Malaria is a devastating disease which affects almost half of the world’s population. Since the description of the malaria genome sequence, various aspects of the parasite have been studied, including drug resistance mechanisms, epidemiology and surveillance systems. Alarmingly, very little is known about the basic biological processes such as the regulation of the expression of parasite genes. The parasite, Plasmodium falciparum, has developed highly specialized methods of regulating the transcription of genes, starting at the regulation of genes controlling basic cellular processes such as protein synthesis and erythrocyte invasion, followed by the transcriptional regulation of more specialized genes, such as those aiding in immune evasion and pathogenesis. The description of the P. falciparum transcriptome by Bozdech et al. in 2003 revealed a complex, just-in-time and tightly regulated transcription profile of P. falciparum genes. This suggests that the most probable Achilles heel for Plasmodium may be its unique mechanisms of regulating gene expression. Various cis- and trans-regulatory sequences have been identified in P. falciparum, along with possible DNA (and RNA) binding proteins. The first part of this research focussed on transcriptional regulatory mechanisms in which an in silico search identified cis-regulatory sequences in the 5’ untranslated region of the antigenically variant var gene family. Electrophoretic mobility shift assays (EMSA) were used to identify protein binding partners of these sequences, which could ultimately act as transcription factors in regulating the expression of this essential gene family. The second part of the research investigated the involvement of post-transcriptional regulatory mechanisms in the polyamine biosynthetic pathway of P. falciparum. Polyamines have been proven to be crucial for the parasite’s development and therefore, an RNA interference knock-down strategy was used to verify the importance of the polyamine biosynthetic enzymes S-Adenosylmethionine decarboxylase (AdoMetDC), Ornithine decarboxylase (ODC) and Spermidine synthase. It is clear that various mechanisms for gene regulation are used by the parasite and that this is critical for the survival of this organism. The results of this study suggest the potential presence of both double-stranded and single-stranded DNA regulatory proteins within P. falciparum nuclear extract. As controversial as RNA interference remains in P. falciparum, this technique was used as a plausible knock-down strategy of parasite specific genes and certain trends, regarding the visible decreases in gene transcript level after double-stranded RNA treatment, were observed. However, final conclusions as to the feasibility of using RNA interference in P. falciparum remain to be elucidated. This study therefore ultimately lends insight into the transcriptional and post-transcriptional levels of P. falciparum gene regulation. / Dissertation (MSc)--University of Pretoria, 2010. / Biochemistry / unrestricted

This thesis combines four published research papers and a book chapter investigating aspects of central metabolism in the human malaria parasite Plasmodium falciparum. The publications are preceded by a statement which explores features of the research not fully described in the published texts, incorporates a review of the development over time and the present state of relevant scientific knowledge, and discusses the place of the individual papers and book chapter within malaria research. An assessment of the impact of each publication on its field of study is also included. A general discussion of the combination of papers as representative of the progress of research into the metabolism of malaria parasites concludes the statement section. The first publication is a chapter from a book, which describes detailed methods for the in vitro cultivation of P. falciparum. Such methodology, both robust and reliable, is a prerequisite for any investigation of parasite metabolism. The following publications are all primary research papers. The second publication describes the isolation and characterisation of the gene encoding the glycolytic pathway enzyme enolase from P. falciparum. The inferred amino acid sequence included peptide insertions found only in the enolases of higher plants and other photosynthetic organisms. This raised implications concerning the deep evolutionary history of the malaria parasite and related species. The third is concerned with the elucidation of the molecular basis of resistance to the antimalarial drug sulfadoxine. Resistance was found to result from point mutations within the dihydropteroate synthetase domain of the bifunctional protein hydroxymethylpterin pyrophosphokinase-dihydroptero¬ate synthetase, an enzyme of the parasite folate pathway. Additionally, it was discovered that the presence of exogenous folate has an antagonistic effect on sulfadoxine in some parasites of a defined genotype. This highlighted the importance of folate salvage in parasite metabolism. Fourth is a paper representing the discovery of a novel metabolism in both P. falciparum and the related apicomplexan parasite Toxoplasma gondii. The use of parasite genes in rescuing an Escherichia coli tyrosine auxotroph resulted in a proof of function of the products of these genes as pterin-4a-carbinolaminedehydratases. Pterin recycling, hitherto undetected in apicomplexans, was therefore added to the known metabolic processes of these organisms. The final paper describes an investigation into the subcellular distribution of the folate pathway enzyme serine hydroxymethyltransferase (SHMT) within P. falciparum erythrocytic stage parasites. The use of confocal laser scanning microscopy and immunofluorescent techniques showed that SHMTc, the sole enzymatically active parasite SHMT protein, was found in the cytoplasm but also showed a stage-specific localisation to both the mitochondrion and apicoplast organelles. The otherwise enigmatic, enzymatically inert, SHMTm paralogue revealed a possible function, when in complex, in allowing targeted localisation of SHMTc to the mitochondrion. The spatial distribution of SHMTm also suggested a possible role in the morphogenesis of elongating apicoplasts during schizogony.

