Instituto de Medicina Molecular João Lobo Antunes, Faculdade de Medicina, Universidade de Lisboa, Av. Prof. Egas Moniz, 1649-028 Lisboa, Portugal.
Molecules. 2020 Jul 28;25(15):3409. doi: 10.3390/molecules25153409.
Malaria remains one of the most prevalent infectious diseases worldwide, primarily affecting some of the most vulnerable populations around the globe. Despite achievements in the treatment of this devastating disease, there is still an urgent need for the discovery of new drugs that tackle infection by parasites. However, de novo drug development is a costly and time-consuming process. An alternative strategy is to evaluate the anti-plasmodial activity of compounds that are already approved for other purposes, an approach known as drug repurposing. Here, we will review efforts to assess the anti-plasmodial activity of existing drugs, with an emphasis on the obligatory and clinically silent liver stage of infection. We will also review the current knowledge on the classes of compounds that might be therapeutically relevant against in the context of other communicable diseases that are prevalent in regions where malaria is endemic. Repositioning existing compounds may constitute a faster solution to the current gap of prophylactic and therapeutic drugs that act on parasites, overall contributing to the global effort of malaria eradication.
疟疾仍然是全球最流行的传染病之一,主要影响全球一些最脆弱的人群。尽管在治疗这种毁灭性疾病方面取得了成就,但仍然迫切需要发现新的药物来对抗寄生虫感染。然而,从头开发新药是一个昂贵且耗时的过程。一种替代策略是评估已经批准用于其他用途的化合物的抗疟活性,这种方法称为药物再利用。在这里,我们将回顾评估现有药物抗疟活性的努力,重点是感染的强制性和临床沉默的肝脏阶段。我们还将回顾在疟疾流行地区普遍存在的其他传染病背景下,可能对 具有治疗意义的化合物类别方面的现有知识。重新定位现有化合物可能是解决目前针对寄生虫的预防性和治疗性药物空白的更快方法,总体上有助于全球消除疟疾的努力。