
Journal of Medicinal Chemistry, Journal Year: 2024, Volume and Issue: 68(1), P. 590 - 637
Published: Dec. 23, 2024
Malaria remains a serious global health challenge, yet treatment and control programs are threatened by drug resistance. Dihydroorotate dehydrogenase (DHODH) was clinically validated as target for prevention of malaria through human studies with DSM265, but currently no drugs against this in clinical use. We used structure-based computational tools including free energy perturbation (FEP+) to discover highly ligand efficient, potent, selective pyrazole-based Plasmodium DHODH inhibitors scaffold hop from pyrrole-based series. Optimized compounds were identified low nM-to-pM falciparum cell potency oral activity humanized SCID mouse infection model. The lead compound DSM1465 is more potent has improved absorption, distribution, metabolism excretion/pharmacokinetic (ADME/PK) properties compared DSM265 that support the potential once-monthly chemoprevention at dose. This meets objective identifying be monthly Africa elimination efforts.
Language: Английский