Division of Host-Microbe Systems and Therapeutics, Department of Pediatrics, University of California San Diego, La Jolla, California 92093, United States.
Swiss Tropical and Public Health Institute, 4002 Basel, Switzerland.
ACS Infect Dis. 2023 Mar 10;9(3):527-539. doi: 10.1021/acsinfecdis.2c00527. Epub 2023 Feb 10.
Current malaria treatments are threatened by drug resistance, and new drugs are urgently needed. In a phenotypic screen for new antimalarials, we identified ()-SW228703 (()-SW703), a tyrosine amide with asexual blood and liver stage activity and a fast-killing profile. Resistance to ()-SW703 is associated with mutations in the cyclic amine resistance locus (CARL) and acetyl CoA transporter (ACT), similarly to several other compounds that share features such as fast activity and liver-stage activity. Compounds with these resistance mechanisms are thought to act in the ER, though their targets are unknown. The tyramine of ()-SW703 is shared with some reported CARL-associated compounds; however, we observed that strict S-stereochemistry was required for the activity of ()-SW703, suggesting differences in the mechanism of action or binding mode. ()-SW703 provides a new chemical series with broad activity for multiple life-cycle stages and a fast-killing mechanism of action, available for lead optimization to generate new treatments for malaria.
目前的疟疾治疗方法受到耐药性的威胁,急需新的药物。在针对新抗疟药物的表型筛选中,我们发现了()-SW228703(()-SW703),这是一种具有无性血期和肝期活性以及快速杀伤特性的酪氨酸酰胺。()-SW703 的耐药性与环状胺耐药基因座(CARL)和乙酰辅酶 A 转运蛋白(ACT)的突变有关,与其他几种具有快速活性和肝期活性等特征的化合物相似。具有这些耐药机制的化合物被认为在 ER 中起作用,尽管它们的靶标尚不清楚。()-SW703 的酪胺与一些报道的与 CARL 相关的化合物共享;然而,我们观察到()-SW703 的活性需要严格的 S-立体化学,这表明作用机制或结合模式存在差异。()-SW703 提供了一个具有广泛活性的新化学系列,针对多个生命周期阶段,具有快速杀伤作用机制,可用于先导化合物优化,以开发治疗疟疾的新疗法。