TABLE 1.
Top 12 molecules exhibiting late-stage schizont inhibitiona
| Pathogen Box identifier | Chemical class | EC50 value (μM)b | R50 value (μM)b | Trophozoite inhibition (%) at 1 μM | Schizont inhibition (%) at 1 μM | DNA damage (%) at 5 μM | Toxoplasma ionophore egress time (min) at 10 μMd | Function and possible targets [reference(s)] |
|---|---|---|---|---|---|---|---|---|
| MMV024443 | Indole derivatives | 1.66 | 0.306 | NAc | 58.6 | 30 | 7.00 | CDPK1 (calcium-dependent protein kinase 1) lactate dehydrogenase (39–41) |
| MMV020623 | Indole derivatives | 0.22 | 0.414 | 14.15 | 70.6 | 30–40 | 4.10 | PfATP4 dysregulation affecting Na+ efflux (41) |
| MMV010576 | Pyridine and derivatives | 0.19 | 0.138 | 20.57 | 60.4 | 30 | 6.50 | Phosphatidylinositol 4-kinase (PI4K) activity (8), based on the elucidated target for clinical candidate MMV390048 |
| MMV020520 | Benzoxazines | 0.22 | 0.432 | 35.84 | 84.6 | 30 | 3.30 | PfATP4 dysregulation affecting Na+ efflux (41) |
| MMV085071 | Indole derivatives | 0.03 | 0.470 | 36.89 | 47.2 | 30 | 6.50 | Rapid parasiticidal effect and programmed cell death (PCD)-like phenotypes (12) |
| MMV020670 | 6-Naphthyridine-2-carboxamide | 1.56 | 0.787 | 37.03 | 64 | >50 | 7.00 | NA |
| MMV020081 | Benzene and substituted derivatives | 0.07 | 0.089 | 38.23 | 43.4 | 30 | 7.00 | PfATP4 dysregulation affecting Na+ efflux (41) |
| MMV026356 | 2-Methylpyrazole-3-carboxamide | 1.70 | 0.156 | 40.27 | 61.4 | >50 | 7.00 | NA |
| MMV006239 | Alkaloid derivatives | 0.16 | 0.495 | 42.32 | 90 | 25–30 | 7.00 | NA |
| MMV020710 | Azoles | 0.06 | 0.241 | 43.63 | 84 | 25–30 | 7.00 | PfATP4 dysregulation affecting Na+ efflux (41) |
| MMV020391 | Benzene and substituted derivatives | 0.11 | 0.132 | 44.04 | 90.4 | 25–30 | NA | PfATP4 dysregulation affecting Na+ efflux (41) |
| MMV675968 | Diazanaphthalenes | 0.07 | 0.083 | 77.48 | 41.6 | 25–30 | NA | Inhibits dihydrofolate reductase (Toxoplasma and Cryptosporidium) (11) |
The table lists 12 schizont inhibitors, their chemical class, consolidated study results, and their predicted mechanism of action.
Data are from this study
NA, not available.
Egress was monitored up to a maximum of 7 min.