School of Medicine, Deakin University, Geelong, Australia.
The Institute for Mental and Physical Health and Clinical Translation, Deakin University, Geelong, Australia.
mBio. 2024 Jun 12;15(6):e0096624. doi: 10.1128/mbio.00966-24. Epub 2024 May 8.
To combat the global burden of malaria, development of new drugs to replace or complement current therapies is urgently required. Here, we show that the compound is a selective, nanomolar inhibitor of both and aminopeptidases M1 and M17, leading to inhibition of end-stage hemoglobin digestion in asexual parasites. can kill sexual-stage , is active against murine malaria, and does not show any shift in activity against a panel of parasites resistant to other antimalarials. -resistant exhibited a slow growth rate that was quickly outcompeted by wild-type parasites and were sensitized to the current clinical drug, artemisinin. Overall, these results confirm as a lead compound for further drug development and highlights the potential of dual inhibition of M1 and M17 as an effective multi-species drug-targeting strategy.IMPORTANCEEach year, malaria infects approximately 240 million people and causes over 600,000 deaths, mostly in children under 5 years of age. For the past decade, artemisinin-based combination therapies have been recommended by the World Health Organization as the standard malaria treatment worldwide. Their widespread use has led to the development of artemisinin resistance in the form of delayed parasite clearance, alongside the rise of partner drug resistance. There is an urgent need to develop and deploy new antimalarial agents with novel targets and mechanisms of action. Here, we report a new and potent antimalarial compound, known as , and show that it targets multiple stages of the malaria parasite lifecycle, is active in a preliminary mouse malaria model, and has a novel mechanism of action. Excitingly, resistance to appears to be self-limiting, suggesting that development of the compound may provide a new class of antimalarial.
为了应对全球疟疾负担,迫切需要开发新的药物来替代或补充现有的治疗方法。在这里,我们表明,该化合物是一种选择性的、纳摩尔级别的、对 和 氨肽酶 M1 和 M17 的抑制剂,导致无性寄生虫末期血红蛋白消化的抑制。 可以杀死有性阶段的 ,对鼠疟有效,并且对其他抗疟药物耐药的寄生虫没有表现出任何活性变化。 耐药株表现出缓慢的生长速度,很快被野生型寄生虫所淘汰,并对当前的临床药物青蒿素敏感。总的来说,这些结果证实 是进一步药物开发的先导化合物,并强调了双重抑制 M1 和 M17 作为一种有效的多物种药物靶向策略的潜力。
重要性
每年,疟疾感染约 2.4 亿人,导致超过 60 万人死亡,其中大多数是 5 岁以下的儿童。在过去的十年中,青蒿素联合疗法已被世界卫生组织推荐为全球标准的疟疾治疗方法。它们的广泛使用导致了以寄生虫清除延迟为形式的青蒿素耐药性的出现,同时也出现了联合用药耐药性。迫切需要开发和部署具有新靶点和作用机制的新型抗疟药物。在这里,我们报告了一种新的、有效的抗疟化合物,称为 ,并表明它靶向疟疾寄生虫生命周期的多个阶段,在初步的小鼠疟疾模型中具有活性,并且具有新的作用机制。令人兴奋的是,对 的耐药性似乎是自我限制的,这表明该化合物的开发可能提供一种新的抗疟药物。