The aim of this study was to develop new antiplasmodial compounds acting through distinct mechanisms
during both the liver and the blood stages of the parasite life cycle. Compounds were designed on the basis
of the “double-drug” approach: primaquine, which has been linked to statine-based inhibitors of plasmepsins
(PLMs), the plasmodial aspartic proteases involved in degradation of hemeoglobin. The compounds were
tested in vitro for anti-PLM I/PLM II activities and against chloroquine-sensitive (D10) and chloroquine-resistant (W2) strains of P. falciparum. An antiplasmodial activity (IC50) as low as 0.1 μM was obtained,
an excellent improvement in comparison with inhibitors previously reported (IC50 = 2−20 μM). The killing
activity was equally directed against both P. falciparum strains and was correlated to lipophilicity (calculated
as ALogP), for all compounds but one (9). All compounds inhibited PLM I and PLM II in the nanomolar
range (K
i = 1−700 nM). The most promising compounds (2, 6, 10) were not cytotoxic against human
fibroblasts at 100 μM and were highly selective for PLMs vs human cathepsin D.