Atualmente, a malária é considerada a principal infecção parasitária existente e apresenta distribuição mundial. Dentre as alternativas terapêuticas utilizadas, destacam-se cloroquina (CQ), mefloquina (MQ) e, recentemente, arteméter (ART). Segundo a literatura, estudos farmacocinéticos destes fármacos têm sido dificultados pela ausência de métodos adequados de análise em fluidos biológicos e, no caso dos fármacos quirais (CQ e MQ), com capacidade de determinar os enantiômeros individualmente. Com isso, o objetivo deste trabalho foi avaliar o emprego da microextração em fase líquida (LPME) na preparação de amostras para a determinação destes três fármacos antimaláricos e respectivos metabólitos em plasma. O método para análise enantiosseletiva de CQ e metabólitos teve a LPME como técnica de preparação de amostras, a qual apresentou valores de recuperação no intervalo de 28-66%. Estes analitos foram separados na coluna Chirobiotic V em fase polar-orgânica, com posterior detecção por espectrometria de massas (MS), com interface de eletronebulização (ESI) no modo positivo. O método desenvolvido foi linear no intervalo de 5-500 ng mL-1 para todos os analitos avaliados. A disposição cinética de CQ e do principal metabólito monodesetilcloroquina (DCQ) em ratos sugere enantiosseletividade após administração do fármaco na forma racêmica, com maiores concentrações de (+)-(S)-CQ e (-)-(R)-DCQ. O método para análise dos enantiômeros de MQ e do metabólito aquiral carboximefloquina (CMQ) também foi desenvolvido empregando LPME na preparação das amostras. A extração destes analitos foi realizada em duas etapas para eficaz recuperação dos mesmos (valores entre 35-38%). Os analitos foram separados na coluna Chirobiotic T em fase polarorgânica, com detecção por absorção no ultravioleta em 285 nm. O método apresentou linearidade no intervalo de 50-1500 e 50-3000 ng mL-1 para os enantiômeros de MQ e CMQ, respectivamente. A disposição cinética de MQ em ratos indica enantiosseletividade com maiores concentrações de (+)-(RS)- MQ após administração do fármaco na forma racêmica. A separação cromatográfica em fase reversa de ART e metabólito diidroartemisinina (DHA) foi alcançada utilizando-se coluna contendo Si-Zr-PMTDS como fase estacionária e a detecção destes analitos foi realizada empregando-se MS no modo ESI positivo. O procedimento otimizado de LPME em duas fases para extração de ART e DHA em plasma resultou em valores de recuperação de 32 e 25%, respectivamente. O método desenvolvido foi linear no intervalo de 5- 1000 ng mL-1 para ambos os analitos. O estudo piloto de disposição cinética em ratos evidenciou maiores concentrações de DHA. Os resultados obtidos confirmam a viabilidade da LPME para extração destes antimaláricos e respectivos metabólitos em plasma. / Currently, malaria is the main parasitic infection and shows worldwide distribution. Among therapeutic options used, chloroquine (CQ), mefloquine (MQ) and, more recently, artemether (ART) have been standing out. According to the literature, pharmacokinetic studies of these drugs have been hampered by the lack of proper methods of analysis in biological fluids and, regarding the chiral drugs (CQ and MQ), with the ability to determine the individual enantiomers. Therefore, the aim of this work was to evaluate the utilization of liquid-phase microextraction as the sample preparation technique for the determination of these antimalarial drugs and their metabolites in plasma. The enantioselective analysis of CQ and its metabolites was carried out using LPME as technique of sample preparation, which yielded recovery rates within 28- 66%. These analytes were resolved on a Chirobiotic V column in the polarorganic mode and further detected using mass spectrometry (MS) with electrospray interface (ESI) in the positive mode. The developed method was linear in the range of 5-500 ng mL-1 for all analytes studied. The kinetic disposition of CQ and its main metabolite monodesethylchloroquine (DCQ) in rats suggests enantioselectivity following the administration of the racemic drug, with higher concentrations of (+)-(S)-CQ and (-)-(R)-DCQ. The method for the analysis of the enantiomers of MQ and its achiral metabolite carboxymefloquine (CMQ) also had LPME as technique of sample preparation. The extraction of these analytes was carried out in two-steps to obtain efficient recovery rates (values within 35-38%). The analytes were resolved on a Chirobiotic T column in polar-organic mode and ultraviolet detection was performed at 285 nm. The method was linear in the range of 50-1500 and 50-3000 ng mL-1 for the enantiomers of MQ and CMQ, respectively. The kinetic disposition of MQ in rats indicates enantioselectivity with higher concentrations of (+)-(RS)-MQ following the administration of the racemic drug. The chromatographic resolution of ART and its metabolite dihydroartemisinin (DHA) in the reversed mode was achieved utilizing a column containing Si-Zr-PMTDS as stationary phase and their detection was conducted employing MS in the positive ESI mode. The optimized two-phase LPME procedure for the extraction of ART and DHA from plasma showed recovery values of 32 and 25%, respectively. The developed method was linear over the range of 5-1000 ng mL-1 for both analytes. The pilot study of kinetic disposition in rats showed higher concentrations of DHA. The obtained results confirm the feasibility of LPME for the extraction of these antimalarial drugs and their metabolites from plasma.