Malaria parasites are responsible for an increase in the morbidity and mortality in several tropical regions in Southern Africa. In this thesis, research was undertaken on Plasmodium, which is responsible for more than 95% of these cases. Although pharmacological prophylaxis is available, a worldwide resistance against existing drugs have been encountered. A study on chloroquineresistance in North-Eastern Transvaal in 1988, indicated that 11% of the strains in this area were resistant against chloroquine. Only 78% of these parasites were sensitive to the new drug, Mefloquine, which could serve as a substitute in chloroquine-resistant infections. Furthermore, no strain was found to be resistant or insensitive to both anti-malarial drugs. Malaria parasites can be obtained for research purposes from long term in vitro cultures. The initiation of cultures of some wild isolates of P.falciparum appears to be problematic at certain levels above sea-level. The gas composition of the medium was identified as a probable cause due to its dependence on the partial pressures of gasses at different heights above sealevel. The toxic effect of a too high oxygen concentration on the parasite, caused by the lower atmospheric pressure of the Highveld area, was prevented after the concentration of dissolved carbon dioxide in the medium was increased through equilibration with the special gas mixture. Possible shortcomings in the long-term culture method for malaria parasites that could retard optimum growth, were also investigated. Local parasite isolates could be supported on medium enriched with bovine serum although the growth rate was lower than when human serum was used. By increasing the frequency of medium replacement with progressing parasitemia, less stress were placed on the system since parasites was exposed for shorter periods and to lower concentrations of byproducts such as lactic acid. In addition, the ATP-concentration in infected cultures decreased by nearly 50 % over a growth period of 4 days. The stress in the host cell was reflected by the decrease in the total adenyl-nucleotide pool and the increase in AMP-concentration. An increase in the intracellular IMP-concentration indicated that the purine salvage pathway was inhibited which may explain the decrease in the ATP-concentration. It therefore appears that the regular replacement of medium and replenishment of erythrocytes only partially contribute to the successful establishment of malaria cultures. More research is necessary to identify the factors that are responsible for the inhibition of the purine salvage pathway. The stress placed on the human body by the parasite is complicated by the thrombocytopenia observed in some infections. Increases in the concentrations of thrombocyte-associated immunoglobulin G and M which are a characteristic for this condition, can be determined by a modified microo-method developed in our laboratory. By monitoring the parasite-infected patient over a period of time with the micro-method, the increase in thrombocytes and decrease in thrombocyte-associated antibodies were correlated with the recuperation of the patient. This method does not destroy the thrombocytes, thereby allowing displacement studies to be undertaken with purified parasite antigens of synthetic peptides. An investigation of parasite-infected erythrocytes by means of light microscopy, transmission and scanning electronmicroscopy, indicated that the local isolate could be composed of a mixture of strains, of which some have the ability to induce knobs on the erythrocyte. Furthermore, the investigation illustrated that fast fixation with gluteraldehyde is superior to slow fixation when transmission electronmicroscopy is performed. However, no difference could be observed when scanning electron microscopy was performed on infected erythrocytes that had been fixed by either of these methods. AFRIKAANS : Malaria parasiete is verantwoordelik vir 'n toenemende morbiditeit sowel as mortaliteit in verskeie tropiese streke in Suider-Afrika waarvan meer as 95 % van die gevalle deur Plasmodium falciparum veroorsaak word. Navorsing in die tesis is gevolglik op hierdie parasiet toegespits. Ten spyte daarvan dat far'makologiese profilakse toegepas word, kan malaria nog steeds opgedoen word as gevolg van n wereldwye weerstandigheid teen bestaande geneesmiddels. 