| Literature DB >> 32570872 |
Manel Ouji1,2, Guillaume Barnoin1, Álvaro Fernández Álvarez1, Jean-Michel Augereau1,2, Catherine Hemmert1, Françoise Benoit-Vical1,2,3, Heinz Gornitzka1.
Abstract
The emergence of Plasmodium falciparum parasites, responsible for malaria disease, resistant to antiplasmodial drugs including the artemisinins, represents a major threat to public health. Therefore, the development of new antimalarial drugs or combinations is urgently required. In this context, several hybrid molecules combining a dihydroartemisinin derivative and gold(I) N-heterocyclic carbene (NHC) complexes have been synthesized based on the different modes of action of the two compounds. The antiplasmodial activity of these molecules was assessed in vitro as well as their cytotoxicity against mammalian cells. All the hybrid molecules tested showed efficacy against P. falciparum, in a nanomolar range for the most active, associated with a low cytotoxicity. However, cross-resistance between artemisinin and these hybrid molecules was evidenced. These results underline a fear about the risk of cross-resistance between artemisinins and new antimalarial drugs based on an endoperoxide part. This study thus raises concerns about the use of such molecules in future therapeutic malaria policies.Entities:
Keywords: NHC-ligands; Plasmodium falciparum; drug resistance; gold; hybrid molecules; malaria
Mesh:
Substances:
Year: 2020 PMID: 32570872 PMCID: PMC7356589 DOI: 10.3390/molecules25122817
Source DB: PubMed Journal: Molecules ISSN: 1420-3049 Impact factor: 4.411
Scheme 1Synthesis of proligands Ln-R (1–13) and gold(I) complexes Aubis(n-R) and Au(n-R)Cl complexes (14–29).
Antimalarial and cytotoxic activities of proligands and gold(I) complexes.
| Entry | Compounds | Antiplasmodial Activity on | Cytotoxicity on Vero CellsIC50 ± SEM (nM) | Selectivity Index Vero Cells/ | |
|---|---|---|---|---|---|
|
| Auranofin | 1.5 × 103 ± 0.1 × 103 | |||
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| Artemisinin | 18 ± 2 | 130 × 103 | 7 000 | |
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| Artemether | 6.1 ± 1 | 214 × 103 ± 29.103 | 35 000 | |
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| DHA-C3 | 8.5 ± 3 | 2.5 × 103 ± 0.1 × 103 | 294 | |
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| 935 ± 117 | - | - |
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| 335 ± 28 | - | - |
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| 351 ± 56 | - | - |
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| 655 ± 53 | - | - |
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| 330 ± 69 | - | - |
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| 35 ± 8 | 5 × 103 ± 1.5 × 103 | 143 |
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| 13 ± 5 | 0.7 × 103 ± 0.2 × 103 | 54 |
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| 45 ± 8 | 8 × 103 ± 103 | 178 |
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| 22 ± 3 | 0.3 × 103 ± 0.005 × 103 | 14 |
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| 104 ± 24 | 8 × 103 ± 2.3 × 103 | 77 |
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| 61 ± 37 | 0.5 × 103 ± 0.1 × 103 | 8 |
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| 23 ± 8 | 1.2 × 103 ± 0.5 × 103 | 52 |
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| 90 ± 9 | - | - |
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| 840 ± 64 | - | - |
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| 326 ± 44 | - | - |
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| 219 ± 18 | - | - |
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| 330 ± 37 | - | - |
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| 13 ± 3 | 0.8 × 103 ± 0.2 × 103 | 62 |
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| 40 ± 21 | 0.7 × 103 ± 0.2 × 103 | 18 |
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| 38 ± 3 | 0.7 × 103 ± 0.1 × 103 | 18 |
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| 83 ± 31 | - | - |
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| 172 ± 22 | - | - |
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| 98 ± 26 | 103 ± 0.1 × 103 | 10 |
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| 98 ± 24 | 25 × 103 ± 10 × 103 | 255 |
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| 226 ± 29 | - | - |
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| 9 ± 0.9 | 103 ± 0.5 × 103 | 111 |
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| 72 ± 14 | 0.6 × 103 ± 0.1 × 103 | 8 |
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| 100 ± 12 | - | - |
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| 38 ± 9 | 2 × 103 ± 0.7 × 103 | 53 |
Values of the 50% inhibitory concentration (IC50) against Plasmodium falciparum were obtained using both SYBR Green and radioactivity assays. Cytotoxic activities of the compounds were determined against the Vero cell line. The antiplasmodial control drugs, artemether and artemisinin were routinely tested.
Recrudescence capacity of Plasmodium falciparum F32-ART and F32-TEM strains after 48h-drug exposure.
| Complexes | Doses | Number of Experiments | Median (range) Recrudescence Days | Mean ± SEM Difference of Recrudescence Days between F32-TEM and F32-ART | |
|---|---|---|---|---|---|
| F32-ART | F32-TEM | ||||
| Artemisinin | 18 µM | 6 | 9.5 (6–17) | 18.5 (17–>30) | 9.7 ± 0.3 |
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| 100 nM | 1 | 5 | 6 | 1 |
| 500 nM | 2 | 12.5 (11–14) | >30 | >17.5 ± 1.5 | |
| 1 µM | 1 | 16 | 30 | 14 | |
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| 100 nM | 1 | 6 | 15 | 9 |
| 500 nM | 2 | 9.5 (8–11) | >25.5 (21–>30) | >16 | |
| 1 µM | 1 | 9 | 30 | 21 | |
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| 200 nM | 3 | 7 (7–13) | 14 (11–16) | 4.6 ± 1.2 |
| 500 nM | 1 | 8 | 24 | 16 | |
Synchronized ring-stage parasites have undergone 48 h of drug treatment. After that, cultures were washed and parasitemia was monitored during 30 days or until reaching the initial parasitemia, defined as the recrudescence day. If no parasites were observed at the end of the experiment, the culture was classified as showing no recrudescence, and the recrudescence day was noted as >30.
| Entry | Proligand | n | R | Yield (%) | Entry | Complex | n | R | Yield (%) | |
|---|---|---|---|---|---|---|---|---|---|---|
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| 3 | Me | 65 |
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| 3 | Me | 84 | |
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| 3 | iPr | 47 |
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| 3 | iPr | 83 | |
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| 3 | Bn | 87 |
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| 3 | Bn | 65 | |
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| 3 | Mes | 76 |
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| 3 | Mes | 52 | |
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| 3 | Quin | 84 |
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| 3 | Quin | 86 | |
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| 4 | Me | 98 |
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| 4 | Me | 80 | |
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| 4 | Bn | 73 |
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| 4 | Bn | 92 | |
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| 4 | Mes | 62 |
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| 4 | Mes | 89 | |
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| 4 | Quin | 58 |
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| 4 | Quin | 92 | |
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| 5 | Me | 35 |
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| 5 | Me | 32 | |
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| 5 | Bn | 52 |
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| 5 | Bn | 45 | |
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| 5 | Mes | 60 |
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| 5 | Mes | 74 | |
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| 5 | Quin | 66 |
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| 5 | Quin | 47 | |
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| 3 | Me | 42 | ||||||
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| 3 | Bn | 81 | ||||||
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| 3 | Quin | - | ||||||
* From reference [25]. § Complex Aubis(3-Me) (14) was synthetized according to the transmetalation route [25].