Acanthamoeba spp. has recently been reported to
express diverse group of ion channels and receptors that are expressed
by human cells which bind drugs that are used in noninfectious diseases.
Bioinformatics computational tools, growth assays, and 3D structural
modeling have enabled the discovery of primitive muscarinic receptors,
voltage-gated calcium channels, and ion transport pumps such as Na–K
ATPase in this protist pathogen. The significance of the reported
receptors and ion channels in the biology of Acanthamoeba is yet to be determined. We selected promethazine, which is a known
antagonist of proteins like dopaminergic, histaminergic, muscarinic
receptors, and calmodulin, to determine its effects on the growth
and proliferation of trophozoites and cysts of Acanthamoeba spp. In order to elucidate the receptors involved in the effects
produced by promethazine, we also performed individual experiments
on Acanthamoeba trophozoites and cysts in the presence
of the agonist of the above-mentioned receptors. Our results show
that promethazine in the range of 60–100 μg/mL proved
to be amoebicidal for Acanthamoeba trophozoites and
at slightly higher doses ranging around 125–250 μg/mL
also showed partial cysticidal effects. We also show the evidence
of homology between the human targets of promethazine and similar
targets in Acanthamoeba by the use of bioinformatic
computational tools and 3D modeling. Promethazine and its structural
analogs, because of being FDA-approved, have a wider margin of safety
that can be tested as potential anti-Acanthamoeba agents in diseases like keratitis and encephalitis caused by this
protist pathogen.