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Metabolic adjustments of blood-stage Plasmodium falciparum in response to sublethal pyrazoleamide exposure
Journal article   Open access   Peer reviewed

Metabolic adjustments of blood-stage Plasmodium falciparum in response to sublethal pyrazoleamide exposure

Shivendra G Tewari, Bobby Kwan, Rubayet Elahi, Krithika Rajaram, Jaques Reifman, Sean T Prigge, Akhil B Vaidya and Anders Wallqvist
Scientific reports, v 12(1), pp 1167-1167
21 Jan 2022
PMID: 35064153
url
https://doi.org/10.1038/s41598-022-04985-7View
Published, Version of Record (VoR)CC BY V4.0 Open

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.

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Collaboration types
Industry collaboration
Domestic collaboration
Web of Science research areas
Biochemistry & Molecular Biology
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