Department of Chemistry, Stanford University, Stanford, CA, USA.
Department of Microbiology and Immunology, Columbia University Medical Center, New York, NY, USA; Center for Malaria Therapeutics and Antimicrobial Resistance, Columbia University Medical Center, New York, NY, USA.
Cell Chem Biol. 2024 Sep 19;31(9):1714-1728.e10. doi: 10.1016/j.chembiol.2024.07.006. Epub 2024 Aug 12.
Malaria, caused by Plasmodium falciparum, remains a significant health burden. One major barrier for developing antimalarial drugs is the ability of the parasite to rapidly generate resistance. We previously demonstrated that salinipostin A (SalA), a natural product, potently kills parasites by inhibiting multiple lipid metabolizing serine hydrolases, a mechanism that results in a low propensity for resistance. Given the difficulty of employing natural products as therapeutic agents, we synthesized a small library of lipidic mixed alkyl/aryl phosphonates as bioisosteres of SalA. Two constitutional isomers exhibited divergent antiparasitic potencies that enabled the identification of therapeutically relevant targets. The active compound kills parasites through a mechanism that is distinct from both SalA and the pan-lipase inhibitor orlistat and shows synergistic killing with orlistat. Our compound induces only weak resistance, attributable to mutations in a single protein involved in multidrug resistance. These data suggest that mixed alkyl/aryl phosphonates are promising, synthetically tractable antimalarials.
疟原虫引起的疟疾仍然是一个重大的健康负担。开发抗疟药物的一个主要障碍是寄生虫快速产生耐药性的能力。我们之前证明,天然产物盐孢菌素 A(SalA)通过抑制多种脂质代谢丝氨酸水解酶来有效杀死寄生虫,这种机制导致耐药性的倾向较低。鉴于将天然产物用作治疗剂的困难,我们合成了一个小的脂质混合烷基/芳基膦酸盐文库作为 SalA 的生物等排体。两种结构异构体表现出不同的抗寄生虫效力,从而确定了具有治疗相关性的靶标。活性化合物通过一种与 SalA 和全脂酶抑制剂奥利司他不同的机制杀死寄生虫,并与奥利司他表现出协同杀伤作用。我们的化合物引起的耐药性很弱,归因于参与多药耐药的单个蛋白的突变。这些数据表明,混合烷基/芳基膦酸盐是很有前途的、合成上可处理的抗疟药物。