Sivakumar Roshan, Floyd Katherine, Jessey Erath, Kim Jenny Kim, Bayguinov Peter O, Fitzpatrick James A J, Goldfrab Dennis, Jovanovic Marko, Tripathi Abhai, Djuranovic Sergej, Pavlovic-Djuranovic Slavica
Department of Cell Biology and Physiology, Washington University School of Medicine; Missouri, USA.
Department of Biological Sciences, Columbia University; New York, New York, USA.
bioRxiv. 2023 Sep 16:2023.09.16.558069. doi: 10.1101/2023.09.16.558069.
, the malaria-causing parasite, is a leading cause of infection-induced deaths worldwide. The preferred treatment approach is artemisinin-combination therapy, which couples fast-acting artemisinin derivatives with longer-acting drugs like lumefantrine, mefloquine, and amodiaquine. However, the urgency for new treatments has risen due to the parasite's growing resistance to existing therapies. Our study shows that a common characteristic of the proteome - stretches of poly-lysine residues such as those found in proteins related to adhesion and pathogenicity - can serve as an effective peptide treatment for infected erythrocytes. A single dose of these poly-basic peptides can successfully diminish parasitemia in human erythrocytes with minimal toxicity. The effectiveness of the treatment correlates with the length of the poly-lysine peptide, with 30 lysine peptides supporting the eradication of erythrocytic parasites within 72 hours. PEG-ylation of the poly-lysine peptides or utilizing poly-lysine dendrimers and polymers further increases parasite clearance efficiency and bolsters the stability of these potential new therapeutics. Lastly, our affinity pull-downs and mass-spectrometry identify outer membrane proteins as likely targets for polybasic peptide medications. Since poly-lysine dendrimers are already FDA-approved for drug delivery, their adaptation as antimalarial drugs presents a promising new therapeutic strategy.
疟原虫是全球感染导致死亡的主要原因。首选治疗方法是青蒿素联合疗法,该疗法将速效青蒿素衍生物与长效药物如卤泛群、甲氟喹和阿莫地喹联合使用。然而,由于疟原虫对现有疗法的耐药性不断增加,对新治疗方法的需求变得更加迫切。我们的研究表明,蛋白质组的一个共同特征——多聚赖氨酸残基片段,如在与黏附及致病性相关的蛋白质中发现的那些片段——可作为感染红细胞的有效肽类治疗方法。单剂量的这些多碱性肽能成功降低人体红细胞中的寄生虫血症,且毒性极小。治疗效果与多聚赖氨酸肽的长度相关,30个赖氨酸肽能在72小时内支持根除红细胞内的寄生虫。多聚赖氨酸肽的聚乙二醇化或使用多聚赖氨酸树枝状大分子及聚合物可进一步提高寄生虫清除效率,并增强这些潜在新疗法的稳定性。最后,我们的亲和下拉和质谱分析确定外膜蛋白可能是多碱性肽药物的靶点。由于多聚赖氨酸树枝状大分子已获美国食品药品监督管理局批准用于药物递送,将其用作抗疟药物是一种有前景的新治疗策略。