Antitrypanosomal Effects of Zanthoxylum zanthoxyloides (Lam.) Zepern. & Timler Extracts on African Trypanosomes

African trypanosomiasis is a disease caused by the parasitic protozoa of the Trypanosoma genus. Despite several efforts at chemotherapeutic interventions, the disease poses serious health and economic concerns to humans and livestock of many sub-Saharan African countries. Zanthoxylum zanthoxyloides (Lam.) Zepern. & Timler (Z. zanthoxyloides LZT) is a plant species of important phytochemical and pharmacological relevance in the subtropical zones of the African continent. However, the mechanisms of its antitrypanosomal effects in African trypanosomes remain to be elucidated. The aim of the study was to determine the in vitro effects and mechanisms of action of Z. zanthoxyloides LZT (root) fractions against Trypanosoma brucei. T. brucei (GUTat 3.1 strain), L. donovani (D10 strain), P. falciparum (3D 7 strain), Jurkat cells, and Chang liver cells were cultivated in vitro to the log phase in their respective media at 37°C. Crude extracts and fractions were prepared from air-dried pulverized plant material of Z. zanthoxyloides LZT (root) using the modified Kupchan method of solvent partitioning. Half-maximal inhibitory concentrations (IC50) were determined through the alamar blue cell viability assay. Effects of fractions on cell death and cell cycle of T. brucei were determined using flow cytometry. Fluorescence microscopy was used to investigate the effects of fractions on the morphology and distribution of T. brucei. Antitrypanosomal compounds of fractions were characterized using high-performance liquid chromatography (HPLC) and attenuated total reflectance infrared (ATR-IR) spectroscopy. Methanol, butanol, and dichloromethane fractions were selectively active against T. brucei with respective IC50 values of 3.89, 4.02, and 5.70 μg/ml. Moreover, methanol, butanol, and dichloromethane fractions significantly induced apoptosis-like cell death with remarkable alteration in the cell cycle of T. brucei. Furthermore, dichloromethane and methanol fractions altered the morphology, induced aggregation, and altered the ratio of nuclei to kinetoplasts in the parasite. The HPLC chromatograms and ATR-IR spectra of the active fractions suggested the presence of aromatic hydrocarbons with hydroxyl, carbonyl, amine, or amide functional groups. The results suggest that Z. zanthoxyloides LZT have potential chemotherapeutic effects on African trypanosomes with implications for novel therapeutic interventions in African trypanosomiasis.


