Abstract
BackgroundEven though malaria is a completely preventable and treatable disease, it remains a threat to human life and a burden to the global economy due to the emergence of multiple-drug resistant malaria parasites. According to the World Malaria Report 2013, in 2012 there were an estimated 207 million malaria cases and 627,000 deaths. Thus, the discovery and development of new, effective anti-malarial drugs are required. To achieve this goal, the Department of Chemistry at the University of the Free State has synthesized a number of novel amino-alkylated chalcones and analogues, which showed in vitro anti-malarial activity against both chloroquine-sensitive and chloroquine-resistant Plasmodium falciparum strains. The lead compound (NP046) was selected for a comprehensive pharmacokinetic (PK) and in vivo efficacy evaluation in a mouse model.MethodsIn vivo efficacy: Water solutions of NP046 were administered orally at 50 and 10 mg/kg using oral gavage and IV at 5 and 1 mg/kg via the dorsal penile vein to Plasmodium berghei (ANKA strain) infected male C57BL/6 mice (n = 5), once a day for four days. Blood samples were collected via tail bleeding in tubes containing phosphate buffer saline (PBS) on day five to determine the % parasitaemia by flow cytometry.In vivo PK: NP046 solutions in water were administered orally (50 and 10 mg/kg) and IV (5 mg/kg) to male C57BL/6 mice (n = 5). Blood samples were collected via tail bleeding into heparinized tubes and analysed using a validated LC-MS/MS assay. Data obtained from the concentration-time profile was evaluated using Summit PK software to determine the PK parameters of NP046.ResultsNP046 inhibited parasite growth for the oral and IV groups. Better parasite growth inhibition was observed for the IV group. The PK evaluation of NP046 showed low oral bioavailability (3.2% and 6% at 50 mg/kg and 10 mg/kg dose, respectively and a moderate mean half-life ranging from 3.1 to 4.4 hours.ConclusionEven though the oral bioavailability of NP046 is low, its percentage parasite growth inhibition is promising, but in order to improve the oral bioavailability, structure-activity-relationship (SAR) optimization studies are currently being conducted.Electronic supplementary materialThe online version of this article (doi:10.1186/1475-2875-14-8) contains supplementary material, which is available to authorized users.
Highlights
Even though malaria is a completely preventable and treatable disease, it remains a threat to human life and a burden to the global economy due to the emergence of multiple-drug resistant malaria parasites
The 50 and 10 mg/kg NP046 oral dose groups resulted in percentage of parasite growth inhibition of 47.3% and 24.6%, respectively, while the 5 and 1 mg/kg NP046 IV dose groups resulted in 87.4% and 57.6% growth inhibition, respectively, on day five post-infection relative to the negative control group
NP046 which exhibited a 47.3% reduction in parasitaemia at a 50 mg/kg oral dose relative to CQ can be considered as an active compound and proceed for further secondary screens
Summary
Even though malaria is a completely preventable and treatable disease, it remains a threat to human life and a burden to the global economy due to the emergence of multiple-drug resistant malaria parasites. Artemisinin-based combination therapy (ACT) is recommended as first-line treatment for uncomplicated Plasmodium falciparum malaria [2,3] and has significantly reduced the malaria burden in most endemic countries, but the emergence of artemisinin-resistant malaria parasites in Cambodia, Myanmar, Thailand and Vietnam [1,2,3] underscores the importance and urgency to push the discovery and development of new effective anti-malarial drugs to its highest level To achieve this goal, the Department of Chemistry at the University of the Free State has synthesized a number of novel amino-alkylated chalcones and analogues by means of the Mannich reaction. The compounds were evaluated for their in vitro anti-malarial activity against chloroquine-sensitive (D10) and chloroquine-resistant (K1) P. falciparum strains, and cytotoxicity against Chinese Hamster Ovarian (CHO) cells by MTT assays [4].
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