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Antimicrobial Agents and Chemotherapy, September 2000, p. 2431-2434, Vol. 44, No. 9
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.

Nonylphenolethoxylates as Malarial Chloroquine Resistance Reversal Agents

Ian Crandall,1,2,* Jeffrey Charuk,3 and Kevin C. Kain1,2

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 (<= 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.


Antimicrobial Agents and Chemotherapy, September 2000, p. 2431-2434, Vol. 44, No. 9
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.



This article has been cited by other articles:

  • Ciach, M., Zong, K., Kain, K. C., Crandall, I. (2003). Reversal of Mefloquine and Quinine Resistance in Plasmodium falciparum with NP30. Antimicrob. Agents Chemother. 47: 2393-2396 [Abstract] [Full Text]