Apesar dos esforços mundiais a malária ainda é uma doença com altas taxas de morbidade e mortalidade. Investigamos o efeito de moléculas sintéticas relacionadas a melatonina e a triptamina no ciclo celular de P. falciparum, bem como mostramos que essa classe de compostos apresenta ação antimalárica significativa. Avaliamos também 5 novas hidroxinaftoquinonas sintéticas em cultura in vitro de P. falciparum, todas apresentaram atividade antimalárica, tendo N3 destacado-se por apresentar um IC50 na faixa nanomolar. Mostramos que o possível mecanismo de ação de N3 é inibindo o potencial de membrana mitocondrial. Em células de mamíferos HEK293, N3 não mostrou toxicidade significativa. No modelo de infecção utilizando P. berghei (ANKA GFP) o composto N3 não foi capaz de curar os animais infectados, apesar da redução significativa da parasitemia no quarto dia após a infecção. Nessa tese mostramos o uso da citometria de fluxo como uma ferramenta prática possibilitando a avaliação do ciclo do parasita. / Despite the worldwide effort the malaria is still a devastating disease. We have tested melatonin and synthetic related indoles molecules on P. falciparum cell cycle and showed the potential antimalarial activity. We have tested 5 new synthetic hydroxynaphthoquinones on in vivo culture of P. falciparum 3D7, all of them showed antimalarial activity, but only N3 showed an IC50 in the nanomolar range. We demonstrate that the probable mechanism of action of N3 is inhibiting the mitochondrial membrane potential. In mammalian cells, N3 did not show cytotoxicity. Subsequently, we tested the compound N3 in murine infection model of P. berghei. After 4 days the parasitemia was assessed and the survival monitored for 30 days. N3 was not able to cure the infected animals, despite the initial reduction of parasitemia on 4th day post-infection. In this thesis we have demonstrated the use of flow cytometry as a useful and powerful tool in malaria research.

Nesta dissertação, identificou-se que as drogas esqualestatina, fosmidomicina, risedronato e nerolidol apresentam atividades sinérgicas e aditivas quando administradas em cultura de P. falciparum. Esses resultados contribuem para a compreensão da biologia do parasita e abrem estudos para possíveis antimaláricos. Identificou-se a especificidade da droga esqualestatina inibidora da enzima fitoeno sintase por meio de marcações metabólicas utilizando precursor radioativo ([3H]GGPP), e análise pela técnica de cromatografia (RP-HPLC). Realizou-se testes de inibição para determinar o valor da IC50 na linhagem pRM2-Fito-HA, a qual encontra-se super expressando enzima fitoeno sintase e encontrou-se um valor IC50 de 5 <font face=\"Symbol\">mM para o isolado 3D7 enquanto que para a linhagem pRM2-Fito-HA foi de 30 <font face=\"Symbol\">mM. Demonstrando assim que a enzima fitoeno sintase é o principal, senão único alvo da esqualestatina em P. falciparum, o que sugere que este composto ou derivado do mesmo são potenciais antimalaricos. / In this thesis, we found that the drug squalestatin, fosmidomicina, risedronate, nerolidol have synergistic and additive activity when administered in cultured P. falciparum. These results contribute to the understanding of the biology of the parasite and open studies for potential antimalarials. We identified the specific drug squalestatin inhibiting phytoene synthase enzyme by using metabolic markers radioactive precursor ([3H] GGPP) by the technique of analysis and chromatography (RP-HPLC). Held inhibition tests to determine the IC50 value of the strain in pRM2-Phyto-HA, which is super expressing phytoene synthase enzyme and met an IC50 value of 5 microM to isolate 3D7 whereas for strain pRM2 -Phyto-HA was 30 <font face=\"Symbol\">mM. Thus demonstrating that the enzyme phytoene synthase is the primary, if not sole target of squalestatin in P. falciparum, which suggests that this compound or derivative thereof as potential antimalarials.

