Der Piperidin-Heterozyklus kann als wichtiger, multifunktionaler Arzneistoffbaustein angesehen werden, da eine große Anzahl derzeit eingesetzter Arzneistoffe den Piperidin-Derivaten zuzuordnen ist. Dabei kommen diese Substanzen bei einer Vielzahl verschiedenster Indikationen zum Einsatz. Aus diesem Grund wurden im Zuge dieser Arbeit ebenfalls Piperidin-Derivate synthetisiert, und zwar zum einen 2,6-Diaryl-4-oxo-piperidin-3,5-dicarbonsäurediester und 2,6-Diaryl-4-oxo-piperidin-3-carbonsäuremethylester, die auf ihre antiproliferativen Eigenschaften an Protozoen untersucht werden sollten, und zum anderen Spiropiperidinderivate, die als Liganden des Opioidrezeptors ORL1 synthetisiert worden sind. Die synthetisierten Spiropiperidin-Derivate basieren auf der Leitverbindung Ro 64-6198, einem selektiven und hochaffinen Agonisten am ORL1-Rezeptor, welcher als viertes Mitglied der Opioidrezeptor-Familie zugeordnet wurde. Die bisherigen pharmakologischen Untersuchungen konnten ein breites Wirkprofil seines endogenen Liganden Nociceptin aufdecken. Da jedoch aus der Literatur gerade im Bereich der Schmerzmodulation teilweise kontroverse Ergebnisse vorliegen und nur wenig über die Wirkmechanismen bekannt ist, ist die Synthese selektiver Agonisten und Antagonisten notwendig. Ziel dieser Arbeit war es, Derivate der Leitverbindung zu synthetisieren. Die wesentlichste Änderung stellte die Substitution des Piperidin-Grundgerüstes durch Alkylseitenketten dar. Die pharmakologischen Untersuchungen am ORL1-Rezeptor sind jedoch bislang noch nicht abgeschlossen. Unter den Infektionskrankheiten stellt vor allem Malaria eine große Belastung für die hauptsächlich in tropischen Gebieten lebende Bevölkerung dar. Das gleiche gilt für Trypanosomeninfektionen (afrikanische Schlafkrankheit und Chagas-Erkrankung). Das Hauptproblem in der Therapie dieser Infektionen besteht in der zunehmenden Resistenzbildung der Erreger gegenüber den derzeit eingesetzten Arzneistoffen. Die Aufklärung des Polyaminstoffwechsels von Protozoen bietet einen neuen Ansatzpunkt, denn die Unterbrechung dieses Metabolismus durch gezielte Hemmung der beteiligten Enzyme kann die Vermehrung der Protozoen verhindern. Polyamine wie Putrescin, Spermin und Spermidin spielen bei der Zellteilung und -proliferation von Eukaryonten eine maßgebliche Rolle. Gleiches gilt für den durch Metabolisierung des Spermidins aktivierten “eukaryotic initiaton factor“ (eIF5A). Dessen Aktivierung verläuft über die beiden Enzyme Deoxyhypusinsynthase (DHS) und Deoxyhypusin-hydroxylase (DHH). Für die Pflanzenaminosäure L-Mimosin und das Fungizid Ciclopirox ist an Plasmodien bereits eine inhibitorische Wirkung der Deoxyhypusinhydroxylase in vitro und damit verbunden die Hemmung des Plasmodienwachstums nachgewiesen. Beide entfalten ihre Wirkung über die Chelatisierung des im Enzym vorliegenden Metall-Ions Fe(II)/Fe(III). Da nur L-Mimosin in vivo eine inhibitorische Aktivität zeigt, wurde dieses als Leitstruktur für die zu synthetisierenden 2,6-Diaryl-4-oxo-piperidin-3,5-dicarbonsäurediester und 2,6-Diaryl-4-oxo-piperidin-3-carbonsäuremethylester herangezogen. Im Zuge dieser Arbeit konnten diverse Derivate beider Verbindungstypen synthetisiert werden, deren inhibitorische Aktivität in vitro an Plasmodium falciparum und Trypanosoma brucei brucei und deren Zytotoxizität an Makrophagen getestet wurden. Die Synthese erfolgte in beiden Fällen über eine Mannichreaktion. Die IC50-Werte dieser an Trypanosoma brucei brucei untersuchten Verbindungen liegen im Bereich der Aktivität der derzeit bei Trypanosomeninfektionen eingesetzten Arzneistoffe Eflornithin-HCl und Nifurtimox für die Verbindungen 10a-10n bzw. Suramin-Na und Nifurtimox für 11a-11d. Somit stellen die Monoester-Verbindungen die potentere Substanzklasse dar. Die an Plasmodium falciparum getesteten und als inhibitorisch aktiv identifizierten 2,6-Diaryl-4-oxo-piperidin-3,5-dicarbonsäurediestern sind die Derivate 10h-10k. Unter den 2,6-Diaryl-4-oxo-piperidin-3-carbonsäuremethylestern konnte 11c als aktive Verbindung identifiziert werden. Diese Monoester-Verbindung weist im Vergleich zu den aktiven Diester-Derivaten eine 10-fach höhere Potenz auf. Daher ist anzunehmen, dass die Monoester-Derivate auch an Plasmodien die aktivere Substanzklasse darstellen. Die Verbindungen 10h-10k wurden wegen ihrer