Antimalarial effect of synthetic endoperoxide on synchronized <i>Plasmodium chabaudi</i> infected mice

Nagwa S. M. Aly; Hiroaki Matsumori; Thi Quyen Dinh; Akira Sato; Shin-Ichi Miyoshi; Kyung-Soo Chang; Hak Sun Yu; Fumie Kobayashi; Hye-Sook Kim

doi:10.3347/PHD.22119

Parasites Hosts Dis > Volume 61(1):2023 > Article

Aly, Matsumori, Dinh, Sato, Miyoshi, Chang, Yu, Kobayashi, and Kim: Antimalarial effect of synthetic endoperoxide on synchronized Plasmodium chabaudi infected mice

Original Article

Parasites, Hosts and Diseases 2023; 61(1): 33-41.

Published online: February 22, 2023

DOI: https://doi.org/10.3347/PHD.22119

Antimalarial effect of synthetic endoperoxide on synchronized Plasmodium chabaudi infected mice

Nagwa S. M. Aly^1,²

, Hiroaki Matsumori¹, Thi Quyen Dinh¹, Akira Sato^1,³, Shin-Ichi Miyoshi⁴, Kyung-Soo Chang⁵, Hak Sun Yu⁶, Fumie Kobayashi⁷, Hye-Sook Kim^1,^*

¹Division of International Infectious Diseases Control, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8530, Japan

²Parasitology Department, Faculty of Medicine, Benha University, Benha 13511, Egypt

³Department of Biochemistry and Molecular Biology, Faculty of Pharmaceutical Sciences, Tokyo University of Science, Noda, Chiba 278-8530, Japan

⁴Department of Sanitary Microbiology, Faculty of Pharmaceutical Sciences, Okayama University, Okayama 700-8530, Japan

⁵Department of Clinical Laboratory Science, College of Health Sciences, Catholic University of Pusan, Busan 46252, Korea

⁶Department of Parasitology and Tropical Medicine, School of Medicine, Pusan National University, Busan 46241, Korea

⁷Department of Environmental Science, School of Life Environmental Science, Azabu University, Kanagawa 252-5201, Japan

^*Correspondence: (hskim@cc.okayama-u.ac.jp)

Received September 10, 2022 Accepted December 12, 2022

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The discovery of new antimalarial drugs can be developed using asynchronized Plasmodium berghei malaria parasites in vivo in mice. Studies on a particular stage are also required to assess the effectiveness and mode of action of drugs. In this report, we used endoperoxide 6-(1,2,6,7-tetraoxaspiro [7.11] nonadec-4-yl) hexan-1-ol (N-251) as a model antimalarial compound on P. chabaudi parasites. We examined the antimalarial effect of N-251 against ring-stage- and trophozoite-stage-rich P. chabaudi parasites and asynchronized P. berghei parasites using the 4-day suppressive test. The ED₅₀ values were 27, 22, and 22 mg/kg, respectively, and the antimalarial activity of N-251 was verified in both rodent malaria parasites. To assess the stage-specific effect of N-251 in vivo, we evaluated the change of parasitemia and distribution of parasite stages using ring-stage- and trophozoite-stage-rich P. chabaudi parasites with one-day drug administration for one life cycle. We discovered that the parasitemias decreased after 13 and 9 hours post-treatment in the ring-stage- and trophozoite-stage-rich groups, respectively. Additionally, in the ring-stage-rich N-251 treated group, the ring-stage parasites hindered trophozoite parasite development. For the trophozoite-stage-rich N-251 treated group, the distribution of the trophozoite stage was maintained without a change in parasitemia until 9 hours. Because of these findings, it can be concluded that N-251 suppressed the trophozoite stage but not the ring stage. We report for the first time that N-251 specifically suppresses the trophozoite stage using P. chabaudi in mice. The results show that P. chabaudi is a reliable model for the characterization of stage-specific antimalarial effects.

