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Nematollahi A, Khordadmehr M, Shahbazi P, Moghaddami R, Moradi K, Armanmanesh D, Yaghubinejad M, Moghimi A, Ahmadpour E. Assessing the therapeutic potential of silicon dioxide nanoparticles in acute and chronic toxoplasmosis in BALB/c mice. Acta Trop 2025; 264:107576. [PMID: 40058480 DOI: 10.1016/j.actatropica.2025.107576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2024] [Revised: 02/19/2025] [Accepted: 03/05/2025] [Indexed: 03/17/2025]
Abstract
Toxoplasmosis, an infection caused by the obligate intracellular parasite Toxoplasma gondii, represents a significant global health concern, particularly for immunocompromised individuals. This study aimed to evaluate the therapeutic effects of silicon dioxide nanoparticles (SiO2-NPs) against both acute (T. gondii RH strain) and chronic (T. gondii PRU strain) infections in BALB/c mice. In the acute infection model, mice (n = 40) were infected with 104 T. gondii tachyzoites, while the chronic infection model (n = 40) involved the injection of 50 active cysts. Mice were treated with SiO2-NPs or pyrimethamine. Evaluations of parasite load and histopathological changes were conducted. The results showed that SiO2-NPs significantly reduced the number of cysts in the brain, indicating their effectiveness in controlling T. gondii proliferation. In cases of acute infection, there was a statistically significant decrease in parasite load (p < 0.01). Although there was no significant difference between the pyrimethamine and SiO2-NPs groups (p > 0.05), nanoparticles exhibited greater efficacy than pyrimethamine in acute infection. Furthermore, histopathological analysis revealed that mice were treated with SiO2-NPs displayed less severe lesions compared to the positive control group. The findings suggest that SiO2-NPs may offer a dual therapeutic advantage by reducing parasite load while also mitigating tissue damage. Further research is needed to explore the mechanisms behind the effectiveness of SiO2-NPs and to assess their long-term effects on T. gondii infections.
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Affiliation(s)
- Ahmad Nematollahi
- Department of Pathobiology, Faculty of Veterinary Medicine, University of Tabriz, Tabriz, Iran.
| | - Monireh Khordadmehr
- Department of Pathobiology, Faculty of Veterinary Medicine, University of Tabriz, Tabriz, Iran
| | - Parisa Shahbazi
- Department of Pathobiology, Faculty of Veterinary Medicine, University of Tabriz, Tabriz, Iran
| | - Reyhaneh Moghaddami
- Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Kimia Moradi
- Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Deniz Armanmanesh
- Department of Pathobiology, Faculty of Veterinary Medicine, University of Tabriz, Tabriz, Iran
| | - Misagh Yaghubinejad
- Department of Pathobiology, Faculty of Veterinary Medicine, University of Tabriz, Tabriz, Iran
| | - Ata Moghimi
- Drug Applied Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Ehsan Ahmadpour
- Infectious and Tropical Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran; Department of Parasitology and Mycology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
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Alanazi AD, Alghabban AJ. Therapeutic effects of zinc nanoparticles green synthesized by Ferula macercolea extract against chronic toxoplasmosis in mice. J Glob Antimicrob Resist 2025; 42:195-203. [PMID: 40058411 DOI: 10.1016/j.jgar.2025.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2024] [Revised: 02/20/2025] [Accepted: 03/01/2025] [Indexed: 04/08/2025] Open
Abstract
OBJECTIVES The present study aimed to green synthesize and characterize the zinc nanoparticles (ZNP) and evaluate its potency to control Toxoplasma gondii infection in mice by stimulating the immune system, antioxidant activity, and anti-inflammatory effects. METHODS By in vivo, T. gondii infected mice were orally treated by ZNP (5-20 mg/kg) for 14 d. The number and size of tissue cysts, oxidant-antioxidant enzymes, the expression of inflammatory cytokines, apoptotic, and pathogenicity-related factors were evaluated by real-time polymerase chain reaction. RESULTS ZNP ranged in size from 10 to 70 nm with an average size of 45.7 ± 19.4 nm. ZNP treatment resulted in a significant reduction in the number and size of tissue cysts (P < 0.05). The oral administration of infected mice with ZNP caused a considerable decrease in malondialdehyde levels and a marked increase (P < 0.001) in the activity of the antioxidant enzymes glutathione peroxidase and superoxide dismutase. ZNP administration triggered a significant reduction in the expression levels of the genes of interleukin-1β, tumour necrosis factor-α, nuclear factor kappa B, bradyzoite antigen-1, and B-cell lymphoma-2. Conversely, there was an increase in the expression levels of the genes of IL-10, Serpin A3k, caspase-3, and Bcl-2-associated X protein (P < 0.001). CONCLUSIONS In summary, the recent investigation illustrated that ZNP demonstrates promising in vivo effects against T. gondii infection in mice. These effects are ascribed to its antioxidant properties, anti-inflammatory characteristics through the inhibition the specific inflammatory cytokines, and its ability to inhibit pathogenicity in mice without any observable signs of toxicity.