guten In-vitro-Aktivität an Plasmodium falciparum weiter untersucht. Allerdings konnte in den In-vivo-Versuchen an Plasmodium berghei-infizierten Mäusen keine Hemmung der Parasitämie festgestellt werden. / The piperidine heterocycle can be seen as an important and multitfunctional drug component as many currently used drugs can be classified as piperidine derivatives. These substances are used in a manifold of pharmacological indications. Therefore, piperidine derivatives were synthesised within the course of this work, on the one hand 2,6-diaryl-4-oxo-piperidine-3,5-dicarboxylates and 2,6-diaryl-4-oxo-piperidine-3-carboxylates whose antiproliferative properties against protozoa were investigated, and on the other hand, spiropiperidines which were synthesised as ligands for the opioid receptor ORL1. The spiro-compounds planned are based on the lead structure Ro 64-6198, an agonist at the ORL1-receptor with good selectivity and high affinity. This receptor was classified as the fourth member of the opioid receptor family. The so far investigated pharmacological properties of its endogenous ligand nociceptin showed versatile therapeutic possibilities. However there is too little knowledge about mode of action yet. Especially in terms of pain modulation controversial opinions exist. To clarify these different opinions selective agonists and antagonists are necessary. The aim of this work was to create new derivatives of the lead structure with alkyl residues in position 7 and 9 as the substantial change. By means of a Mannich-condensation followed by saponification and decarboxylation 2,6-dialkyl-4-piperidones were formed. In the next steps the spirocyclisation was accomplished according to the procedure reported by Röver et al. Because the last step of the synthesis of the 1,3,8-triaza-spiro[4.5]decane-4-ones did not yield any or good results (compounds 7g-7i) a different ring closure was tried. This led to the 1,3,8-triaza-spiro[4.5]decane-2,4-diones 8a-8f, 9a-9f and 9k (see table 1). The difference to the compounds synthesised according to Röver et al. is a carbonyl instead of a methylene group at position 2. The pharmacological assays concerning the ORL1-receptor could not be carried out yet. Among infectious diseases, malaria represents the main burden for the population in tropical areas. Besides this, trypanosomal infections like African trypanosomiasis and chagas disease also turn out to be difficult in therapy. The major problem is increasing resistance of the protozoan organisms against current therapeutics. To solve this problem there are great efforts in finding new drug targets. A new strategy is to elucidate the polyamine metabolism of protozoa. By interrupting this pathway by specific inhibition of involved enzymes it is possible to stop protozoan growth. Polyamines like spermine, spermidine and putrescine play an important role in cell differentiation and proliferation within all eukaryotes. The eukaryotic initiation factor eIF5A which is activated by spermidine metabolism is also important in this field. Its activation is catalysed by deoxyhypusine synthase (dhs) and deoxyhypusine hydroxylase (dhh). The plant amino acid L-mimosine and the fungicide ciclopirox both inhibit dhh in vitro and due to this protozoan growth. The effect is caused by building a chelate with the enzyme’s metal-ion Fe(II)/Fe(III). As only L-mimosine showed good inhibitory qualities in the in vivo experiments, we used L-mimosine as the lead structure for the synthesis of 2,6-diaryl-4-oxo-piperidine-3,5-dicarboxylates and 2,6-diaryl-4-oxo-piperidine-3-carboxylates. In both cases several compounds have been prepared by means of a Mannich-condensation. The pharmacological experiments for inhibitory activity were carried out at Trypanosoma brucei brucei and Plasmodium falciparum and for cytotoxicity at macrophages. The 2,6-diaryl-4-oxo-piperidine-3,5-dicarboxylates 10a-10n were synthesised from acetone-1,3-dicarboxylic acid dimethyl- or diethylester, aromatic aldehyde and a primary amine at the ratio of 1:2:1 (see table 2). The IC50 values against Trypanosoma brucei brucei acquired for 10a-10n are comparable to the commonly used antitrypanosomal drugs eflornithin-HCl and nifurtimox. Those acquired for 11a-11d are similar to suramine-Na and nifurtimox. Therefore the monoesters