Relationship between Antimalarial Drug Activity, Accumulation, and Inhibition of Heme Polymerization in Plasmodium falciparum In Vitro

Author:

Hawley Shaun R.1,Bray Patrick G.2,Mungthin Mathirut2,Atkinson Jill D.2,O’Neill Paul M.2,Ward Stephen A.2

Affiliation:

1. Department of Human Anatomy and Cell Biology,1 University of Liverpool, Liverpool L69 3BX, United Kingdom

2. Department of Pharmacology and Therapeutics2 and

Abstract

ABSTRACT We have investigated the contribution of drug accumulation and inhibition of heme polymerization to the in vitro activities of a series of antimalarial drugs. Only those compounds exhibiting structural relatedness to the quinolines inhibited heme polymerization. We could find no direct correlation between in vitro activity against chloroquine-susceptible or chloroquine-resistant isolates and either inhibition of heme polymerization or cellular drug accumulation for the drugs studied. However, in vitro activity against a chloroquine-susceptible isolate but not a chloroquine-resistant isolate showed a significant correlation with inhibition of heme polymerization when the activity was normalized for the extent of drug accumulation. The importance of these observations to the rational design of new quinoline-type drugs and the level of agreement of these conclusions with current views on quinoline drug action and resistance are discussed.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference28 articles.

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2. Physicochemical properties correlated with drug resistance and the reversal of drug resistance in Plasmodium falciparum.;Bray P. G.;Mol. Pharmacol.,1996

3. 4-Aminoquinoline resistance of Plasmodium falciparum: insights from the study of amodiaquine uptake.;Bray P. G.;Mol. Pharmacol.,1996

4. Bray P. G. M. Mungthin R. Ridley and S. A. Ward. Submitted for publication.

5. Haemolysis of mouse erythrocytes by ferriprotoporphyrin IX and chloroquine. Chemotherapeutic implications.;Chou A. C.;J. Clin. Invest.,1980

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