Introduction
African trypanosomiasis (AT) is a tsetse-transmitted disease of humans and livestock caused by the parasitic protozoan genus Trypanosoma. Human African trypanosomiasis (HAT) and animal African trypanosomiasis (AAT) form the two main types of AT [1,2]. An estimated 70 million population in about 36 countries of sub-Saharan Africa may be at risk of 2 Evidence-Based Complementary and Alternative Medicine HAT while AAT threatens the lives of millions of cattle every year [1,2]. HAT is caused by two subspecies of Trypanosoma brucei (T. brucei) that infect either humans (T. b. gambiense) or animals (T. b. rhodesiense) [1], while AAT threatens the lives of several million herds of cattle every year thereby requiring new approaches of combating the disease [2].
The prospect of vaccine development for AT is beset with various challenges partly due to the parasite's immune evasion strategies that include antigenic variation of variant surface glycoproteins, trypanolytic factor defense, and modulation of the immune system [3]. Hence, the most efficient and economically viable option is chemotherapy. AAT may be treated with isometamidium, homidium, diminazine, pyritidium, and quinapyramine, while HAT is usually treated with pentamidine, eflornithine, nifurtimox, melarsoprol, and suramin depending on the stage of the disease [4,5]. However, challenges such as drug resistance, undesirable side effects, and difficulty in regimen application are usually associated with trypanosomiasis chemotherapy [5][6][7][8][9][10]. In view of the fact that about two-thirds of the world population depends on traditional medical remedies as a result of the limited affordability and availability of pharmaceutical products [11], a better understanding of such antitrypanosomal effects is required if novel drugs that can circumvent the challenges associated with the currently available antitrypanosomal drugs are to be developed.
Zanthoxylum is a genus of deciduous and evergreen trees and shrubs which comprises at least 500 species [12]. It is a widely distributed plant genus native to most temperate and subtropical zones of Africa, Asia, North America, South America, and Australia. Traditionally, the leaves, stem, and roots of Zanthoxylum are used in medicinal preparations for the treatment of diseases such as colic, toothache, stomachache, and oral infections [13]. The medicinal values of Zanthoxylum may be attributed to various pharmacological properties, namely, antimicrobial, insecticidal, anti-inflammatory, antioxidant, antiparasitic, antitumor, antihelmintic, antinociceptive, and antiviral activities [12]. For instance, the aqueous extract of the root of Zanthoxylum zanthoxyloides (Lam.) Zepern. & Timler (Z. zanthoxyloides LZT), one of the most important species on the African continent, was reported to exhibit analgesic effects probably via the inhibition of prostaglandin [14]. Aqueous and ethanolic extracts from the leaves of the same species also exhibited antihelmintic activities against Ascaris lumbricoides, Haemonchus contortus, and Trichostrongylus colubriformis [15,16].
Zanthoxylum is endowed with a vast array of diverse phytochemicals which may largely be responsible for its pharmacological effects. Canthine-6-one alkaloids isolated from Z. chiloperone Mart. ex Engl contributed towards the significant reduction of parasitemia and serological response after treatment in mice [17][18][19][20]. Moreover, Z. zanthoxyloides LZT is known to possess pharmacologically useful phytochemicals such as acridones, citronellol, and divanilloylquinic acids [21][22][23], which might have contributed to the trypanostatic effect observed after treatment in mice [24,25]. However, the mechanisms of antitrypanosomal activity were not investigated in any of these studies.
Determination of the effects and mechanisms of antitrypanosomal action of Zanthoxylum may foster the development of novel drugs that can circumvent the challenges associated with the currently available antitrypanosomal drugs. The aim of this study was thus to determine the active fractions of the Ghanaian species of Z. zanthoxyloides LZT (root) as well as to determine their effects and mechanisms of action using a panel of cell biological approaches. Z. zanthoxyloides LZT (root) significantly induced apoptosislike cell death and resulted in a significant alteration of the cell cycle and morphology of T. brucei. Our results suggest that Z. zanthoxyloides LZT (root) has promising antitrypanosomal effects with implications for potential therapeutic interventions towards AT.

Culture of Parasites and Human Cell
Lines. Blood stream forms of the subspecies T. b. brucei (GUTat 3.1 strain) and Jurkat cells (acute lymphoblastic leukemia cells) were cultivated in vitro to the log phase using Hirum's Modified Iscove's Medium (HMI9, Thermo Fisher Scientific) with 10% fetal bovine serum (FBS) (Thermo Fisher Scientific) at 5% CO 2 and 37 ∘ C. Chang liver (HeLa derivative) cell lines were cultivated in vitro to the log phase using Minimum Essential Medium (MEM, Thermo Fisher Scientific) with 10% FBS at 5% CO 2 and 37 ∘ C. L. donovani (D10 strain) was cultivated in vitro to the log phase using Medium 199 (M199, Thermo Fisher Scientific) with 10% FBS at 5% CO 2 and 37 ∘ C. P. falciparum (3D7 strain) was cultivated in vitro to the log phase using the Roswell Park Memorial Institute Medium (RPMI 1640, Gibco) in culture flasks containing packed red blood cells suspended at 4% hematocrit. Plasmodium cultures were maintained with a gas mixture (2% O 2 , 5% CO 2 and 93% N 2 ) at 37 ∘ C.

Crude Extraction and Fractionation of Plant.
The present study focused on the Ghanaian plant species Z. zanthoxyloides LZT. The plant was collected from an arboretum and the environs of the Center for Plant Medicine Research (CPMR), Mampong-Akuapem, Ghana. It was authenticated by Herone Blagogee, a senior botanist at the Plant Development Department of CPMR and voucher specimen number CPMR 4120/4121/4122 assigned and lodged at the herbarium of CPMR. Crude extracts and fractions were prepared from the air-dried pulverized plant material by extraction with dichloromethane and methanol followed by the modified Kupchan method [26] of solvent extraction. Briefly, the pulverized air-dried plant material was soaked in dichloromethane and left in the cold to percolate for one week. The dichloromethane extracts were decanted and filtered through a mixture of cotton and glass wool. The plant material was then soaked in methanol for one week and the methanol extract was decanted and filtered. The methanol and dichloromethane extracts were combined and dried under vacuum with a Heidolph Rotavap at 40 ∘ C and 1 atm pressure to give the total crude extract (TCE). The TCEs were suspended in water and extracted three times Evidence-Based Complementary and Alternative Medicine 3 with dichloromethane. The remaining aqueous layer was then extracted once with sec-butanol and the butanol fraction was dried under vacuum to give the WB fraction. The dichloromethane layer was dried under vacuum and the extract was suspended in a 1:9 mixture of water and methanol. This fraction was then extracted three times with hexane after which the hexane layer was dried under vacuum to give an FH fraction. The remaining 1:9 mixture of water and methanol layer was phase adjusted to a 1:1 mixture, extracted three times with dichloromethane, and dried under vacuum to give an FD fraction. The 1:1 water methanol layer was also dried under vacuum to give the FM fraction.

