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Antimicrobial Agents and Chemotherapy, August 2007, p. 3033-3035, Vol. 51, No. 8
0066-4804/07/$08.00+0 doi:10.1128/AAC.00264-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
Comparative Antimalarial Activities of Six Pairs of 1,2,4,5-Tetraoxanes (Peroxide Dimers) and 1,2,4,5,7,8-Hexaoxonanes (Peroxide Trimers)
Yuxiang Dong,1
Darren Creek,2
Jacques Chollet,3
Hugues Matile,4
Susan A. Charman,2
Sergio Wittlin,3
James K. Wood,5 and
Jonathan L. Vennerstrom1*
College of Pharmacy, University of Nebraska Medical Center, 986025 Nebraska Medical Center, Omaha, Nebraska 68198-6025,1
Victorian College of Pharmacy, Monash University, 381 Royal Parade, Parkville, Victoria 3052, Australia,2
Swiss Tropical Institute, Socinstrasse 57, CH-4002 Basel, Switzerland,3
F. Hoffmann-La Roche, Ltd., Grenzacherstrasse 124, CH-4070 Basel, Switzerland,4
Department of Chemistry, University of Nebraska at Omaha, 60th and Dodge Street, Omaha, Nebraska 68192-01095
Received 21 February 2007/
Accepted 30 April 2007

ABSTRACT
Six tetraoxanes had 50% inhibitory concentrations in the range
of 10 to 100 ng/ml against
Plasmodium falciparum, whereas the
corresponding hexaoxonanes had minimal antimalarial activity.
The lack of iron-mediated reactivity of the hexaoxonanes may
explain their low activity compared to the tetraoxanes, the
latter of which are able to undergo iron(II)-mediated activation.

