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| Open AccessHigh-throughput small molecule screen identifies inhibitors of microsporidia invasion and proliferation in C. elegans
Microsporidia are fungal-related intracellular parasites that infect animals and humans. Here, Murareanu et al. develop a high-throughput screening method using the nematode C. elegans as a host, and identify several compounds that inhibit microsporidia infection through different mechanisms.
- Brandon M. Murareanu
- , Noelle V. Antao
- & Aaron W. Reinke
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| Open AccessMalaria in 2022: Increasing challenges, cautious optimism
Malaria cases and deaths remain unacceptably high and are resurgent in several settings, though recent developments inspire optimism. This includes the approval of the world’s first malaria vaccine and results from novel vaccine candidates and trials testing innovative combinatorial interventions.
- Prasanna Jagannathan
- & Abel Kakuru
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Article
| Open AccessPreclinical characterization and target validation of the antimalarial pantothenamide MMV693183
Here, de Vries et al. perform a pre-clinical characterization of the antimalarial compound MMV693183: the compound targets acetyl-CoA synthetase, has efficacy in humanized mice against Plasmodium falciparum infection, blocks transmission to mosquito vectors, is safe in rats, and pharmacokinetic-pharmacodynamic modeling informs about a potential oral human dosing regimen.
- Laura E. de Vries
- , Patrick A. M. Jansen
- & Koen J. Dechering
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| Open AccessMultistage and transmission-blocking targeted antimalarials discovered from the open-source MMV Pandemic Response Box
Here, Reader et al. screen the Medicines for Malaria Venture Pandemic Response Box in parallel against Plasmodiumasexual and liver stage parasites, stage IV/V gametocytes, gametes, oocysts and as endectocides. They identify two potent transmission-blocking drugs: a histone demethylase inhibitor ML324 and the antitubercular SQ109.
- Janette Reader
- , Mariëtte E. van der Watt
- & Lyn-Marié Birkholtz
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| Open AccessPlasmodium vivax chloroquine resistance links to pvcrt transcription in a genetic cross
Here, a cross of Plasmodium vivax malaria parasites links a chloroquine resistance (CQR) phenotype to a 76 kb region of chromosome 1 and greater expression of pvcrt, an ortholog of the Plasmodium falciparum CQR transporter gene.
- Juliana M. Sá
- , Sarah R. Kaslow
- & Thomas E. Wellems
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Article
| Open AccessAntimalarial activity of primaquine operates via a two-step biochemical relay
Primaquine (PQ) is a widely used anti-malaria drug, but its mechanism of action is unclear. Here, Camarda et al. show that PQ’s activity against liver and sexual Plasmodium stages depends on generation of hydroxylated-PQ metabolites (OH-PQm), which, undergoing further reactions, results in production of H2O2.
- Grazia Camarda
- , Piyaporn Jirawatcharadech
- & Giancarlo A. Biagini
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Article
| Open AccessA high throughput screen for next-generation leads targeting malaria parasite transmission
Sexual forms of malaria parasites are responsible for transmission to the mosquito. Anti-malarial drug resistance remains a serious problem and requires advent of new drug therapies. Here, the authors present a high-throughput screen of potential antimalarial compounds, identifying seventeen drug-like molecules specifically targeting transmission.
- Michael J. Delves
- , Celia Miguel-Blanco
- & Jake Baum
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| Open AccessArtemisinin kills malaria parasites by damaging proteins and inhibiting the proteasome
Artemisinin (ART) is a widely used antimalarial drug, but its mechanism of action is poorly understood. Here, Bridgford et al. show that ART kills parasites by a two-pronged mechanism, causing protein damage and compromising proteasome function, and that accumulation of proteasome substrates activates the ER stress response.
- Jessica L. Bridgford
- , Stanley C. Xie
- & Leann Tilley
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Article
| Open AccessEmerging Southeast Asian PfCRT mutations confer Plasmodium falciparum resistance to the first-line antimalarial piperaquine
Increasing resistance of Plasmodium falciparum strains to piperaquine (PPQ) in Southeast Asia is of concern and resistance mechanisms are incompletely understood. Here, Ross et al. show that mutations in the P. falciparum chloroquine resistance transporter are rapidly increasing in prevalence in Cambodia and confer resistance to PPQ.
- Leila S. Ross
- , Satish K. Dhingra
- & David A. Fidock
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Article
| Open AccessPlasmepsin II–III copy number accounts for bimodal piperaquine resistance among Cambodian Plasmodium falciparum
Piperaquine (PPQ) resistance of Plasmodium is an increasing problem. Here, Bopp et al. find a bimodal dose−response curve of Cambodian isolates exposed to PPQ, with the area under the curve correlating with in vitro PPQ resistance, and show the importance of Plasmepsin II–III copy number to PPQ resistance.
- Selina Bopp
- , Pamela Magistrado
- & Sarah K. Volkman
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Article
| Open AccessA cryptic cycle in haematopoietic niches promotes initiation of malaria transmission and evasion of chemotherapy
Malaria transmission is effected by intra-erythrocytic parasites that commit to sexual development and form gametocytes. Here, the authors show that early reticulocytes in the major sites of haematopoiesis establish a cryptic asexual cycle; this cycle is characterised by early preferential commitment to gametocytogenesis, which initiates malaria transmission and drug resistance.
- Rebecca S. Lee
- , Andrew P. Waters
- & James M. Brewer
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Article
| Open AccessEsterase mutation is a mechanism of resistance to antimalarial compounds
Pepstatin is a known inhibitor of malarial proteases, but its activity varies between sources. Here, Istvanet al. identify a pepstatin ester as the active component of pepstatin preparations and show that this prodrug is activated by a Plasmodiumesterase, mutation of which can confer resistance to pepstatin and other compounds.
- Eva S. Istvan
- , Jeremy P. Mallari
- & Daniel E. Goldberg
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Article
| Open AccessTriaminopyrimidine is a fast-killing and long-acting antimalarial clinical candidate
The emergence of resistant Plasmodiumstrains fuels the search for new antimalarials. Here, the authors present a new class of potent antimalarial compounds, the triaminopyrimidines, that display low toxicity and long half-life in animal models.
- Shahul Hameed P.
- , Suresh Solapure
- & Vasan K. Sambandamurthy
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| Open AccessPyrazoleamide compounds are potent antimalarials that target Na+ homeostasis in intraerythrocytic Plasmodium falciparum
Novel antimalarial drugs are urgently needed to combat parasite drug resistance. Here, Vaidya et al. describe a new chemical class of potent antimalarial compounds that act by disrupting the parasite's sodium homeostasis.
- Akhil B. Vaidya
- , Joanne M. Morrisey
- & Lawrence W. Bergman
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Article |
Structural analysis of atovaquone-inhibited cytochrome bc1 complex reveals the molecular basis of antimalarial drug action
Atovaquone is an antimalarial drug that inhibits a crucial enzyme, cytochrome bc1complex, within the parasite’s mitochondria. Here the authors report the crystal structure of the enzyme with bound atovaquone, opening the way for rational development of improved antimalarial drugs.
- Dominic Birth
- , Wei-Chun Kao
- & Carola Hunte