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Affiliation(s)
- Abdullah D Alanazi
- Department of Biological Sciences, Faculty of Science and Humanities, Shaqra University, Ad-Dawadimi, Saudi Arabia.
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Mira NM, Henaish AM, Moussa EA, Helal IB, Kasem SM. Improved antiparasitic effects of mebendazole using chitosan and zinc oxide nanocomposites for drug delivery in Trichinella spiralis infected mice during the muscular phase. Acta Trop 2025; 263:107565. [PMID: 39986444 DOI: 10.1016/j.actatropica.2025.107565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2025] [Revised: 02/06/2025] [Accepted: 02/19/2025] [Indexed: 02/24/2025]
Abstract
This study was performed to assess the use of chitosan (Cs) and zinc oxide nanocomposites ZnO NCP with full and half dose mebendazole (MBZ) during the muscular phases of Trichinella spiralis infection. Sixty Swiss Albino male mice were divided into six groups: G1 (negative control), G2 (positive control), G3 (MBZ at 200 mg/kg/day), G4 (Cs@MBZ NCP at 400 mg/kg/day), G5 (Cs@MBZ400.ZnO NCP), and G6 (Cs@MBZ200.ZnO NCP). Mice were infected orally with 200 T. spiralis larvae and received treatments starting on day 35 post-infection for five consecutive days. Treatment outcomes were evaluated by counting total muscular larvae, conducting blood biochemical measurements, and performing histopathological examinations of the liver and hip joint muscles. ELISA was used to measure serum levels of transforming growth factor-beta1 (TGF-β1), tumor necrosis factor-alpha (TNF-α), and vascular endothelial growth factor (VEGF). Results indicated that both Cs@MBZ400.ZnO NCP and Cs@MBZ200.ZnO NCP groups exhibited significant reductions in muscular larval counts (96.4 % and 96.1 %, respectively). Treated mice also showed reduced AST and ALT levels, increased total protein and albumin, and decreased globulin levels compared to positive controls. Cytokines levels of TNF-α, TGF-β1, and VEGF were lower in treated groups. Histopathological examination revealed that Cs@MBZ400.ZnO and Cs@MBZ200.ZnO NCP restored up to 90 % of normal tissue architecture. In conclusion, chitosan and zinc oxide nanocomposites enhanced the therapeutic ability of mebendazole against T. spiralis muscular stage as these nanocomposites had the highest effect on reducing parasite burden, improving blood biochemical, decreasing cytokines levels and restoring normal histological architecture.
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Affiliation(s)
- Nabila M Mira
- Zoology Department, Faculty of Science, Kafrelsheikh University, Kafr Elsheikh 33516, Egypt
| | - Aya M Henaish
- Zoology Department, Faculty of Science, Kafrelsheikh University, Kafr Elsheikh 33516, Egypt
| | - Eman A Moussa
- Zoology Department, Faculty of Science, Kafrelsheikh University, Kafr Elsheikh 33516, Egypt
| | - Ibrahim B Helal
- Zoology Department, Faculty of Science, Tanta University, Tanta 31527, Egypt
| | - Shaimaa M Kasem
- Zoology Department, Faculty of Science, Kafrelsheikh University, Kafr Elsheikh 33516, Egypt.
