Targeting pteridine reductase 1 and dihydrofolate reductase: the old is a new trend for leishmaniasis drug discovery

Future Med Chem. 2019 Aug;11(16):2107-2130. doi: 10.4155/fmc-2018-0512. Epub 2019 Aug 2.

Abstract

Leishmaniasis is one of the major neglected tropical diseases in the world and it is considered endemic in 88 countries. This disease is transmitted by a Leishmania spp. infected sandfly and it may lead to cutaneous or systemic manifestations. The preconized treatment has low efficacy and there are cases of resistance to some drugs. Therefore, the search for new efficient molecular targets that can lead to the preparation of new drugs must be pursued. This review aims to evaluate both Leishmania enzymes PTR1 and DHFR-TS as potential drug targets, highlight their inhibitors and to discuss critically the use of chemoinformatics to elucidate interactions and propose new molecules against these enzymes.

Keywords: dihydrofolate reductase; folate metabolism; leishmaniasis; medicinal chemistry; molecular modeling; pteridine reductase 1.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Antiprotozoal Agents / chemistry
  • Antiprotozoal Agents / pharmacology*
  • Antiprotozoal Agents / therapeutic use
  • Drug Discovery
  • Folic Acid Antagonists / chemistry
  • Folic Acid Antagonists / pharmacology*
  • Folic Acid Antagonists / therapeutic use
  • Humans
  • Leishmania / drug effects*
  • Leishmania / enzymology*
  • Leishmania / metabolism
  • Leishmaniasis / drug therapy
  • Leishmaniasis / parasitology
  • Molecular Targeted Therapy
  • Multienzyme Complexes / antagonists & inhibitors*
  • Multienzyme Complexes / metabolism
  • Oxidoreductases / antagonists & inhibitors*
  • Oxidoreductases / metabolism
  • Tetrahydrofolate Dehydrogenase / metabolism
  • Thymidylate Synthase / antagonists & inhibitors*
  • Thymidylate Synthase / metabolism

Substances

  • Antiprotozoal Agents
  • Folic Acid Antagonists
  • Multienzyme Complexes
  • thymidylate synthase-dihydrofolate reductase
  • Oxidoreductases
  • pteridine reductase
  • Tetrahydrofolate Dehydrogenase
  • Thymidylate Synthase