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Antimicrobial Agents and Chemotherapy, July 2005, p. 2983-2985, Vol. 49, No. 7
0066-4804/05/$08.00+0     doi:10.1128/AAC.49.7.2983-2985.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.

Antimalarial Activity of Human Immunodeficiency Virus Type 1 Protease Inhibitors

Sunil Parikh,1* Jiri Gut,1 Eva Istvan,2 Daniel E. Goldberg,2 Diane V. Havlir,1 and Philip J. Rosenthal1

Department of Medicine, San Francisco General Hospital, University of California, San Francisco, San Francisco, California,1 Department of Medicine and Department of Molecular Microbiology, Howard Hughes Medical Institute, Washington University School of Medicine, St. Louis, Missouri2

Received 21 January 2005/ Returned for modification 9 March 2005/ Accepted 18 March 2005

Aspartic proteases play key roles in the biology of malaria parasites and human immunodeficiency virus type 1 (HIV-1). We tested the activity of seven HIV-1 protease inhibitors against cultured Plasmodium falciparum. All compounds inhibited the development of parasites at pharmacologically relevant concentrations. The most potent compound, lopinavir, was active against parasites (50% inhibitory concentration [IC50], 0.9 to 2.1 µM) at concentrations well below those achieved by ritonavir-boosted lopinavir therapy. Lopinavir also inhibited the P. falciparum aspartic protease plasmepsin II at a similar concentration (IC50, 2.7 µM). These findings suggest that use of HIV-1 protease inhibitors may offer clinically relevant antimalarial activity.


* Corresponding author. Mailing address: University of California, San Francisco, Box 0811, San Francisco, CA 94110. Phone: (415) 206-8687. Fax: (415) 648-8425. E-mail: sunil{at}itsa.ucsf.edu.


Antimicrobial Agents and Chemotherapy, July 2005, p. 2983-2985, Vol. 49, No. 7
0066-4804/05/$08.00+0     doi:10.1128/AAC.49.7.2983-2985.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.




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