Compounds from the Medicines for Malaria Venture Box Inhibit In Vitro Growth of , a Blood-Borne Parasite of Veterinary and Zoonotic Importance.

Babesiosis is an infectious disease with an empty drug pipeline. A search inside chemical libraries for novel potent antibabesial candidates may help fill such an empty drug pipeline. A total of 400 compounds (200 drug-like and 200 probe-like) from the Malaria Box were evaluated in the current study against the in vitro growth of (), a parasite of veterinary and zoonotic importance. Novel and more effective anti- drugs than the traditionally used ones were identified. Seven compounds (four drug-like and three probe-like) revealed a highly inhibitory effect against the in vitro growth of , with ICs ≤ 10 nanomolar. Among these hits, MMV006913 exhibited an IC value of 1 nM IC and the highest selectivity index of 32,000. The atom pair fingerprint (APfp) analysis revealed that MMV006913 and MMV019124 showed maximum structural similarity (MSS) with atovaquone and diminazene aceturate (DA), and with DA and imidocarb dipropionate (ID), respectively. MMV665807 and MMV665850 showed MMS with each other and with ID. Of note, a high concentration (0.75 IC) of MMV006913 caused additive inhibition of growth when combined with DA at 0.75 or 0.50 IC. The Medicines for Malaria Venture box is a treasure trove of anti- candidates according to the obtained results.