Table 4 In vitro activity against T. brucei
Compound
ED50 (mg ml-1)
ED50 (mM)
Cytotoxicity ED50 (mg ml-1)
Cytotoxicity ED50 (mM)
Therapeutic index
Pentamidine
Podophyllotoxin
> 0.0001
0.002
13.94
1.83
1.19
1.12
2.25
4.88
1.40
0.43
0.61
1.81
3.93
1.06
0.43
0.38
2.48
> 0.0003
—
34.2
4.3
2.0
2.7
4.7
11.6
3.2
0.07
1.3
3.7
—
—
—
—
—
17
23
21
30
24
10
16
120
36
5
12
6
4
8
5
0.00024
239.9
41.8
24.4
37.7
52.8
47.7
22.9
5.1
22.4
8.6
48.4
6.3
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
587.8
99.0
41.2
81.2
111.4
112.3
52.5
8.4
46.8
17.6
111.0
14.0
2.6
9.0
2.4
0.7
0.8
1.6
3.0
12.5
6.1
4.9
24.9
be superior to those of their counterparts, but did not necessarily
show the strongest inhibition of b-haematin formation, this result
may be explained on the basis of the influence of the ferrocenyl
moiety on the pharmacodynamic behaviour of these compounds.
Previous studies have shown that the ferrocenyl moiety alters
the shape, volume, lipophilicity, basicity and electronic profile of
the parent molecule, and by implication its pharmacodynamic
behaviour.22,23 Ferroquine, the ferrocenyl analogue of chloroquine,
which has been partially studied suggests haemozoin formation to
be the target.24 The aforementioned studies also pointed to the
importance of physico-chemical properties of ferroquine as being
important in the significant antiplasmodial activity displayed by
ferroquine. It may also be possible that the increased lipophilici-
ties of ferrocenic 4-aminoquinoline 2-imidazolines compared to
chloroquine and the other 4-aminoquinoline 2-imidazolines is
favouring their transport across the parasitic cell membrane,
causing much increased concentrations within the parasite. The
lipophilicity may also be important in circumventing chloroquine
resistance for a number of the described 2-imidazolines found
to be more potent than chloroquine against resistant strains. It
is known that the chloroquine resistance mechanism is much
less effective for certain classes of aminoquinolines as already
mentioned. Within the context of lipophilicity, the chloroquine
resistance mechanism does not seem to recognize lipophilic
compounds.25,26 For example, quinolines such as mefloquine are
more lipophilic than 4-aminoquinolines such as chloroquine. It
may be suggested that mutations in the pfcrt gene, the gene
implicated in chloroquine resistance, may not favour or recognize
more lipophilic chloroquine-based 4-aminoquinolines such as the
4-aminoquiniline 2-imidazolines described herein.
of-action studies suggest haemozoin formation to be the target.
Finally, while we acknowledge the inherently high lipophilicities
of the compounds described herein, it must be stressed that the
outlined 3CC strategy can be employed to discover compounds
with improved physicochemical properties. Work to generate other
longer chain-linkers between the aminoquinoline ring and the
imidazoline subunits, as well as new functional groups on the latter
is currently under way in our laboratories and will be reported in
due course elsewhere.
Acknowledgements
This work was supported by the South African National Research
Foundation under grant number 2053362 (KC). The investigation
also received support from UNDP/World Bank/WHO Special
Programme for Research and Training in Tropical Diseases
(TDR) (VY).
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