Cell Viability
Analysis. Determination of cell viability involved colorimetric analysis through the use of resazurin (alamar blue) [27]. T. brucei, L. donovani, P. falciparum, and Jurkat cells were seeded at a density of 1.5x10 5 cells/ml on 96-well plates with the fractions and incubated for 24 hours. Alamar blue dye (10% V/V) was added to wells and incubated for another 24 hours. Chang liver (HeLa derivative) cells were plated at a density of 1.5x10 5 cells/ml for 24 hours to allow for sufficient adherence to plates, before fractions were added to cells and incubated for another 24 hours. Alamar blue dye (10% V/V) was then added to wells and incubated for another 72 hours to allow for a complete color change. Experiments were run in triplicate. Spectrophotometric absorbance was read at a wavelength of 540 nm using a reference wavelength of 595 nm.

Analysis of Apoptosis.
Flow cytometry-based detection of apoptosis-like cell death using annexin-V and 7-amino actinomycin-D was employed [28]. Cells were seeded at a density of 1.5x10 5 cells/ml on a 96-well plate in a twofold dilution of fractions and incubated for 24 hours. Nexin reagent containing annexin-V and 7-amino actinomycin-D (EMD, Millipore) was added to each well in a volumetric ratio of 1:1. Plates were incubated in darkness for 20 mins with gentle shaking. Each experiment was run in duplicate. Dot plots were recorded with the Guava easyCyte HT flow cytometer.

Analysis of Cell
Cycle. The cell cycle assay was based on a univariate analysis of DNA content upon staining with propidium iodide [29]. Cells were seeded at a density of 3.0x10 5 cells/ml in 25cm 2 culture dish with or without fractions for 24 hours and centrifuged at 1700 rpm for 10 mins. Cell pellets were suspended in 1.5 ml of 1x phosphate-buffered saline (PBS) and vortexed well. A 3.5 ml of absolute ethanol was added (final concentration of 70%) to fix cells at -20 ∘ C for 1 hour. Cells were centrifuged at 1700 rpm for 10 mins. Cell pellets were suspended with 200 l of guava cell cycle reagent that contained propidium iodide (EMD, Millipore). Suspended cells were added to wells containing the same volume of fresh guava cell cycle reagent. Cells were incubated for 30 mins in darkness at room temperature. Distribution of cells at distinct cell cycle phases was measured with the BD LSFortessa X-20 flow cytometer.

Fluorescence
Microscopy. Cells were cultured with or without fractions for 24 hours and centrifuged at 1700 rpm for 10 mins. Cell pellets were suspended in 375 l of PBS and vortexed. A 125 l of 16% paraformaldehyde (final concentration of 4%) was added to pellets, incubated for 5 mins at room temperature, and spun at 1700 rpm for 5 mins. Cell pellets were suspended in 500 l of PBS and 50 l were put on a glass slide. Cells on the glass slide were incubated at room temperature for 1 hour. They were rinsed once in PBS for 5 mins, followed by a second rinse in PBST (PBS with 0.1% Triton X) for 15 mins. They were then incubated with 4' , 6-diamidino-2-phenylindole (DAPI) (5 g/ml in PBS) for 10 mins in the dark at room temperature. Cells were washed twice in PBS for 5 mins each, followed by a second single wash in PBST for 5 mins. Cells were mounted with 90% glycerol in PBS using a cover slip, sealed with manicure, and observed with the Olympus DP72 reflected fluorescence microscope. Data was analysed with the CellSens standard imaging software and Adobe Photoshop CS6.

Statistical
Analysis. Data from cell viability assay was analysed with Graphpad Prism (version 5) and Microsoft Excel. The half-maximal inhibitory concentration (IC 50 ) was calculated as the concentration that caused a 50% reduction in cell viability. IC 50 were calculated from a nonlinear regression model as statistically appropriate. Dot plots from cell death and cell cycle assays were analysed with the guavaSoft 2.1 and BD FACSDiva 8.0.1, respectively. Histograms for cell cycle were generated with FlowJo V10. Statistical analysis of percentage counts was carried out with Graphpad Prism version 5 using the unpaired t-test. P values ≤0.05 were considered to be significant.

