The antimalarial triazine WR99210 and the prodrug PS-15: folate reversal of in vitro activity against Plasmodium falciparum and a non-antifolate mode of action of the prodrug

Am J Trop Med Hyg. 1999 Jun;60(6):943-7. doi: 10.4269/ajtmh.1999.60.943.

Abstract

We have studied the reversal of activity against Plasmodium falciparum of WR99210, a triazine antimalarial drug, and of the pro-drug PS-15 by folic acid (FA) and folinic acid (FNA). Folic acid and FNA inhibit the growth of P. falciparum in vitro at concentrations > 10(-4.5) and 10(-3.5) mol/L, respectively. The activity of pyrimethamine against Kenyan strains M24 and K39 is reduced 10-12-fold by 10(-5) mol/L of FA, and virtually eliminated by 10(-5) mol/L of FNA. Folates do not antagonise the action of WR99210 against Kenyan strains, and only partially antagonize the action of WR99210 action against the Southeast Asian strains V1/S and W282. Similarly, FA and FNA exerted weak or no antagonism of the action of PS-15. The inability of folates to antagonize the action of WR99210 can be explained in terms of high drug-enzyme affinity, but this does not account for the inability of FA and FNA to antagonize PS-15. These results suggest that action of PS-15 against P. falciparum is primarily due to a non-folate mechanism.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antidotes / pharmacology
  • Antimalarials / pharmacology*
  • Antimalarials / therapeutic use
  • Asia, Southeastern
  • Dose-Response Relationship, Drug
  • Drug Resistance
  • Folic Acid / pharmacology
  • Folic Acid Antagonists / pharmacology*
  • Folic Acid Antagonists / therapeutic use
  • Hematinics / pharmacology
  • Humans
  • Inhibitory Concentration 50
  • Kenya
  • Leucovorin / pharmacology
  • Malaria, Falciparum / drug therapy*
  • Plasmodium falciparum / drug effects
  • Plasmodium falciparum / growth & development*
  • Prodrugs / pharmacology*
  • Prodrugs / therapeutic use
  • Proguanil / analogs & derivatives*
  • Proguanil / pharmacology
  • Proguanil / therapeutic use
  • Triazines / pharmacology*
  • Triazines / therapeutic use

Substances

  • Antidotes
  • Antimalarials
  • Folic Acid Antagonists
  • Hematinics
  • Prodrugs
  • Triazines
  • PS 15
  • BRL 6231
  • Folic Acid
  • Leucovorin
  • Proguanil