O estudo da biossíntese de isoprenóides em P. falciparum por meio da via 2C-metil-D-eritritol-4-fosfato (MEP) é apontado como possível alvo terapêutico, visto a via ser ausente em humanos. Foi descrito que nos estágios intraeritrocitários de P. falciparum a via essencial de biossíntese de isoprenóides é a via MEP. As vias do Chiquimato e MEP são precursoras da biossíntese de vitamina E e ambas já foram descritas em P. falciparum. É sugerido que a biossíntese de vitamina E possa ocorrer no parasita, representando um possível alvo para o desenvolvimento de novas drogas antimaláricas. Empregando marcações metabólicas com precursores radioativos, três diferentes métodos de RP-HPLC e análises por espectrometria de massas confirmamos a biossíntese de vitamina E nos três estágios intraeritrocíticos do parasita. O tratamento com ácido úsnico, mostrou inibição dessa biossíntese no estágio esquizonte e do crescimento do parasita. Demonstramos por meio de uma sonda fluorescente, ácido Parinárico, que a vitamina E atua como antioxidante lipofílico, protegendo a lipoperoxidação. Esses resultados não só contribuem para a compreensão da biologia de P. falciparum, mas também elucidam partes das vias MEP e do Chiquimato que podem servir como alvos terapêuticos. / The study of isoprenoid biosynthesis in Plasmodium falciparum by 2C-methyl-D-erythritol-4-phosphate pathway (MEP) it is presented as a therapeutic target once that it is absent in humans. It was found in intraerythrocytic stages of P. falciparum the biosynthesis of isoprenoids by the MEP pathway. The shikimate and MEP pathways are the precursors of biosynthesis of vitamin E and both pathways have already been described in P. falciparum. It is suggested that the biosynthesis of vitamin E might occur in the parasite, representing a possible target for developing new antimalarial drugs. Using metabolic labelling with radiolabelled precursors, three different methods of RP-HPLC and mass spectrometry analyses confirmed the biosynthesis of vitamin E in the three intraerythrocytic stages of parasite. The treatment with usnic acid showed an inhibition of this biosynthesis and of the growth of parasite. We demonstrated by means of a fluorescent probe, the acid Parinaric, that vitamin E acts as a lipophilic antioxidant protecting the membrane of lipoperoxidation. These findings not only contribute to the current understanding of P. falciparum biology but shed light on a pathway that could serve as a chemotherapeutic target.

Apesar dos esforços mundiais a malária ainda é uma doença com altas taxas de morbidade e mortalidade. Investigamos o efeito de moléculas sintéticas relacionadas a melatonina e a triptamina no ciclo celular de P. falciparum, bem como mostramos que essa classe de compostos apresenta ação antimalárica significativa. Avaliamos também 5 novas hidroxinaftoquinonas sintéticas em cultura in vitro de P. falciparum, todas apresentaram atividade antimalárica, tendo N3 destacado-se por apresentar um IC50 na faixa nanomolar. Mostramos que o possível mecanismo de ação de N3 é inibindo o potencial de membrana mitocondrial. Em células de mamíferos HEK293, N3 não mostrou toxicidade significativa. No modelo de infecção utilizando P. berghei (ANKA GFP) o composto N3 não foi capaz de curar os animais infectados, apesar da redução significativa da parasitemia no quarto dia após a infecção. Nessa tese mostramos o uso da citometria de fluxo como uma ferramenta prática possibilitando a avaliação do ciclo do parasita. / Despite the worldwide effort the malaria is still a devastating disease. We have tested melatonin and synthetic related indoles molecules on P. falciparum cell cycle and showed the potential antimalarial activity. We have tested 5 new synthetic hydroxynaphthoquinones on in vivo culture of P. falciparum 3D7, all of them showed antimalarial activity, but only N3 showed an IC50 in the nanomolar range. We demonstrate that the probable mechanism of action of N3 is inhibiting the mitochondrial membrane potential. In mammalian cells, N3 did not show cytotoxicity. Subsequently, we tested the compound N3 in murine infection model of P. berghei. After 4 days the parasitemia was assessed and the survival monitored for 30 days. N3 was not able to cure the infected animals, despite the initial reduction of parasitemia on 4th day post-infection. In this thesis we have demonstrated the use of flow cytometry as a useful and powerful tool in malaria research.