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Alhaddad R, Abualsoud BM, Al-Deeb I, Nsairat H. Green synthesized Zingiber officinale-ZnO nanoparticles: anticancer efficacy against 3D breast cancer model. Future Sci OA 2024; 10:2419806. [PMID: 39539163 PMCID: PMC11572278 DOI: 10.1080/20565623.2024.2419806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2023] [Accepted: 10/09/2024] [Indexed: 11/16/2024] Open
Abstract
Aim: ZnO NPs were prepared via green synthesis utilizing Zingiber Officinale.Methodology: Physical characterization and biological activity were performed against 2D, and 3D spheroids MCF-7 cell lines.Results: The NPs exhibited 188.9, 175.7 and 171.2 nm size with charge of -8.2, -11.7 and -9.7 mV for the 2%, 3% and 4% formulations. XRD confirmed a wurtzite hexagonal phase. FTIR spectra showed Zn-O stretching vibrations. The 2%, 3% and 4% formulations presented IC50 values of 14.7, 26.2 and 47 μg/ml, respectively, with complete destruction of MCF-7 spheroids. Elevated TNF-α levels suggested an inflammatory-mediated mechanism of action.Conclusion: 2% Zingiber officinale-derived ZnO NPs showed antitumor potential against deserving further mechanistic and in vivo explorations.
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Affiliation(s)
- Ruqaya Alhaddad
- Pharmacological & Diagnostic Research Center, Faculty of Pharmacy, Al-Ahliyya Amman University, Amman, 19328, Jordan
| | - Bassam M Abualsoud
- Pharmacological & Diagnostic Research Center, Faculty of Pharmacy, Al-Ahliyya Amman University, Amman, 19328, Jordan
| | - Ibrahim Al-Deeb
- Pharmacological & Diagnostic Research Center, Faculty of Pharmacy, Al-Ahliyya Amman University, Amman, 19328, Jordan
- Department of Clinical Pharmacy, Faculty of Pharmacy, Zarqa University, Zarqa, 13110, Jordan
| | - Hamdi Nsairat
- Pharmacological & Diagnostic Research Center, Faculty of Pharmacy, Al-Ahliyya Amman University, Amman, 19328, Jordan
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El Shanawany EE, Younis SS, Nemr WA, Hassan SE, Zalat RS, Desouky HM, Shaapan RM, Abdel-Rahman EH. Effectiveness of Gamma Rays in Attenuation of Toxoplasma gondii Pathogenicity and Eliciting Immune Response in Mice. Parasite Immunol 2024; 46:e13077. [PMID: 39660943 DOI: 10.1111/pim.13077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2024] [Revised: 10/14/2024] [Accepted: 11/09/2024] [Indexed: 12/12/2024]
Abstract
Gamma irradiation was applied to the tachyzoites Toxoplasma gondii virulent strain at doses of 0.25, 0.5, 1, 1.5 and 2 KGy. Radiation's effects were assessed both in vivo and in vitro. In vitro, the modest dosage of radiation, 0.25 KGy, showed 97% tachyzoites viability with only slight surface abnormalities and a normal crescent form using a scanning electron microscope. Protein analysis by SDS-PAGE demonstrated that while higher doses of radiation altered the protein banding profile, the 0.25 KGy irradiated tachyzoites showed no significant changes compared to the control (non-irradiated tachyzoites). While, tachyzoites exposed to the higher dose of irradiation (1, 1.5 and 2 KGy) resulted in the appearance of a new protein band as the molecular weights detected were 60, 30 and 10 kDa for antigens prepared from tachyzoites exposed to 1 kDa, and 1.5 and 60, 28 kDa for antigen prepared from tachyzoites exposed to 2 KGy. The immunogenicity of the tachyzoites exposed to radiation did not reveal any significant change in comparison with no irradiated tachyzoites when tested by ELISA using sheep-infected sera. A study conducted in vivo evaluated the infectivity of irradiation tachyzoites by inoculating mice with a 2500 tachyzoites virulent strain/mouse. There are six groups of mice, each with twelve animals, for the six doses of radiation. Mice harbouring irradiation tachyzoites remained viable until 40 days post-inoculation. On the other hand, the mice of control group had a mean survival time of 6.5 ± 0.22 days, and none of them survived past 7 dpi. Comparing the attenuated T. gondii tachyzoites at 0.25 KGy to the control group and other groups injected with irradiated tachyzoites, the results showed