'n Ondersoek van die klorokien-weerstandigheidstatus in die Noord-Oostelike Transvaal het in 1988 getoon dat 11 % van die stamme in die area weerstandig is teenoor klorokien. Slegs 78% van die parasiete was sensitief vir die nuwe middel, Meflokien, wat as moontlike plaasvervanger in klorokien-weerstandige parasietinfeksies gebruik kan word. Geen parasietstam was egter weerstandig of onsensitief teen beide middels nie. Langtermyn kultuurkweking van malaria parasiete is essensieël vir die verkryging van uitgangsmateriaal vir navorsing op die parasiet. Dit blyk egter dat inisiasie van kulture van wilde stamme van P. falciparum problematies by sekere hoogtes bo seespieël is. Die gassamestelling van die medium is as 'n moontlike oorsaak gëidentifiseer aangesien dit afhanklik is van die parsiële drukke van gasse by verskillende hoogtes bo seespieël. Die toksiese effek van te hoë suurstofkonsentrasies op die parasiet a.g.v. die laer atmosferiese druk op die Hoëveldstreek, is oorkom deur die konsentrasie van opgeloste koolsuurgas in die medium te verhoog deur vooraf 'n spesiale gasmengsel daardeur te borrel. Moontlike tekortkominge in die langtermyn kultuur metode vir malaria parasiete wat optimale groei kan belemmer, is ook ondersoek. Plaaslike parasietstamme kon op medium wat verryk is met beesserum onderhou word, alhoewel die groeitempo laer is as wanneer mensserum gebruik word. 'n Toenemende tempo van mediumvervanging soos die parasitemia in kulture toeneem, het getoon dat minder stres op die sisteem geplaas word deurdat die parasiete vir 'n korter periode en aan laer konsentrasies van byprodukte soos melksuur blootgestel word. Die ATP-konsentrasies in gëinfekteerde kulture daal egter met ongeveer die helfte oor 'n groeiperiode van 4 dae. Tesame hiermee, is daar ook 'n daling in die totale adeniel-nukleotied poel van die gëinfekteerde rooibloedsel en 'n styging in die AMP-konsentrasie wat die stres in die gasheersel weerspieël. 'n Verhoging in die intrasellulêre IMP-konsentrasie dui op 'n moontlike inhibisie van die purienherwinningspadweg wat die verlaagde ATP-konsentrasie mag verklaar. Uit die studie blyk dit dus of meer gereelde vervanging van medium en toevoeging van rooibloedselle slegs 'n gedeeltelike bydrae maak tot die suksesvolle vestiging van malariakulture. Die identifikasie van die faktore wat lei tot die inhibisie van die purienherwinningspadweg, verg nog verdere ondersoeke. Die stres wat die parasiet in die menslike liggaam veroorsaak, word ook weerspieël deur onderandere die trombositopenie wat in sommige infeksies waargeneem word. Verhogings in die konsentrasie van trombosiet-geassosieërde immunoglobuliene G en M wat kenmerkend is van die toestand, kan gemeet word deur 'n gemodifiseerde mikrometode wat in ons laboratoriums ontwikkel is. Deur die parasiet-gëinfekteerde pasiët oor 'n paar dae met die mikrometode te monitor, kon die verhoging in trombosiete en afname in trombosiet-geassosieërde antiliggame met herstel van die pasiënt gekorreleer word. Die metode veroorsaak geen skade aan die trombosiete nie sodat antigeenverplasingstudies ook na die tyd gedoen kan word. In 'n ondersoek van die parasiet met behulp van ligmikroskopie, deurstraal- sowel as skandeer-elektronmikroskopie, is gevind dat die plaaslike isolaat moontlik uit 'n mengsel van stamme bestaan, waarvan sommige die vermoë het om knoppe op die rooibloedsel te induseer. Verder het die ondersoek getoon dat indien deurstraal-elektronmikroskopie gebruik word, 'n vinnige fikseringsmetode met gluteraldehied beter is as 'n stadige fikseringsmetode. In vergelyking hiermee kon geen verskil waargeneem word met skandeer-elektronmikroskopie van geparasiteerde rooibloedselle wat met enige van hierdie metodes gefikseer is nie. Copyright / Dissertation (MSc)--University of Pretoria, 1992. / Biochemistry / unrestricted