are presumably the more active class of compounds. Further investigation with Plasmodium falciparum showed that the 2,6-diaryl-4-oxo-piperidine-3,5-dicarboxylates 10h-10k have inhibitory effects. Among the 2,6-diaryl-4-oxo-piperidine-3-carboxylates only compound 11c could be identified as an active inhibitor. This monoester derivative shows a ten-fold higher potency in comparison to the diesters and presumably represents the more potent class of compounds. This finding corresponds with the experiments with Trypanosomes. Because of their good inhibitory qualities in vitro at Plasmodium falciparum the compounds 10h-10k were analysed at Plasmodium berghei infected mice in vivo. But no inhibitory effect could be detected.

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Severe malaria caused by Plasmodium falciparum (P. falciparum) remains a leading cause of death in many low and middle income countries. The intraerythrocytic reproduction cycle of the parasite is responsible for all the symptoms and mortality of malaria. The merozoite, first invade a red blood cell (RBC) in the circulation, then grows, develops and multiplies within it by clonal division. Merozoite invasion is a complex process involving dynamic interactions between ligands in the merozoite coat and receptors on the red blood cell membrane. Therefore, filming the complete malaria invasion processes may shed the light on its mechanism. The rationale of this work is that learning how the various ligand-receptor interactions affect invasion phenotypes will lead us to a better understanding of the key biological and biophysical aspects of parasite growth in the blood. The work described has firstly involved the development of an optimised imaging platform for recording egress-invasion sequences. I used live cell microscopy to understand this stage of malarial infection better, by monitoring egress-invasion sequences in live cultures under controlled conditions and addressing the morphology and kinetics of erythrocyte invasion by P. falciparum. In addition, the erythrocyte invasion phenotypes of the various P. falciparum strains were systematically investigated for the first time by live cell microscopy. Furthermore, to better understand genetic recombination affecting erythrocyte invasion phenotypes, progeny from the 7G8 x GB4 cross was compared to their parents. In order to investigate specific receptor-ligand interactions and their distinct functional characterisations at each distinct stage, the enzymes that cleave receptors on the erythrocytes and antibodies targeting ligands on the merozoites were studied and their effects observed using the live-imaging platform. In the results, the functions of ligands on the merozoites demonstrated for the first time distinct and sequential functions of proteins during erythrocyte invasion, which could potentially guide the design of more effective malaria vaccines. In addition, I have designed microfluidic devices for studying blood stage malaria. Polydimethylsiloxane (PDMS) microfluidic devices are optically transparent, non-toxic and have biocompatible features. Building on previous work, I made specific microfluidic devices for achieving a high throughput of egress-invasion observations. Infected red blood cells were delivered into a microfluidic device channel containing cage-like "nests". The nests were designed to selectively trap these stiff, egress-ready cells, in order to obtain streams of merozoites on maturation. Uninfected RBCs were delivered from another input into a long serpentine channel co-flowing with the egressed merozoites. The results indicated that, during P. falciparum erythrocyte invasion under flow conditions, the morphological effect on erythrocytes and the kinetic properties show significant differences to those in static conditions. In addition, with optimised flow rates, it is possible to reach higher throughput of egress-invasion observations than static conditions. Both the static and flow experiments carried out in this study highlight important mechanisms and processes of malaria invasion, and represent new ways of studying blood stage malaria. Precise and high throughout recording of single-event host-pathogen interaction events will allow us to address a new area of fundamental biological questions in future work.

