2014
DOI: 10.1128/aac.00040-14
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New Insight into the Mechanism of Accumulation and Intraerythrocytic Compartmentation of Albitiazolium, a New Type of Antimalarial

Abstract: c Bis-thiazolium salts constitute a new class of antihematozoan drugs that inhibit parasite phosphatidylcholine biosynthesis. They specifically accumulate in Plasmodium-and Babesia-infected red blood cells (IRBC). Here, we provide new insight into the choline analogue albitiazolium, which is currently being clinically tested against severe malaria. Concentration-dependent accumulation in P. falciparum-infected erythrocytes reached steady state after 90 to 120 min and was massive throughout the blood cycle, wit… Show more

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Cited by 10 publications
(11 citation statements)
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“…They are able to cure malaria infections in vivo in mice, primates, and humans, but their clinical development was discontinued because of rapid drug clearance in children (49). T3 concentrates massively in infected erythrocytes in an energy-dependent and saturable process, which underlies its antiplasmodial activity at low nanomolar concentrations (50). We observed a clear increase in the IC 50 values for T3 and T16 in 10G-0.6-2 compared to 10G, which together with silencing of both clag3 genes after only 2 weeks of selection with these drugs demonstrates that P. falciparum can develop resistance to them by changes in the expression of clag3 genes (30,32).…”
Section: Discussionmentioning
confidence: 99%
“…They are able to cure malaria infections in vivo in mice, primates, and humans, but their clinical development was discontinued because of rapid drug clearance in children (49). T3 concentrates massively in infected erythrocytes in an energy-dependent and saturable process, which underlies its antiplasmodial activity at low nanomolar concentrations (50). We observed a clear increase in the IC 50 values for T3 and T16 in 10G-0.6-2 compared to 10G, which together with silencing of both clag3 genes after only 2 weeks of selection with these drugs demonstrates that P. falciparum can develop resistance to them by changes in the expression of clag3 genes (30,32).…”
Section: Discussionmentioning
confidence: 99%
“…In P. falciparum in vitro cultures, the accumulation of albitiazolium in the intraerythrocytic parasite has been shown to be a rapid process that requires less than 2 h to reach steady state (14) and that is associated with a rapid irreversible toxic effect. However, morphological alterations and the destruction of the parasite were observed only much later (15).…”
Section: Resultsmentioning
confidence: 99%
“…Treatment of Plasmodium with bisthiazolium salts results in delayed morphological alterations and in the destruction of the parasites in vitro (14) and in vivo (Fig. 2F).…”
Section: Discussionmentioning
confidence: 99%
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“…Com base nisso, propomos que os inibidores possam se acumular rapidamente dentro da célula hospedeira, promovendo a inibição da invasão. Essa característica físico-química tem sido reportada aos sais de bistiazólio aplicados contra Plasmodium falciparum, nos quais também foram capazes de se acumular dentro da célula hospedeira, promovendo sua atividade antimalárica[99]. de diferentes tipos celulares[36].…”
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