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Last Updated: 06/11/2023

Development of novel chemoprotective agents against malaria

Objectives

To develop drugs that block the parasite’s infection of liver cells and thereby prevent malaria.

Principal Investigators / Focal Persons

Purnima Bhanot

Rationale and Abstract

Malaria is a deadly infectious disease that infects more than 200 million people and kills upwards of 400,000 each year. Child survivors of malaria suffer serious long-term health and cognitive impairment. Thus, the disease imposes a huge burden in terms of both lives lost and socioeconomic development in malaria-endemic countries. The situation is likely to worsen due to the emergence of drug-resistant parasites and insecticide-resistant mosquitoes. Malaria is the top infectious disease threat facing the U.S. military since it diminishes operational readiness of troops in several overseas areas of operations in Asia, Africa, and the Caribbean. Other Americans traveling to endemic countries for personal, business, or government reasons, such as tourists, State Department personnel, and Peace Corps volunteers, also need protection from malaria. Eradicating malaria requires new tools for preventing infection. A malaria vaccine is still not available, and the effectiveness of insecticides is diminished by the emergence of insecticide-resistant mosquitoes. Malaria prevention relies greatly on a few drugs, but these have several drawbacks. Some do not attack the latent forms of the disease or have serious side effects, e.g., anemia, in large numbers of people. Others are too expensive for widespread use by poor, at-risk populations or are challenged by drug resistance in parasites. To make progress against malaria, it is essential that we stay one step ahead of these problems by investing in research into new drugs. Malaria is caused by a parasite, Plasmodium, that is passed to humans by mosquitoes. Within the human host, the parasite begins a multi-stage developmental program in which the liver is the first organ to be infected. This stage is the “weakest link” in the parasite’s lifecycle because Plasmodia must multiply exponentially within the liver. Success at this stage enables the parasite to increase its numbers and gain a toe-hold in the body from where it spreads into the bloodstream and causes symptoms. Previous work identified a parasite protein that is required by the parasite to both enter and exit liver cells. Blocking the action of this protein significantly decreases the parasite’s growth in the liver and its ability to enter the bloodstream. This study will make compounds that specifically target this protein and test their ability to block parasite infection of liver cells. This will be done in collaboration with Department of Defense laboratories and involves a military Veteran as an investigator. This work could lead to the development of new drugs to protect against malaria.

Date

Jun 2020 — May 2023

Total Project Funding

$1.88M

Project Site

United States

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