Methnaridine is an orally bioavailable, fast-killing and long-acting antimalarial agent that cures Plasmodium infections in mice.

Background and Purpose: Malaria is one of the deadliest diseases in the world. Novel chemotherapeutic agents are urgently required to combat the widespread Plasmodium resistance to frontline drugs. Here, we report the discovery of a novel benzonaphthyridine antimalarial, methnaridine, which was iden...

Descripción completa

Detalles Bibliográficos
Publicado en:British Journal of Pharmacology Vol. 177; no. 24; pp. 5569 - 5580
Autores principales: Wang, Weisi, Yao, Junmin, Chen, Zhuo, Sun, Yiming, Shi, Yuqing, Wei, Yufen, Zhou, Hejun, Yu, Yingfang, Li, Shizhu, Duan, Liping
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Dec2020
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147322132&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 147322132
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        00071188
        DZ6
      jtl: British Journal of Pharmacology
      issn: 00071188
      maglogo: Y
    pubinfo:
      dt: Dec2020
      vid: 177
      iid: 24
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
    artinfo:
      ui:
        147322132
        147322132
        148585095
        NLM32959888
        147322132
        10.1111/bph.15268
        NLM32959888
        147322132
      ppf: 5569
      ppct: 11
      formats:
      tig:
        atl: Methnaridine is an orally bioavailable, fast-killing and long-acting antimalarial agent that cures Plasmodium infections in mice.
      aug:
        au:
          Wang, Weisi
          Yao, Junmin
          Chen, Zhuo
          Sun, Yiming
          Shi, Yuqing
          Wei, Yufen
          Zhou, Hejun
          Yu, Yingfang
          Li, Shizhu
          Duan, Liping
        affil: National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, WHO Collaborating Centre for Tropical Diseases, Key Laboratory of Parasitology and Vector Biology of the Chinese Ministry of Health, Shanghai, China
      sug:
        subj:
          Antimalarials Therapeutic Use
          Malaria Drug Therapy
          Antimalarials Pharmacodynamics
          Mice
          Animal Studies
          Homicide
          Protozoa
          Comparative Studies
          Multicenter Studies
          Evaluation Research
          Validation Studies
          Clinical Assessment Tools
          Scales
      ab: Background and Purpose: Malaria is one of the deadliest diseases in the world. Novel chemotherapeutic agents are urgently required to combat the widespread Plasmodium resistance to frontline drugs. Here, we report the discovery of a novel benzonaphthyridine antimalarial, methnaridine, which was identified using a structural optimization strategy.Experimental Approach: An integrated pharmacological approach was used to evaluate the antimalarial profile of methnaridine. The pharmacokinetic properties of methnaridine were investigated along with the associated safety profile. Host immune response patterns were also analysed.Key Results: Methnaridine exhibited potent antimalarial activity against P. falciparum (3D7: IC50 = 0.0066 μM; Dd2: IC50 = 0.0056 μM). In P. berghei-infected mice, oral administration effectively suppressed parasitemia (ED50 = 0.52 mg·kg-1 ·day-1 ) and cured the established infection (CD50 = 10.13 mg·kg-1 ·day-1 ). These results are equivalent to or better than those of other antimalarial agents in clinical use. Notably, a four-dose oral regimen at a dosage of 25 mg·kg-1 achieved a complete cure of P. berghei infection in mice. Methnaridine exhibited a rapid parasiticidal profile (PCT99 = 36.0 h) and showed no cross-resistance to chloroquine. Pharmacokinetic studies revealed that methnaridine is readily absorbed, long-lasting and slowly cleared. The safety profile of methnaridine is also satisfactory (maximum tolerated dose = 1,125 mg·kg-1 ). In addition, following methnaridine treatment, infection-induced Th1 immune response was almost fully alleviated in mice.Conclusion and Implications: Methnaridine is an orally bioavailable, fast-acting and long-lasting agent with excellent antimalarial properties. Our study highlights the potential of methnaridine for clinical development as a promising antimalarial candidate.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N