TEXT
The antimalarial artemisinin (qinghaosu) contains a pharmacophoric
peroxide bond within its 1,2,4-trioxane heterocycle. The complex
structure of artemisinin is an incentive to identify more synthetically
accessible antimalarial peroxides (
10,
13,
15,
18). One of the
most structurally simple classes of antimalarial synthetic peroxides
are 1,2,4,5-tetraoxanes (
2,
5,
6,
12,
16), as exemplified by
WR 148999 (Fig.
1). Tetraoxanes such as WR 148999 (
20) differ
considerably in structure from artemisinin, are readily prepared
in one step from substituted cyclohexanones, and possess good
antimalarial activity, although they are significantly less
active than the semisynthetic artemisinins.
In this study, we disclose the comparative antimalarial activities
of six pairs of 1,2,4,5-tetraoxanes (peroxide dimers) 1a-1f
and 1,2,4,5,7,8-hexaoxonanes (peroxide trimers) 2a-2f (Fig.
2) to further elucidate the structure-activity-relationship
of 1,2,4,5-tetraoxanes and, to our knowledge, record for the
first time the antimalarial activity of 1,2,4,5,7,8-hexaoxonanes.
The latter group of synthetic peroxides has been investigated
primarily as synthetic precursors to macrocyclic lactones of
perfumery interest (
17). As previously described (
7,
8), tetraoxanes
1a-1f and hexaoxonanes 2a-2f were prepared either by peroxidation
of the corresponding ketone derivatives in H
2SO
4/CH
3CN or by
ozonolysis of the corresponding ketone
O-methyl oximes. 1,3-Dioxolane
3, the nonperoxidic isostere of tetraoxane 1d, was prepared
by ketalization of cyclohexanone with 1,1-dimethanolcyclohexane
(TsOH, refluxing toluene) in 35% yield after Kugelrohr distillation
(melting point 53 to 56°C) and characterized by
1H and
13C
NMR and elemental analysis.
As previously described (
6), in vitro and in vivo antimalarial
activities were measured using the chloroquine-resistant K1
and chloroquine-sensitive NF54 strains of
Plasmodium falciparum-
and
P. berghei-infected mice, respectively. Groups of three
P. berghei-infected MORO mice were treated 1 day postinfection
with 100-mg/kg oral and subcutaneous doses of compounds dissolved
or suspended in a solubilizing 3% ethanol and 7% Tween 80 vehicle.
Antimalarial activity was measured by determining the percent
reduction in parasitemia on day 3 postinfection compared to
an untreated control group.
The data in Table 1 show a clear demarcation in the antimalarial activities of tetraoxanes 1 and hexaoxonanes 2 against P. falciparum. Tetraoxanes 1 had 50% inhibitory concentrations (IC50s) in the range of 10 to 100 ng/ml, whereas all hexaoxonanes had minimal antimalarial activity; only three of these (2a, 2d, and 2f) had IC50s of <10,000 ng/ml. The previously reported IC50s against the P. falciparum W2 and D6 clones for 1d (20 and 26 ng/ml) and 1e (68 and 100 ng/ml) (11) and against the P. falciparum FCB1 strain for 1a (48 ng/ml) and 1f (21 ng/ml) (21) are quite similar to those that we measured against the P. falciparum K1 and NF54 isolates. Of tetraoxanes 1, only 1f was as potent as WR 148999. However, each of tetraoxanes 1a to 1f was much less active than WR 148999 against P. berghei. Apparently, the two methyl groups flanking the central 1,2,4,5-tetraoxane heterocycle in WR 148999, which provide substantial steric hindrance to the peroxide bonds, are critical for good in vivo activity. Ketal 3, the nonperoxidic isostere of tetraoxane 1d, was devoid of antimalarial activity demonstrating that at least one of the two peroxide bonds of 1d (and other tetraoxanes) is required for antimalarial activity.
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TABLE 1. Activity of 1,2,4,5-tetraoxanes 1, 1,2,4,5,7,8-hexaoxonanes 2 and nonperoxidic isostere 3 against P. falciparum in vitro and P. berghei in vivo
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A long-standing hypothesis (
9,
14,
15) to account for the antimalarial
specificity of artemisinin is that the peroxide bond undergoes
reductive activation by heme released by parasite hemoglobin
digestion. This irreversible redox reaction produces carbon-centered
free radicals or carbocations that alkylate heme or parasite
proteins (
9). Since the antimalarial activity of tetraoxanes
1 is peroxide bond dependent and hexaoxonanes 2 are without
significant antimalarial activity, we wondered whether this
observation could be explained in part by the relative susceptibilities
of 1 and 2 to reaction with iron(II). To this end, we investigated
the reaction of the tetraoxane/hexaoxonane pair 1d/2d with inorganic
ferrous iron using previously established standardized conditions
(
3). In this experiment, pseudo-first-order reaction rate constants
for 1d and 2d (0.03 mM) with FeSO
4 (3 mM) in 50% acetonitrile-water
at 37°C (
n = 3) under an argon atmosphere were determined.
The experiment was corrected for nonspecific degradation in
iron-free controls. Tetraoxane 1d underwent complete degradation
in the presence of FeSO
4 with a pseudo-first order rate constant
(
k) of 0.38 ± 0.04 h
–1. In contrast, hexaoxonane
2d did not undergo any significant degradation in the presence
of FeSO
4 over the 15 h time course studied (
k < 0.007 h
–1 – the upper limit of the 95% confidence interval). The
lack of iron-mediated reactivity of 2d may explain the low antimalarial
activity of the hexaoxonanes 2 compared to the tetraoxanes 1,
the latter of which are able to undergo iron(II)-mediated activation.
For comparison, the pseudo-first-order rate constant (
k) for
artemisinin is 0.054 ± 0.006 h
–1 (
3).
The difference in iron-mediated reactivity between 1d and 2d can be explained by considering their peroxide bond steric accessibility as shown by molecular modeling using Spartan'06 (Wavefunction, Inc.) (Fig. 3). The peroxide bonds in 1d appear to be fairly accessible, whereas the peroxide bonds in 2d are shielded by the three cyclohexane rings so that an iron(II) complex would be sterically prohibited from undergoing inner-sphere electron transfer with the peroxide bond antibonding
* (LUMO) orbitals. Similar arguments have been put forth to explain the low antimalarial activity of sterically congested 1,2,4-trioxolanes (4), 1,2,4-trioxanes (19), and 1,2,4-trioxepanes (1).

ACKNOWLEDGMENTS
This investigation received financial support from the UNDP/WORLD
BANK/WHO Special Programme for Research and Training in Tropical
Diseases (TDR ID no. 960275).
We thank Christian Scheurer, Christopher Snyder, and Josefina Santo-Tomas for technical assistance with the antimalarial assays.

FOOTNOTES
* Corresponding author. Mailing address: College of Pharmacy, University of Nebraska Medical Center, 986025 Nebraska Medical Center, Omaha, NE 68198-6025. Phone: (402) 559-5362. Fax: (402) 559-9543. E-mail:
jvenners{at}unmc.edu 
Published ahead of print on 7 May 2007. 

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Antimicrobial Agents and Chemotherapy, August 2007, p. 3033-3035, Vol. 51, No. 8
0066-4804/07/$08.00+0 doi:10.1128/AAC.00264-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.