Nesta dissertação, identificou-se que as drogas esqualestatina, fosmidomicina, risedronato e nerolidol apresentam atividades sinérgicas e aditivas quando administradas em cultura de P. falciparum. Esses resultados contribuem para a compreensão da biologia do parasita e abrem estudos para possíveis antimaláricos. Identificou-se a especificidade da droga esqualestatina inibidora da enzima fitoeno sintase por meio de marcações metabólicas utilizando precursor radioativo ([3H]GGPP), e análise pela técnica de cromatografia (RP-HPLC). Realizou-se testes de inibição para determinar o valor da IC50 na linhagem pRM2-Fito-HA, a qual encontra-se super expressando enzima fitoeno sintase e encontrou-se um valor IC50 de 5 <font face=\"Symbol\">mM para o isolado 3D7 enquanto que para a linhagem pRM2-Fito-HA foi de 30 <font face=\"Symbol\">mM. Demonstrando assim que a enzima fitoeno sintase é o principal, senão único alvo da esqualestatina em P. falciparum, o que sugere que este composto ou derivado do mesmo são potenciais antimalaricos. / In this thesis, we found that the drug squalestatin, fosmidomicina, risedronate, nerolidol have synergistic and additive activity when administered in cultured P. falciparum. These results contribute to the understanding of the biology of the parasite and open studies for potential antimalarials. We identified the specific drug squalestatin inhibiting phytoene synthase enzyme by using metabolic markers radioactive precursor ([3H] GGPP) by the technique of analysis and chromatography (RP-HPLC). Held inhibition tests to determine the IC50 value of the strain in pRM2-Phyto-HA, which is super expressing phytoene synthase enzyme and met an IC50 value of 5 microM to isolate 3D7 whereas for strain pRM2 -Phyto-HA was 30 <font face=\"Symbol\">mM. Thus demonstrating that the enzyme phytoene synthase is the primary, if not sole target of squalestatin in P. falciparum, which suggests that this compound or derivative thereof as potential antimalarials.

[Truncated abstract] Iron is essential to most biological systems. Under pathological conditions affecting the iron metabolic pathway, iron can be deposited in the tissue in various forms. The work presented in this thesis has exploited the relationship between the magnetic and the chemical properties of tissue iron deposits to further understanding of two major pathologies, the haemoglobinopathies termed thalassaemias and the malaria parasite Plasmodium falciparum, both amongst the most common health concerns in tropical countries. The iron-specific magnetic susceptibilities ¿Fe for spleen tissue samples from 7 transfusion dependent ß-thalassaemia (ß-thal) patients and 11 non-transfusion dependent ß-thalassaemia/Haemoglobin E (ß/E) patients were measured at 37°C. Both groups of patients were iron loaded with no significant difference in the distribution of spleen iron concentrations between the two groups. There was a significant difference between the mean ¿Fe of the spleen tissue from each group. The ß/E patients had a higher mean (± standard deviation) spleen ¿Fe (1.55 ± 0.23 × 10-6 m3.kgFe -1) than the ß-thal patients (1.16 ± 0.25 × 10-6 m3.kgFe -1). Correlations were observed between ¿Fe of the spleen tissue and the fraction of magnetic hyperfine split sextet in the 57Fe Mössbauer spectra of the tissues at 78 K (Spearman rank order correlation ¿ = -0.54, p = 0.03) and between ¿Fe of the spleen tissue and the fraction of doublet in the spectra at 5 K (¿ = 0.58, p = 0.02) indicating that ¿Fe of the spleen tissue is related to the chemical speciation of the iron 2 deposits in the tissue. The biological variability of the iron-specific magnetic susceptibility of the tissue iron examined would contribute a random uncertainty of 19% to magnetic susceptibility based non-invasive measurements of tissue iron concentration. ... Magnetic susceptibility measurements were also performed on malaria parasitised red blood cells. In vitro cultures of P. falciparum were magnetically enriched up to 61-fold using high field gradient magnetic separation columns, and the magnetic susceptibility of cell contents was directly measured. Forms of haem iron were quantified spectroscopically. Further fractionations were performed such that, by controlling the fluid velocity through the column, cells with more than a critical amount of paramagnetic 3 iron were preferentially extracted. A chloroquine-sensitive (CQS) laboratory strain of parasites converted approximately 60% of host cell haem iron to haemozoin and this product was the primary source of the increase in cell magnetic susceptibility. The volumetric magnetic susceptibility of the magnetically enriched cells was found to be 0.15 ± 0.03 × 10-7 relative to the suspension medium, accounting for the enrichment of mature parasites. Comparisons of fractionation samples of two pairs of CQS and chloroquine resistant (CQR) strains showed enrichment of mature parasites was significantly greater in the CQS than the CQR strains. The results suggest the possibility of using magnetic separation columns in identifying CQR strains of P. falciparum, potentially in a diagnostic or research setting. The study also underlines the need to identify and quantify the forms of iron in CQR and CQS parasite strains as the fate of haem iron will have implications in understanding the mechanisms of chloroquine resistance.