Histone methyltransferase inhibitors are orally bioavailable, fast- Acting molecules with activity against different species causing malaria in humans

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Malmquist, Nicholas A
Sundriyal, Sandeep
Caron, Joachim
Chen, Patty
Witkowski, Benoit
Menard, Didier
Suwanarusk, Rossarin
Renia, Laurent
Nosten, Francois
Belen Jimenez-Diaz, Mara
Angulo-Barturen, Inigo
Santos Maritnez, Maria
Ferrer, Santiago
Sanz, Laura M
Gamo, Francisco-Javier
Wittlin, Sergio
Duffy, Sandra
Avery, Vicky M
Ruecker, Andrea
Delves, Michael J
Sinden, Robert E
Fuchter, Matthew J
Scherf, Artur
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2015
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Abstract

Current antimalarials are under continuous threat due to the relentless development of drug resistance by malaria parasites. We previously reported promising in vitro parasite-killing activity with the histone methyltransferase inhibitor BIX-01294 and its analogue TM2-115. Here, we further characterize these diaminoquinazolines for in vitro and in vivo efficacy and pharmacokinetic properties to prioritize and direct compound development. BIX-01294 and TM2-115 displayed potent in vitro activity, with 50% inhibitory concentrations (IC50s) of <50 nM against drug-sensitive laboratory strains and multidrug-resistant field isolates, including artemisinin-refractory Plasmodium falciparum isolates. Activities against ex vivo clinical isolates of both P. falciparum and Plasmodium vivax were similar, with potencies of 300 to 400 nM. Sexual-stage gametocyte inhibition occurs at micromolar levels; however, mature gametocyte progression to gamete formation is inhibited at submicromolar concentrations. Parasite reduction ratio analysis confirms a high asexual-stage rate of killing. Both compounds examined displayed oral efficacy in in vivo mouse models of Plasmodium berghei and P. falciparum infection. The discovery of a rapid and broadly acting antimalarial compound class targeting blood stage infection, including transmission stage parasites, and effective against multiple malaria-causing species reveals the diaminoquinazoline scaffold to be a very promising lead for development into greatly needed novel therapies to control malaria.

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Antimicrobial Agents and Chemotherapy

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59

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2

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© 2015 American Society for Microbiology. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.

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Microbiology

Microbiology not elsewhere classified

Medical microbiology

Pharmacology and pharmaceutical sciences

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