A novel multiple-stage antimalarial agent that inhibits protein synthesis

Nature. 2015 Jun 18;522(7556):315-20. doi: 10.1038/nature14451.

Abstract

There is an urgent need for new drugs to treat malaria, with broad therapeutic potential and novel modes of action, to widen the scope of treatment and to overcome emerging drug resistance. Here we describe the discovery of DDD107498, a compound with a potent and novel spectrum of antimalarial activity against multiple life-cycle stages of the Plasmodium parasite, with good pharmacokinetic properties and an acceptable safety profile. DDD107498 demonstrates potential to address a variety of clinical needs, including single-dose treatment, transmission blocking and chemoprotection. DDD107498 was developed from a screening programme against blood-stage malaria parasites; its molecular target has been identified as translation elongation factor 2 (eEF2), which is responsible for the GTP-dependent translocation of the ribosome along messenger RNA, and is essential for protein synthesis. This discovery of eEF2 as a viable antimalarial drug target opens up new possibilities for drug discovery.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antimalarials / administration & dosage
  • Antimalarials / adverse effects
  • Antimalarials / pharmacokinetics
  • Antimalarials / pharmacology*
  • Drug Discovery
  • Female
  • Gene Expression Regulation / drug effects*
  • Life Cycle Stages / drug effects
  • Liver / drug effects
  • Liver / parasitology
  • Malaria / drug therapy
  • Malaria / parasitology*
  • Male
  • Models, Molecular
  • Peptide Elongation Factor 2 / antagonists & inhibitors
  • Peptide Elongation Factor 2 / metabolism
  • Plasmodium / drug effects*
  • Plasmodium / genetics
  • Plasmodium / growth & development
  • Plasmodium / metabolism*
  • Plasmodium berghei / drug effects
  • Plasmodium berghei / physiology
  • Plasmodium falciparum / drug effects
  • Plasmodium falciparum / metabolism
  • Plasmodium vivax / drug effects
  • Plasmodium vivax / metabolism
  • Protein Biosynthesis / drug effects*
  • Quinolines / administration & dosage
  • Quinolines / chemistry
  • Quinolines / pharmacokinetics
  • Quinolines / pharmacology*

Substances

  • Antimalarials
  • DDD107498
  • Peptide Elongation Factor 2
  • Quinolines