Key words: Plasmodium chabaudi, synchronization, stage-specific activity, antimalarial N-251

Introduction

A new antimalarial drug study usually begins with the use of Plasmodium falciparum in vitro and rodent malaria parasites such as Plasmodium berghei and Plasmodium chabaudi in vivo [1,2]. However, drug effectiveness for rodent malaria species does not always mimic those of the human malaria parasite, P. falciparum [3]. In mice P. chabaudi produces a high parasitemia and generates synchronous infections by circadian rhythm, thus enabling studies on parasite stage specificity [4,5]. The several Plasmodium spp. life cycle stages offer various patterns and targets for antimalarial chemotherapy [6].

The drug candidate 6-(1,2,6,7-tetraoxaspiro [7.11] nonadec-4-yl) hexan-1-ol endoperoxide (N-251) has high antimalarial activity against both P. falciparum in vitro and P. berghei in vivo, as described by our previous studies [7,8]. We also found that N-251 inhibited the trophozoite stage exclusively on synchronized P. falciparum with sorbitol treatment in vitro [9]. In this research, we used N-251 as a model antimalarial compound for analyzing stage-specific inhibition using synchronized P. chabaudi in vivo.

Melatonin is a natural hormone synthesized by the pineal gland and controlled by the circadian rhythm [10]. Some reports found that Plasmodium becomes more synchronized by melatonin [11,12]. We evaluated the ability of melatonin to obtain a high yield of synchronized P. chabaudi parasites. Our study aimed to examine the feasibility of an animal experimental model for stage-specific antimalarial effect using N-251 on the predominant ring and trophozoite stages of P. chabaudi.

Materials and Methods

Parasites and mice

P. chabaudi AS strain (P. chabaudi) and P. berghei NK65 strain (P. berghei) parasites were maintained in the laboratory. ICR male mice (The Jackson Laboratory, Kanagawa, Japan) were maintained in a 12 h light/dark cycle at room temperature (23±2°C) with free access to food (MF diet, Oriental Co., Tokyo, Japan) and water. The study was carried out in compliance with the Okayama University Guidelines for Animal Experimentation and was authorized by the Institutional Animal Care and Use Committee (permission number: OKU-2022815).

Comparison between parasite growth of P. chabaudi and P. berghei

To initiate growth rate assays, mice were intravenously (iv) inoculated with 1×10⁶ P. chabaudi or P. berghei parasite-infected erythrocyte suspensions obtained from infected donor ICR mice. The parasitemia was assessed using a microscope after the preparation of a thin smear. Data were expressed as the mean (n=5) with a bar showing the standard deviation (SD) value.

Effect of melatonin

Melatonin (Sigma, St. Louis, MO, USA) was dissolved in 10.0% ethanol, 10.0% Cremophore EL, and 80.0% saline (1:1:8 [v/v/v]). P. chabaudi and P. berghei parasites were evaluated by iv infusion of 3×10⁵ infected erythrocytes in a healthy mouse. Mice received 4 days of melatonin iv administration at a rate of 50 mg/kg/day (days 0, 1, 2, and 3). Vehicles were the only treatment for the control groups. Parasitemia and distribution of parasite stages were checked on day 4. Data were expressed as the mean (n=5) with a bar indicating the SD value.

Stage-specific effect of N-251

Ring-stage- and trophozoite-stage-rich parasite groups of P. chabaudi were examined following iv administration of 1×10⁷ infected erythrocytes in mice. When the ring and trophozoite stages reached about 60.0% of the abundance of all stages, N-251 (Fig. 1) (dissolved in 10.0% ethanol, 10.0% Cremophore EL, and 80.0% saline (1:1:8 [v/v/v]) was given iv at a dose of 68 mg/kg every 8 h for 1 day. Control groups were treated with vehicles only. As shown in Fig. 2, blood smears were examined every 4 h for 25 h. Data were expressed as the mean (n=5) with the bar indicating the SD value.