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2009. / Härtill 6 uppsatser.

Callophycolide A is a meroditerpene isolated from Callophycus serratus, a Fijian red macroalgae. Callophycolide A has been shown to inhibit bacterial growth, and it exhibits moderate cytotoxicity against multiple human cancer cell lines. Most importantly, it exhibits moderate activity against Plasmodium falciparum, the dead- liest malaria-causing parasite to humans. Due to its antimalarial action and the need for antimalarial drugs on the pharmaceutical market, efforts toward a modular approach to the total synthesis of callophycolide A are presented that incorporate inexpensive, commercially available starting materials, offer gram-level scalability, and utilize known chemistry, including copper-mediated aryl allylation, hydrolytic kinetic resolution, base-promoted epoxide ring-opening, and the Steglich esterification. Once completed, this synthetic pathway can be used as a template for the total synthesis of other related marine natural products, such as the callophycols, callophycoic acids, and the bromophycolides. Callophycoic acids, also isolated from C. serratus, are the first examples of diterpene- benzoic acids observed in macroalgae. In addition, these acids, particularly callophycoic acids G and H, exhibit modest antibacterial activity. Although they are not strongly potent against malaria, they share a trans-decalin core identical to callophycols A and B, which are halogenated diterpene-phenols isolated from C. serratus that do exhibit modest antimalarial activity. Due to their identical core and their simpler structure (i.e., trisubstituted olefin tail), if a divergent total synthesis of callophycoic acids G and H can be established, it can serve as a template for synthesizing natural products that have been identified to be more potent against malaria, such as the callophycols, which are more complex in structure. Herein, a total synthesis of callophycoic acids G and H is investigated, which consists of a Wittig reaction, nucleophilic addition, and a bromonium-induced cation-pi cascade cyclization, and the progress toward the target molecules in the current study will be disclosed. To access chiral intermediates for the aforementioned metabolites, catalytic methods were sought. Hydrolytic kinetic resolution (HKR) resolves racemic epoxides using water as the nucleophile and is most often catalyzed by chiral Co(III)-salens. Previous studies have shown that the counter-ion of the Co(III)-salen has a direct effect on the rate of the HKR; when catalyzed by a 50:50 mix of (R,R)-Co(III)-salen-OH and (R,R)-Co(III)-salen-SbF6, the fastest HKR rates occurred. It has further been shown that the enantioselectivity is primarily associated with the reaction of (R,R)-Co(III)-salen-OH on the activated epoxide. Based on the aforementioned origin of selectivity, a catalyst containing a 50:50 mix of (R,R)-Co(III)-salen-OH and (±)-trans-Co(III)-salen-SbF6 could, in principle, give high activities and enantioselectivities for HKR comparable to a mixed counter-ion system containing both (R,R)-Co(III)-salens. In this dissertation, a series of experiments are described that demonstrate that highly selective catalysis is only achieved using 100% enantiopure ligand and that mixtures of (R,R)-Co(III)-salen and (±)-trans-Co(III)-salen yield lower activity and selectivity. Control experiments demonstrate that this is due to rapid counter-ion scrambling under the reaction conditions, precluding the possibility of effectively co-utilizing enantiopure (expensive) and racemic (inexpensive) catalysts with differing counter-ions. The mechanistic investigations resolving the counter-ion scrambling are consistent with the currently accepted mechanism for catalysis, involving cooperative activity of the two Co(III)-salen species that activate the epoxide and water in the reaction. Moreover, the application of HKR in the progress toward the total synthesis of callo- phycolide A will be highlighted and discussed.

