Artemisinin and its derivatives; ancient tradition inspiring the latest therapeutic approaches against malaria

Future Med Chem. 2019 Jun;11(12):1443-1459. doi: 10.4155/fmc-2018-0337. Epub 2019 Jul 12.

Abstract

Artemisinin (ART) is an endoperoxide sesquiterpene lactone, commonly used in the treatment of malaria. Although it was isolated from Artemisia annuaL., a plant widely applied in Chinese Traditional Medicine, its mechanism of action remains uncertain and its clinical use is still limited due to its low solubility, its poor bioavailability and short in vivo half-life. Over time, several studies have been aimed towards the discovery of potent ART derivatives that could overcome clinical drawbacks. In this review, we focus on the multifaced aspects of ART and on the efforts spent to improve its pharmacological profile that so far culminated in the discovery of more effective drugs. Lastly, we outline the new perspectives in the ART-derivatives scenario.

Keywords: .; ART derivatives; artemisinin; drug repurposing; extraction; malaria; resistance.

Publication types

  • Review

MeSH terms

  • Antimalarials / chemical synthesis*
  • Antimalarials / chemistry
  • Antimalarials / isolation & purification
  • Antimalarials / therapeutic use
  • Artemisia / chemistry*
  • Artemisinins / chemical synthesis*
  • Artemisinins / chemistry
  • Artemisinins / isolation & purification
  • Artemisinins / therapeutic use
  • Humans
  • Malaria / drug therapy*
  • Medicine, Chinese Traditional*
  • Molecular Structure

Substances

  • Antimalarials
  • Artemisinins
  • artemisinin