Four-day suppressive test of N-251

The antimalarial effect of N-251 was analyzed using the 4-day suppressive test in vivo [13]. Synchronized P. chabaudi and asynchronized P. berghei parasites were tested by iv infusion of 1×10⁶ infected erythrocytes in a healthy mouse. We prepared 2 synchronized P. chabaudi groups: one in which the ring stage made up roughly 60% of the infected erythrocytes and the other in which the trophozoite stage made up more than 60% of the infected erythrocytes. Two hours post-infection, mice were iv administered N-251 at doses of 5, 20, and 50 mg/kg/day for 4 days. Control groups were treated with vehicles only. On day 4, thin blood films were prepared and the parasitemias were calculated. Data were expressed as the mean (n=5)±SD value.

Statistical analysis

Results were examined using Microsoft Excel 2016 and the data were expressed as the mean ±SD value. Percent parasitemia was computed by dividing the number of infected RBCs by the total number of RBCs indexed and multiplied by 100. ED₅₀ and ED₉₀ values were collected by sigmoidal dose-response curve analysis.

Results

Comparison between parasite growth of P. chabaudi and P. berghei

The growth rates of P. chabaudi and P. berghei parasites in mice are displayed in Fig. 3. Parasite growth was more delayed in P. chabaudi than P. berghei, and the growth curves slope were otherwise similar for both parasite strains, and all infected mice died after day 7.

Effect of melatonin on parasite synchronization and growth

The effect of melatonin on P. chabaudi and P. berghei is shown in Fig. 4. In the P. chabaudi parasite groups, more than 70.0% of parasites were synchronized to the trophozoite stage in both the control and melatonin-treated groups. The parasitemias were 5.9% and 5.8%, respectively, in the control and melatonin-treated groups (Fig. 4A). This data demonstrated that melatonin did not affect the synchronization and growth of P. chabaudi. For P. berghei parasites, the distributions of merozoites, ring, and trophozoite stages in the control group were 35.3, 11.4, and 53.1%; while in the melatonin-treated group, the distributions were 22.6, 30.4, and 46.9%, respectively, without change in parasitemia (control: 11.2%, melatonin: 11.5%) (Fig. 4B). From these findings it was apparent that melatonin had a partial effect on the development of parasite stages in P. berghei. As a result, we used P. chabaudi without melatonin in the next experiment.

Stage-specific effect of N-251

To assess the stage-specific effect of N-251 in vivo, we examined the change of parasitemias and distributions of parasite stages using preparations of ring-stage- and trophozoite-stage-rich P. chabaudi parasites. The outcomes employing parasite preparations rich in ring stages are shown in Fig. 5A. In the control group, the parasitemia increased after 17 h, and ring-stage parasites developed to the trophozoite stage until 17 h. The distribution of ring-stage parasites in the N-251 group reduced from 60.0 to 15.0% after 13 h, whereas trophozoite-stage parasites rose from 10.1 to 51.2% in the same period (Fig. 5A). The effect of N-251 on trophozoite-stage-rich parasites is depicted in Fig. 5B. The trophozoite-stage parasites made up around 81.0% of all parasites within the same parasitemia up to 9 h in the control group, after which the parasitemia dropped to 17.7% at 25 h. For the N-251 group, the parasitemias and the distribution ratio of the trophozoite stage were not changed until 9 h; and finally, the parasitemia decreased to 1.5% at 25 h. To compare ring-stage- and trophozoite-stage-rich N-251 groups, the time point of decreasing parasitemia was 4 h earlier in the trophozoite stage than in the ring-stage-rich group without marked changes in stages distributions. According to these findings, N-251 selectively suppressed the trophozoite stage and had no discernible impact on the ring stage.

Antimalarial effect of N-251 using a 4-day suppressive test

We evaluated the antimalarial effect of N-251 against ring-stage- and trophozoite-stage-rich P. chabaudi and asynchronized P. berghei parasites (Table 1). N-251 inhibited the growth of P. chabaudi and P. berghei with similar ED₅₀ and ED₉₀ values. There was no discernible difference in the ED value between P. berghei and the various P. chabaudi parasite stages.

