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Published on: August 12, 2019
Tetraoxane antimalarials and their reaction with Fe(II)
Igor Opsenica1, Natasa Terzić, Dejan Opsenica
1Institute of Chemistry, Technology and Metallurgy, Belgrade, Serbia and Montenegro.
New tetraoxane compounds show potent antimalarial activity against resistant Plasmodium falciparum strains. These compounds are metabolically stable and demonstrate efficacy in vivo, offering a promising alternative to existing treatments.
Area of Science:
- Medicinal Chemistry
- Parasitology
- Drug Discovery
Background:
- Artemisinin and its derivatives are crucial antimalarial drugs.
- Emergence of drug-resistant Plasmodium falciparum strains necessitates novel therapeutic agents.
- The mechanism of action of tetraoxane antimalarials, particularly the role of radical species, requires further elucidation.
Purpose of the Study:
- To synthesize and evaluate novel mixed tetraoxanes derived from cholic acid and 4-oxocyclohexanecarboxylic acid for antimalarial activity.
- To assess the metabolic stability and in vivo efficacy of promising tetraoxane candidates.
- To investigate the mechanism of action, specifically the radical species involved in tetraoxane-mediated parasite death.
Main Methods:
- Synthesis of mixed tetraoxanes from cholic acid and 4-oxocyclohexanecarboxylic acid.
- In vitro testing against chloroquine-susceptible and resistant Plasmodium falciparum strains (IC50, IC90).
- In vitro metabolism studies to assess metabolic stability.
- In vivo efficacy studies in mouse models.
- Electron Paramagnetic Resonance (EPR) experiments to detect radical species during Fe(II)-induced scission.
Main Results:
- Synthesized tetraoxanes 5a and 13 exhibited activity comparable to artemisinin against various Plasmodium falciparum strains.
- Compound 13 demonstrated metabolic stability in vitro.
- Compound 15 showed significant in vivo efficacy in mice at multiple dosages with no observed toxic effects.
- Tetraoxane 19 displayed potent antiproliferative activity (LC50 of 17 nM) with a high maximum tolerated dose.
- EPR studies detected RO* radicals, suggesting their role in parasite death, potentially challenging the established role of C radicals.
Conclusions:
- Novel tetraoxanes possess significant antimalarial and antiproliferative properties.
- Metabolic stability and in vivo efficacy highlight the therapeutic potential of these compounds.
- The mechanism of action may involve RO* radicals, broadening the understanding of peroxide prodrug antimalarial activity.
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