Rodent malaria parasites (RMPs) serve as tractable models for experimental genetics, and as valuable tools to study malaria parasite biology and host-parasitevector interactions. Plasmodium vinckei, one of four RMPs adapted to laboratory mice, is the most geographically widespread species and displays considerable phenotypic and genotypic diversity amongst its subspecies and strains. The phenotypes and genotypes of P. vinckei isolates have been relatively less characterized compared to other RMPs, hampering its use as an experimental model for malaria. Here, we have studied the phenotypes and sequenced the genomes and transcriptomes of ten P. vinckei isolates including representatives of all five subspecies, all of which were collected from wild thicket rats (Thamnomys rutilans) in sub-Saharan Central Africa between the late 1940s and mid 1960s. We have generated a comprehensive resource for P. vinckei comprising of five high-quality reference genomes, growth profiles and genotypes of P. vinckei isolates, and expression profiles of genes across the intra-erythrocytic developmental stages of the parasite. We observe significant phenotypic and genotypic diversity among P. vinckei isolates, making them particularly suitable for classical genetics and genomics-driven studies on malaria parasite biology. As part of a proof of concept study, we have shown that experimental genetic crosses can be performed between P. vinckei parasites to potentially identify genotype-phenotype relationships. We have also shown that they are amenable to genetic manipulation in the laboratory.

The multistage life cycle of malaria-causing P. falciparum is complex, making prevention and treatment difficult. As a result of resistance to many antimalarial drugs, novel compounds with unexplored targets are constantly sought after for the purpose of treating the symptoms of malaria. Here, novel compounds were screened for antiplasmodial activity against the symptom-causing asexual intraerythrocytic malaria-causing parasites. Unfortunately, many novel compounds in the drug discovery pipeline and drugs in clinical use possess underlying pharmacological issues that makes administration challenging. These include low aqueous solubility and short half-life which negatively impact bioavailability resulting in toxicity. This, in turn, increases patient non-compliance and the emergence of drug-resistant strains. Nanoparticles (NP) have the ability to mask drugs from the external environment while increasing circulation time and often alleviate many issues at once. Furthermore, the selected drugs do not need to be modified. Drug conjugation NPs with a targeting ligand and stimuli-responsive linkers have been extensively researched in many diseases, however, none have been reported for malaria clinically. Here, the first acid-labile targeted NP (tNP) that exploits the biology of infected erythrocytes and the specialised food vacuole (FV) of P. falciparum is interrogated for ability to decrease toxicity while retaining antimalarial activity. This dissertation describes the effect of tNPs on the efficacy and toxicity of selected compounds. In vitro haemolysis and cytotoxicity assays revealed that the tNPs are biocompatible to erythrocytes and HepG2 cells. The data also shows that tNPs decrease the toxicity of drugs and the chosen novel compound against human cells. A decrease in antiplasmodial activity was observed in vitro for the tNPs when compared to the novel compound and drugs on their own. However, this was due to the biogenesis of the FV and a shortened window of release. Nonetheless, the NP backbone was not active against P. falciparum intraerythrocytic parasites whereas tNPs were, showing activity due to released drug. The targeting ligand was also not specific for antiplasmodial activity. Although a significant loss in activity is observed, the results presented here suggests that these novel acid-labile tNPs serve as an attractive starting point for targeted treatment of malaria with an improved patient tolerance. Furthermore, novel compounds with issues can be selected without having to be modified or completely discarded. Therefore, increasing the chances of finding a variety of compounds that can be used to treat malaria while keeping patients safe. / Dissertation (MSc (Biochemistry))--University of Pretoria, 2020. / NRF / Biochemistry / MSc (Biochemistry) / Unrestricted