The sexual phase of Plasmodium falciparum begins with the differentiation of intraerythrocytic sexual stages, termed gametocytes, in the human host. Mature gametocytes circulate in the peripheral blood and are taken up by the mosquito during the blood meal. These stages are essential for the spread of the malaria disease and form gametes in the mosquito midgut within minutes. A highly conserved family of six secreted proteins has been identified in Plasmodium falciparum. They comprise multiple adhesive domains and are termed PfCCp1 through PfCCp5, and PfFNPA. It was revealed in this work that PfCCp multi-domain adhesion proteins form protein complexes in gametocytes and on the surface of newly emerged macrogametes by adhesion domain-mediated binding. Co-Immunoprecipitation assays with activated gametocyte lysates show interactions between PfCCp proteins and indicate surface association via Pfs230 and Pfs25. Pfs230 is connected with the plasma membrane of the parasite by its interaction partner Pfs48/45. This protein is linked to the plasma membrane by a GPI anchor and presumably retains the multi-protein complex on the surface of newly emerged macrogametes in the mosquito midgut. A WD40 domain containing protein was identified to be part of this protein complex. It might serve as platform for the assembly of the multi protein complex or mediate the interplay among proteins, as suggested from known functions of the WD40 domain repeats. During egress from the host erythrocyte, the emerging gametes become vulnerable to factors of the human complement, which is taken up with the blood meal. In this thesis it was found that the complement system is active for about one hour post feeding. Macrogametes defend against complement-mediated lysis by co-opting the human complement regulators Factor H and FHL-1 from the blood-meal. These serum proteins bind via its SCR domains 5-7 to the surface of macrogametes. Once bound, they trigger complement inactivation of the alternative pathway, which prevents induction of complement lysis on the surface of the malaria parasite. Antibodies against Factor H are able to impair the sexual development in vitro and are able to block transmission to the mosquito. Interaction studies on endogenous proteins and immobilized recombinant proteins revealed the PfGAP50 protein as binding partner of Factor H and FHL-1. This protein was hitherto described as a glideosome-associated protein in invasive parasite stages, but has not yet been characterized in gametes. First localization studies indicate a relocation of PfGAP50 from the inner membrane complex to the surface of macrogametes. Malaria still persists as one of the deadliest infectious diseases worldwide. Investigations on the essential transmissive stages, gametocytes and gametes of Plasmodium falciparum, stood in the background of research for a long time. This work deciphered details on protein interactions on the surface of the malaria parasite and provides first information about coactions between the parasite and the human complement in the mosquito midgut. / Die Sexualphase von Plasmodium falciparum beginnt mit der Ausbildung von intraerythrozytären Sexualstadien, sogenannten