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Abstract
Antimalarials - pharmacology Antimalarials - therapeutic use Carbohydrate Metabolism - drug effects Carbohydrate Metabolism - genetics Dose-Response Relationship, Drug Drug Resistance Erythrocytes - parasitology Gene Expression Profiling Humans Inositol - biosynthesis Malaria, Falciparum - drug therapy Malaria, Falciparum - parasitology Metabolomics Oxidative Stress Plasmodium falciparum - drug effects Plasmodium falciparum - genetics Plasmodium falciparum - metabolism Pyrazoles - pharmacology Pyrazoles - therapeutic use RNA, Protozoan - biosynthesis
Due to the recurring loss of antimalarial drugs to resistance, there is a need for novel targets, drugs, and combination therapies to ensure the availability of current and future countermeasures. Pyrazoleamides belong to a novel class of antimalarial drugs that disrupt sodium ion homeostasis, although the exact consequences of this disruption in Plasmodium falciparum remain under investigation. In vitro experiments demonstrated that parasites carrying mutations in the metabolic enzyme PfATP4 develop resistance to pyrazoleamide compounds. However, the underlying mechanisms that allow mutant parasites to evade pyrazoleamide treatment are unclear. Here, we first performed experiments to identify the sublethal dose of a pyrazoleamide compound (PA21A092) that caused a significant reduction in growth over one intraerythrocytic developmental cycle (IDC). At this drug concentration, we collected transcriptomic and metabolomic data at multiple time points during the IDC to quantify gene- and metabolite-level alterations in the treated parasites. To probe the effects of pyrazoleamide treatment on parasite metabolism, we coupled the time-resolved omics data with a metabolic network model of P. falciparum. We found that the drug-treated parasites adjusted carbohydrate metabolism to enhance synthesis of myoinositol-a precursor for phosphatidylinositol biosynthesis. This metabolic adaptation caused a decrease in metabolite flux through the pentose phosphate pathway, causing a decreased rate of RNA synthesis and an increase in oxidative stress. Our model analyses suggest that downstream consequences of enhanced myoinositol synthesis may underlie adjustments that could lead to resistance emergence in P. falciparum exposed to a sublethal dose of a pyrazoleamide drug.
Metabolic adjustments of blood-stage Plasmodium falciparum in response to sublethal pyrazoleamide exposure
Creators
Shivendra G Tewari - Henry M. Jackson Foundation
Bobby Kwan - Johns Hopkins University
Rubayet Elahi - Johns Hopkins University
Krithika Rajaram - Johns Hopkins University
Jaques Reifman - United States Army Medical Command
Sean T Prigge - Johns Hopkins University
Akhil B Vaidya - Drexel University
Anders Wallqvist - United States Army Medical Command
Publication Details
Scientific reports, v 12(1), pp 1167-1167
Publisher
Springer Nature
Grant note
W81XWH-14-2-0134 / U.S. Army Medical Research and Development Command (MRDC)
R01 AI132508 / NIAID NIH HHS
W81XWH-20-C-0031 / U.S. Army Medical Research and Development Command (MRDC)
R01 AI098413 / NIAID NIH HHS
W81XWH-15-C-0061 / U.S. Army Medical Research and Development Command (MRDC)
T32 AI007417 / NIAID NIH HHS
R01AI125534 / Division of Intramural Research, National Institute of Allergy and Infectious Diseases (Division of Intramural Research of the NIAID)
Resource Type
Journal article
Language
English
Academic Unit
Microbiology and Immunology
Web of Science ID
WOS:000746132400023
Scopus ID
2-s2.0-85123474356
Other Identifier
991019168063404721
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