Malaria is considered the most prevailing human parasitic disease. Despite various chemotherapeutic interventions being available, the parasite responsible for the most lethal form of malaria, Plasmodium falciparum, is continuously developing resistance towards drugs targeted against it. This, therefore, necessitates the need for validation of new antimalarial development. Polyamine biosynthetic enzymes, particularly S-adenosylmethionine-L-decarboxylase (PfAdoMetDC), has been identified as a suitable drug target for protozoan parasitic diseases due to its essential role in cell proliferation. Furthermore, in Plasmodium polyamine biosynthesis, PfAdoMetDC is organised into a unique bifunctional complex with ornithine decarboxylase (PfAdoMetDC/ODC) covalently linked by a hinge region, distinguishing this enzyme as unique a drug target. However, inhibitors targeting this pathway have not been successful in clinical assessment, creating the need for further research in identifying novel inhibitors. This study focused on the structural and functional characterisation of protein-specific properties of the AdoMetDC domain in P. falciparum parasites, as well as identifying novel inhibitors targeting this enzyme as a potential antimalarial therapeutic intervention. In order to develop novel inhibitors specifically targeting PfAdoMetDC through a structure-based drug discovery approach, the three-dimensional structure is required. However, due to a lack of structural and functional characterisation, determination of the crystal structure has been challenging. Heterologous expression of monofunctional PfAdoMetDC was achieved from a wild-type construct of the PfAdoMetDC domain including the covalently linked hinge region. In chapter 2, deletion of a large non-homologous, low-complexity parasite-specific insert (A3) in monofunctional PfAdoMetDC resulted in an increased yield, purity and sample homogeneity, whilst maintaining protein functionality and structural integrity. However, truncation of the proposed non-essential hinge region resulted in low-level expression of insoluble protein aggregates and a complete loss of protein activity, indicating that the hinge region is essential for monofunctional PfAdoMetDC. However, in the absence of the three-dimensional PfAdoMetDC crystal structure, novel derivatives of a well-known AdoMetDC inhibitor, MDL73811, were tested for their activity against heterologous PfAdoMetDC, as well as their potency against P. falciparum parasites, in chapter 3. The compound Genz-644131 was identified as a lead inhibitor of PfAdoMetDC, however, the poor membrane permeability of the compound resulted in low in vitro activity. Drug permeability of Genz-644131 into P. falciparum infected erythrocytes and its potency was significantly improved by its encapsulation into a novel immunoliposome based drug delivery system. The results presented here provide essential information for development of a unique strategy in obtaining suffiecient levels of fully active recombinant PfAdoMetDC of sufficient purity for crystallisation studies and subsequent structure-based drug design efforts. The combination of Genz-644131 with the novel drug delivery system, which markedly improved its potency against PfAdoMetDC may proof to be a viable antimalarial chemotherapeutic strategy for future investigations. / Thesis (PhD)--University of Pretoria, 2014. / tm2015 / Biochemistry / PhD / Unrestricted

Malaria is a global pandemic that affects millions of people each year. It is a parasitic infection caused by the Plasmodium family, with Plasmodium falciparum being the most virulent strain. Malaria is transmitted to humans by the female Anopheles mosquito. The parasite undergoes two different cycles of its life cycle within the human host: the liver and intraerythrocytic life cycle. The latter consists of an asexual and sexual cycle. The intraerythrocytic cycle is perhaps the most important stage of the parasite's life cycle as it promotes the spread of the disease within and between hosts. The focus of this investigation was aimed at