Gibhard Liezl, Pravin Kendrekar, Abay Efrem, Wilhelm Anke, Swart Kenneth, Lawrence Nina, Khoury Rosal, van der Westhuizen Jan, Smith Peter, Wiesner Lubbe
Division of Clinical Pharmacology, Department of Medicine, University of Cape Town, Western Cape, South Africa
Department of Chemistry, University of the Free State, Bloemfontein, South Africa.
Antimicrob Agents Chemother. 2016 Apr 22;60(5):3065-9. doi: 10.1128/AAC.02104-15. Print 2016 May.
Malaria remains a great burden on humanity. Although significant advances have been made in the prevention and treatment of malaria, malaria control is now hindered by an increasing tolerance of the parasite to one or more drugs within artemisinin combination therapies; therefore, an urgent need exists for development of novel and improved therapies. The University of the Free State Chemistry Department previously synthesized an antimalarial compound, NP046. In vitro studies illustrated an enhanced efficacy against Plasmodium falciparum However, NP046 showed low bioavailability. Efforts to enhance the bioavailability of NP046 have resulted in the synthesis of a number of aminoalkylated diarylpropanes, including NP085 and NP102. Pharmacokinetic studies were conducted in C57BL/6 mice, with 15 mg/kg NP085 or NP102 administered orally and the 5 mg/kg NP085 or NP102 administered intravenously. Blood samples were collected by means of tail bleeding at predetermined time intervals. Drug concentrations were determined using a liquid chromatography-tandem mass spectrometry (LC-MS/MS) method, and subsequently pharmacokinetic modeling was done for both compounds. NP085 and NP102 were incubated in vitro with human and mouse liver microsomes. Both compounds were also subjected to a parallel artificial membrane permeation assay. In vitro studies of NP085 and NP102 illustrated that both of the compounds are rapidly absorbed and undergo rapid hepatic metabolism. The maximum concentration of drug (Cmax) obtained following oral administration of NP085 and NP102 was 0.2 ± 0.4 and 0.7 ± 0.3 μM, respectively; the elimination half-life of both compounds was 6.1 h. NP085 and NP102 showed bioavailability levels of 8% and 22%, respectively.
疟疾仍然是人类面临的重大负担。尽管在疟疾的预防和治疗方面已经取得了显著进展,但目前疟疾控制受到疟原虫对青蒿素联合疗法中一种或多种药物耐受性增加的阻碍;因此,迫切需要开发新的和改进的疗法。自由州大学化学系此前合成了一种抗疟化合物NP046。体外研究表明其对恶性疟原虫的疗效增强。然而,NP046的生物利用度较低。为提高NP046的生物利用度所做的努力导致了多种氨基烷基化二芳基丙烷的合成,包括NP085和NP102。在C57BL/6小鼠中进行了药代动力学研究,口服给予15mg/kg的NP085或NP102,静脉注射给予5mg/kg的NP085或NP102。在预定的时间间隔通过尾静脉取血收集血样。使用液相色谱-串联质谱(LC-MS/MS)方法测定药物浓度,随后对这两种化合物进行药代动力学建模。NP085和NP102在体外与人及小鼠肝微粒体一起孵育。这两种化合物还进行了平行人工膜渗透试验。NP085和NP102的体外研究表明,这两种化合物都能快速吸收并经历快速的肝脏代谢。口服NP085和NP102后获得的最大药物浓度(Cmax)分别为0.2±0.4和0.7±0.3μM;两种化合物的消除半衰期均为6.1小时。NP085和NP102的生物利用度水平分别为8%和22%。