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Antimicrob. Agents Chemother., 11 1997, 2461-2465, Vol 41, No. 11
CD Fitch and AC Chou
Mice infected with Plasmodium berghei served as donors of erythrocytes with
a high level of parasitemia for the study of ferriprotoporphyrin IX (FP)
polymerization. Six hours after treatment of these mice with 3 micromol of
chloroquine per 25 g of body weight, there were significant losses of heme
polymerase I (HPA I). For chloroquine-susceptible (CS) P. berghei, the rate
of FP polymerization decreased from 541 +/- 42 (mean +/- standard
deviation; n = 12) to 51 +/- 19 (n = 8) nmol of FP polymerized per h per ml
of packed erythrocytes (normalized to represent 1,000 parasites per 1,000
erythrocytes). For chloroquine- resistant (CR) P. berghei, the rate
decreased from 284 +/- 19 (n = 16) to 124 +/- 11 (n = 6) nmol per h per ml.
The chloroquine-induced loss of HPA I was accompanied by the accumulation
of unpolymerized FP in CS P. berghei but not in CR P. berghei, which is
consistent with the hypothesis that FP mediates the antimalarial action of
chloroquine. Quinine treatment partially reversed the effects of
chloroquine in CS P. berghei but not in CR P. berghei. Cycloheximide
treatment antagonized the effects of chloroquine in both lines of
parasites. To explain these findings, we propose that chloroquine, quinine,
and cycloheximide perturb a regulatory process for HPA I. Furthermore, we
propose that when chloroquine engages its target in the regulatory process,
it initiates a chain of events which culminates in increased production,
accessibility, or reactivity of a regulator (inactivator) of HPA I.
Copyright © 1997 by the American Society for Microbiology. All rights reserved.
Regulation of heme polymerizing activity and the antimalarial action of chloroquine
Department of Internal Medicine, Saint Louis University School of Medicine, Missouri 63104, USA. fitchcd@wpogate.slu.edu
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