Malaria Egress Pathway and UA2239 Inhibition
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Questions and Answers

What is the ED50 of UA2239 in inhibiting berghei-infected mice?

  • 0.1 mg/kg
  • 0.5 mg/kg (correct)
  • 1.0 mg/kg
  • 2.0 mg/kg

What does a high selectivity index (SI > 10,000) for UA2239 indicate?

  • Broad-spectrum antiviral properties
  • Low toxicity to mammalian cells (correct)
  • High activity on mammalian cells
  • Enhanced side effects

Which pathway is involved in the egress of merozoites from red blood cells?

  • cGMP-PDE pathway
  • Calcium-dependent pathway
  • cGMP-PKG dependent pathway (correct)
  • cAMP-PKA pathway

What is the expected effect of inhibiting PfPDE?

<p>Induced egress of immature merozoites (A)</p> Signup and view all the answers

Which chemical class does Compound 2 (C2) belong to?

<p>Imidazopyridines (B)</p> Signup and view all the answers

How does UA2239 affect different stages of the parasite life cycle?

<p>Inhibits both intraerythrocytic cycle and gametogenesis (A)</p> Signup and view all the answers

The primary mechanism of action for nucleoside and nucleotide analogues involves what process?

<p>Conversion into poly-phosphorylated derivatives (A)</p> Signup and view all the answers

What is the result of inhibiting PfPKG in malaria parasites?

<p>Impairment of merozoite egress from red blood cells (A)</p> Signup and view all the answers

What is the target of the compound UA2239 in the malaria parasite?

<p>Guanylate cyclase (PfGCα) (B)</p> Signup and view all the answers

What distinguishes UA2239's mechanism of action from traditional antimalarial therapies?

<p>It impairs cyclic-GMP synthesis. (D)</p> Signup and view all the answers

In which aspect has UA2239 shown significant promise?

<p>Inhibiting the growth of Plasmodium in vitro and in animal models. (C)</p> Signup and view all the answers

What does UA2239 inhibit in the malaria lifecycle?

<p>Egress of merozoites and gametes from erythrocytes. (C)</p> Signup and view all the answers

What phenomenon was observed with UA2239-resistant P.falciparum lines?

<p>Mutations in cGMP-dependent protein kinase (PKG). (A)</p> Signup and view all the answers

How many deaths due to malaria were estimated in 2022?

<p>608,000 (D)</p> Signup and view all the answers

What role does guanylate cyclase (PfGCα) play in the context of UA2239's action?

<p>It is inhibited by UA2239. (B)</p> Signup and view all the answers

What is the main urgent need mentioned for antimalarial therapies?

<p>To combat the spread of malaria parasite resistance. (C)</p> Signup and view all the answers

What remains a critical method in the fight against malaria despite the development of vaccines?

<p>Chemotherapy (B)</p> Signup and view all the answers

Which of the following accurately describes the life cycle of the malaria parasite in humans?

<p>They initially multiply in liver cells before entering the bloodstream. (C)</p> Signup and view all the answers

What is a significant issue faced in malaria treatment currently?

<p>Emergence of artemisinin-resistant strains (B)</p> Signup and view all the answers

What is the expected focus of future antimalarial treatments?

<p>Targeting multiple stages of the parasite's life cycle (B)</p> Signup and view all the answers

Which of the following statements describes the activity of the compound UA2239?

<p>It inhibits parasite growth effectively in vitro. (C)</p> Signup and view all the answers

What does the IC50 value indicate in the context of UA2239's effectiveness?

<p>The concentration required to inhibit 50% of parasite growth. (A)</p> Signup and view all the answers

What is the role of gametocytes in the malaria parasite's life cycle?

<p>To mate in the mosquito gut after a blood meal. (C)</p> Signup and view all the answers

What has recently been synthesized as a novel antimalarial treatment?

<p>Acyclo-nucleoside phosphonates (ANPs) (A)</p> Signup and view all the answers

Flashcards

Antimalarial therapy

A treatment for malaria, typically targeting Plasmodium parasites.

