PfATP4 inhibitors in the Medicines for Malaria Venture Malaria Box and Pathogen Box block the schizont-to-ring transition by inhibiting egress rather than invasion

The cation efflux pump Plasmodium falciparum ATPase 4 (PfATP4) maintains Na+ homeostasis in malaria parasites and has been implicated in the mechanism of action of many structurally diverse antimalarial agents, including >7% of the antimalarial compounds in the Medicines for Malaria Venture’s...

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Main Authors: Claudia B. G. Barnes, Madeline G. Dans, Thorey K. Jonsdottir, Brendan S. Crabb, Paul R. Gilson
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Cellular and Infection Microbiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcimb.2022.1060202/full
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author Claudia B. G. Barnes
Claudia B. G. Barnes
Madeline G. Dans
Madeline G. Dans
Thorey K. Jonsdottir
Thorey K. Jonsdottir
Brendan S. Crabb
Brendan S. Crabb
Brendan S. Crabb
Paul R. Gilson
Paul R. Gilson
author_facet Claudia B. G. Barnes
Claudia B. G. Barnes
Madeline G. Dans
Madeline G. Dans
Thorey K. Jonsdottir
Thorey K. Jonsdottir
Brendan S. Crabb
Brendan S. Crabb
Brendan S. Crabb
Paul R. Gilson
Paul R. Gilson
author_sort Claudia B. G. Barnes
collection DOAJ
description The cation efflux pump Plasmodium falciparum ATPase 4 (PfATP4) maintains Na+ homeostasis in malaria parasites and has been implicated in the mechanism of action of many structurally diverse antimalarial agents, including >7% of the antimalarial compounds in the Medicines for Malaria Venture’s ‘Malaria Box’ and ‘Pathogen Box’. Recent screens of the ‘Malaria Box’ and ‘Pathogen Box’ revealed that many PfATP4 inhibitors prevent parasites from exiting their host red blood cell (egress) or entering new host cells (invasion), suggesting that these compounds may have additional molecular targets involved in egress or invasion. Here, we demonstrate that five PfATP4 inhibitors reduce egress but not invasion. These compounds appear to inhibit egress by blocking the activation of protein kinase G, an enzyme that, once stimulated, rapidly activates parasite egress. We establish a direct link between egress and PfATP4 function by showing that the inhibition of egress is attenuated in a Na+-depleted environment and in parasites with a mutation in pfatp4. Finally, we show that PfATP4 inhibitors induce host cell lysis when administered prior to the completion of parasite replication. Since host cell lysis mimics egress but is not followed by invasion, this phenomenon likely explains why several PfATP4 inhibitors were previously classified as invasion inhibitors. Collectively, our results confirm that PfATP4-mediated Na+ efflux is critical to the regulation of parasite egress.
