Evidence map›Paper›PMID 28808258›Full record

ArticleNature microbiology2017

Hexahydroquinolines are antimalarial candidates with potent blood-stage and transmission-blocking activity.

Manu Vanaerschot, Leonardo Lucantoni, Tao Li, Jill M Combrinck, Andrea Ruecker, T R Santha Kumar, Kelly Rubiano, Pedro E Ferreira, Giulia Siciliano, Sonia Gulati and 16 more

Open access · bronzeAbstract read
In one paragraph

Article in Nature microbiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 53 citations in OpenAlex.

  1. Article
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  8. Systematic in vitro evolution inScience (New York, N.Y.) · 2024
    Article
  9. Heliyon · 2024
    Article
  10. Optimization of diastereomeric dihydropyridines as antimalarials.European journal of medicinal chemistry · 2024
    Article
  11. Article
  12. Employing Hexahydroquinolines asAdvances and applications in bioinformatics and chemistry : AABC · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Quantifying Reductions inFrontiers in immunology · 2022
    Article
  17. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 9 institutions in 7 countries.

Manu VanaerschotDepartment of Microbiology and Immunology, Columbia University Medical Center, New York, NY, 10032, USA.ORCID http://orcid.org/0000-0002-9141-2347
Leonardo LucantoniDiscovery Biology, Griffith Institute for Drug Discovery, Griffith University, Nathan, 4111, Queensland, Australia.
Tao LiSanaria Inc., Rockville, MD, 20852, USA.ORCID http://orcid.org/0000-0002-5097-2137
Jill M CombrinckDivision of Pharmacology, Department of Medicine, University of Cape Town, Cape Town, 7925, South Africa.
Andrea RueckerDepartment of Life Sciences, Imperial College, London, SW7 2AZ, UK.
T R Santha KumarDepartment of Microbiology and Immunology, Columbia University Medical Center, New York, NY, 10032, USA.
Kelly RubianoDepartment of Microbiology and Immunology, Columbia University Medical Center, New York, NY, 10032, USA.
Pedro E FerreiraLife and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, 4710-057, Braga, Portugal.ORCID http://orcid.org/0000-0002-2682-7722
Giulia SicilianoDipartimento di Malattie Infettive, Parassitarie ed Immunomediate, Istituto Superiore di Sanità, 00161, Rome, Italy.
Sonia GulatiDepartment of Microbiology and Immunology, Columbia University Medical Center, New York, NY, 10032, USA.
Philipp P HenrichDepartment of Microbiology and Immunology, Columbia University Medical Center, New York, NY, 10032, USA.
Caroline L NgDepartment of Microbiology and Immunology, Columbia University Medical Center, New York, NY, 10032, USA.
James M MurithiDepartment of Microbiology and Immunology, Columbia University Medical Center, New York, NY, 10032, USA.
Victoria C CoreyUniversity of California, San Diego, School of Medicine, La Jolla, CA, 92093, USA.
Sandra DuffyDiscovery Biology, Griffith Institute for Drug Discovery, Griffith University, Nathan, 4111, Queensland, Australia.
Ori J LiebermanDepartment of Microbiology and Immunology, Columbia University Medical Center, New York, NY, 10032, USA.
M Isabel VeigaLife and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, 4710-057, Braga, Portugal.ORCID http://orcid.org/0000-0002-2205-8102
Robert E SindenDepartment of Life Sciences, Imperial College, London, SW7 2AZ, UK.
Pietro AlanoDipartimento di Malattie Infettive, Parassitarie ed Immunomediate, Istituto Superiore di Sanità, 00161, Rome, Italy.
Michael J DelvesDepartment of Life Sciences, Imperial College, London, SW7 2AZ, UK.
Kim Lee SimSanaria Inc., Rockville, MD, 20852, USA.
Elizabeth A WinzelerUniversity of California, San Diego, School of Medicine, La Jolla, CA, 92093, USA.
Timothy J EganDepartment of Chemistry, University of Cape Town, Cape Town, 7700, South Africa.
Stephen L HoffmanSanaria Inc., Rockville, MD, 20852, USA.
Vicky M AveryDiscovery Biology, Griffith Institute for Drug Discovery, Griffith University, Nathan, 4111, Queensland, Australia.ORCID http://orcid.org/0000-0003-4914-2299
David A FidockDepartment of Microbiology and Immunology, Columbia University Medical Center, New York, NY, 10032, USA. df2260@cumc.columbia.edu.ORCID http://orcid.org/0000-0001-6753-8938
Columbia University Irving Medical Center · USGriffith University · AUSanaria · USImperial College London · GBIstituto Superiore di Sanità · ITUniversity of California San Diego · USUniversity of Cape Town · ZAUniversity of Minho · PTMahidol University · TH

Funding

Defining the Role of PfCRT and PfMDR1 as Pleiotropic Mediators of Plasmodium falciparum Multidrug ResistanceR37AI050234 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI David A Fidock · 2018 to 2026
$4.4M
Defining the targets of broad intervention antimalarial agentsR01AI103058 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI WINZELER, ELIZABETH A · 2013 to 2016
$2.6M
Plasmodium heme detoxification probesR01AI110329 · NIAID · UNIVERSITY OF CAPE TOWN · PI EGAN, TIMOTHY JOHN · 2014 to 2018
$668k
NIAID NIH HHS R01 AI103058NIAID NIH HHS R01 AI110329NIAID NIH HHS R37 AI050234
6 · The paper itself

Abstract

Antimalarial compounds with dual therapeutic and transmission-blocking activity are desired as high-value partners for combination therapies. Here, we report the identification and characterization of hexahydroquinolines (HHQs) that show low nanomolar potency against both pathogenic and transmissible intra-erythrocytic forms of the malaria parasite Plasmodium falciparum. This activity translates into potent transmission-blocking potential, as shown by in vitro male gamete formation assays and reduced oocyst infection and prevalence in Anopheles mosquitoes. In vivo studies illustrated the ability of lead HHQs to suppress Plasmodium berghei blood-stage parasite proliferation. Resistance selection studies, confirmed by CRISPR-Cas9-based gene editing, identified the digestive vacuole membrane-spanning transporter PfMDR1 (P. falciparum multidrug resistance gene-1) as a determinant of parasite resistance to HHQs. Haemoglobin and haem fractionation assays suggest a mode of action that results in reduced haemozoin levels and might involve inhibition of host haemoglobin uptake into intra-erythrocytic parasites. Furthermore, parasites resistant to HHQs displayed increased susceptibility to several first-line antimalarial drugs, including lumefantrine, confirming that HHQs have a different mode of action to other antimalarials drugs for which PfMDR1 is known to confer resistance. This work evokes therapeutic strategies that combine opposing selective pressures on this parasite transporter as an approach to countering the emergence and transmission of multidrug-resistant P. falciparum malaria.

Indexed as

Amino Acid SequenceAnimalsAnophelesAntimalarialsATP-Binding Cassette, Sub-Family C ProteinsCRISPR-Cas SystemsDNA, ProtozoanDrug CombinationsDrug ResistanceEndocytosisEthanolaminesFluorenesGene EditingHEK293 CellsHemeHemoglobinsAntimalarialsATP-Binding Cassette, Sub-Family C ProteinsDNA, ProtozoanDrug CombinationsEthanolaminesFluorenesHemeHemoglobinsLumefantrineMdr1 protein, Plasmodium falciparumMembrane Transport ProteinsQuinolines

Identifiers

PMID28808258
PMCPMC5708124
OpenAlexW2742745119

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.