Gametozyten, im menschlichen Wirt. Reife Gametozyten zirkulieren im peripheren Blut und werden während der Blutmahlzeit von der Mücke aufgenommen. Dieses Parasitenstadium ist ausschlaggebend für die Verbreitung von Malaria und bildet im Mückendarm innerhalb von Minuten Gameten. In Plasmodium falciparum wurde eine hochkonservierte Familie bestehend aus sechs sekretierten Proteinen entdeckt. Diese bestehen aus verschiedenen Adhäsionsdomänen und werden PfCCp1 bis PfCCp5 und PfFNPA genannt. In dieser Arbeit wurde gezeigt, dass PfCCp Multiadhäsionsproteine Komplexe in Gametozyten und auf der Oberfläche von jungen Makrogameten mittels domänenvermittelter Bindungen bilden. Ko-Immunpräzipitationen mit Lysat aus aktivierten Gametozyten zeigten oberflächenvermittelte Interaktionen der PfCCp Proteine durch Pfs230 und Pfs25. Pfs230 ist mit seinen Interaktionspartner Pfs48/45 durch einen GPI-Anker mit der Plasmamembran des Parasiten verbunden. Der Multi-Proteinkomplex wird somit auf der Oberfläche von jungen weiblichen Gameten festgehalten. Zudem wurde in dem neu identifizierten Proteinkomplex ein Protein entschlüsselt welches WD40-Domänen aufweist. Bereits bekannte Funktionen von sich wiederholenden WD40-Domänen lassen vermuten, dass dieses Protein möglicher-weise als Plattform für den Zusammenbau des Proteinkomplexes dient oder das Wechselspiel zwischen Proteinen vermittelt. Während des Ausbruchs aus der Wirtszelle, dem Erythrozyten, werden Gameten angreifbar für Faktoren des humanen Komplements, welches mit der Blutmahlzeit in den Mückendarm aufgenommen wird. In dieser Arbeit wurde ermittelt, dass das Komplementsystem nach der Blutmahlzeit etwa eine Stunde lang im Mückendarm aktiv ist. Durch die Bindung der Regulatoren Faktor H und FHL-1 des menschlichen Komplementsystems aus der Blutmahlzeit, schützen sich Makrogameten gegen eine komplementvermittelte Lyse. Diese Serumproteine binden mittels ihrer SCR-Domänen 5-7 an die Oberfläche von Makrogameten und vermitteln damit die Inaktivierung des alternativen Komplementweges. Dadurch schützen sie sich vor der komplementinduzierten Lyse auf der Oberfläche des Parasiten. Antikörper gegen Faktor H vermindern die sexuelle Entwicklung in vitro und können die Weiterentwicklung des Erregers in der Mücke blockieren. Interaktionsstudien mit endogenen Proteinen und immoblilisierten rekombinanten Proteinen offenbarten PfGAP50 als Bindungspartner von Faktor H und FHL-1. PfGAP50 wurde bislang einem Motorkomplex zugeschrieben, welcher für die Parasitenbewegung von invasiven Stadien zuständig ist. Es wurde jedoch bis heute nicht in Gameten charakterisiert. Erste Lokalisationsstudien weisen auf eine Relokalisierung von PfGAP50 vom inneren Membrankomplex zur Oberfläche von Makrogameten hin. Malaria ist weiterhin eine der tödlichsten Infektionskrankheiten weltweit. Die Erforschung dieser für die Übertragung essentiellen Stadien, den Gametozyten und Gameten von Plasmodium falciparum, stand lange im Hintergrund der Forschung. Diese Arbeit entschlüsselt Details über Proteininteraktionen auf der Oberfläche des Malariaparasiten und beschreibt das Zusammenwirken des Parasiten mit dem menschlichen Komplementsystem im Darm der Mücke.

