Antimalarial Mechanisms and Resistance Status of Artemisinin and Its Derivatives

Autor: Dan Zheng, Tingting Liu, Shasha Yu, Zhilong Liu, Jing Wang, Ying Wang
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Tropical Medicine and Infectious Disease, Vol 9, Iss 9, p 223 (2024)
Druh dokumentu: article
ISSN: 2414-6366
DOI: 10.3390/tropicalmed9090223
Popis: Artemisinin is an endoperoxide sesquiterpene lactone isolated from Artemisia annua and is often used to treat malaria. Artemisinin’s peroxide bridge is the key structure behind its antimalarial action. Scientists have created dihydroartemisinin, artemether, artesunate, and other derivatives preserving artemisinin’s peroxide bridge to increase its clinical utility value. Artemisinin compounds exhibit excellent efficacy, quick action, and minimal toxicity in malaria treatment and have greatly contributed to malaria control. With the wide and unreasonable application of artemisinin-based medicines, malaria parasites have developed artemisinin resistance, making malaria prevention and control increasingly challenging. Artemisinin-resistant Plasmodium strains have been found in many countries and regions. The mechanisms of antimalarials and artemisinin resistance are not well understood, making malaria prevention and control a serious challenge. Understanding the antimalarial and resistance mechanisms of artemisinin drugs helps develop novel antimalarials and guides the rational application of antimalarials to avoid the spread of resistance, which is conducive to malaria control and elimination efforts. This review will discuss the antimalarial mechanisms and resistance status of artemisinin and its derivatives, which will provide a reference for avoiding drug resistance and the research and development of new antimalarial drugs.
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