Targeting Plasmodium PI(4)K to eliminate malaria

CW McNamara, MCS Lee, CS Lim, SH Lim, J Roland… - Nature, 2013 - nature.com
CW McNamara, MCS Lee, CS Lim, SH Lim, J Roland, A Nagle, O Simon, BKS Yeung…
Nature, 2013nature.com
Achieving the goal of malaria elimination will depend on targeting Plasmodium pathways
essential across all life stages. Here we identify a lipid kinase, phosphatidylinositol-4-OH
kinase (PI (4) K), as the target of imidazopyrazines, a new antimalarial compound class that
inhibits the intracellular development of multiple Plasmodium species at each stage of
infection in the vertebrate host. Imidazopyrazines demonstrate potent preventive,
therapeutic, and transmission-blocking activity in rodent malaria models, are active against …
Abstract
Achieving the goal of malaria elimination will depend on targeting Plasmodium pathways essential across all life stages. Here we identify a lipid kinase, phosphatidylinositol-4-OH kinase (PI(4)K), as the target of imidazopyrazines, a new antimalarial compound class that inhibits the intracellular development of multiple Plasmodium species at each stage of infection in the vertebrate host. Imidazopyrazines demonstrate potent preventive, therapeutic, and transmission-blocking activity in rodent malaria models, are active against blood-stage field isolates of the major human pathogens P. falciparum and P. vivax, and inhibit liver-stage hypnozoites in the simian parasite P. cynomolgi. We show that imidazopyrazines exert their effect through inhibitory interaction with the ATP-binding pocket of PI(4)K, altering the intracellular distribution of phosphatidylinositol-4-phosphate. Collectively, our data define PI(4)K as a key Plasmodium vulnerability, opening up new avenues of target-based discovery to identify drugs with an ideal activity profile for the prevention, treatment and elimination of malaria.
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