Document Type

Article

Publication Date

3-17-2026

Keywords

JGM, Acanthamoeba castellanii, Trophozoites, High-Throughput Screening Assays, Parasitic Sensitivity Tests, Drug Evaluation, Preclinical

JAX Source

J Infect Dis. 2026;233(3):e766-e76.

ISSN

1537-6613

PMID

41297556

DOI

https://doi.org/10.1093/infdis/jiaf599

Abstract

Pathogenic free-living amoebae such as Acanthamoeba castellanii are present in soil and water worldwide. A. castellanii causes systemic infections with very high mortality rates, yet drugs specifically targeting this pathogen are not available. Methods to reliably generate and assay cysts, which drive infection recurrence and drug resistance, are unavailable in a high-throughput format suitable for drug screening and testing. In this study, we developed a robust and reproducible protocol for encysting A. castellanii as well as a high-throughput, quantitative cyst viability assay using fluorescent live/dead staining coupled with microscopy and automated image analysis. These methods, coupled with optimized techniques for measuring trophozoite viability and pseudocyst formation, were used to screen the activity of 16 clinically relevant drugs and disinfectants. Four agents, including caspofungin, were active against both trophozoites and cysts.

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