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Antimicrobial Agents and Chemotherapy, September 2000, p. 2431-2434, Vol. 44, No. 9
Tropical Disease Unit, The Toronto
Hospital,1 and Clinical Sciences
Division, Department of Medicine,2 and
Molecular Medicine Research Centre, Faculty of
Medicine,3 University of Toronto, Toronto,
Ontario, Canada
Received 14 January 2000/Returned for modification 17 April
2000/Accepted 29 May 2000
Malaria-associated morbidity and mortality are increasing because
of widespread resistance to one of the safest and least expensive
antimalarials, chloroquine. The availability of an inexpensive agent
that is capable of reversing chloroquine resistance would have a major
impact on malaria treatment worldwide. The interaction of
nonylphenolethoxylates (NPEs, commercially available synthetic surfactants) with drug-resistant Plasmodium falciparum was
examined to determine if NPEs inhibited the growth of the parasites and if NPEs could sensitize resistant parasites to chloroquine. NPEs inhibited the development of the parasite when present in the low- to
mid-micromolar range (5 to 90 µM), indicating that they possess
antimalarial activity. Further, the presence of <10 µM concentrations of NPEs caused the 50% inhibitory concentrations for
chloroquine-resistant lines to drop to levels (
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Nonylphenolethoxylates as Malarial Chloroquine
Resistance Reversal Agents
12 nM) observed for
sensitive lines and generally considered to be achievable with
treatment courses of chloroquine. Long-chain (>30 ethoxylate units)
NPEs were found to be most active in P. falciparum, which contrasts with previously observed maximal activity of short-chain (~9 ethoxylate units) NPEs in multidrug-resistant mammalian cell lines. NPEs may be attractive chloroquine resistance reversal agents
since they are inexpensive and may be selectively directed against
P. falciparum without inhibiting mammalian tissue P
glycoproteins. Antimalarial preparations that include these agents may
prolong the effective life span of chloroquine and other antimalarials.
*
Corresponding author. Mailing address: Clinical Science
Division, Rm. 7202 Medical Sciences Building, 8 Taddle Creek Rd., Toronto, Ontario, Canada M5S 1A8. Phone: (416) 978-0356. Fax: (416)
978-8765. E-mail: ian.crandall{at}utoronto.ca.
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