Abstract

Plasmodium falciparum parasites are increasingly drug-resistant, requiring the search for novel antimalarials with distinct modes of action. Enzymes in the glutathione pathway, including glutathione S-transferase (GST), show promise as novel antimalarial targets. This study aims to better understand the biological function of Plasmodium GST, assess its potential as a drug target, and identify novel antiplasmodial compounds using the rodent model P. berghei. By using reverse genetics, we provided evidence that GST is essential for survival of P. berghei intra-erythrocytic stages and is a valid target for drug development. A structural model of the P. berghei glutathione S-transferase (PbGST) protein was generated and used in a structure-based screening of 900,000 compounds from the ChemBridge Hit2Lead library. Forty compounds were identified as potential inhibitors and analyzed in parasite in vitro drug susceptibility assays. One compound, CB-27, exhibited antiplasmodial activity with an EC50 of 0.5 μM toward P. berghei and 0.9 μM toward P. falciparum multidrug-resistant Dd2 clone B2 parasites. Moreover, CB-27 showed a concentration-dependent inhibition of the PbGST enzyme without inhibiting the human ortholog. A shape similarity screening using CB-27 as query resulted in the identification of 24 novel chemical scaffolds, with six of them showing antiplasmodial activity ranging from EC50 of 0.6–4.9 μM. Pharmacokinetic and toxicity predictions suggest that the lead compounds have drug-likeness properties. The antiplasmodial potency, the absence of hemolytic activity, and the predicted drug-likeness properties position these compounds for lead optimization and further development as antimalarials.

Highlights

  • Malaria is currently considered the world’s most devastating parasitic disease

  • The full-length pbgst coding region of P. berghei ANKA 507cl1 was amplified by PCR and sequenced

  • To investigate whether the P. berghei gst gene is essential for parasite development in the vertebrate host, we attempted to disrupt the gene in the ANKA 507cl1 reference line (Figure 1)

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Summary

Introduction

Malaria is currently considered the world’s most devastating parasitic disease. In 2017, the WHO estimated 219 million cases of malaria, representing an increase of 2 million cases from the previous year (World Health Organization [WHO], 2018). Despite significant advances in reducing the incidence and deaths due to malaria worldwide, this progress has plateaued, and in some regions regressed mostly due to the emergence and spread of the Plasmodium parasite’s multidrug resistance to front-line drugs, including artemisinin-based combination therapies (Ashley et al, 2014; Fairhurst and Dondorp, 2016). Glutathione S-transferase (GST) has been proposed as a target for the development of novel antimalarials (Harwaldt et al, 2002; Fritz-Wolf et al, 2003). Eukaryotic organisms usually have multiple GSTs while the human malaria parasite P. falciparum and the rodent malaria P. berghei have only one cytosolic GST (Harwaldt et al, 2002; Liebau, 2002; Fritz-Wolf et al, 2003), and membrane-bound GST, known as P. falciparum exported protein 1 (PF3D7_1121600) (Lisewski et al, 2014, 2018)

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