Table 2.
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.