UA2239

An acyclic nucleoside phosphonate and purine analog, exhibiting robust malaria parasite growth inhibition.

cGMP-dependent protein kinase (PKG)

An enzyme essential for malaria parasite egress from red blood cells.

Resistance phenotype

A specific trait that appears in parasites due to mutations in genes, making them resistant to a drug (UA2239).

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Guanylate cyclase (PfGCα)

Likely primary target of UA2239; responsible for cGMP generation.

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Egress pathway

The process of malaria parasite exit from red blood cells.

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Malaria parasite resistance

The ability of malaria parasites to withstand the actions of drugs currently used against infection.

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Cyclic GMP

A crucial molecule in the malaria parasite egress process.

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Malaria Cases

Malaria cases and deaths have been decreasing slowly but are still higher than before the COVID-19 pandemic.

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Malaria Vaccines

Early malaria vaccines are being used in some African countries, while many vaccine candidates are in development.

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Artemisinin-resistance

Parasites resistant to artemisinin, a crucial treatment for malaria, are emerging in Asia and Africa.

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Chemotherapy in Malaria

Chemotherapy is still essential for malaria treatment, especially with the current use of artemisinin combination therapy

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New Antimalarial Treatments

Future malaria treatments will target multiple stages of the parasite's life cycle in both humans and mosquitoes.

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Parasite Life Cycle (human)

Malaria parasites initially multiply in liver cells, then grow and multiply in red blood cells (invasion-growth-multiplication).

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Parasite Life Cycle (mosquito)

A fraction of parasites become gametocytes, which mature and mate in the mosquito gut, before settling in the salivary glands for transmission.

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ED50 of UA2239

Effective dose of UA2239 to inhibit 50% parasite growth (intraperitoneal administration)

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Selectivity Index (SI) of UA2239

Ratio of doses needed to affect mammalian cells versus parasite cells (SI > 10,000 for UA2239).

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Mechanism of Nucleoside/Nucleotide Analogues

Converted to poly-phosphorylated derivatives and interact with cellular or viral polymerases (substrate or inhibitor).

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ANPs inhibiting Plasmodium enzymes

Anti-malarial drugs target the purine salvage pathway in Plasmodium.

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UA2239's effect on merozoite egress

Disrupts merozoite egress, a process governed by cGMP-PKG dependent pathway, rather than DNA synthesis.

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cGMP-PKG pathway

Governs merozoite egress; activation of protein kinase G (PKG) requires cGMP.

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PfPKG inhibitor effect

Impairs merozoite egress, blocking parasites in red blood cells, similar inhibitory effect with PfGC inhibition

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PfPDE inhibition effect

Stimulates premature egress of immature merozoites, rendering them unable to infect new red blood cells.

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Study Notes

Malaria cGMP-PKG Dependent Egress Pathway Inhibited by UA2239

  • A potent acyclic nucleoside phosphonate, UA2239, inhibits the malaria cGMP-PKG dependent egress pathway.
  • UA2239 inhibits Plasmodium growth in vitro and in animal models.
  • It blocks the egress of merozoites and gametes from erythrocytes.
  • UA2239 resistance in P. falciparum is linked to mutations in cGMP-dependent protein kinase (PKG).
  • However, UA2239 doesn't directly target PKG; instead, it lowers cGMP levels.
  • This, in turn, inhibits the parasite's guanylate cyclase (PfGCa), which is a crucial component of the cGMP-dependent egress pathway.
  • UA2239 impairs cyclic-GMP synthesis.
  • This uniquely targets the unique mechanism of action by targeting cyclic GMP synthesis.

Abbreviations

  • C2: compound 2
  • CQ: chloroquine
  • DHA: dihydroartemisinin
  • GC: guanylate cyclase
  • GER parasites: genome-edited resistant parasites

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Description

This quiz explores the role of UA2239 in inhibiting the malaria cGMP-PKG dependent egress pathway. Test your understanding of its effects on Plasmodium growth, mutation links, and its unique mechanism of action targeting cyclic GMP synthesis.

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