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spelling doaj.art-08cdd3cfaeed4e469e4110a4b51aef512022-12-22T04:15:13ZengFrontiers Media S.A.Frontiers in Cellular and Infection Microbiology2235-29882022-11-011210.3389/fcimb.2022.10602021060202PfATP4 inhibitors in the Medicines for Malaria Venture Malaria Box and Pathogen Box block the schizont-to-ring transition by inhibiting egress rather than invasionClaudia B. G. Barnes0Claudia B. G. Barnes1Madeline G. Dans2Madeline G. Dans3Thorey K. Jonsdottir4Thorey K. Jonsdottir5Brendan S. Crabb6Brendan S. Crabb7Brendan S. Crabb8Paul R. Gilson9Paul R. Gilson10Life Sciences, Burnet Institute, Melbourne, VIC, AustraliaDepartment of Medicine, The University of Melbourne, Melbourne, VIC, AustraliaLife Sciences, Burnet Institute, Melbourne, VIC, AustraliaSchool of Medicine, Deakin University, Geelong, VIC, AustraliaLife Sciences, Burnet Institute, Melbourne, VIC, AustraliaDepartment of Immunology and Pathology, Monash University, Melbourne, VIC, AustraliaLife Sciences, Burnet Institute, Melbourne, VIC, AustraliaDepartment of Microbiology and Immunology, The University of Melbourne, Parkville, VIC, AustraliaDepartment of Immunology and Pathology, Monash University, Melbourne, VIC, AustraliaLife Sciences, Burnet Institute, Melbourne, VIC, AustraliaDepartment of Microbiology and Immunology, The University of Melbourne, Parkville, VIC, AustraliaThe cation efflux pump Plasmodium falciparum ATPase 4 (PfATP4) maintains Na+ homeostasis in malaria parasites and has been implicated in the mechanism of action of many structurally diverse antimalarial agents, including >7% of the antimalarial compounds in the Medicines for Malaria Venture’s ‘Malaria Box’ and ‘Pathogen Box’. Recent screens of the ‘Malaria Box’ and ‘Pathogen Box’ revealed that many PfATP4 inhibitors prevent parasites from exiting their host red blood cell (egress) or entering new host cells (invasion), suggesting that these compounds may have additional molecular targets involved in egress or invasion. Here, we demonstrate that five PfATP4 inhibitors reduce egress but not invasion. These compounds appear to inhibit egress by blocking the activation of protein kinase G, an enzyme that, once stimulated, rapidly activates parasite egress. We establish a direct link between egress and PfATP4 function by showing that the inhibition of egress is attenuated in a Na+-depleted environment and in parasites with a mutation in pfatp4. Finally, we show that PfATP4 inhibitors induce host cell lysis when administered prior to the completion of parasite replication. Since host cell lysis mimics egress but is not followed by invasion, this phenomenon likely explains why several PfATP4 inhibitors were previously classified as invasion inhibitors. Collectively, our results confirm that PfATP4-mediated Na+ efflux is critical to the regulation of parasite egress.https://www.frontiersin.org/articles/10.3389/fcimb.2022.1060202/fullPlasmodium falciparummalariaPfATP4sodium ionsegressinvasion
spellingShingle Claudia B. G. Barnes
Claudia B. G. Barnes
Madeline G. Dans
Madeline G. Dans
Thorey K. Jonsdottir
Thorey K. Jonsdottir
Brendan S. Crabb
Brendan S. Crabb
Brendan S. Crabb
Paul R. Gilson
Paul R. Gilson
PfATP4 inhibitors in the Medicines for Malaria Venture Malaria Box and Pathogen Box block the schizont-to-ring transition by inhibiting egress rather than invasion
Frontiers in Cellular and Infection Microbiology
Plasmodium falciparum
malaria
PfATP4
sodium ions
egress
invasion
title PfATP4 inhibitors in the Medicines for Malaria Venture Malaria Box and Pathogen Box block the schizont-to-ring transition by inhibiting egress rather than invasion
title_full PfATP4 inhibitors in the Medicines for Malaria Venture Malaria Box and Pathogen Box block the schizont-to-ring transition by inhibiting egress rather than invasion
title_fullStr PfATP4 inhibitors in the Medicines for Malaria Venture Malaria Box and Pathogen Box block the schizont-to-ring transition by inhibiting egress rather than invasion
title_full_unstemmed PfATP4 inhibitors in the Medicines for Malaria Venture Malaria Box and Pathogen Box block the schizont-to-ring transition by inhibiting egress rather than invasion
title_short PfATP4 inhibitors in the Medicines for Malaria Venture Malaria Box and Pathogen Box block the schizont-to-ring transition by inhibiting egress rather than invasion
title_sort pfatp4 inhibitors in the medicines for malaria venture malaria box and pathogen box block the schizont to ring transition by inhibiting egress rather than invasion
topic Plasmodium falciparum
malaria
PfATP4
sodium ions
egress
invasion
url https://www.frontiersin.org/articles/10.3389/fcimb.2022.1060202/full
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