statistically significant increases in total IgG. Compared to other irradiation groups, the group injected with 0.25 KGy irradiated tachyzoites had a considerably higher level of IFN γ and IL17 (p < 0.000001). The groups which received 0.25 and 0.5 KGy irradiated tachyzoites as an injection showed no discernible variation in their higher levels of IL12. The findings imply that gamma irradiation was successful in reducing the pathogenicity of the T. gondii virulent strain while preserving the potential of the irradiated tachyzoites to induce an immunological reaction. An investigation into this immune response's immunoprotective potential is advised.
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Affiliation(s)
- Eman E El Shanawany
- Parasitology and Animal Diseases Department, Veterinary Research Institute, National Research Centre, Dokki, Giza, Egypt
| | - Salwa Sami Younis
- Medical Parasitology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt
| | - Waleed A Nemr
- Department of Radiation Microbiology, National Center for Radiation Research and Technology, Egyptian Atomic Energy Authority, Cairo, Egypt
| | - Soad E Hassan
- Parasitology and Animal Diseases Department, Veterinary Research Institute, National Research Centre, Dokki, Giza, Egypt
| | - Rabab S Zalat
- Department of Parasitology, Theodor Bilharz Research Institute, Giza, Egypt
| | - Hassan M Desouky
- Department of Animal Reproduction and Artificial Insemination, Veterinary Research Institute, National Research Centre, Dokki- Giza, Egypt
| | - Raafat M Shaapan
- Department of Zoonosis, Veterinary Research Division, National Research Center, Dokki, Giza, Egypt
| | - Eman H Abdel-Rahman
- Parasitology and Animal Diseases Department, Veterinary Research Institute, National Research Centre, Dokki, Giza, Egypt
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Baghdadi HBA, Albalawi AE, Shater AF, Almohammed H, Alanazi AD. Linalool-zinc oxide nanocomposite controls Toxoplasma gondii infection through inhibiting inflammation, oxidative stress, and pathogenicity. J Basic Microbiol 2024; 64:e2400039. [PMID: 38690754 DOI: 10.1002/jobm.202400039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2024] [Revised: 04/11/2024] [Accepted: 04/21/2024] [Indexed: 05/03/2024]
Abstract
The present in vitro and in vivo study aimed to fabricate and characterize linalool-zinc oxide nanoparticles (Lin-ZNP) and evaluate their effectiveness against Toxoplasma gondii infection in terms of inflammation, oxidative stress, and pathogenicity. Lin-ZNP was synthesized using an ethanolic solution of polyvinyl alcohol. The anti-Toxoplasma and cytotoxicity activities of Lin-ZNP were investigated, along with its effects on nitric oxide (NO) production, caspase-3 activity, and pro-inflammatory genes. After treating T. gondii-infected mice with Lin-ZNP for 14 days, the number and size of tissue cysts, antioxidant potential, pro-inflammatory cytokines, and T. gondii pathogenicity-related genes were evaluated by real-time polymerase chain reaction and Western blot analysis. The Lin-ZNP composite showed a reduced tendency with an average size of 105 nm. Lin-ZNP significantly reduced the viability of tachyzoites. The obtained selectivity index higher than 10, indicating high specificity for parasites with low cytotoxicity to normal cells. The Lin-ZNP significantly (p < 0.05) increased the production of NO, caspase-3 activity, and the expression levels of pro-inflammatory genes. Lin-ZNP significantly (p < 0.001) decreased the size and number of tissue cysts and caused a significant reduction in the level of malondialdehyde and a considerable increase (p < 0.001) in antioxidant enzymes and their expression genes. Lin-ZNP significantly downregulated both mRNA and protein expression of the inflammation-related markers associated with the TLRs/NF-κB pathway. The expression levels of the T. gondii pathogenicity-related genes were significantly downregulated (p < 0.05). The recent survey indicated that Lin-ZNP manages T. gondii infection by its antioxidant activity and inhibiting the TLRs/NF-κB pathway without toxicity in mice.