Plasmodium falciparum is the causative agent of malaria, one of the world‟s most prevalent infectious diseases. The emergence of strains resistant to current therapeutics creates the urgent need to identify new classes of antimalarials. Here we present and analyse a constraints-based model (iMPMP427) of P. falciparum metabolism. Consisting of 427 genes, 513 reactions, 457 metabolites, and 5 intracellular compartments, iMPMP427 is relatively streamlined and contains an abundance of transport reactions consistent with P. falciparum’s observed reliance on host nutrients. Flux Balance Analysis simulations reveal the model to be predictive in regards to nutrient transport requirements, amino acid efflux characteristics, and glycolytic flux calculation, which are validated by a wealth of experimental data. Furthermore, enzymes deemed to be essential for parasitic growth by iMPMP427 lend support to several previously computationally hypothesized metabolic drug targets, while discrepancies between essential enzymes and experimentally annotated drug targets highlight areas of malarial metabolism that could benefit from further research.

Plasmodium falciparum is the causative agent of malaria, one of the world‟s most prevalent infectious diseases. The emergence of strains resistant to current therapeutics creates the urgent need to identify new classes of antimalarials. Here we present and analyse a constraints-based model (iMPMP427) of P. falciparum metabolism. Consisting of 427 genes, 513 reactions, 457 metabolites, and 5 intracellular compartments, iMPMP427 is relatively streamlined and contains an abundance of transport reactions consistent with P. falciparum’s observed reliance on host nutrients. Flux Balance Analysis simulations reveal the model to be predictive in regards to nutrient transport requirements, amino acid efflux characteristics, and glycolytic flux calculation, which are validated by a wealth of experimental data. Furthermore, enzymes deemed to be essential for parasitic growth by iMPMP427 lend support to several previously computationally hypothesized metabolic drug targets, while discrepancies between essential enzymes and experimentally annotated drug targets highlight areas of malarial metabolism that could benefit from further research.

Thèse de doctorat : Sciences du vivant. Aspects moléculaires et cellulaires de la biologie : Strasbourg 1 : 2008. Thèse de doctorat : Sciences du vivant. Aspects moléculaires et cellulaires de la biologie : Université d'Abomey-calavi : 2008. / Thèse soutenue en co-tutelle. Titre provenant de l'écran-titre. Bibliogr. p. 227-252.

Thesis (M.S.)--Florida State University, 2004. / Advisor: Dr. Dean Falk, Florida State University, College of Arts and Sciences, Dept. of Anthropology. Title and description from dissertation home page (viewed June 21, 2004). Includes bibliographical references.

Malaria is a global health concern accounting for approximately 219 million cases and an estimated 660 000 deaths in 2010. The most fatal strain of malarial parasite, Plasmodium falciparum is found to contain 3 Adenylate Kinases (PfAK1, PfAK2 and PfGAK). Adenylate Kinases are important enzymes that essentially catalyze and regulate energy metabolism processes. PfAK1 and PfAK2 catalyze the reversible MG2+ reaction ATP + AMP ←→ 2ADP whereas, the PfGAK catalyzes the Mg2+ dependent reaction GTP+AMP ←→ ADP+GDP. Of all malarial strains, only the Plasmodium falciparum Adenylate Kinase 2 (PfAK2) was found to contain a N-myristoylation sequence and subsequently formed a stable heterodimer with Plasmodium falciparum N-myristoyl transferase (PfNMT). The myristoylation of PfAK2 by PfNMT is believed to help transport PfAK2 to the parasitophorous vacuole membrane (PVM) so that the enzyme can perform its essential functions. With these enzymes being key components in the parasite’s survival, the structural study of these enzymes would provide a lot of insight into targeting these proteins for drug design that would effectively kill the parasite without affecting the human host. In this study, PfAK1 was able to be expressed, purified and crystallized with a dataset collected at 4.3Å. PfGAK was expressed and purified. A GTP analogue called GP5A was used to soak the purified PfGAKand the PfGAK bound to GP5A was crystallized and diffracted. Moreover, PfAK2 and PfNMT was successfully expressed and co-purified. The purified PfAK2-PfNMT heterodimer are undergoing crystal screening for possible crystallization conditions. / published_or_final_version / Physiology / Master / Master of Philosophy

