Abstract

The biosynthesis of the major acyl carrier Coenzyme A from pantothenic acid (PA) is critical for survival of Plasmodium falciparum within human erythrocytes. Accordingly, a PA analog α-PanAm showed potent activity against blood stage parasites in vitro; however, its efficacy in vivo and its mode of action remain unknown. We developed a new synthesis route for α-PanAm and showed that the compound is highly effective against blood stages of drug-sensitive and -resistant P. falciparum strains, inhibits development of P. berghei in hepatocytes, and at doses up to 100 mg/kg also inhibits blood stage development of P. chabaudi in mice. We used yeast and its pantothenate kinase Cab1 as models to characterize mode of action of α-PanAm and found that α-PanAm inhibits yeast growth in a PA-dependent manner, and its potency increases dramatically in a yeast mutant with defective pantothenate kinase activity. Biochemical analyses using 14C-PA as a substrate demonstrated that α-PanAm is a competitive inhibitor of Cab1. Interestingly, biochemical and mass spectrometry analyses also showed that the compound is phosphorylated by Cab1. Together, these data suggest that α-PanAm exerts its antimicrobial activity by direct competition with the natural substrate PA for phosphorylation by the pantothenate kinase.

Highlights

  • Malaria is an important human parasitic disease that continues to threaten the lives of ~50% of the world’s population[1]

  • Since α-PanAm is an analog of pantothenic acid (PA), we examined its activity and with 10% dimethyl sulfoxide (DMSO)/PBS for the other group on days 2, 3 and 4 after parasite infection confirms inhibition of parasite blood stage growth caused by the drug treatment (Tx)

  • We describe a new method for synthesis of α-PanAm, and provide evidence that it is a potent inhibitor of intraerythrocytic P. falciparum development

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Summary

Introduction

Malaria is an important human parasitic disease that continues to threaten the lives of ~50% of the world’s population[1]. Pantothenic acid (vitamin B5), which serves as a precursor for the synthesis of Coenzyme A (CoA), has been shown to play a critical role in parasite metabolism and survival within human erythrocytes[5,8,13]. In yeast, this activity is encoded by the CAB1 gene and catalyzes the phosphorylation of pantothenate either transported from the yeast environment via the pantothenate transporter Fen2p or synthesized endogenously from β-alanine by the pantothenate synthase Pan6p16. Parasite stages were monitored by light microscopy after Giemsa staining

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