the invasion process of the merozoites into the erythrocytes. The Plasmodium merozoite utilises a cascade of proteins during the erythrocyte invasion process, which is a swift action that takes place in approximately 30 seconds. A number of surface proteins are expressed during merozoite development and are distributed along the merozoite surfaces to assist with attachment and invasion, the most crucial being MSP-1, AMA-1 and RON-2. MSP-1 and AMA-1 are vital targets for the development of malaria vaccines. AMA-1 is the central target protein of this investigation as it plays an essential role in the invasion process. AMA-1 commits the merozoite to invade the erythrocyte, as it assists the RON proteins in the formation of an irreversible tight-junction with the membrane of the erythrocyte. Antibodies, specific to AMA-1, bind to the protein, which prevents the formation of the tight junction and inhibits the invasion of the merozoite into the erythrocyte, therefore preventing the spread of the disease. However, before invasion, AMA-1 undergoes a number of proteolytic processes. It is synthesized as an 83 kDa (AMA-183) precursor protein in the apical organelle of the merozoite. This is then cleaved at the N-terminus to give rise to a 66 kDa (AMA-166) fragment, which is secreted onto the surface of the merozoite. The AMA-166 fragment is then cleaved into either a 48 kDa (AMA-148) or 44 kDa (AMA-144) fragment. One of these three fragments is then used by the merozoite for erythrocyte invasion. The aim of this investigation was to isolate and characterise each of the fragments of the Plasmodium falciparum AMA-1 (PfAMA-1) protein using the 3D7 lab strain of P. falciparum and to visualise the merozoite-erythrocyte invasion process, to possibly identify which of the AMA-1 fragments are involved in the invasion process. In order to achieve this large clusters of merozoites from sorbitol-synchronised cultures were isolated. Schizonts were isolated from culture by magnetic separation and incubated with E64 to prevent the release of merozoites. Merozoites that were required for the isolation of PfAMA-1 were harvested from the schizonts by saponin lysis, then homogenised, separated by SDS-PAGE and digested for LC-MS/MS analysis. Merozoites that were required for the visualisation procedures were not incubated with E64, to allow natural egression from the erythrocyte. The transmission electron microscopy results produced clear images of the merozoiteerythrocyte invasion process and the positioning of PfAMA-1 on the merozoite, before and after schizont rupture, was visualised from results obtained from confocal microscopy. Then PfAMA-1 was identified in isolated merozoite samples by LC-MS/MS analysis. However, due to its low abundance, isolation of high enough concentrations of PfAMA-1 to characterise its different fragments was not achieved. Further investigation into the development of the culturing and isolating methods could help in future projects aimed at isolating higher concentrations of merozoite proteins from synchronised cultures with a lower merozoite egression window period, in order to accomplish detailed analysis on invading proteins for the future development of treatments against malaria. / Dissertation (MSc)--University of Pretoria, 2016. / Pharmacology / MSc / Unrestricted

Publicación a texto completo no autorizada por el autor / Determina la seroprevalencia a tres péptidos sintéticos provenientes de proteínas del merozoito en una población con baja endemicidad a la malaria en la Costa Norte del Perú. Se llevó a cabo un estudio trasversal en 5 comunidades del Distrito de Bellavista, Provincia de Sullana, Departamento de Piura en 2010. Se enrolaron individuos de dos grupos etáreos: 1) Niños entre 6 y 8 años de edad (n=250), y 2) adultos entre 18 y 61 años de edad (n=247). Se estandarizaron tres ensayos de ELISA para detectar anticuerpos IgG and IgM contra tres péptidos (PvMSP1(20-39), PvAMA1(21-42) y PvDBP(400-414)), los cuales fueron usados como marcadores serológicos a malaria. Además, se usaron encuestas para colectar información sobre riesgo de exposición a la malaria. Se estandarizaron las condiciones