1. Academic Validation
  2. Optimization of 2,3-Dihydroquinazolinone-3-carboxamides as Antimalarials Targeting PfATP4

Optimization of 2,3-Dihydroquinazolinone-3-carboxamides as Antimalarials Targeting PfATP4

  • J Med Chem. 2023 Mar 9;66(5):3540-3565. doi: 10.1021/acs.jmedchem.2c02092.
Trent D Ashton 1 2 Madeline G Dans 1 2 Paola Favuzza 1 2 Anna Ngo 1 2 Adele M Lehane 3 Xinxin Zhang 3 Deyun Qiu 3 Bikash Chandra Maity 4 Nirupam De 4 Kyra A Schindler 5 Tomas Yeo 5 Heekuk Park 5 Anne-Catrin Uhlemann 5 Alisje Churchyard 6 Jake Baum 6 7 David A Fidock 5 8 Kate E Jarman 1 2 Kym N Lowes 1 2 Delphine Baud 9 Stephen Brand 9 Paul F Jackson 10 Alan F Cowman 1 2 Brad E Sleebs 1 2
Affiliations

Affiliations

  • 1 The Walter and Eliza Hall Institute of Medical Research, Parkville 3052, Australia.
  • 2 Department of Medical Biology, The University of Melbourne, Parkville 3010, Australia.
  • 3 Research School of Biology, Australian National University, Canberra 2601, Australia.
  • 4 TCG Lifesciences Pvt. Ltd., Saltlake Sec-V, Kolkata 700091, West Bengal, India.
  • 5 Department of Microbiology & Immunology, Columbia University, Irving Medical Center, New York, New York 10032, United States.
  • 6 Department of Life Sciences, Imperial College London, South Kensington SW7 2AZ U.K.
  • 7 School of Biomedical Sciences, University of New South Wales, Sydney 2031, Australia.
  • 8 Center for Malaria Therapeutics and Antimicrobial Resistance, Division of Infectious Diseases, Department of Medicine, Columbia University, Irving Medical Center, New York, New York 10032, United States.
  • 9 Medicines for Malaria Venture, ICC, Route de Pré-Bois 20, 1215 Geneva, Switzerland.
  • 10 Global Public Health, Janssen R&D LLC, La Jolla, California 92121, United States.
Abstract

There is an urgent need to populate the antimalarial clinical portfolio with new candidates because of resistance against frontline antimalarials. To discover new antimalarial chemotypes, we performed a high-throughput screen of the Janssen Jumpstarter library against the Plasmodium falciparum asexual blood-stage Parasite and identified the 2,3-dihydroquinazolinone-3-carboxamide scaffold. We defined the SAR and found that 8-substitution on the tricyclic ring system and 3-substitution of the exocyclic arene produced analogues with potent activity against asexual parasites equivalent to clinically used antimalarials. Resistance Selection and profiling against drug-resistant Parasite strains revealed that this antimalarial chemotype targets PfATP4. Dihydroquinazolinone analogues were shown to disrupt Parasite Na+ homeostasis and affect Parasite pH, exhibited a fast-to-moderate rate of asexual kill, and blocked gametogenesis, consistent with the phenotype of clinically used PfATP4 inhibitors. Finally, we observed that optimized frontrunner analogue WJM-921 demonstrates oral efficacy in a mouse model of malaria.

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