Antimalarial Quinacrine and Chloroquine Lose Their Activity by Decreasing Cationic Amphiphilic Structure with a Slight Decrease in pH

Quinacrine (QC) and chloroquine (CQ) have antimicrobial and antiviral activities as well as antimalarial activity, although the mechanisms remain unknown. QC increased the antimicrobial activity against yeast exponentially with a pH-dependent increase in the cationic amphiphilic drug (CAD) structure. CAD-QC localized in the yeast membranes and induced glucose starvation by noncompetitively inhibiting glucose uptake as antipsychotic chlorpromazine (CPZ) did. An exponential increase in antimicrobial activity with pH-dependent CAD formation was also observed for CQ, indicating that the CAD structure is crucial for its pharmacological activity. A decrease in CAD structure with a slight decrease in pH from 7.4 greatly reduced their effects; namely, these drugs would inefficiently act on falciparum malaria and COVID-19 pneumonia patients with acidosis, resulting in resistance. The decrease in CAD structure at physiological pH was not observed for quinine, primaquine, or mefloquine. Therefore, restoring the normal blood pH or using pH-insensitive quinoline drugs might be effective for these infectious diseases with acidosis.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:64

Enthalten in:

Journal of medicinal chemistry - 64(2021), 7 vom: 08. Apr., Seite 3885-3896

Sprache:

Englisch

Beteiligte Personen:

Kitagawa, Tomohisa [VerfasserIn]
Matsumoto, Atsushi [VerfasserIn]
Terashima, Ichiro [VerfasserIn]
Uesono, Yukifumi [VerfasserIn]

Links:

Volltext

Themen:

886U3H6UFF
Antifungal Agents
Chloroquine
H0C805XYDE
Journal Article
Monosaccharide Transport Proteins
Protons
Quinacrine
Surface-Active Agents

Anmerkungen:

Date Completed 20.04.2021

Date Revised 20.04.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1021/acs.jmedchem.0c02056

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM323309453