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. 2023 Jun 3;15(6):375. doi: 10.3390/toxins15060375

Table 2.

Available drugs, their chemistry classes, origin, target species, points where it is active and mechanism of action.

Class Name Origin of the Drug Plasmodium spp. Active against Stages Mechanism of Action Ref.
Sesquiterpene lactone endoperoxides ART Artemisia annua L. P. falciparum and P. vivax All Protein metabolism [50,51,52,53]
AS Semi-synthetic derivative of artemisinin P. vivax All [50,54,55,56]
AR P. falciparum and P. vivax All [50,51,57]
DHA P. falciparum and P. vivax All Not very well known. Probably protein metabolism [46,51]
4-aminoquinolines CQ Synthetic analogue of quinine P. vivax Blood stages
(trophozoite and schizont)
Digestion of hemoglobin [50,54,55,56,57,58,59]
AQ P. vivax [50,55,60,61]
PPQ P. falciparum and P. vivax Not very well known. Probably digestion of hemoglobin [46,56,59,60]
PY P. falciparum and P. vivax [46,51,56,62]
NQ P. falciparum and P. vivax [46,63]
Arylaminoalcohols QUIN Cinchona calisaya L. P. falciparum and P. vivax Blood stages
(trophozoite and gametocytes)
Digestion of hemoglobin [50,64]
MQ Synthetic derivative of quinoline P. falciparum and P. vivax Blood stages
(trophozoite, schizont and gametocytes)
[50,52,56]
LR Synthetic derivative of fluorene P. falciparum and P. vivax Not very well known. Probably digestion of hemoglobin [50,64]
HF Synthetic derivative of fluorene P. falciparum Digestion of hemoglobin [65,66]
8-Aminoquinolines PQ Synthetic, 8-aminoquinoline derivative P. vivax Forms quinoline-quinone metabolites that act as oxidants [46,67]
TQ Synthetic analogue of primaquine P. vivax and P. falciparum Interferes with the polymerization of the heme group [46,60]
Antifolates PMT Synthetic derivative of ethyl-pyrimidine P. falciparum and P. vivax Blood, liver (schizont) and mosquito (oocysts) stage Inhibits dihydrofolate reductase enzyme and blocks plasmodium DNA synthesis [46,68]
SULF P. vivax Blood and liver (schizont) stage Inhibits parasite dihydropteroate synthetase [46,69]
PG Biguanide P. falciparum and P. vivax Blood (gametocyte) and liver (shizont) stages Inhibits parasite dihydrofolate reductase [46,50]
Naphthoquinones ATQ Synthetic hydroxynaphthoquinone P. falciparum and P. vivax Inhibits electron transport in the mitochondria of parasites [46,58]
Antibiotics CLI Semisynthetic of lincomycin P. falciparum All blood stages Inhibits protein synthesis in the Plasmodium apicoplast [46,70]
DOX Semi-synthetic of tetracycline P. falciparum [46,64,70]
TC Semi-synthetic of chlortetracycline P. falciparum [50,70]

Abbreviations: ART—artemisinin; DHA—dihydroartemisinin; AS—artesunate; AR—artemether; CQ—chloroquine; AQ—amodiaquine; PY—pyronaridine; PPQ—piperaquine; NQ—naphthoquine; QUIN—quinine; MQ—mefloquine; HF—halofantrine; LR—lumefantrine; PQ—prima-quine; TQ—tafenoquine; PG—proguanil; PMT—pyrimethamine; SULF—sulfadoxine; ATQ—atovaquone; CLI—clindamycin; DOX—doxycycline; TC—tetracycline.