新型去羟基异喹啉衍生物的合成、β-血晶素抑制研究及抗疟原虫活性评价:一种有前景的抗疟药物。

Synthesis, β-hematin inhibition studies and antimalarial evaluation of new dehydroxy isoquine derivatives against Plasmodium berghei: A promising antimalarial agent.

机构信息

Laboratorio de Química Medicinal y Heterociclos, Departamento de Química, Universidad Simón Bolívar, Valle de Sartenejas, Baruta, Caracas 1080-A, Apartado 89000, Venezuela.

Laboratorio de Química Medicinal y Heterociclos, Departamento de Química, Universidad Simón Bolívar, Valle de Sartenejas, Baruta, Caracas 1080-A, Apartado 89000, Venezuela.

出版信息

Eur J Med Chem. 2018 Mar 25;148:498-506. doi: 10.1016/j.ejmech.2017.10.051. Epub 2017 Oct 18.

Abstract

Many people are affected by Malaria around the world, and the parasite is developing resistance against available drugs. Currently, isoquine and N-tert-butyl isoquine are some of the most promising antimalarial candidates that have already reached Phase I and II clinical trials, respectively. Nevertheless, pharmacodynamic studies have demonstrated that isoquine is highly sensitive to form O-glucuronide metabolite, which may affect its accumulation in tissues. To avoid the O-glucuronide formation and its negative influence in the accumulation process, a series of novel five dehydroxy isoquine derivatives were designed and prepared herein as potential antimalarial agents. By a simple three-step procedure, five dehydroxy isoquines were prepared and subsequently examined on the inhibition of haemozoin formation, the main target of the 4-aminoquinolines. Four derivatives displayed significant inhibitory activities at low IC values from 1.66 to 1.86 μM comparable to CQ. On the basis of the results, these four compounds were subsequently tested against Plasmodium berghei ANKA model in mice, showing to be as active as CQ with significant curative responses and parasitemia suppression in mice infected. On the other hand, these four compounds showed an acceptable non specific cytotoxicity on murine peritoneal macrophague and human erythrocyte cells. Thus, the presented data indicate that the dehydroxy isoquines 4b, 4c and 4e constitute promising cost-effective leads for the development of new antiplasmodial targeted at blood-stage malaria parasites.

摘要

全世界有许多人受到疟疾的影响,寄生虫对现有药物的耐药性也在不断发展。目前,异喹啉和 N-叔丁基异喹啉是最有前途的抗疟候选药物之一,它们已经分别进入了 I 期和 II 期临床试验。然而,药效学研究表明,异喹啉对形成 O-葡糖苷酸代谢物非常敏感,这可能会影响其在组织中的积累。为了避免 O-葡糖苷酸的形成及其在积累过程中的负面影响,设计并合成了一系列新型的五去羟异喹啉衍生物作为潜在的抗疟药物。通过简单的三步法,制备了五个去羟异喹啉,并随后对抑制血红素形成进行了研究,血红素是 4-氨基喹啉类药物的主要靶标。四个衍生物在低 IC 值下显示出显著的抑制活性,IC 值从 1.66 到 1.86μM,与 CQ 相当。基于这些结果,随后在感染 Plasmodium berghei ANKA 模型的小鼠中对这四个化合物进行了测试,结果表明它们与 CQ 一样具有活性,对感染小鼠具有显著的治疗反应和寄生虫抑制作用。另一方面,这四个化合物对鼠腹腔巨噬细胞和人红细胞的非特异性细胞毒性可接受。因此,所呈现的数据表明,去羟异喹啉 4b、4c 和 4e 构成了具有成本效益的有前途的抗疟先导化合物,针对的是血期疟原虫。

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