Miscellaneous antimalarial agents

Khalid Hussain
Khalid HussainProfessor um University of the Punjab
9-phenethrenyl methanol class
Phenanthrene
• It is a polycyclic aromatic system comprising
three fused benzene rings
• The name phenanthrene is a composite
of phenyl and anthracene
 The methanol group is present at position 9.
 Its derivatives are antimalarials
 For example: halofantrine
• This compound was synthesized in World War-II
• Developed into a drug in 1960s
• It contains one chiral center;
– Two enantiomers
– Which are active equally
– Hence, the drug is a racemic mixture
• It is an alternative drug for both chloroquine sensitive
and chloroquine resistant falciparum
• The drug is metabolized via N-dealkylation by CYP 3A4
to desbutylhalofentrine;
– Which is many fold more sensitive than the parent drug
• Only available in oral dosage forms
• Main problems associated are low bioavailability
(Excretion in feces)-treatment failure and resistance
• Prolong half-life of the drug and its metabolite is
responsible for resistance
• Fatty meal may enhance bioavailability
• Halofantrine has caused serious, even fatal,
heart problems (ventricular arrhythmias), even
at the recommended dose.
• Halofantrine is not recommended for use while
other medicines known to cause heart
problems (prolonged QT interval)
Mode of action
• The mode of action is unknown, although
• Crystallographic study showed that it binds
to hematin in vitro, suggesting a possible
mechanism of action
• Halofantrine has also been shown to bind
to plasmpesin, a hemoglobin degrading
enzyme
• In addition there is evidence to suggest that
halofantrine may inhibit the energy-dependent
proton pump on the external surface of the
plasmodia in erythrocytes, thereby destroying
the membrane integrity of the parasite
Synthesis
2, 4 dichloro, 6 nitro benzyldehyde reacts with triflurophenyl acetic acid
2-Artemisnin
• Is a natural compound separated from a
herb named Artemisia annua, which has
been used by Chinese for thousands years
for treating malaria
• Nowadays, a derivative of artemisnin
(artemether) is being used for treating
malaria
- Is active against erythrocytic stage
- In body converted to free radicals
which cause oxidative decomposition of
plasmodium cell membrane
Artemether
Artemisnin
• Chemically, artemisinin is a sesquiterpene
lactone containing an unusual peroxide
bridge. It is believed that this peroxide is
responsible for the drug's mechanism of
action.
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Miscellaneous antimalarial agents

  • 2. Phenanthrene • It is a polycyclic aromatic system comprising three fused benzene rings • The name phenanthrene is a composite of phenyl and anthracene
  • 3.  The methanol group is present at position 9.
  • 4.  Its derivatives are antimalarials  For example: halofantrine
  • 5. • This compound was synthesized in World War-II • Developed into a drug in 1960s • It contains one chiral center; – Two enantiomers – Which are active equally – Hence, the drug is a racemic mixture
  • 6. • It is an alternative drug for both chloroquine sensitive and chloroquine resistant falciparum • The drug is metabolized via N-dealkylation by CYP 3A4 to desbutylhalofentrine; – Which is many fold more sensitive than the parent drug
  • 7. • Only available in oral dosage forms • Main problems associated are low bioavailability (Excretion in feces)-treatment failure and resistance • Prolong half-life of the drug and its metabolite is responsible for resistance • Fatty meal may enhance bioavailability
  • 8. • Halofantrine has caused serious, even fatal, heart problems (ventricular arrhythmias), even at the recommended dose. • Halofantrine is not recommended for use while other medicines known to cause heart problems (prolonged QT interval)
  • 9. Mode of action • The mode of action is unknown, although • Crystallographic study showed that it binds to hematin in vitro, suggesting a possible mechanism of action • Halofantrine has also been shown to bind to plasmpesin, a hemoglobin degrading enzyme
  • 10. • In addition there is evidence to suggest that halofantrine may inhibit the energy-dependent proton pump on the external surface of the plasmodia in erythrocytes, thereby destroying the membrane integrity of the parasite
  • 11. Synthesis 2, 4 dichloro, 6 nitro benzyldehyde reacts with triflurophenyl acetic acid
  • 12. 2-Artemisnin • Is a natural compound separated from a herb named Artemisia annua, which has been used by Chinese for thousands years for treating malaria • Nowadays, a derivative of artemisnin (artemether) is being used for treating malaria - Is active against erythrocytic stage - In body converted to free radicals which cause oxidative decomposition of plasmodium cell membrane Artemether Artemisnin
  • 13. • Chemically, artemisinin is a sesquiterpene lactone containing an unusual peroxide bridge. It is believed that this peroxide is responsible for the drug's mechanism of action.