TY - JOUR
T1 - Preclinical characterization and target validation of the antimalarial pantothenamide MMV693183
AU - de Vries, Laura E.
AU - Jansen, Patrick A.M.
AU - Barcelo, Catalina
AU - Munro, Justin
AU - Verhoef, Julie M.J.
AU - Pasaje, Charisse Flerida A.
AU - Rubiano, Kelly
AU - Striepen, Josefine
AU - Abla, Nada
AU - Berning, Luuk
AU - Bolscher, Judith M.
AU - Demarta-Gatsi, Claudia
AU - Henderson, Rob W.M.
AU - Huijs, Tonnie
AU - Koolen, Karin M.J.
AU - Tumwebaze, Patrick K.
AU - Yeo, Tomas
AU - Aguiar, Anna C.C.
AU - Angulo-Barturen, Iñigo
AU - Churchyard, Alisje
AU - Baum, Jake
AU - Fernández, Benigno Crespo
AU - Fuchs, Aline
AU - Gamo, Francisco Javier
AU - Guido, Rafael V.C.
AU - Jiménez-Diaz, María Belén
AU - Pereira, Dhelio B.
AU - Rochford, Rosemary
AU - Roesch, Camille
AU - Sanz, Laura M.
AU - Trevitt, Graham
AU - Witkowski, Benoit
AU - Wittlin, Sergio
AU - Cooper, Roland A.
AU - Rosenthal, Philip J.
AU - Sauerwein, Robert W.
AU - Schalkwijk, Joost
AU - Hermkens, Pedro H.H.
AU - Bonnert, Roger V.
AU - Campo, Brice
AU - Fidock, David A.
AU - Llinás, Manuel
AU - Niles, Jacquin C.
AU - Kooij, Taco W.A.
AU - Dechering, Koen J.
N1 - Publisher Copyright:
© 2022, The Author(s).
PY - 2022/12
Y1 - 2022/12
N2 - Drug resistance and a dire lack of transmission-blocking antimalarials hamper malaria elimination. Here, we present the pantothenamide MMV693183 as a first-in-class acetyl-CoA synthetase (AcAS) inhibitor to enter preclinical development. Our studies demonstrate attractive drug-like properties and in vivo efficacy in a humanized mouse model of Plasmodium falciparum infection. The compound shows single digit nanomolar in vitro activity against P. falciparum and P. vivax clinical isolates, and potently blocks P. falciparum transmission to Anopheles mosquitoes. Genetic and biochemical studies identify AcAS as the target of the MMV693183-derived antimetabolite, CoA-MMV693183. Pharmacokinetic-pharmacodynamic modelling predict that a single 30 mg oral dose is sufficient to cure a malaria infection in humans. Toxicology studies in rats indicate a > 30-fold safety margin in relation to the predicted human efficacious exposure. In conclusion, MMV693183 represents a promising candidate for further (pre)clinical development with a novel mode of action for treatment of malaria and blocking transmission.
AB - Drug resistance and a dire lack of transmission-blocking antimalarials hamper malaria elimination. Here, we present the pantothenamide MMV693183 as a first-in-class acetyl-CoA synthetase (AcAS) inhibitor to enter preclinical development. Our studies demonstrate attractive drug-like properties and in vivo efficacy in a humanized mouse model of Plasmodium falciparum infection. The compound shows single digit nanomolar in vitro activity against P. falciparum and P. vivax clinical isolates, and potently blocks P. falciparum transmission to Anopheles mosquitoes. Genetic and biochemical studies identify AcAS as the target of the MMV693183-derived antimetabolite, CoA-MMV693183. Pharmacokinetic-pharmacodynamic modelling predict that a single 30 mg oral dose is sufficient to cure a malaria infection in humans. Toxicology studies in rats indicate a > 30-fold safety margin in relation to the predicted human efficacious exposure. In conclusion, MMV693183 represents a promising candidate for further (pre)clinical development with a novel mode of action for treatment of malaria and blocking transmission.
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U2 - 10.1038/s41467-022-29688-5
DO - 10.1038/s41467-022-29688-5
M3 - Article
C2 - 35444200
AN - SCOPUS:85128451166
SN - 2041-1723
VL - 13
JO - Nature communications
JF - Nature communications
IS - 1
M1 - 2158
ER -