Table 8. Proposed mechanisms of neurotoxicity.
Drug | Proposed mechanisms of neurotoxicity |
---|---|
Chloroquine | • Sensitize cell-killing effects
90
• Cerebrocortical stimulant that increases EEG frequencies 91 • Prostaglandin E antagonism 92 • Acetylcholinesterase inhibition 93 • Depression of cortical activity 94 • Inhibition of membrane calcium channels 95 • Glucose 6 phosphate dehydrogenase deficiency 92 • Alteration of dopamine levels 93 • Induction of cholinergic imbalance 94 |
Mefloquine | • Disruption of gap junction communication and GABAergic
interneuron dysfunction 82 • Inhibition of cellular transport 87 • Disrupts direct intercellular electrical communication 96 • Acetylcholinesterase inhibition 42 • Primary hepatocellular injury 97 • Depression of cortical activity 94 |
Minocycline | • Disrupts microglia distribution in the developing somatosensory cortex
98
• Modifies electrophysiological properties of layer 5 microglia 98 |
Quinine | • Inhibits cytochrome P450-3A4 99 |