Discussion

Evaluation of the stage-specific activities of antimalarial candidates in vivo is crucial for studying the effectiveness and mechanisms of action. In this study, we evaluated the stage-specific antimalarial activity of P. chabaudi using the predominant ring and trophozoite phases. It was reported that the P. chabaudi malaria parasite possesses an auto synchronization of intraerythrocytic developmental stages via a circadian rhythm [14]. Additionally, according to some scientists, host melatonin synchronizes the growth of the parasite stages [15,16]. In a healthy human body, melatonin is typically secreted at a rate of up to 0.04 mg/kg. Melatonin has a short half-life in the blood, of less than 30 min and it is relatively non-toxic [17–19]. As a result, in this study, melatonin was administrated at 50 mg/kg and the effect on parasites was examined. We discovered that melatonin had no antimalarial activity or improvement of synchronization of intraerythrocytic parasite developmental stages in P. chabaudi (Fig. 4A). In the P. berghei melatonin-treated group, the distribution of merozoites was decreased and ring-stage parasites increased without antimalarial activity (Fig. 4B). These results show that melatonin had no antimalarial activity in both species of rodent malaria parasites and affects young parasite (merozoite) development of P. berghei. Further studies are required to assess melatonin function in P. berghei. The P. berghei strain is not appropriate for analyzing the stage specificity of the drug in our study, similar to the reported results [20]. With P. chabaudi, it is plausible that the mechanism of action can be examined because the drug can act at a specific stage.

In studies of the antimalarial activity of drug candidates, including the characterization of the stage specificity of action, the drug sensitivity of given rodent malaria species does not always mimic that of P. falciparum [3]. We have previously investigated the generation of novel antimalarial drugs in P. falciparum in vitro and P. berghei in vivo employing thousands of molecules, including natural products, marine sources, and synthesized compounds [21–24]. From these studies, N-251 was chosen as a promising antimalarial candidate. N-251 specifically suppressed the trophozoite stage of P. falciparum in vitro, possibly by targeting the P. falciparum endoplasmic reticulum-resident calcium-binding protein (PfERC) [NCBI accession no. 124803623] [9,25,26]. The PfERC level changes with parasite growth, increasing to a maximum level during the trophozoite stage and was inhibited by N-251 treatment. We examined in vivo antimalarial activity of N-251. N-251 revealed strong antimalarial activity with a cure effect in P. berghei in mice, but the stage specificity of its action was not investigated [8]. In the present study, the stage-specific antimalarial activity of N-251 as a model compound on P. chabaudi in mice was studied. If we discover that N-251 specifically inhibits the trophozoite stage in vivo, then P. chabaudi would be an experimental model for stage-specific antimalarial assessment in vivo. The parasites continued to proliferate to the trophozoite stage before being inhibited by N-251 in the group of parasites with a high concentration of ring-stage parasites (Fig. 5). In the trophozoite-stage-rich N-251 group, the ratio of trophozoite-stage parasites was similar while merozoites and shrunken parasites were increased with the same parasitemia up to 9 h. Because we were unable to distinguish between typical merozoites and parasites with morphologically altered merozoite-shaped bodies, the results in Fig. 5 reflected the total of merozoites and shrunken parasites. The results report for the first time that N-251 particularly inhibits the P. chabaudi trophozoite parasite in mice. Further study is required to clarify N-251 stage-specific action using additional synchronized trophozoite parasites.

We expected higher effectiveness of N-251 could be collected using trophozoite-stage-rich P. chabaudi, but we received similar ED₅₀ values with ring-stage- and trophozoite-stage-rich P. chabaudi and asynchronous P. berghei using the 4-day suppressive test. The 4-day suppressive test only reveals a drug’s overall impact after 4 days; it does not provide specific information on the various parasite stages. The parasite synchronization may be interrupted in the experiment since the life cycle of rodent malaria parasites is one day.