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Affiliation(s)
- Hanadi B A Baghdadi
- Biology Department, College of Science, Imam Abdurrahman Bin Faisal University, Dammam, Saudi Arabia
- Basic and Applied Scientific Research Center, Dammam, Saudi Arabia
| | - Aishah E Albalawi
- Department of Biology, Faculty of Science, University of Tabuk, Tabuk, Saudi Arabia
| | - Abdullah F Shater
- Department of Medical Laboratory Technology, Faculty of Applied Medical Sciences, University of Tabuk, Tabuk, Saudi Arabia
| | - Hamdan Almohammed
- General Science Department, Deanship of Supportive Studies, Alasala University, Dammam, Saudi Arabia
| | - Abdullah D Alanazi
- Department of Biological Sciences, Faculty of Science and Humanities, Shaqra University, Ad-Dawadimi, Saudi Arabia
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Hayat M, Rehman A, Khan FA, Anees M, Naz I, Qasim M, Kanwal N. Phytogenic-Mediated Zinc Oxide Nanoparticles Using the Seed Extract of Citrullus lanatus and Its Integrated Potency against Multidrug Resistant Bacteria. ACS OMEGA 2024; 9:16832-16841. [PMID: 38617622 PMCID: PMC11007856 DOI: 10.1021/acsomega.4c01554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/18/2024] [Revised: 03/08/2024] [Accepted: 03/12/2024] [Indexed: 04/16/2024]
Abstract
In the current research study, zinc oxide nanoparticles (ZnO-NPs) were synthesized via a green synthesis technique using the seed extract of Citrullus lanatus. The study further intended to evaluate the potential synergistic effects of ZnO-NPs with antibiotics against multidrug resistant (MDR) bacteria. It was observed that C. lanatus seed extracts obtained by n-hexane and methanolic solvents revealed the presence of constituents, such as tannins, flavonoids, and terpenoids. Furthermore, the extract of n-hexane displayed the strongest antibacterial activity against Yersinia species (17 ± 1.2 mm) and Escherichia coli (17 ± 2.6 mm), while the methanolic extract showed the maximum antibacterial activity against E. coli (17 ± 0.8 mm). Additionally, the ZnO-NP synthesis was confirmed by ultraviolet-visible analysis with a characteristic absorption peak at 280 nm. The Fourier transform infrared spectroscopy analysis suggested the absorption peaks in the 500-3800 cm-1 range, which corresponds to various groups of tertiary alcohol, aldehyde, amine, ester, aromatic compounds, thiol, amine salt, and primary amine. The scanning electron microscopy spectra of ZnO-NPs demonstrated the presence of zero-dimensional spherical particles with well-dispersed character. Moreover, encapsulation with ZnO-NPs improved the antimicrobial activity of antibiotics against the panel of MDR bacteria, and the increases in the effectiveness of particular antibiotics against MDR bacteria were significant (P = 0.0005). In essence, the synthesized ZnO-NPs have the potential as drug carriers with powerful bactericidal properties that work against MDR bacterial strains. These outcomes are an indication of such significance in pharmaceutical science, giving possibilities for further research and development in this field.
