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The antimalarial MMV688533 provides potential for single-dose cures with a high barrier to
Natural Sciences and Mathematics | Faculty Scholarship
  • James M. Murithi, Columbia University Irving Medical Center
  • Cécile Pascal, Sanofi, Infectious Diseases Therapeutic Area
  • Jade Bath, Columbia University Irving Medical Center
  • Xavier Boulenc, Sanofi Pasteur
  • Nina F. Gnädig, Columbia University Irving Medical Center
  • Charisse Flerida A. Pasaje, Massachusetts Institute of Technology
  • Kelly Rubiano, Columbia University Irving Medical Center
  • Tomas Yeo, Columbia University Irving Medical Center
  • Sachel Mok, Columbia University Irving Medical Center
  • Sylvie Klieber, Sanofi R&D, Translational Medicine & Early Development
  • Paul Desert, Sanofi Pasteur
  • María Belén Jiménez-Díaz, The Art of Discovery
  • Jutta Marfurt, Menzies School of Health Research and Charles Darwin University
  • Mélanie Rouillier, Medicines for Malaria Venture
  • Mohammed H. Cherkaoui-Rbati, Medicines for Malaria Venture
  • Nathalie Gobeau, Medicines for Malaria Venture
  • Sergio Wittlin, Swiss Tropical and Public Health Institute
  • Anne-Catrin Uhlemann, Columbia University Irving Medical Center
  • Ric N. Price, Menzies School of Health Research and Charles Darwin University
  • Grennady Wirjanata, Menzies School of Health Research and Charles Darwin University
  • Rintis Noviyanti, Eijkman Institute for Molecular Biology
  • Patrick Tumwebaze, Infectious Diseases Research Collaboration
  • Roland A. Cooper, Dominican University of California
  • Philip J. Rosenthal, University of California, San Francisco
  • Laura M. Sanz, Global Health Pharma Research Unit, GSK
  • Francisco-Javier Gamo, GlaxoSmithKline
  • Jayan Joseph, Syngene International Ltd.
  • Shivendra Singh, Syngene International Ltd.
  • Sridevi Bashyam, Syngene International Ltd.
  • Jean Michel Augereau, Sanofi, Infectious Diseases Therapeutic Area
  • Elie Giraud, Sanofi, Infectious Diseases Therapeutic Area
  • Tanguy Bozec, Sanofi, Infectious Diseases Therapeutic Area
  • Thierry Vermat, Sanofi, Infectious Diseases Therapeutic Area
  • Gilles Tuffal, Sanofi R&D, Translational Medicine & Early Development
  • Jean-Michel Guillon, Sanofi, Infectious Diseases Therapeutic Area
  • Jérôme Menegotto, Sanofi, Infectious Diseases Therapeutic Area
  • Laurent Sallé, Sanofi R&D, Translational Medicine & Early Development
  • Guillaume Louit, Sanofi, Vitry-sur-Seine
  • Marie-José Cabanis, Sanofi R&D, Translational Medicine & Early Development
  • Marie Françoise Nicolas, Sanofi, Vitry-sur-Seine
  • Michel Doubovetzky, Sanofi, Infectious Diseases Therapeutic Area
  • Rita Merino, Sanofi, Infectious Diseases Therapeutic Area
  • Nadir Bessila, Sanofi, Infectious Diseases Therapeutic Area
  • Iñigo Angulo-Barturen, The Art of Discovery
  • Delphine Baud, Medicines for Malaria Venture
  • Lidiya Bebrevska, Medicines for Malaria Venture
  • Fanny Escudié, Medicines for Malaria Venture
  • Jacquin C. Niles, Massachusetts Institute of Technology
  • Benjamin Blasco, Medicines for Malaria Venture
  • Simon Campbell, Medicines for Malaria Venture
  • Gilles Courtemanche, Bioaster
  • Laurent Fraisse, Sanofi, Infectious Diseases Therapeutic Area
  • Alain Pellet, Sanofi, Infectious Diseases Therapeutic Area
  • David A. Fidock, Columbia University Irving Medical Center
  • Didier Leroy, Medicines for Malaria Venture
Department
Natural Sciences and Mathematics
Document Type
Article
Source
Science Translational Medicine
Publication Date
7-21-2021
Abstract

The emergence and spread of Plasmodium falciparum resistance to first-line antimalarials creates an imperative to identify and develop potent preclinical candidates with distinct modes of action. Here, we report the identification of MMV688533, an acylguanidine that was developed following a whole-cell screen with compounds known to hit high-value targets in human cells. MMV688533 displays fast parasite clearance in vitro and is not cross-resistant with known antimalarials. In a P. falciparum NSG mouse model, MMV688533 displays a long-lasting pharmacokinetic profile and excellent safety. Selection studies reveal a low propensity for resistance, with modest loss of potency mediated by point mutations in PfACG1 and PfEHD. These proteins are implicated in intracellular trafficking, lipid utilization, and endocytosis, suggesting interference with these pathways as a potential mode of action. This preclinical candidate may offer the potential for a single low-dose cure for malaria.

PubMed ID
34290058
Comments
This is the accepted manuscript version of the article. The final version is available from American Association for the Advancement of Science at: https://doi.org/10.1126/scitranslmed.abg6013
Rights
Copyright © 2021 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.
Publisher's Statement
This is the accepted manuscript version of the article. The final version is available from American Association for the Advancement of Science at: https://doi.org/10.1126/scitranslmed.abg6013
Citation Information
James M. Murithi, Cécile Pascal, Jade Bath, Xavier Boulenc, et al.. "The antimalarial MMV688533 provides potential for single-dose cures with a high barrier to" Vol. 13 Iss. 603 (2021) ISSN: 1946-6242
Available at: http://works.bepress.com/roland_cooper/79/