Toxoplasma gondii is the causative agent of toxoplasmosis. For most of the estimated 60 million US citizens that have been exposed to the Toxoplasma parasite, most will have very few symptoms because a healthy person's immune system usually keeps the parasite from causing illness. However, pregnant women and individuals who have compromised immune systems are vulnerable to the full spectrum of serious health problems caused by the disease including blindness, encephalitis, mental retardation, and death. Treatment of toxoplasmosis with available therapeutics is not ideal and does not eradicate the parasite from the patient and therefore re-infections may occur. Work Accomplished: We have discovered and seek to improve an entirely new type of drug for prevention and treatment of toxoplasmosis. With IC50 values in the low nanomolar and picomolar range our most active compounds, so-called, """"""""ELQs"""""""", are far more potent (in vitro) than any drug in clinical use today for treating toxoplasmosis. If these drugs prove to be safe and effective enough to go into actual use, the potential benefit is nothing less than saving lives and sparing many individuals from long-term neurological damage, as well as damage to other organs such as the eyes, liver and spleen, heart and lung. Work Proposed: Specific objectives to be pursued as part of the project plan include: (1) to optimize the chemical structure of the ELQ pharmacophore by continued synthesis and design of analogs, (2) to screen new derivatives for selective potency against T. gondii in vitro and in vivo and in rational combination with standard therapeutics, (3) to monitor the metabolic stability of lead candidate ELQs in vitro in microsomal preparations and to determine pharmacokinetics and pharmacodynamic parameters in vivo in mice, and (4) to investigate the mechanism underlying the selective and potent antitoxoplasmial effects of ELQs. Taken together, we're excited by the possibilities and the potential for new drug development for treatment of toxoplasmosis in humans. Relevance to NIAID's mission: A primary mission of the NIAID is to conduct and support research that helps to provide protection against emerging and chronic infectious diseases that represent a threat to public health. Bioterrorism represents a new threat to public health and to meet the challenges posed by biodefense, NIAID supports research on countermeasures to infectious agents (including Toxoplasma gondii) that may be weaponized for bioterrorism. The development of therapies to prevent or treat infectious diseases, including diseases that are caused by potential agents of bioterror, is fundamental to the ever-expanding mission served by NIAID. Thus, for a multiplicity of reasons including public health, protection of the unborn child from birth defects, as well as biodefense, the proposed project is entirely relevant to NIAID's mission.

Public Health Relevance

We have discovered and seek to improve an entirely new type of drug for prevention and treatment of toxoplasmosis. If these drugs prove to be safe and effective enough to go into actual use, the potential benefit is nothing less than saving lives and sparing many individuals from long-term neurological damage, as well as damage to other organs such as the eyes, liver and spleen, heart and lung.

Agency
National Institute of Health (NIH)
Institute
National Institute of Allergy and Infectious Diseases (NIAID)
Type
Research Project (R01)
Project #
1R01AI079182-01A1
Application #
7657058
Study Section
Drug Discovery and Mechanisms of Antimicrobial Resistance Study Section (DDR)
Program Officer
Rogers, Martin J
Project Start
2009-06-15
Project End
2013-05-31
Budget Start
2009-06-15
Budget End
2010-05-31
Support Year
1
Fiscal Year
2009
Total Cost
$384,198
Indirect Cost
Name
Portland State University
Department
Chemistry
Type
Schools of Arts and Sciences
DUNS #
052226800
City
Portland
State
OR
Country
United States
Zip Code
97207
Miley, Galen P; Pou, Sovitj; Winter, Rolf et al. (2015) ELQ-300 prodrugs for enhanced delivery and single-dose cure of malaria. Antimicrob Agents Chemother 59:5555-60
Stickles, Allison M; Ting, Li-Min; Morrisey, Joanne M et al. (2015) Inhibition of cytochrome bc1 as a strategy for single-dose, multi-stage antimalarial therapy. Am J Trop Med Hyg 92:1195-201
Stickles, Allison M; de Almeida, Mariana Justino; Morrisey, Joanne M et al. (2015) Subtle changes in endochin-like quinolone structure alter the site of inhibition within the cytochrome bc1 complex of Plasmodium falciparum. Antimicrob Agents Chemother 59:1977-82
Nilsen, Aaron; Miley, Galen P; Forquer, Isaac P et al. (2014) Discovery, synthesis, and optimization of antimalarial 4(1H)-quinolone-3-diarylethers. J Med Chem 57:3818-34
Nilsen, Aaron; LaCrue, Alexis N; White, Karen L et al. (2013) Quinolone-3-diarylethers: a new class of antimalarial drug. Sci Transl Med 5:177ra37
Doggett, J Stone; Nilsen, Aaron; Forquer, Isaac et al. (2012) Endochin-like quinolones are highly efficacious against acute and latent experimental toxoplasmosis. Proc Natl Acad Sci U S A 109:15936-41
Winter, Rolf; Kelly, Jane X; Smilkstein, Martin J et al. (2011) Optimization of endochin-like quinolones for antimalarial activity. Exp Parasitol 127:545-51