Substrate-analogous inhibitors exert antimalarial action by targeting the Plasmodium lactate transporter PfFNT at nanomolar scale

PLoS Pathog. 2017 Feb 8;13(2):e1006172. doi: 10.1371/journal.ppat.1006172. eCollection 2017 Feb.

Abstract

Resistance against all available antimalarial drugs calls for novel compounds that hit unexploited targets in the parasite. Here, we show that the recently discovered Plasmodium falciparum lactate/proton symporter, PfFNT, is a valid druggable target, and describe a new class of fluoroalkyl vinylogous acids that potently block PfFNT and kill cultured parasites. The original compound, MMV007839, is derived from the malaria box collection of potent antimalarials with unknown targets and contains a unique internal prodrug principle that reversibly switches between a lipophilic transport form and a polar, substrate-analogous active form. Resistance selection of cultured P. falciparum parasites with sub-lethal concentrations of MMV007839 produced a single nucleotide exchange in the PfFNT gene; this, and functional characterization of the resulting PfFNT G107S validated PfFNT as a novel antimalarial target. From quantitative structure function relations we established the compound binding mode and the pharmacophore. The pharmacophore largely circumvents the resistance mutation and provides the basis for a medicinal chemistry program that targets lactate and proton transport as a new mode of antimalarial action.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antimalarials / chemistry
  • Antimalarials / pharmacology*
  • Malaria, Falciparum / metabolism*
  • Monocarboxylic Acid Transporters / drug effects*
  • Plasmodium falciparum / drug effects*
  • Plasmodium falciparum / metabolism
  • Protozoan Proteins / metabolism
  • Structure-Activity Relationship

Substances

  • Antimalarials
  • Monocarboxylic Acid Transporters
  • Protozoan Proteins

Grants and funding

EB received funding by the Deutsche Forschungsgemeinschaft (www.dfg.de; Be2253/6-3). ABS is a member of the Leibniz Graduate School ‘Model systems of Infectious Diseases’ (www.leibniz-gemeinschaft.de) and an associate of the GRK1459 (www.dfg.de). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.