ward-4cyano3methylisoquinoline-2019.pdf (2.5 MB)
A 4-cyano-3-methylisoquinoline inhibitor of Plasmodium falciparum growth targets the sodium efflux pump PfATP4
journal contribution
posted on 2019-07-16, 00:00 authored by P R Gilson, R Kumarasingha, J Thompson, X Zhang, J S Penington, R Kalhor, H E Bullen, A M Lehane, M G Dans, Tania De Koning-WardTania De Koning-Ward, J K Holien, T P Soares da Costa, M D Hulett, M J Buskes, B S Crabb, K Kirk, A T Papenfuss, A F Cowman, B M Abbott© 2019, The Author(s). We developed a novel series of antimalarial compounds based on a 4-cyano-3-methylisoquinoline. Our lead compound MB14 achieved modest inhibition of the growth in vitro of the human malaria parasite, Plasmodium falciparum. To identify its biological target we selected for parasites resistant to MB14. Genome sequencing revealed that all resistant parasites bore a single point S374R mutation in the sodium (Na+) efflux transporter PfATP4. There are many compounds known to inhibit PfATP4 and some are under preclinical development. MB14 was shown to inhibit Na+ dependent ATPase activity in parasite membranes, consistent with the compound targeting PfATP4 directly. PfATP4 inhibitors cause swelling and lysis of infected erythrocytes, attributed to the accumulation of Na+ inside the intracellular parasites and the resultant parasite swelling. We show here that inhibitor-induced lysis of infected erythrocytes is dependent upon the parasite protein RhopH2, a component of the new permeability pathways that are induced by the parasite in the erythrocyte membrane. These pathways mediate the influx of Na+ into the infected erythrocyte and their suppression via RhopH2 knockdown limits the accumulation of Na+ within the parasite hence protecting the infected erythrocyte from lysis. This study reveals a role for the parasite-induced new permeability pathways in the mechanism of action of PfATP4 inhibitors.
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Journal
Scientific reportsVolume
9Issue
1Article number
10292Publisher
Nature Publishing GroupLocation
London, Eng.Publisher DOI
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eISSN
2045-2322Language
engPublication classification
C1 Refereed article in a scholarly journalCopyright notice
2019, The AuthorsUsage metrics
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