dc.description | Thesis (Ph.D.)--Georgetown University, 2010.; Includes bibliographical
references.; Text (Electronic thesis) in PDF format. Plasmodium falciparum degrades hemoglobin
releasing toxic ferriprotoporphyrin IX (FPIX) within the digestive vacuole (DV). Unlike the
host, it lacks FPIX degrading enzymes. Consequently, it has adapted an alternative
detoxification pathway, FPIX crystallization into non-toxic hemozoin (Hz). The antiplasmodial
activity of quinolines is partially due to inhibition of this process. However,
molecular–level understanding of this mechanism and how it is presumably altered in drug
resistant parasites remains elusive.; Herein, I present evidence to further aid in elucidating
the mechanism of action of quinoline antimalarials. First, using rationally designed quinoline
analogs, I illustrate that predicted accumulation at their site of action, the DV, is
essential for their antiplasmodial activity and can be enhanced through specific structural
modifications.; Secondly, owing to the ability of quinolines to inhibit Hz crystallization in
vivo, I methodically explore different factors affecting this crystallization process in
vitro. I develop a novel high throughput beta-hematin growth assay that mimics physiologic
conditions, which is an improvement over current conventional assays. My findings show that
lipids and pH are crucial for crystallization efficiency and crystal growth inhibitory
activity for quinolines. There are currently contradicting views regarding possible
correlation between antiplasmodial activity and Hz growth inhibition for these drugs. Using a
large set of common and candidate quinoline antimalarial drugs and this assay, I provide
evidence supporting a weak correlation between these two parameters for both chloroquine
sensitive and resistant strains.; Finally, limited reports are currently available on
drug-substrate interaction and structural modification for quinoline methanols. I perform a
comprehensive structure-function study of quinine demonstrating that the hydroxyl
functionality and a rigidly positioned nitrogen are vital to its activity. Based on extensive
analyses of an isolated quinine-FPIX adduct formed under aqueous conditions, I propose a novel
quinine-heme binding model. This model envisions that the hydroxyl oxygen and the iron center
of heme associate via a non-covalent electrostatic interaction aided by hydrogen bonding
between the hydroxyl proton and the quinuclidyl nitrogen.; Collectively, this work provides
additional insight into the mechanism of action of quinoline antimalarial drugs, and should
therefore aid in the future design of efficacious new therapies for drug resistant
malaria. | en |