Artemisinin kills malaria parasites by damaging proteins and inhibiting the proteasome

被引:202
作者
Bridgford, Jessica L. [1 ]
Xie, Stanley C. [1 ]
Cobbold, Simon A. [1 ]
Pasaje, Charisse Flerida A. [1 ]
Herrmann, Susann [1 ]
Yang, Tuo [1 ]
Gillett, David L. [1 ]
Dick, Lawrence R. [2 ]
Ralph, Stuart A. [1 ]
Dogovski, Con [1 ]
Spillman, Natalie J. [1 ]
Tilley, Leann [1 ]
机构
[1] Univ Melbourne, Mol Sci & Biotechnol Inst Bio21, Dept Biochem & Mol Biol, Melbourne, Vic 3010, Australia
[2] Takeda Pharmaceut Int Co, Oncol Clin R&D, Cambridge, MA 02139 USA
基金
英国医学研究理事会;
关键词
RESISTANT PLASMODIUM-FALCIPARUM; INFECTED ERYTHROCYTES; KINASE; STRESS; SENSITIVITY; CAMBODIA; THERAPY; REVEALS; FAILURE; DESIGN;
D O I
10.1038/s41467-018-06221-1
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Artemisinin and its derivatives (collectively referred to as ARTs) rapidly reduce the parasite burden in Plasmodium falciparum infections, and antimalarial control is highly dependent on ART combination therapies (ACTs). Decreased sensitivity to ARTs is emerging, making it critically important to understand the mechanism of action of ARTs. Here we demonstrate that dihydroartemisinin (DHA), the clinically relevant ART, kills parasites via a two-pronged mechanism, causing protein damage, and compromising parasite proteasome function. The consequent accumulation of proteasome substrates, i.e., unfolded/damaged and polyubiquitinated proteins, activates the ER stress response and underpins DHA-mediated killing. Specific inhibitors of the proteasome cause a similar build-up of polyubiquitinated proteins, leading to parasite killing. Blocking protein synthesis with a translation inhibitor or inhibiting the ubiquitin-activating enzyme, E1, reduces the level of damaged, polyubiquitinated proteins, alleviates the stress response, and dramatically antagonizes DHA activity.
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页数:9
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