Z. zanthoxyloides LZT (Root) Possesses Selective
Antitrypanosomal Activity. The antiparasitic activity of the total crude extracts of different parts of Z. zanthoxyloides LZT (root, stem bark, and leaves) prepared by cold maceration in dichloromethane and methanol ( Figure 1) was determined in a 48-hour alamar blue cell viability assay against three  Table 1). The assay also included Jurkat (acute lymphoblastic leukemia cells) to investigate potential selectivity profiles of Z. zanthoxyloides LZT in the parasites. Respectively, the root, stem bark, and leaves of Z. zanthoxyloides LZT exhibited different levels of activity and selectivity towards T. brucei ( Due to the promising antitrypanosomal activity and selectivity profiles of the root extract of Z. zanthoxyloides, LZT different solvent fractions were prepared from the root of the same plant material to characterize the chemical properties using spectroscopy and chromatography. This characterization may also provide support for the presence of phytochemicals as being responsible for the observed antitrypanosomal activities. ZRFH (Z. zanthoxyloides LZT, root, hexane fraction), ZRFD (Z. zanthoxyloides LZT, root, dichloromethane fraction), ZRFM (Z. zanthoxyloides LZT, root, methanol fraction), and ZRWB (Z. zanthoxyloides LZT, root, water butanol fraction) were prepared from Z. zanthoxyloides LZT (root) using the Kupchan method of solvent extraction ( Figure 1). The crude extract was prepared through a stepwise maceration in absolute methanol and absolute dichloromethane for 1 week each. The two solvent extracts were combined and dried under vacuum to form the total crude extract from which ZRFH, ZRFD, ZRWB, and ZRFM were prepared as outlined diagrammatically (Figure 1).
Antitrypanosomal compounds in each Kupchan fraction were then characterized using attenuated total reflectance infrared (ATR-IR) spectroscopy (Table 2, Additional file 1) and analytical high-performance liquid chromatography (HPLC) ( Table 3, Additional file 2). All the fractions exhibited absorbance intensities within a range of wavenumbers suggesting the presence of carbonyl (1950-1450 cm −1 ) and aromatic (900-400 cm −1 ) groups ( Table 2). The IR spectra Evidence-Based Complementary and Alternative Medicine 5   were also suggestive of the presence of hydroxyl, amine, or amide groups in the fractions (3700-2500 cm −1 ) ( Table 2, Additional file 1). The methanol and dichloromethane fractions were particularly similar in their IR spectra, although they differed in the exact transmittance intensities at the respective wavenumbers. HPLC was performed using a gradient solvent system of absolute acetonitrile and 0.1% V/V formic acid. The absorbance of individual compounds was recorded with an ultraviolet detector system at 254 nm. The compounds in all the fractions separated within a range of minimum and maximum retention times of approximately 2 and 15 mins respectively ( Table 3). The major compounds in hexane, butanol, dichloromethane, and methanol fractions were separated at retention times of 3.746, 3.732, 3.743, and 3.745 mins, respectively (Table 3). Several compounds of minor quantities that may have contributed to the selective antitrypanosomal activities of Z. zanthoxyloides LZT (root) were also detected at varying retention times in all the fractions (Table 3, Additional file 2). The fractions were then tested for their antitrypanosomal activities in a 48-hour alamar blue cell viability assay ( Table 4). The assay also included Jurkat and Chang liver cells (HeLa derivatives) to investigate selectivity profiles of the promising fractions. ZRFM, ZRWB, and ZRFD stood out as the most promising antitrypanosomals with respective IC 50 values of 3.89, 4.02, and 5.70 g/ml (P<0.001) ( Table 4). Generally, fractions were more selective to the parasites as compared to Jurkat or Chang liver cells, albeit the selectivity 6 Evidence-Based Complementary and Alternative Medicine  was higher in the latter. ZRFD and ZRWB showed relatively high toxicity against Jurkat cells with respective selectivity indices (SI) of 9.13 and 6.29 while ZRFM, ZRFD, and ZRWB displayed low toxicity profiles towards Chang liver cells with SI of 24.12, 15.78, and 93.43, respectively (Table 4). Moreover, ZRFD, ZRFM, and ZRWB exhibited inverted sigmoidal doseresponse curves with Hill coefficients less than -1 (Figure 2), which might be an indication of positively cooperative binding from a mechanistic point of view [30]. The inverted Hill coefficient was highest and lowest for ZRFD (-2.75) and ZRFM, respectively (-1.47) (Figure 2).

