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Schistosomiasis is a serious disease currently estimated to affect more than 207 million people worldwide. Due to the intensive
use of praziquantel, there is increasing concern about the development of drug-resistant strains. Therefore, it is necessary
to search for and investigate new potential schistosomicidal compounds. This work reports the in vivo effect of the alkaloid
epiisopiloturine (EPI) against adults and juvenile worms of Schistosoma mansoni. EPI was first purified, its thermal behavior and
theoretical solubility parameters charaterised. In the experiment, mice were treated with EPI over the 21 days post-infection with
the doses of 40 and 200 mg/kg, and 45 days post-infection with single doses of 40, 100 and 300 mg/kg. The treatment with EPI at
40 mg/kg was more effective in adult worms when compared with doses of 100 and 300 mg/kg. The treatment with 40 mg/kg in
adult worms reduced parasite burden significantly, lead to reduction in hepatosplenomegaly, reduced the egg burden in faeces,
and decreased granuloma diameter. Scanning electron microscopy revealed morphological changes to the parasite tegument after
treatment, including the loss of important features. Additionally, the in vivo treatment against juvenile with 40 mg/kg showed a
reduction of the total worm burden of 50.2%. Histopathological studies were performed on liver, spleen, lung, kidney and brain
and EPI was shown to have a DL50 of 8000 mg/kg. Therefore EPI shows potential to be used in schistosomiasis treatment. This is
the first time that schistosomicidal in vivo activity of EPI has been reported.