Abstract:The malaria parasite has a voracious appetite, requiring large amounts of glucose and nutrients for its rapid growth and proliferation inside human red blood cells. The host cell is resource rich, but this is a double-edged sword; nutrient excess can lead to undesirable metabolic reactions and harmful by-products. Here, we demonstrate that the parasite possesses a metabolite repair enzyme (PGP) that suppresses harmful metabolic by-products (via substrate dephosphorylation) and allows the parasite to maintain c… Show more
“…Given that fosmidomycin targets DXR, it is likely that the reduction in DXR’s substrate (DOXP) in PS-3-resistant parasites, coupled with a decrease in MEcPP and IPP, results in an increase in fosmidomycin activity. Increased sensitivity to fosmidomycin has also been reported in P. falciparum parasites lacking phosphoglycolate phosphatase (PGP) ( 40 ). PGP, a third member of the P. falciparum HAD family, has been shown to be involved in regulating glycolysis and PPP flux in asexual P. falciparum ( 40 ).…”
Section: Discussionmentioning
confidence: 99%
“…Increased sensitivity to fosmidomycin has also been reported in P. falciparum parasites lacking phosphoglycolate phosphatase (PGP) ( 40 ). PGP, a third member of the P. falciparum HAD family, has been shown to be involved in regulating glycolysis and PPP flux in asexual P. falciparum ( 40 ). In Δ pgp parasites, the loss of PGP leads to the inhibition of the PPP enzyme 6-phosphogluconate dehydrogenase (6-PGD), resulting in reduced glycolytic flux and causing reduced isoprenoid biosynthesis and increased sensitivity to fosmidomycin ( 40 ).…”
Section: Discussionmentioning
confidence: 99%
“…PGP, a third member of the P. falciparum HAD family, has been shown to be involved in regulating glycolysis and PPP flux in asexual P. falciparum ( 40 ). In Δ pgp parasites, the loss of PGP leads to the inhibition of the PPP enzyme 6-phosphogluconate dehydrogenase (6-PGD), resulting in reduced glycolytic flux and causing reduced isoprenoid biosynthesis and increased sensitivity to fosmidomycin ( 40 ). Interestingly, fosmidomycin-resistant parasites harboring mutations in Pf HAD2 display the opposite metabolomic profile to that of PS-3-resistant parasites.…”
Plasmodium parasites rely heavily on glycolysis for ATP production and for precursors for essential anabolic pathways, such as the methylerythritol phosphate (MEP) pathway. Here, we show that mutations in the Plasmodium falciparum glycolytic enzyme, phosphofructokinase (PfPFK9), are associated with in vitro resistance to a primary sulfonamide glycoside (PS-3). Flux through the upper glycolysis pathway was significantly reduced in PS-3-resistant parasites, which was associated with reduced ATP levels but increased flux into the pentose phosphate pathway. PS-3 may directly or indirectly target enzymes in these pathways, as PS-3-treated parasites had elevated levels of glycolytic and tricarboxylic acid (TCA) cycle intermediates. PS-3 resistance also led to reduced MEP pathway intermediates, and PS-3-resistant parasites were hypersensitive to the MEP pathway inhibitor, fosmidomycin. Overall, this study suggests that PS-3 disrupts core pathways in central carbon metabolism, which is compensated for by mutations in PfPFK9, highlighting a novel metabolic drug resistance mechanism in P. falciparum.
IMPORTANCE Malaria, caused by Plasmodium parasites, continues to be a devastating global health issue, causing 405,000 deaths and 228 million cases in 2018. Understanding key metabolic processes in malaria parasites is critical to the development of new drugs to combat this major infectious disease. The Plasmodium glycolytic pathway is essential to the malaria parasite, providing energy for growth and replication and supplying important biomolecules for other essential Plasmodium anabolic pathways. Despite this overreliance on glycolysis, no current drugs target glycolysis, and there is a paucity of information on critical glycolysis targets. Our work addresses this unmet need, providing new mechanistic insights into this key pathway.
