Overcoming chloroquine resistance in malaria: Design, synthesis and structure-activity relationships of novel chemoreversal agents.

Malaria remains a significant infectious disease with even artemisinin-based therapies now facing resistance in the field. Development of new therapies is urgently needed, either by finding new compounds with unique modes of action, or by reversing resistance towards known drugs with 'chemosens...

Full description

Bibliographic Details
Main Authors: Boudhar, A, Ng, X, Loh, C, Chia, W, Tan, Z, Nosten, F, Dymock, B, Tan, K
Format: Journal article
Language:English
Published: Elsevier 2016
_version_ 1826264487588528128
author Boudhar, A
Ng, X
Loh, C
Chia, W
Tan, Z
Nosten, F
Dymock, B
Tan, K
author_facet Boudhar, A
Ng, X
Loh, C
Chia, W
Tan, Z
Nosten, F
Dymock, B
Tan, K
author_sort Boudhar, A
collection OXFORD
description Malaria remains a significant infectious disease with even artemisinin-based therapies now facing resistance in the field. Development of new therapies is urgently needed, either by finding new compounds with unique modes of action, or by reversing resistance towards known drugs with 'chemosensitizers' or 'chemoreversal' agents (CRA). Concerning the latter, we have focused on the resistance mechanisms developed against chloroquine (CQ). We have synthesized a series of compounds related to previously identified CRAs, and found promising novel compounds. These compounds show encouraging results in a coumarin labeled chloroquine uptake assay, exhibiting a dose response in resensitising parasites to the antimalarial effects of chloroquine. Selected compounds show consistent potency across a panel of chloroquine and artemisinin sensitive and resistant parasites, and a wide therapeutic window. This data supports further study of CRAs in the treatment of malaria and, ultimately, their use in chloroquine-based combination therapies.
first_indexed 2024-03-06T20:08:36Z
format Journal article
id oxford-uuid:29c4a487-0a78-4157-8334-030cd297c60b
institution University of Oxford
language English
last_indexed 2024-03-06T20:08:36Z
publishDate 2016
publisher Elsevier
record_format dspace
spelling oxford-uuid:29c4a487-0a78-4157-8334-030cd297c60b2022-03-26T12:21:05ZOvercoming chloroquine resistance in malaria: Design, synthesis and structure-activity relationships of novel chemoreversal agents.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:29c4a487-0a78-4157-8334-030cd297c60bEnglishSymplectic Elements at OxfordElsevier2016Boudhar, ANg, XLoh, CChia, WTan, ZNosten, FDymock, BTan, KMalaria remains a significant infectious disease with even artemisinin-based therapies now facing resistance in the field. Development of new therapies is urgently needed, either by finding new compounds with unique modes of action, or by reversing resistance towards known drugs with 'chemosensitizers' or 'chemoreversal' agents (CRA). Concerning the latter, we have focused on the resistance mechanisms developed against chloroquine (CQ). We have synthesized a series of compounds related to previously identified CRAs, and found promising novel compounds. These compounds show encouraging results in a coumarin labeled chloroquine uptake assay, exhibiting a dose response in resensitising parasites to the antimalarial effects of chloroquine. Selected compounds show consistent potency across a panel of chloroquine and artemisinin sensitive and resistant parasites, and a wide therapeutic window. This data supports further study of CRAs in the treatment of malaria and, ultimately, their use in chloroquine-based combination therapies.
spellingShingle Boudhar, A
Ng, X
Loh, C
Chia, W
Tan, Z
Nosten, F
Dymock, B
Tan, K
Overcoming chloroquine resistance in malaria: Design, synthesis and structure-activity relationships of novel chemoreversal agents.
title Overcoming chloroquine resistance in malaria: Design, synthesis and structure-activity relationships of novel chemoreversal agents.
title_full Overcoming chloroquine resistance in malaria: Design, synthesis and structure-activity relationships of novel chemoreversal agents.
title_fullStr Overcoming chloroquine resistance in malaria: Design, synthesis and structure-activity relationships of novel chemoreversal agents.
title_full_unstemmed Overcoming chloroquine resistance in malaria: Design, synthesis and structure-activity relationships of novel chemoreversal agents.
title_short Overcoming chloroquine resistance in malaria: Design, synthesis and structure-activity relationships of novel chemoreversal agents.
title_sort overcoming chloroquine resistance in malaria design synthesis and structure activity relationships of novel chemoreversal agents
work_keys_str_mv AT boudhara overcomingchloroquineresistanceinmalariadesignsynthesisandstructureactivityrelationshipsofnovelchemoreversalagents
AT ngx overcomingchloroquineresistanceinmalariadesignsynthesisandstructureactivityrelationshipsofnovelchemoreversalagents
AT lohc overcomingchloroquineresistanceinmalariadesignsynthesisandstructureactivityrelationshipsofnovelchemoreversalagents
AT chiaw overcomingchloroquineresistanceinmalariadesignsynthesisandstructureactivityrelationshipsofnovelchemoreversalagents
AT tanz overcomingchloroquineresistanceinmalariadesignsynthesisandstructureactivityrelationshipsofnovelchemoreversalagents
AT nostenf overcomingchloroquineresistanceinmalariadesignsynthesisandstructureactivityrelationshipsofnovelchemoreversalagents
AT dymockb overcomingchloroquineresistanceinmalariadesignsynthesisandstructureactivityrelationshipsofnovelchemoreversalagents
AT tank overcomingchloroquineresistanceinmalariadesignsynthesisandstructureactivityrelationshipsofnovelchemoreversalagents