Z. zanthoxyloides LZT (Root) Induces Apoptosis-Like Cell Death and Cell Cycle Changes in T. brucei.
Exploration of antitrypanosomal effects in the context of mechanisms of cell death and cell cycle can aid in the development of antitrypanosomal drugs. In order to determine effects on cell death, parasites challenged with fractions for 24 hours were used in a cell death assay (Figures 3(a) and 3(b)). The assay explored the interaction between phycoerythrin-bound annexin-V protein and phosphatidyl serine released from the integral side of the plasma membrane to the periphery during either early apoptosis or late apoptosis, as well as the binding between 7-amino-actinomycin-D (7-AAD) and the fragmented DNA during either late apoptosis or necrosis [28]. Doubling the concentration of individual fractions caused a corresponding increase in induction of apoptosislike cell death. At the IC 50 , ZRFD, ZRFM, and ZRWB caused a significant induction of apoptosis-like cell death from 0.40% in the untreated control to 1.55%, 1.45%, and 1.20% of cells, respectively (P<0.05) (Figures 3(a) and 3(b)).
To identify any alterations in distinct cell cycle phases (G0-G1, S, and G2-M phases) of the parasites, cell cycle assay was performed with parasites challenged with fractions at the IC 50 (Figures 4(a) and 4(b)). The assay was designed to capture the interaction between propidium iodide and DNA [29]. Overall, there was a significant reduction of G0-G1 phase from 61.43% in the negative control to 50.80% (P<0.001), 52.60% (P<0.01), and 55.25% (P<0.05) in ZRFD, ZRFM, and ZRWB, respectively (Figure 4

Z. zanthoxyloides LZT (Root) Alters Morphology and Distribution of T. brucei.
Exploration of antitrypanosomal effects on parasite morphology can provide insights into intracellular mechanisms of antitrypanosomal action. Parasites challenged for 24 hours at the IC 50 of the two most promising fractions (ZRFD and ZRFM) were observed for morphological changes via fluorescence microscopy using DAPI. ZRFD and ZRFM induced severe distortion of parasite morphology and resulted in the aggregation of a considerable number of parasites ( Figure 5).
The effect of fractions on parasite morphology was strengthened by the observed alterations in the number of nuclei and kinetoplasts. In comparison to the negative control, ZRFD and ZRFM variably altered the ratio of nuclei to kinetoplasts in distinct populations of the parasites ( Figure 6). In the majority of affected parasites, ZRFD and ZRFM resulted in the respective loss of kinetoplasts in 37.5% and 32.5% of cells (P<0.01), while keeping the nuclei relatively intact (Figure 6). In yet another population of relatively few cells (ZRFD, 12.5%; ZRFM, 2.5%; P<0.05), the loss of kinetoplasts was four times more than the nuclei ( Figure 6). Furthermore, the fractions resulted in a complete loss of the nuclei in other population of parasites while more than doubling the kinetoplasts (ZRFD, 5.0%; ZRFM, 10.0%; P<0.05) (Figure 6).

