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High-Content Phenotypic Screen of a Focused TCAMS Drug Library Identifies Novel Disruptors of the Malaria Parasite Calcium Dynamics
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    High-Content Phenotypic Screen of a Focused TCAMS Drug Library Identifies Novel Disruptors of the Malaria Parasite Calcium Dynamics
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    • Wanni Chia
      Wanni Chia
      Laboratory of Molecular and Cellular Parasitology, Department of Microbiology and Immunology, and Healthy Longevity Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, S117545, Singapore
      More by Wanni Chia
    • Maria G. Gomez-Lorenzo
      Maria G. Gomez-Lorenzo
      Global Health Discovery Incubator Unit, Global Health R&D, GlaxoSmithKline, Severo Ochoa 2, Tres Cantos, Madrid 28760, Spain
    • Isabel Castellote
      Isabel Castellote
      Global Health Discovery Incubator Unit, Global Health R&D, GlaxoSmithKline, Severo Ochoa 2, Tres Cantos, Madrid 28760, Spain
    • Jie Xin Tong
      Jie Xin Tong
      Laboratory of Molecular and Cellular Parasitology, Department of Microbiology and Immunology, and Healthy Longevity Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, S117545, Singapore
      More by Jie Xin Tong
    • Rajesh Chandramohanadas
      Rajesh Chandramohanadas
      Laboratory of Molecular and Cellular Parasitology, Department of Microbiology and Immunology, and Healthy Longevity Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, S117545, Singapore
    • Trang Thi Thu Chu
      Trang Thi Thu Chu
      Laboratory of Molecular and Cellular Parasitology, Department of Microbiology and Immunology, and Healthy Longevity Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, S117545, Singapore
    • Wanxiang Shen
      Wanxiang Shen
      Department of Pharmacy, National University of Singapore, 18 Science Drive 4, S117543, Singapore
    • Mei Lin Go
      Mei Lin Go
      Department of Pharmacy, National University of Singapore, 18 Science Drive 4, S117543, Singapore
      More by Mei Lin Go
    • Cristina de Cozar
      Cristina de Cozar
      Global Health Discovery Incubator Unit, Global Health R&D, GlaxoSmithKline, Severo Ochoa 2, Tres Cantos, Madrid 28760, Spain
    • Benigno Crespo
      Benigno Crespo
      Global Health Discovery Incubator Unit, Global Health R&D, GlaxoSmithKline, Severo Ochoa 2, Tres Cantos, Madrid 28760, Spain
    • Maria J. Almela
      Maria J. Almela
      Global Health Discovery Incubator Unit, Global Health R&D, GlaxoSmithKline, Severo Ochoa 2, Tres Cantos, Madrid 28760, Spain
    • Fernando Neria-Serrano
      Fernando Neria-Serrano
      Global Health Discovery Incubator Unit, Global Health R&D, GlaxoSmithKline, Severo Ochoa 2, Tres Cantos, Madrid 28760, Spain
    • Virginia Franco
      Virginia Franco
      Global Health Discovery Incubator Unit, Global Health R&D, GlaxoSmithKline, Severo Ochoa 2, Tres Cantos, Madrid 28760, Spain
    • Francisco-Javier Gamo
      Francisco-Javier Gamo
      Global Health Discovery Incubator Unit, Global Health R&D, GlaxoSmithKline, Severo Ochoa 2, Tres Cantos, Madrid 28760, Spain
    • Kevin S. W. Tan*
      Kevin S. W. Tan
      Laboratory of Molecular and Cellular Parasitology, Department of Microbiology and Immunology, and Healthy Longevity Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, S117545, Singapore
      *Email: [email protected]
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    ACS Chemical Biology

    Cite this: ACS Chem. Biol. 2021, 16, 11, 2348–2372
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    https://doi.org/10.1021/acschembio.1c00512
    Published October 5, 2021
    Copyright © 2021 American Chemical Society