Human malaria, caused by four species of the intracellular protozoan parasite Plasmodium, is a major health and economic burden in the tropics where the disease is endemic. The biotindependent enzyme acetyl-CoA carboxylase catalyses the commitment step in de novo fatty acid biosynthesis in several organisms. Acetyl-CoA carboxylase is a target for anti-parasitic drug development due to its relevance in membrane biogenesis. This study describes the detection of acetyl-CoA carboxylase and the partial characterisation of the biotinoyl domain of the enzyme of the mouse malaria parasite, Plasmodium yoelii. Acetyl-CoA carboxylase mRNA was detected by RT-PCR performed on total RNA isolated from P. yoelii 17XL-infected mouse erythrocytes using primers designed from PY01695 ORF of the Plasmodb-published MALPY00458 gene of P. yoelii 17XNL. The RT-PCR was confirmed by sequencing and comparative analysis of the sequenced RT-PCR cDNA products. Northern blot analysis performed on total RNA using probes designed from a 1 kb region of the gene showed that the transcript was greater than the predicted 8.7 kb ORF. An immunogenic peptide corresponding to the P. yoelii theoretical acetyl-CoA carboxylase sequence was selected using epitope prediction and multiple sequence alignment algorithms. The immunogenic peptide was coupled to rabbit albumin carrier for immunisation in chickens and the affinity purified antibody titre was approximately 25 mg. The anti-peptide antibodies detected a 330 kD protein in P. yoelii lysate blot, which corresponds to the predicted size of the enzyme. The enzyme was also detected in situ by immunofluorescence microscopy using the anti-peptide antibodies. A 1 kb region of the P. yoelii acetyl-CoA carboxylase gene containing the biotinoyl domain was cloned and expressed in E. coli as 66 kD GST-tag and 45 kD His-tag protein. Both recombinant biotinoyl proteins were shown to contain bound biotin using peroxidaseconjugated avidin-biotin detection system. This suggested in vivo biotinylation of the recombinant P. yoelii biotinoyl protein, possibly by the E. coli biotin protein ligase. The Proscan™ and the NetPhos 2.0™ algorithms were used to predict protein kinase phosphorylation sites on the biotin carboxylase and the carboxyltransferase domains of the enzyme. The three-dimensional structure of the biotinoyl and the biotin carboxylase domains were predicted using the SWISS-MODEL™ homology modelling algorithm. Homology modelling revealed a similarity in the 3D conformation of the predicted P. yoelii biotinoyl domain and the E. coli biotinoyl protein with negligible root mean square deviation. The model also revealed the possibility of inhibiting P. yoelii and falciparum acetyl-CoA carboxylases with soraphen A based on the similarity in conformation with S. cerevisiae biotin carboxylase and the stereochemical properties of the residues predicted to interact with soraphen A. This study demonstrated that malaria parasite expresses acetyl-CoA carboxylase and, combined with data on other enzymes involved in fatty acid metabolism suggests that the parasite synthesizes fatty acids de novo. This enzyme could be a target for rational drug design. / Thesis (Ph.D.)-University of KwaZulu-Natal, Pietermaritzburg, 2008.