Discussion
Trypanosomiasis chemotherapy is beset with various challenges such as drug resistance, undesirable side effects, and difficulty in regimen application [5][6][7][8][9][10]. The medicinal values of Zanthoxylum may be attributed to the rich array of pharmacological and phytochemical properties [12,31]. In view of the urgent need to circumvent the challenges associated with the currently available antitrypanosomal drugs, determination of the mechanisms of antitrypanosomal action of Zanthoxylum may facilitate drug discovery in AT. The present study is probably the first time the potential effects of Z. zanthoxyloides LZT on critical aspects of the cell biology of T. brucei, namely, cell cycle, cell morphology, and induction of cell death, are investigated. The methanol, dichloromethane, and butanol fractions of Z. zanthoxyloides LZT (root) exhibited the most promising selective antitrypanosomal activities which may be attributed to the presence of secondary metabolites. The similarity in effects and mechanisms of antitrypanosomal actions observed for methanol and dichloromethane fractions may be partially accounted for by the presence of the same major secondary metabolites in the two fractions. Probably, major compounds that were not completely extracted by dichloromethane in the Kupchan solvent extraction ended up in the methanol fraction. Despite the similarities in their chromatographic and spectroscopic profiles, the methanol and dichloromethane fractions also differed in the absorption intensities and retention times of other minor but potentially active antitrypanosomal compounds which could have contributed to subtle but important differences in the observed antitrypanosomal activities between the two fractions. Furthermore, the dose-response curves of all fractions indicated inverted Hill coefficients less than -1, which might be an indication of positively cooperative binding [30]. This suggests that the interaction between compounds of the fractions and the parasite may increase the affinity of molecules of the same or other compounds towards the parasite thereby leading to a synergistic reduction of cell viability.
Distinct mechanisms of cell death have been observed in Trypanosoma [32][33][34][35]. The essential oil of Zanthoxylum bungeanum was also reported to induce apoptosis in HaCaT human keratinocytes [36]. However, the present study is the first time a species of Zanthoxylum is reported to induce apoptosis-like cell death in T. brucei. Dichloromethane, methanol, and butanol fractions of Z. zanthoxyloides LZT   Evidence-Based Complementary and Alternative Medicine significantly induced apoptosis-like cell death in T. brucei. All fractions practically exerted no effect on necrosis-like cell death at the observed concentrations. However, the importance of other mechanisms of cell death not investigated in the present study cannot be ruled out [33,37]. The observation of autophagy in T. brucei highlights the importance of other potential mechanisms of cell death in the parasite [33]. Studies that will consider the induction of other types of cell death by Z. zanthoxyloides LZT could be investigated. It is however important to interpret with caution apoptosis and necrosis mechanisms in unicellular protozoans since these protists do not encode caspases in their genome [37].
As other eukaryotes, the cell cycle of trypanosomes includes four phases: G1, S, G2, and M phases [38]. Zanthoxylum has been reported to affect the cell cycle of different types of cells such as the human hepatoma-derived cell lines and human colon adenocarcinoma cell lines (Chou et al., 2011) [39]. However, the present study is the first time Zanthoxylum is shown to affect the cell cycle of trypanosomes. All the fractions significantly reduced the number of cells in the G0-G1 phase while increasing the G2-M population. This suggests that the fractions constrained most of the parasites to the G2-M phase thereby inhibiting karyokinesis and cytokinesis [38]. The complete separation of parasites into two daughter cells would therefore be inhibited, thereby relatively increasing the number of tetraploid cells at the G2-M phase. Moreover, all the fractions caused an increase in the S phase population of parasites, thereby suggesting an inhibitory effect on DNA synthesis.
The fractions also exerted morphological and structural changes on the parasites. ZRFD and ZRFM induced severe distortion and aggregation of the parasites. Interestingly, the fractions variably altered the ratio of kinetoplasts to nuclei in distinct populations of the parasites. However, in the majority of the parasites, this alteration resulted in the loss of kinetoplasts while keeping the nuclei relatively intact. The kinetoplast consists of circular DNA molecules that are topologically relaxed and interlocked to form a network of minicircles and maxicircles involved in RNA editing [40][41][42]. Moreover, the beginning and completion of kinetoplast DNA replication usually precedes that of the nuclear DNA in T. brucei [38]. By the end of the G2 phase, the replication of the kinetoplast is usually complete while that of the nucleus is about half-way through [38]. Therefore, it is possible that ZRFD and ZRFM may have impact on the nuclei and kinetoplasts through selective interactions with enzymes responsible for the synthesis of proteins and RNA during G1 and G2 phases. However, further studies are required to fully understand the apparent variation in effects between the nucleus and the kinetoplast.

Conclusions
In this study, the antitrypanosomal activity of Z. zanthoxyloides LZT (root) with regard to effects on the cell viability, cell death, cell cycle, morphology, and distribution of T. brucei, as well as the chromatographic and spectroscopic characterization of the antitrypanosomal compounds, was investigated. Z. zanthoxyloides LZT (root) was found to exhibit significant effects on apoptosis-like cell death with a remarkable alteration in the cell cycle of T. brucei. The antitrypanosomal compounds consisted mainly of aromatic hydrocarbons that could largely be responsible for the observed antitrypanosomal activities of the fractions. Our results suggest that Z. zanthoxyloides LZT holds significant potential for chemotherapeutic interventions in African trypanosomiasis. The identification and subsequent determination of the antitrypanosomal effects of these compounds would further deepen our understanding of the mechanisms of antitrypanosomal actions for the purpose of drug discovery in AT.