Every year there are approximately 300 million new cases of malaria with 2 million deaths. The majority of deaths occur in African children between the ages of 1 and 4 years and are caused by the parasite Plasmodium falciparum. Approximately R90-million is spent by the South African government each year to control malaria. Peripheral blood monocytes are the first line of defence during infection and they perform many functions, such as phagocytosis, intracellular and extracellular killing by the generation of reactive oxygen intermediates and the production of cytokines. During malaria infection some of these functions are suppressed or elevated by phagocytosis of hemozoin, fever conditions (heat shock) and the presence of anti-malarial drugs in the bloodstream of the patient. Under normal conditions phospholipase A₂ (PLA₂) is down regulated by heat shock protein 70 (HSP70) but in severe malaria PLA₂ is elevated. Two antigenic peptides were selected from the highly conserved human HSP70 and HSC70 proteins. Anti-peptide antibodies raised in chickens were affinity purified and were able to recognize the free peptide in an ELISA and the native proteins in human and canine heat shocked lymphocyte lysates on western blots. Antibodies against HSP70 detected two major proteins at 70 kDa and 33 kDa, which are most likely native HSP70 and a possible breakdown product of HSP70 respectively. The anti-HSC70 antibodies detected two proteins, an as yet unidentified 100 kDa protein and the 70 kDa HSC70. Due to the monocytes being activated during the isolation procedure, HSP70 was expressed at both 37°C and 44°C in this study. Electron-probe X-ray microanalysis enables determination of the elemental composition of any sample under the electron microscope. When the electron beam interacts with a specimen, X-rays are generated and can be used to identify and quantify the elements in the cell. Canine monocytes were analysed using this technique after incubation with therapeutically relevant concentrations of anti-malarial drugs, β-hematin and under fever conditions. The concentrations of the elements in normal canine monocytes were: Na (518.2 mmoles/kg), Mg (199.1 mmoles/kg), P (439.7 mmoles/kg), S (316.3 mmoles/kg), Cl (279.7 mmoles/kg), K (204 mmoles/kg) and Ca (81.3 mmoles/kg). All the drugs (quinine, chloroquine, primaquine, pyrimethamine, artemisinin, tetracycline, doxycycline, dapsone and suramin), phagocytosis of latex beads and β-hematin as well as heat shock, altered the elemental concentrations of canine monocytes in a unique way. Quinine, artemisinin and suramin were the most influential drugs in altering the concentrations of elements in the cells.Suramin substantially increased the concentration of Ca (356%) after 18 h and decreased K concentration (64%) after 18 h. Quinine decreased the concentrations ofNa (47%), Cl (70%), and K (67%). The concentrations of P (52%) and Ca (72%) were increased by quinine after 10 min. Artemisinin induced small increases in Mg (21 %) and K (38%) concentrations within 10 min and large increases in the concentrations of Na (291%) and Cl (389%) after 18 h. Chloroquine induced a large increase in S (212%). Quinine induced major changes after 10 min whereas artemisinin, suramin chloroquine induced huge changes after 18 h. Although artemisinin did increase the concentrations certain elements after 10 min, it was by much smaller amounts than after 18 h. Quinine, suramin and pyrimethamine altered the P/K ratios by the greatest margins whereas artemisinin had no significant effect. The P/K ratio was increased by quinine (348%) after 10 min and suramin (261%) after 18 h. Pyrimethamine decreased the P/K ratio after 18 h by 49%. The findings suggest that further investigations into the alterations in the elemental concentrations of monocytes by anti-malarial drugs, fever and hemozoin may lead to a greater understanding of the influence of these conditions in a patient during a malaria infection and its treatment. / Thesis (M.Sc.)-University of Natal, Pietermaritzburg, 2003.