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Affiliation(s)
- Munaza Hayat
- Department
of Microbiology and Biotechnology, Faculty of Life Sciences, Abasyn University Peshawar Campus, Peshawar, Khyber Pakhtunkhwa 25000,Pakistan
| | - Abdul Rehman
- Department
of Microbiology, Kohat University of Science
and Technology (KUST), Kohat, Khyber Pakhtunkhwa 26000, Pakistan
| | - Faheem Ahmed Khan
- Department
of Allied Health Sciences, Iqra National
University, Phase 2, Hayat Abad, Peshawar, Khyber Pakhtunkhwa 25000,Pakistan
| | - Muhammad Anees
- Department
of Microbiology, Kohat University of Science
and Technology (KUST), Kohat, Khyber Pakhtunkhwa 26000, Pakistan
| | - Iffat Naz
- Department
of Biology, College of Science, Qassim University, Almolaydah, Buraydah51452, Saudi Arabia
| | - Muhammad Qasim
- Department
of Microbiology, Kohat University of Science
and Technology (KUST), Kohat, Khyber Pakhtunkhwa 26000, Pakistan
| | - Nosheen Kanwal
- Department
of Chemistry, College of Sciences, Qassim
University, Almolaydah, Buraidah51452, Saudi Arabia
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Siahkal KR, Keshavarz H, Shojaee S, Mohebali M, Zeraati H, Azami SJ, Behkar A, Salimi M. The Therapeutic Efficacy of Zinc Oxide Nanoparticles on Acute Toxoplasmosis in BALB/c Mice. IRANIAN JOURNAL OF PARASITOLOGY 2023; 18:505-513. [PMID: 38169550 PMCID: PMC10758080 DOI: 10.18502/ijpa.v18i4.14259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Accepted: 10/18/2023] [Indexed: 01/05/2024]
Abstract
Background Toxoplasma gondii infects nearly one-third of the world's population. Due to the significant side effects of current treatment options, identifying safe and effective therapies seems crucial. Nanoparticles (NPs) are new promising compounds in treating pathogenic organisms. Currently, no research has investigated the effects of zinc oxide NPs (ZnO-NPs) on Toxoplasma parasite. We aimed to investigate the therapeutic efficacy of ZnO-NPs against tachyzoite forms of T. gondii, RH strain in BALB/c mice. Methods In an experiment with 35 female BALB/c mice infected with T. gondii tachyzoites, colloidal ZnO-NPs at concentrations of 10, 20, and 50 ppm, as well as a 50 ppm ZnO solution and a control group, were orally administered four hours after inoculation and continued daily until the mices' death. Survival rates were calculated and tachyzoite counts were evaluated in the peritoneal fluids of infected mice. Results The administration of ZnO-NPs resulted in the reduction of tachyzoite counts in infected mice compared to both the ZnO-treated and control group (P<0.001). Intervention with ZnO-NPs significantly increased the survival time compared to the control group (6.2±0.28 days, P-value <0.05), additionally, the highest dose of ZnO-NPs (50 ppm) showed the highest mice survival time (8.7±0.42 days). Conclusion ZnO-NPs were effective in decreasing the number of tachyzoites and increasing mice survival time in vivo. Moreover, there were no significant differences in survival time between the untreated control group and the group treated with zinc oxide, suggesting that, bulk ZnO is not significantly effective in comparison with ZnONPs.
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Affiliation(s)
- Kiana Rafei Siahkal
- Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Hossein Keshavarz
- Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
- Center for Research of Endemic Parasites of Iran (CREPI), Tehran University of Medical Sciences, Tehran, Iran
| | - Saeedeh Shojaee
- Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Mehdi Mohebali
- Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
- Center for Research of Endemic Parasites of Iran (CREPI), Tehran University of Medical Sciences, Tehran, Iran
| | - Hojjat Zeraati
- Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Sanaz Jafarpour Azami
- Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Atefeh Behkar
- Center for Research of Endemic Parasites of Iran (CREPI), Tehran University of Medical Sciences, Tehran, Iran
| | - Mahboobeh Salimi
- Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
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