How do the mutations in PfK13 protein promote anti-malarial drug resistance?

Shikha Sharma1, Md Ehesan Ali1

  • 1Institute of Nano Science and Technology, Sector-81, Mohali, Punjab, India.

Insights

Plasmodium falciparum Kelch13 (PfK13) mutations linked to artemisinin resistance do not alter protein structure but change protein dynamics. These dynamics may disrupt ubiquitination, causing drug resistance.

Area of Science:

  • Molecular Biology
  • Parasitology
  • Drug Resistance Studies

Background:

  • Artemisinin resistance in Plasmodium falciparum is a growing public health concern.
  • Specific mutations in the Plasmodium falciparum Kelch13 (PfK13) protein are associated with this resistance.
  • The precise molecular mechanisms linking PfK13 mutations to drug resistance remain incompletely understood.

Purpose of the Study:

  • To investigate the impact of PfK13 mutations on protein dynamics.
  • To elucidate the relationship between PfK13 mutation-induced dynamics and the mechanism of artemisinin resistance.

Main Methods:

  • Classical molecular dynamics (MD) simulations were employed to analyze protein dynamics.
  • Trajectory analysis included root-mean-square fluctuations (RMSF), secondary structure prediction, and dynamical cross-correlation matrix (DCCM) analysis.

Main Results:

  • PfK13 mutations (Y493H, R539T, I543T, C580Y) did not cause structural changes at the mutation site.
  • Mutations significantly altered the overall protein dynamics.
  • Enhanced dynamical fluctuations were observed in the BTB-domain loop regions for Y493H and C580Y mutants.

Conclusions:

  • Altered protein dynamics in PfK13 mutants, particularly in the BTB-domain, may affect PfK13-Cullin binding.
  • Disruption of the ubiquitination process due to altered dynamics is a potential mechanism for artemisinin resistance.
  • Further research is needed to fully elucidate the link between PfK13 dynamics and drug resistance.

Related Concept Videos

Abnormal Proliferation02:23

Abnormal Proliferation

Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the daughter...
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu01:29

Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu

Genetic variations significantly influence drug response through pharmacokinetics, receptor interactions, and biologic milieu modifications. Pharmacokinetic alterations impact drug metabolism and clearance, affecting efficacy and toxicity. Variants in drug-metabolizing enzymes, such as CYP2C9 and CYP2C19, alter drug activation and elimination. For example, CYP2C9 loss-of-function variants require lower warfarin doses to prevent excessive bleeding, while CYP2C19 variants reduce clopidogrel...
Malaria01:29

Malaria

Malaria pathogenesis in humans reflects a delicate interplay between parasite biology and host response. Clinical illness reflects a host’s immune response to the parasite’s asexual replication cycle, which is often asymptomatic in individuals with partial immunity. From the parasite's perspective, transmission between mosquito and human with minimal host pathology is evolutionarily advantageous. Among the six Plasmodium species infecting humans, P. falciparum and P. vivax dominate in global...
Antiprotozoal Agents01:21

Antiprotozoal Agents

Leishmaniasis is a widespread parasitic disease caused by several Leishmania species. It affects millions of people each year and remains a major public health problem in endemic regions. First-line treatment relies on pentavalent antimonials, including meglumine antimoniate and sodium stibogluconate. Even so, how these drugs work has not been fully clear, especially their interaction with parasite-specific biochemical pathways. One key target is trypanothione reductase (TR), an enzyme that...