2021
DOI: 10.3390/antiox10121872
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Reactive Oxygen Species as the Brainbox in Malaria Treatment

Abstract: Several measures are in place to combat the worldwide spread of malaria, especially in regions of high endemicity. In part, most common antimalarials, such as quinolines and artemisinin and its derivatives, deploy an ROS-mediated approach to kill malaria parasites. Although some antimalarials may share similar targets and mechanisms of action, varying levels of reactive oxygen species (ROS) generation may account for their varying pharmacological activities. Regardless of the numerous approaches employed curre… Show more

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Cited by 31 publications
(33 citation statements)
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References 145 publications
(229 reference statements)
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“…Additionally, along this intraerythrocytic stage, Plasmodium species rely on host hemoglobin (the main component of red blood cells (RBCs)) as a source of amino acids [ 24 ]. Notwithstanding, hemoglobin degradation releases free heme parts that cause oxidative stress to the parasite [ 24 , 25 , 26 , 27 ]. Thus, to evade heme toxicity and cell death, the parasite converts heme into an inert crystal, the hemozoin, in the digestive vacuole [ 26 , 27 ].…”
Section: Malaria Biomarkersmentioning
confidence: 99%
See 1 more Smart Citation
“…Additionally, along this intraerythrocytic stage, Plasmodium species rely on host hemoglobin (the main component of red blood cells (RBCs)) as a source of amino acids [ 24 ]. Notwithstanding, hemoglobin degradation releases free heme parts that cause oxidative stress to the parasite [ 24 , 25 , 26 , 27 ]. Thus, to evade heme toxicity and cell death, the parasite converts heme into an inert crystal, the hemozoin, in the digestive vacuole [ 26 , 27 ].…”
Section: Malaria Biomarkersmentioning
confidence: 99%
“…Later, the same team used this simple and inexpensive system to assess biophysical alterations in RBCs following hemin-induced oxidative stress [ 94 ]. One of the major sources of oxidative stress in the malaria parasite originates in the pathway of hemoglobin degradation to hemozoin formation as a result of iron oxidation [ 24 , 25 ]. Despite not measuring hemozoin directly, this system analysis an outcome of hemozoin formation and shows that hemin concentration correlates with RBCs deformability [ 94 ].…”
Section: Lab-on-a-chip and Other Microdevices For Hemozoin-based Mala...mentioning
confidence: 99%
“…Artemisinin is identified by the presence of the endoperoxide group in its structure, which is responsible for its antimalarial activity [ 217 ], for it alkyls the heme group and prevents its polymerization in hemozoin, causing an increase in ROS/RNS production [ 218 ]. However, long-term resistance to the combination of artemisinin with these drugs has been reported [ 219 , 220 ].…”
Section: Antioxidant Therapy In Malariamentioning
confidence: 99%
“…For the endoperoxides, artemisinin and its derivatives (artemether, artesunate, arteether) are the main examples. The endoperoxides generally increase the oxidative stress level, attacking essential biomolecules such as proteins, nucleic acids and lipids in the parasite, which leads to the death of the parasites [11]. The hydroxynaphtoquinones inhibit the respiratory chain of the parasite [12].…”
Section: Overview Of the Current Antimalarial Portfoliomentioning
confidence: 99%