óptimas para las tres pruebas de ELISA. Usando muestras controles positivas (pacientes semi-inmunes con infección P. vivax) y negativas (individuos provenientes de zonas no endémicas a malaria) se determinó que los anticuerpos IgG contra PvMSP1(20-39) presentan alta sensibilidad (86.7%) y especificidad (100%) para diagnosticar malaria. El análisis de la población en Bellavista reveló que casi una cuarta parte de los participantes (79/371; 21,3%) fueron seropositivos a por lo menos uno de los antígenos y el 8.7% (35/404) de los participantes fueron reactivos contra el péptido PvMSP1(20-39). Además, la seropositividad a alguno de los 3 péptidos fue significativamente mayor en individuos adultos comparado con niños (p<0.05). Asimismo, el porcentaje de seropositivos fue significativamente mayor en las comunidades de Bellavista y Pavletich, las cuales presentaron también la mayor prevalencia en relación a las otras cinco comunidades en donde se realizó el estudio. Los niños expuestos a campo abierto tuvieron mayor probabilidad de ser seropositivos para anticuerpos IgG contra el péptido PvAMA1(21-42) (p<0.05) y los adultos que tuvieron eventos de malaria el año pasado presentan mayor probabilidad a ser seropositivos para anticuerpos IgG específicos a los péptidos PvMSP1(20-39) y PvAMA1(21-42) (p<0.05). No se encontró asociación alguna entre los otros factores de riesgo a malaria evaluados y la probabilidad de ser seropositivos a los péptidos evaluados. Los ensayos de ELISA basado en los tres péptidos estudiados podrían servir para identificar individuos con infección activa o infección pasada. Se necesitaran más estudios para determinar si la medición de estas respuestas inmunológicas podría ser útil para determinar riesgo de infección o transmisión de malaria en zonas de muy baja endemicidad que son blancos para campañas de eliminación de la malaria. / Tesis

Malaria, babesiosis, trypanosomosis, and leishmaniasis are some of the most life-threatening parasites, but the range of drugs to treat them is limited. An effective, safe, and low-cost drug with a large activity spectrum is urgently needed. For this purpose, an aryl amino alcohol derivative called Alsinol was resynthesized, screened in silico, and tested against Plasmodium, Babesia, Trypanosoma, and Leishmania. In silico Alsinol follows the Lipinski and Ghose rules. In vitro it had schizontocidal activity against Plasmodium falciparum and was able to inhibit gametocytogenesis; it was particularly active against late gametocytes. In malaria-infected mice, it showed a dose-dependent activity similar to chloroquine. It demonstrated a similar level of activity to reference compounds against Babesia divergens, and against promastigotes, and amastigotes stages of Leishmania in vitro. It inhibited the in vitro growth of two African animal strains of Trypanosoma but was ineffective in vivo in our experimental conditions. It showed moderate toxicity in J774A1 and Vero cell models. The study demonstrated that Alsinol has a large spectrum of activity and is potentially affordable to produce. Nevertheless, challenges remain in the process of scaling up synthesis, creating a suitable clinical formulation, and determining the safety margin in preclinical models. / Departamento Administrativo de Ciencia, Tecnología e Innovación (COLCIENCIAS) / Revisión por pares

Magister Pharmaceuticae - MPharm / Malaria is an infectious disease which continues to kill more than one million people every year and the African continent accounts for most of the malaria death worldwide. New classes of medicine to combat malaria are urgently needed due to the surge in resistance of the Plasmodium falciparum (the parasite that causes malaria in humans) to existing antimalarial drugs. One approach to circumvent the problem of P. falciparum resistance to antimalarial drugs could be the discovery of novel compounds with unique scaffolds and possibly new mechanisms of action. Natural products (NP) provide a wide diversity of compounds with unique scaffolds, as such, a library of virtual compounds (VC) designed from natural products with antiplasmodial activities (NAA) can be a worthy starting point.