17.9509. PMC 22239. PMID 10449723.
  6. ^ a b c d e f g h Yoon, Y. J.; Kim, E.-S.; Hwang, Y.-S.; Choi, C.-Y. (2004). "Avermectin: biochemical and molecular basis of its biosynthesis and regulation". Applied Microbiology and Biotechnology. 63 (6): 626–634. doi:10.1007/s00253-003-1491-4. ISSN 0175-7598.
  7. ^ "The avermectins: A new family of antiparasitic agents". J S Afr Vet Assoc. 53 (2): 87–90. June 1982. {{cite journal}}: Unknown parameter |authors= ignored (help)
  8. ^ "Ion Channels as Targets for Insecticides". Annu. Rev. Entomol. 41: 163–190. 1996. doi:10.1146/annurev.en.41.010196.001115. {{cite journal}}: Unknown parameter |authors= ignored (help)
  9. ^ "Chloride Channels as Tools for Developing Selective Insecticides". Arch. of Insect Biochem. and Physiology. 54: 145–146. 2003. doi:10.1002/arch.10112. {{cite journal}}: Unknown parameter |authors= ignored (help)[verification needed]
  10. ^ "Toxicology, Mode of Action and Target Site-mediated Resistance to Insecticides Acting on Chloride Channels". Comp. Biochem. Physio. Ser. 106: 301–314. doi:10.1016/0742-8413(93)90138-b. {{cite journal}}: Unknown parameter |authors= ignored (help)
  11. ^ Clark, J.M.; with Scott, J.G.; Campos, F.; Bloomquist, J.R. (1995). "Resistance to avermectins: extent, mechanisms, and management implications". Annu Rev Entomol. 40: 1–30. doi:10.1146/annurev.en.40.010195.000245.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  12. ^ "Toxicity evaluation of prophylactic treatments for mites and pinworms in mice". Contemp Top Lab Anim Sci. 39 (2): 18–21. March 2000. {{cite journal}}: Unknown parameter |authors= ignored (help)
  13. ^ "Effect of ivermectin on function of liver macrophages". Bull Exp Biol Med. 136 (6): 569–71. December 2003. {{cite journal}}: Unknown parameter |authors= ignored (help)
  14. ^ Yang CC (May 2012). "Acute human toxicity of macrocyclic lactones". Curr Pharm Biotechnol. 13 (6): 999–1003. doi:10.2174/138920112800399059. PMID 22039794.

Category:Antiparasitic agents