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J Biol Chem, Vol. 274, Issue 27, 19383-19388, July 2, 1999
From the Endoperoxide antimalarials based on the ancient
Chinese drug Qinghaosu (artemisinin) are currently our major hope in
the fight against drug-resistant malaria. Rational drug design based on artemisinin and its analogues is slow as the mechanism of action of
these antimalarials is not clear. Here we report that these drugs, at
least in part, exert their effect by interfering with the plasmodial
hemoglobin catabolic pathway and inhibition of heme polymerization. In
an in vitro experiment we observed inhibition of digestive
vacuole proteolytic activity of malarial parasite by artemisinin. These
observations were further confirmed by ex vivo experiments
showing accumulation of hemoglobin in the parasites treated with
artemisinin, suggesting inhibition of hemoglobin degradation. We found
artemisinin to be a potent inhibitor of heme polymerization activity
mediated by Plasmodium yoelii lysates as well as
Plasmodium falciparum histidine-rich protein II.
Interaction of artemisinin with the purified malarial hemozoin in
vitro resulted in the concentration-dependent
breakdown of the malaria pigment. Our results presented here may
explain the selective and rapid toxicity of these drugs on mature,
hemozoin-containing, stages of malarial parasite. Since artemisinin and
its analogues appear to have similar molecular targets as chloroquine
despite having different structures, they can potentially bypass the
quinoline resistance machinery of the malarial parasite, which causes
sublethal accumulation of these drugs in resistant strains.
Artemisinin, an Endoperoxide Antimalarial, Disrupts the
Hemoglobin Catabolism and Heme Detoxification Systems in Malarial
Parasite
,
Malaria Research Group,
Copyright © 1999 by The American Society for Biochemistry and Molecular Biology, Inc.
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