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确定根除疟疾药物研发策略中的生物学组成部分。

Defining the biology component of the drug discovery strategy for malaria eradication.

作者信息

Leroy Didier, Campo Brice, Ding Xavier C, Burrows Jeremy N, Cherbuin Stéphanie

机构信息

Medicines for Malaria Venture (MMV), PO Box 1826, 20 route de Pré-Bois, 1215 Geneva 15, Switzerland.

Medicines for Malaria Venture (MMV), PO Box 1826, 20 route de Pré-Bois, 1215 Geneva 15, Switzerland.

出版信息

Trends Parasitol. 2014 Oct;30(10):478-90. doi: 10.1016/j.pt.2014.07.004. Epub 2014 Aug 15.

Abstract

Malaria is still considered a deadly scourge in Africa, Asia, and South America despite improved vector control and curative treatments with new antimalarial combinations. The next challenge is to work towards disease eradication. To achieve this goal it is crucial to develop, validate, and integrate biological assays into test cascades that align with the key target product profiles. For anti-relapse, a parent molecule should kill hypnozoites or cause activation of Plasmodium vivax liver stages. For transmission blocking, dual equal-activity antimalarials killing both the asexual and the sexual parasite stages in human blood are favored. Finally, by assessing cross resistance and generating drug resistance in the laboratory, it is expected that new medicines with acceptable resistance profiles will be forthcoming.

摘要

尽管在病媒控制方面有所改善,并且采用了新的抗疟联合疗法进行治疗,但疟疾在非洲、亚洲和南美洲仍被视为致命的灾祸。下一个挑战是努力实现疾病根除。为实现这一目标,至关重要的是开发、验证生物测定法并将其整合到与关键目标产品概况相一致的测试流程中。对于抗复发而言,母体分子应杀死休眠子或激活间日疟原虫的肝期。对于传播阻断,人们倾向于使用具有双重同等活性的抗疟药,以杀死人体血液中的无性和有性寄生虫阶段。最后,通过评估交叉耐药性并在实验室中产生耐药性,有望推出具有可接受耐药性概况的新药。

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