Table 1.
Overview of the protozoan pathogens highlighted in this review
Pathogen | Disease(s) caused | Current treatments | Mechanism of action |
---|---|---|---|
Plasmodium falciparum | Malaria | 4-Aminoquinolines (chloroquine, amodiaquine, piperaquine) | Inhibit heme detoxification |
8-Aminoquinolones (primaquine, tafenaquine) | Unknown | ||
Aryl amino-alcohols (lumefantrine, mefloquine) | Inhibit heme detoxification | ||
Antifolate drugs (proguanil, pyrimethamine, sulfadoxine) | Inhibit folate synthesis | ||
Antibiotics (doxycycline, clindamycin) | Inhibit protein synthesis | ||
Napthoquinones (atovaquone) | Inhibit cytochrome bc1 complex | ||
Artemisinin compounds (artemisinin, artemether, dihydroartemisinin) | Oxidative stress | ||
Trypanosoma | Chagas disease | Nitroheterocyclic drugs (nifurtimox, benznidazole) | Oxidative stress |
Sleeping sickness | Pentamidine | Disrupts mitochondrial processes | |
Melarsoprol | Inhibits trypanosomal redox metabolism and glycolysis | ||
Suramin | Disrupts trypanosomal redox metabolism and glycolysis | ||
Eflornithine | Inhibition of ornithine decarboxylase | ||
Leishmania | Cutaneous, visceral, or mucosal leishmaniasis | Pentavalent antimonial compounds | Unclear |
Amphotericin B | Targets the main parasite membrane sterol | ||
Miltefosine | Interferes with cell membrane composition | ||
Paromomycin | Inhibits protein synthesis | ||
Toxoplasma | Flu-like illness, disseminated infection, congenital infection | Pyrimethamine | Inhibit folate synthesis |
Sulfadiazine |