    Abstract

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    The search for new antimalarial drugs with unexplored mechanisms of action is currently one of the main objectives to combat the resistance already in the clinic. New drugs should target specific mechanisms that once initiated lead inevitably to the parasite’s death and clearance and cause minimal toxicity to the host. One such new mode of action recently characterized is to target the parasite’s calcium dynamics. Disruption of the calcium homeostasis is associated with compromised digestive vacuole membrane integrity and release of its contents, leading to programmed cell death-like features characterized by loss of mitochondrial membrane potential and DNA degradation. Intriguingly, chloroquine (CQ)-treated parasites were previously reported to exhibit such cellular features. Using a high-throughput phenotypic screen, we identified 158 physiological disruptors (hits) of parasite calcium distribution from a small subset of approximately 3000 compounds selected from the GSK TCAMS (Tres Cantos Anti-Malarial Set) compound library. These compounds were then extensively profiled for biological activity against various CQ- and artemisinin-resistant Plasmodium falciparum strains and stages. The hits were also examined for cytotoxicity, speed of antimalarial activity, and their possible inhibitory effects on heme crystallization. Overall, we identified three compounds, TCMDC-136230, -125431, and -125457, which were potent in inducing calcium redistribution but minimally inhibited heme crystallization. Molecular superimposition of the molecules by computational methods identified a common pharmacophore, with the best fit assigned to TCMDC-125457. There were low cytotoxicity or CQ cross-resistance issues for these three compounds. IC50 values of these three compounds were in the low micromolar range. In addition, TCMDC-125457 demonstrated high efficacy when pulsed in a single-dose combination with artesunate against tightly synchronized artemisinin-resistant ring-stage parasites. These results should add new drug options to the current armament of antimalarial drugs as well as provide promising starting points for development of drugs with non-classical modes of action.

    Copyright © 2021 American Chemical Society

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    Supporting Information

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    The Supporting Information is available free of charge at https://pubs.acs.org/doi/10.1021/acschembio.1c00512.

    • Data on excluded compounds, positive control compounds, negative control compounds, fluorescence microscopy validation of top hits, and list of parasite strains used in this study (PDF)

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    This article is cited by 5 publications.

    1. Emily K. Bremers, Joshua H. Butler, Leticia S. Do Amaral, Emilio F. Merino, Hanan Almolhim, Bo Zhou, Rodrigo P. Baptista, Maxim Totrov, Paul R. Carlier, Maria Belen Cassera. Stereospecific Resistance to N2-Acyl Tetrahydro-β-carboline Antimalarials Is Mediated by a PfMDR1 Mutation That Confers Collateral Drug Sensitivity. ACS Infectious Diseases 2025, 11 (2) , 529-542. https://doi.org/10.1021/acsinfecdis.4c01001
    2. Melissa R. Rosenthal, Caroline L. Ng. High-content imaging as a tool to quantify and characterize malaria parasites. Cell Reports Methods 2023, 3 (7) , 100516. https://doi.org/10.1016/j.crmeth.2023.100516
    3. Keerthy Reghunandanan, Rajesh Chandramohanadas. Chemically induced phenotypes during the blood stage development of Plasmodium falciparum as indicators of the drug mode of action. Frontiers in Drug Discovery 2022, 2 https://doi.org/10.3389/fddsv.2022.920850
    4. Robyn S. Kent, Emma M. Briggs, Beatrice L. Colon, Catalina Alvarez, Sara Silva Pereira, Mariana De Niz. Paving the Way: Contributions of Big Data to Apicomplexan and Kinetoplastid Research. Frontiers in Cellular and Infection Microbiology 2022, 12 https://doi.org/10.3389/fcimb.2022.900878
    5. Rebecca C. S. Edgar, Natalie A. Counihan, Sheena McGowan, Tania F. de Koning-Ward. Methods Used to Investigate the Plasmodium falciparum Digestive Vacuole. Frontiers in Cellular and Infection Microbiology 2022, 11 https://doi.org/10.3389/fcimb.2021.829823

    ACS Chemical Biology

    Cite this: ACS Chem. Biol. 2021, 16, 11, 2348–2372
    Click to copy citationCitation copied!
    https://doi.org/10.1021/acschembio.1c00512
    Published October 5, 2021
    Copyright © 2021 American Chemical Society

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