Artesunate Activation by Heme in an Aqueous Medium

The reaction between the antimalarial drug artesunate (ATS) and ferriprotoporphyrin_(IX) (FPIX) in the presence of glutathione (GSH) has been monitored by nuclear magnetic resonance (NMR) spectroscopy. By following the disappearance of resonances of protons near the endoperoxide group in ATS, the rate at which the drug is activated can be directly measured. In an aqueous medium, the rate of ATS activation is limited by the rate of reduction of the FPIX Fe(III) center by GSH. The reaction is observed to slow dramatically in the presence of other heme binding antimalarial drugs. These findings explain the long observed antagonism between artemisinin derivatives and quinoline-based drugs. This discovery suggests that combination therapy that involves artemisinin or any of its derivatives and a quinoline-based drug may be compromised.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:496

Enthalten in:

Inorganica chimica acta - 496(2019) vom: 01. Okt.

Sprache:

Englisch

Beteiligte Personen:

Heller, Laura [VerfasserIn]
Roepe, Paul D [VerfasserIn]
de Dios, Angel C [VerfasserIn]

Links:

Volltext

Themen:

Journal Article

Anmerkungen:

Date Revised 01.10.2020

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.ica.2019.119029

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM314049940