Abstract

Malaria remains a major public health problem. With the loss of antimalarials to resistance, the malaria burden will likely continue for decades. New antimalarial scaffolds are crucial to avoid cross-resistance. Here, we present the first structure based virtual screening using the β-haematin crystal as a target for new inhibitor scaffolds by applying a docking method. The ZINC15 database was searched for compounds with high binding affinity with the surface of the β-haematin crystal using the PyRx Virtual Screening Tool. Top-ranked compounds predicted to interact with β-haematin were submitted to a second screen applying in silico toxicity and drug-likeness predictions using Osiris DataWarrior. Fifteen compounds were purchased for experimental testing. An NP-40 mediated β-haematin inhibition assay and parasite growth inhibition activity assay were performed. The benzoxazole moiety was found to be a promising scaffold for further development, showing intraparasitic haemozoin inhibition using a cellular haem fractionation assay causing a decrease in haemozoin in a dose dependent manner with a corresponding increase in exchangeable haem. A β-haematin inhibition hit rate of 73% was found, a large enrichment over random screening, demonstrating that virtual screening can be a useful and cost-effective approach in the search for new haemozoin inhibiting antimalarials.

Highlights

  • Malaria remains a major public health problem

  • Malaria is an infectious parasitic tropical disease caused by five species of protozoa of the genus Plasmodium, of which P. falciparum is the most lethal in humans

  • According to the World Health Organisation 2017 World Malaria Report, in 2016 91 countries reported a total of 216 million cases of malaria, an increase of 5 million cases over 2015, which resulted in 445,000 reported deaths

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Summary

Introduction

Malaria remains a major public health problem. With the loss of antimalarials to resistance, the malaria burden will likely continue for decades. The mechanism of action of AQ, chloroquine (CQ) and other quinolines is based on inhibition of the parasite’s mechanism of haem detoxification during the erythrocytic stage within the red blood cell (RBC), where the parasite degrades host haemoglobin to amino acids, a portion of which are used by the parasite, and free haem. This free haem is sequestered into an inert and highly insoluble crystal called haemozoin, or malaria pigment. To avoid cross-resistance new antimalarial scaffolds are crucial

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