Combining Stage Specificity and Metabolomic Profiling to Advance Antimalarial Drug Discovery.

  • Journal Article
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

Journal:
Cell chemical biology, Volume: 27, Issue: 2
Published:
February 20, 2020
PMID:
31813848
Authors:
James M Murithi JM, Edward S Owen ES, Eva S Istvan ES, Marcus C S Lee MCS, Sabine Ottilie S, Kelly Chibale K, Daniel E Goldberg DE, Elizabeth A Winzeler EA, Manuel LlinĂ¡s M, David A Fidock DA, Manu Vanaerschot M
Abstract:

We report detailed susceptibility profiling of asexual blood stages of the malaria parasite Plasmodium falciparum to clinical and experimental antimalarials, combined with metabolomic fingerprinting. Results revealed a variety of stage-specific and metabolic profiles that differentiated the modes of action of clinical antimalarials including chloroquine, piperaquine, lumefantrine, and mefloquine, and identified late trophozoite-specific peak activity and stage-specific biphasic dose-responses for the mitochondrial inhibitors DSM265 and atovaquone. We also identified experimental antimalarials hitting previously unexplored druggable pathways as reflected by their unique stage specificity and/or metabolic profiles. These included several ring-active compounds, ones affecting hemoglobin catabolism through distinct pathways, and mitochondrial inhibitors with lower propensities for resistance than either DSM265 or atovaquone. This approach, also applicable to other microbes that undergo multiple differentiation steps, provides an effective tool to prioritize compounds for further development within the context of combination therapies.