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326
Host-targeted Interventions as an Exciting Opportunity to Combat Malaria
Kamalakannan Vijayan1, Ling Wei1, Elizabeth K K Glennon1
1Seattle Children's Research Institute, Seattle, Washington 98109, United States.
Chemical Reviews
|July 1, 2021
Summary
New malaria treatments targeting host factors are needed due to drug resistance and limitations of current therapies. Host-directed therapy offers a promising avenue to combat Plasmodium infections, especially for difficult-to-treat cases.
Area of Science:
- Malariology
- Parasitology
- Pharmacology
Background:
- Malaria remains a significant global health burden despite extensive control efforts.
- Antimalarial drug resistance and limitations in targeting specific parasite stages (e.g., dormant Plasmodium vivax) necessitate new strategies.
- Current treatments face challenges, including contraindications for certain populations like pregnant women and individuals with G6PD deficiency.
Purpose of the Study:
- To review progress in malaria research and related fields.
- To explore the potential of host-directed therapy (HDT) as a novel intervention against malaria.
- To identify key challenges in implementing HDT for malaria elimination.
Main Methods:
- Review of current malaria research and adjacent scientific fields.
- Analysis of host-parasite interactions and host factor requirements of Plasmodium.
- Discussion of existing and potential therapeutic targets within the host.
Main Results:
- Pharmacological inhibitors targeting human enzymes are effective for various diseases.
- Plasmodium parasites have essential host dependencies that can be exploited for therapeutic intervention.
- Host-directed therapy presents a promising strategy to overcome drug resistance and target dormant parasite forms.
Conclusions:
- Host-directed therapy offers a potential new paradigm for malaria treatment and elimination.
- Addressing host factors is crucial for developing effective interventions against Plasmodium.
- Further research and strategic implementation are required to overcome challenges in deploying HDT against malaria.