“…Given that fosmidomycin targets DXR, it is likely that the reduction in DXR’s substrate (DOXP) in PS-3-resistant parasites, coupled with a decrease in MEcPP and IPP, results in an increase in fosmidomycin activity. Increased sensitivity to fosmidomycin has also been reported in P. falciparum parasites lacking phosphoglycolate phosphatase (PGP) ( 40 ). PGP, a third member of the P. falciparum HAD family, has been shown to be involved in regulating glycolysis and PPP flux in asexual P. falciparum ( 40 ).…”
Section: Discussionmentioning
confidence: 99%
“…Increased sensitivity to fosmidomycin has also been reported in P. falciparum parasites lacking phosphoglycolate phosphatase (PGP) ( 40 ). PGP, a third member of the P. falciparum HAD family, has been shown to be involved in regulating glycolysis and PPP flux in asexual P. falciparum ( 40 ). In Δ pgp parasites, the loss of PGP leads to the inhibition of the PPP enzyme 6-phosphogluconate dehydrogenase (6-PGD), resulting in reduced glycolytic flux and causing reduced isoprenoid biosynthesis and increased sensitivity to fosmidomycin ( 40 ).…”
Section: Discussionmentioning
confidence: 99%
“…PGP, a third member of the P. falciparum HAD family, has been shown to be involved in regulating glycolysis and PPP flux in asexual P. falciparum ( 40 ). In Δ pgp parasites, the loss of PGP leads to the inhibition of the PPP enzyme 6-phosphogluconate dehydrogenase (6-PGD), resulting in reduced glycolytic flux and causing reduced isoprenoid biosynthesis and increased sensitivity to fosmidomycin ( 40 ). Interestingly, fosmidomycin-resistant parasites harboring mutations in Pf HAD2 display the opposite metabolomic profile to that of PS-3-resistant parasites.…”
Plasmodium parasites rely heavily on glycolysis for ATP production and for precursors for essential anabolic pathways, such as the methylerythritol phosphate (MEP) pathway. Here, we show that mutations in the Plasmodium falciparum glycolytic enzyme, phosphofructokinase (PfPFK9), are associated with in vitro resistance to a primary sulfonamide glycoside (PS-3). Flux through the upper glycolysis pathway was significantly reduced in PS-3-resistant parasites, which was associated with reduced ATP levels but increased flux into the pentose phosphate pathway. PS-3 may directly or indirectly target enzymes in these pathways, as PS-3-treated parasites had elevated levels of glycolytic and tricarboxylic acid (TCA) cycle intermediates. PS-3 resistance also led to reduced MEP pathway intermediates, and PS-3-resistant parasites were hypersensitive to the MEP pathway inhibitor, fosmidomycin. Overall, this study suggests that PS-3 disrupts core pathways in central carbon metabolism, which is compensated for by mutations in PfPFK9, highlighting a novel metabolic drug resistance mechanism in P. falciparum.
IMPORTANCE Malaria, caused by Plasmodium parasites, continues to be a devastating global health issue, causing 405,000 deaths and 228 million cases in 2018. Understanding key metabolic processes in malaria parasites is critical to the development of new drugs to combat this major infectious disease. The Plasmodium glycolytic pathway is essential to the malaria parasite, providing energy for growth and replication and supplying important biomolecules for other essential Plasmodium anabolic pathways. Despite this overreliance on glycolysis, no current drugs target glycolysis, and there is a paucity of information on critical glycolysis targets. Our work addresses this unmet need, providing new mechanistic insights into this key pathway.
“…Similarly, standard in vitro inhibitory activity of a candidate compound can be confounded by altered pathogen metabolism due to growth media composition (Hicks et al, 2018; Pethe et al, 2010) and conversely an understanding of these interactions can potentiate treatment (Vestergaard et al, 2017). These complex interactions are best understood in cases of bacterial pathogenesis, but recently, similar trends are apparent in eukaryotic pathogens (Dumont et al, 2019; McLean and Jacobs-Lorena, 2017; Murithi et al, 2020).…”
Section: Introductionmentioning
confidence: 93%
“…A third, less explored option, is the impact of metabolic and environmental heterogeneity on the efficacy of a given antimicrobial agent (Yang et al, 2017). Factors such as pathogen respiration (Lobritz et al, 2015), ATP levels (Conlon et al, 2016) and buildup of metabolic intermediates (Dumont et al, 2019) as well as environmental stressors such as the host immune response (Rowe et al, 2020) can modulate antibiotic efficacy. Recent work has shown that when the metabolic state and growth rate of microbes are disentangled, the factor that correlates with antibiotic efficacy is the microbial metabolic state (Lopatkin et al, 2019).…”
7The mechanisms underlying resistance of the Chagas disease parasite, Trypanosoma cruzi, to 1 8 current therapies are not well understood, including the potential role of metabolic heterogeneity 1 9 7
Malaria is a parasitic disease that remains a global health issue, responsible for a significant death and morbidity toll. Various factors have impacted the use and delayed the development of antimalarial therapies, such as the associated financial cost and parasitic resistance. In order to discover new drugs and validate parasitic targets, a powerful omics tool, metabolomics, emerged as a reliable approach. However, as a fairly recent method in malaria, new findings are timely and original practices emerge frequently. This review aims to discuss recent research towards the development of new metabolomic methods in the context of uncovering antiplasmodial mechanisms of action in vitro and to point out innovative metabolic pathways that can revitalize the antimalarial pipeline.
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