Mishra Mitali, Mishra Vikash K, Kashaw Varsha, Iyer Arun K, Kashaw Sushil Kumar
Department of Pharmaceutical Sciences, Dr. Harisingh Gour University (A Central University), Sagar, MP, India.
SVN Institute of Pharmaceutical Sciences, SVN University, Sagar, MP, India.
Eur J Med Chem. 2017 Jan 5;125:1300-1320. doi: 10.1016/j.ejmech.2016.11.025. Epub 2016 Nov 12.
The resistance of malaria parasites to existing drugs carries on growing and progressively limiting our ability to manage this severe disease and finally lead to a massive global health burden. Till now, malaria control has relied upon the traditional quinoline, antifolate and artemisinin compounds. Very few new antimalarials were developed in the past 50 years. Among recent approaches, identification of novel chemotherapeutic targets, exploration of natural products with medicinal significance, covalent bitherapy having a dual mode of action into a single hybrid molecule and malaria vaccine development are explored heavily. The proper execution of these approaches and proper investment from international agencies will accelerate the discovery of drugs that provide new hope for the control or eventual eradication of this global infectious disease. This review explores various strategies for assessment and development of new antimalarial drugs. Current status and scientific value of previous approaches are systematically reviewed and new approaches provide a pragmatic forecast for future developments are introduced as well.
疟原虫对现有药物的耐药性持续增强,逐渐限制了我们控制这种严重疾病的能力,最终导致巨大的全球健康负担。到目前为止,疟疾控制一直依赖于传统的喹啉、抗叶酸和青蒿素类化合物。在过去50年里,很少有新的抗疟药物被开发出来。在最近的方法中,人们大力探索新型化疗靶点的鉴定、具有药用价值的天然产物的探索、将具有双重作用模式的共价双疗法整合到单个杂合分子中以及疟疾疫苗的开发。这些方法的正确实施以及国际机构的适当投资将加速发现为控制或最终根除这种全球传染病带来新希望的药物。本综述探讨了评估和开发新型抗疟药物的各种策略。系统回顾了以往方法的现状和科学价值,并介绍了对未来发展进行务实预测的新方法。