Table 5.
Computed Vacuolar Accumulation Ratios (VAR)
| Compound/Vacuolar Accumulation Ratio (VAR) | |||||
|---|---|---|---|---|---|
| DV pH | CQ | 8 | 13 | 18 | 22 |
| CQR (pH 5.2) | 2.3 × 104 | 2.3 × 104 | 1.9 × 102 | 1.7 × 102 | 7.9 × 104 |
| CQS (pH 5.6) | 3.7 × 103 | 3.7 × 103 | 6.7 × 101 | 6.4 × 101 | 5.0 × 103 |
VAR is calculated using the Henderson – Hasselbach equation and knowing cytosolic pH = 7.4, DV pH for CQR parasites = 5.2, DV pH for CQS = 5.620,2 and assuming: 1) that charged (protonated) drugs are essentially membrane impermeable; 2) net accumulation is not affected by binding to drug target. Although these are both simplifications, the calculated differences for (effectively) mono vs. diprotic drugs are orders of magnitude apart, whereas binding effects are expected to be (at most) several fold.