Abstract

Background: Leishmaniasis is an infectious disease common in tropical and subtropical regions caused by the genus Leishmania, which is transmitted by the bite of female sandflies. In this study, we evaluate the anti-leishmanial effect of recombinant Clostridium alpha-toxin protein alone and the combination with glucantime through in vitro and in vivo. Materials and Methods: Production, expression, and purification of recombinant alpha-toxin were evaluated by SDS-PAGE and Western blotting techniques. The antileishmanial activities of the purified alpha-toxin plus and without glucantime were examined in vitro and in vivo. Results: The results indicated successful expression of alpha-toxin as a 48 kDa band on SDS-PAGE and Western blot methods. Also, evaluation of alpha-toxin IC50 showed the strong fatal effect of it, and glucantime on medium proliferated Leishmania promastigotes at lower concentrations compared with glucantime or alpha-toxin alone. Moreover, in vivo surveys showed that at the end of treatment courses, the mean of lesion size diminished in glucantime plus alpha-toxin treated mice versus negative control groups (p < 0.001). Also, there was a significant difference in the parasite burden of the spleen and liver of the control versus the test groups (p < 0.001). Conclusion: The results showed recombinant alpha-toxin has synergistic effects with glucantime in destroying Leishmania parasites.