Title:
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Design, Synthesis and Biological Evaluation of Artemisinin Derivatives as Antimalarial and Antitumour Agents
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Artemisinin, also known as qinghaosu, is a tetracyclic 1,2,4-trioxane occurring in
Artemisia annua. Artemisinin and its derivatives are currently recommended as frontline
antimalarials for regions experiencing�?�?�?�· P. falciparum resistance to traditional
antimalarial drugs. In addition to their well-known antimalarial activity, artemisinin
derivatives possess potent activity against cancer cells. A potential drawback with many
of these derivatives is the presence of a metabolically susceptible C-lO acetal linkage; the
aim of this thesis was to prepare metabolically stable artemisinin derivatives possessing
potent antimalarial and anticancer activity.
It has be~n noted that the replacement of oxygen at the C-IO position with carbon
.produces compounds not only with greater hydrolytic stability but also with a longer half-'
life and potentially lower toxicity. We have prepared a series of non-acetal C-lO carbalinked
dimers, several of which show significant antimalarial and anticancer activity. For
example, methyl phosphonate dimer 59 (ICso=O.04 nM vs. 3D7
P. falciparum) and amide dimer 83 (ICso=O.04 nM vs. 3D7 P. falciparum) are amongst
the most potent antimalarials to have been prepared at the University of Liverpool and
also demonstrate low nanomolar activity against human promyelocytic leukemia HL-60
cells.
An alternative approach to increasing the metabolic stability of artemisinin derivatives
involves incorporation of a phenyl group in place of the alkyl group of first generation
analogues. Such modifications are expected to block oxidative metabolic formation of
dihydroartemisinin in vivo. We have utilized both approaches to prepare artemisininamino
acid derivatives which possess potent low nanomolar activity against a variety of
P.falciparum strains.
Different modes of action have been proposed by various groups to account for the action
of artemisinin and its derivatives in treating malaria. Whilst the mode of action of
artemisinin as an antimalarial has not been unequivocally established, it has been
demonstrated that the endoperoxide is essential for activity. It is widely accepted that a
molecular interaction occurs between the endoperoxide bridge and heme or ferrous iron,
leading to the generation of cytotoxic carbon-centered free radicals that cause rapid death
of the parasite. It has been suggested that the toxic free-radicals resulting from
endoperoxide cleavage can form irreversible adducts with malaria parasite proteins.
Several potential proteins have been proposed as targets for the artemisinins but it has not
yet been established which protein targets are critical for artemisinin drug action and
consequently the formal identification of these target proteins will be essential for
systematically testing for such a role and probing the potential for the development of
drug resistance. We have prepared two biotinylated-artemisinin bioprobes for use in a
proteomics approach to explicitly identify the molecular targets of the artemisinins in P.
falciparum and cancer cells. Both of these probes retain activity against malaria parasites
and cancer cells.
One of the major shortcomings with current cancer therapies is the non-selective delivery
of chemotherapeutic agents to both cancer cells and healthy cells. We have prepared
artemisinin-spermidine conjugates designed to selectively target cancer cells by virtue of
the upregulated polyamine transport system present in many cancer cells.
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