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Updated: Jan 9, 2026

Measurement of Heme Synthesis Levels in Mammalian Cells
Published on: July 9, 2015
The heme A synthase Cox15, as a target of redox-active 3-benzylmenadiones with antiparasitic activity
Marcelo L Merli1, Claudia Serot2, Cindy Vallières3
1Instituto de Biología Molecular y Celular de Rosario (IBR), Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET) - Universidad Nacional de Rosario (UNR), Rosario, Santa Fe, Argentina.
Insights
Cruzidione, a novel anti-parasitic drug, targets heme A synthase Cox15 in Trypanosoma cruzi. This inhibition disrupts parasite respiration, offering a new therapeutic strategy for Chagas disease.
Area of Science:
- Biochemistry
- Parasitology
- Drug Discovery
Background:
- Chagas disease, caused by Trypanosoma cruzi, is a neglected parasitic infection with limited treatment options.
- The development of new anti-T. cruzi drugs is crucial due to the scarcity of effective therapies.
- A library of 3-benzylmenadione derivatives was synthesized, with cruzidione showing high efficacy against T. cruzi.
Purpose of the Study:
- To elucidate the mode of action of cruzidione against Trypanosoma cruzi.
- To identify the primary molecular target of cruzidione.
- To explore the potential of Cox15 as a novel antiparasitic drug target.
Main Methods:
- Utilized Saccharomyces cerevisiae as a model organism to study cruzidione's mechanism.
- Investigated the effect of specific Cox15 mutations on yeast sensitivity to cruzidione.
- Assessed the impact of cruzidione on cytochrome c oxidase activity and heme content in T. cruzi.
- Examined the role of NADH-dehydrogenase in cruzidione bioactivation using the yeast model.
Main Results:
- A mutation in yeast Cox15 (S429F) conferred high sensitivity to cruzidione.
- Cruzidione treatment led to the loss of cytochrome c oxidase activity.
- Cruzidione significantly reduced heme content and oxygen consumption in T. cruzi.
- NADH-dehydrogenase was identified as a key enzyme in cruzidione bioactivation, producing metabolites that inhibit Cox15.
Conclusions:
- Heme A synthase Cox15 is the primary target of cruzidione.
- Cruzidione inhibits T. cruzi growth by disrupting heme biosynthesis and respiration.
- Cox15 represents a promising novel target for the development of new antiparasitic drugs.
Abstract:
Chagas disease, caused by Trypanosoma cruzi, is a neglected parasitic infection. The very limited arsenal of anti-T. cruzi treatments calls for the development of new drugs. Recently, a library of 3-benzylmenadione derivatives was synthesized, with cruzidione being the most efficient and specific compound against the parasite. To decipher its mode of action, we used the yeast Saccharomyces cerevisiae as a model. Evidence pinpointed at the heme A synthase Cox15 as a primary target of cruzidione: (i) a mutation in Cox15 (i.e., S429F) renders the yeast cells highly sensitive to the drug, (ii) treatment with cruzidione led to the loss of cytochrome c oxidase, an enzyme that relies on heme A as an essential cofactor, and (iii) replacement of the yeast Cox15 by T. cruzi enzyme resulted in a high sensitivity to cruzidione. We then investigated the effect of cruzidione in T. cruzi and observed a significant reduction in the heme contents, most likely involving the inhibition of the heme A synthase. This, in turn, led to a decrease in O2 consumption by the parasite. Finally, using the yeast model, we showed that, similar to what we previously found for the antimalarial benzylmenadione plasmodione, NADH-dehydrogenase plays a key role in cruzidione bioactivation. We proposed that the reduced benzoylmenadione metabolites, produced by the reaction with NADH-dehydrogenase, act as Cox15 inhibitors. This study, through the identification of the mode of action of cruzidione, highlighted Cox15 as a novel target for antiparasitic drugs.
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