We conclude that melatonin has no antimalarial or synchronizing effect on P. chabaudi malaria parasites. We discovered for the first time that N-251 specifically inhibits the trophozoite stage of P. chabaudi, and this parasite is accordingly suggested as a model for the study of stage-specific antimalarial effects in mice.

Acknowledgments

This study was partially supported by a grant from the Program of the Japan Initiative for Global Research Network on Infectious Diseases (J-GRID, JP22wm0125004) from the Ministry of Education, Culture, Sports, Science, and Technology in Japan (MEXT), and the Japan Agency for Medical Research and Development (AMED). We thank Taiki Osato (Okayama University) for the partial experiments and discussion.

Conflict of interest

The authors have no conflict of interest.

Notes

Author contributions

Conceptualization: Aly N, Sato A, Miyoshi SI, Chang KS, Yu HS, Kobayashi F, Kim HS

Data curation: Aly N, Sato A, Kim HS

Formal analysis: Aly N, Sato A, Kim HS

Funding acquisition: Dinh TQ, Kim HS

Investigation: Aly N, Matsumori H, Dinh TQ, Sato A

Methodology: Aly N, Matsumori H, Dinh TQ

Project administration: Kim HS

Resources: Matsumori H, Dinh TQ, Sato A, Miyoshi SI, Kobayashi F, Kim HS

Software: Matsumori H, Dinh TQ, Chang KS, Yu HS, Kobayashi F

Supervision: Kim HS

Validation: Aly N

Visualization: Aly N

Writing – original draft: Aly N

Writing – review & editing: Aly N, Miyoshi SI, Chang KS, Yu HS, Kobayashi F, Kim HS

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Fig. 1

Structure of N-251. The chemical structure of 6-(1,2,6,7-tetraoxaspiro [7.11] nonadec-4-yl) hexan-1-ol (N-251) [7].

Fig. 2

Scheme for analyzing the stage-specific effect of N-251. The drug was administered at a dose of 68 mg/kg every 8 h for 1 day. The control group was treated with vehicle only at the time indicated by the scheme, parasitemias, and parasite stage distributions were found. (A) Parasites have many ring stages. (B) Parasites abundant in the trophozoite stage.

Fig. 3

P. chabaudi and P. berghei growth curves. Squares represent P. chabaudi and circles represent P. berghei. Mice were infected by iv infusion of 1×10⁶ infected erythrocytes. A thin smear was prepared and the parasitemia was assessed under a microscope. Data were expressed as the mean with a bar showing the SD value.

Fig. 4

Effect of melatonin on asynchronized P. chabaudi and P. berghei parasites. Mice were infected by iv infusion of 3×10⁵ infected erythrocytes and treated with melatonin (50 mg/kg/day for 4 consecutive days). Only a vehicle was used to treat the control group. Parasitemia and distributions of parasite stages were determined on day 4. (A) P. chabaudi parasites. (B) P. berghei parasites. *Parasitemia. Data were expressed as the mean with a bar revealing the SD value.

Fig. 5

Stage-specific effect of N-251 on ring-stage- and trophozoite stage-rich P. chabaudi. Mice were infected by iv infusion of 1×10⁷ infected erythrocytes. The drug was given at a dose of 68 mg/kg every 8 h for 1 day. Only a vehicle was used for the control group’s treatment. (A) Ring-stage-rich parasites. (B) Trophozoite-stage-rich parasites. For the therapy of the control group, only a vehicle was utilized. parasites with rich ring stages.

Table 1

Effect of N-251 on parasitic rodent malaria. Using a 4-day suppression test, the in vivo antimalarial activity of N-251 was evaluated against asynchronized P. berghei and ring-stage- and trophozoite-stage-rich P. chabaudi

N-251 (mg/kg)	P. berghei	P. chabaudi

	Asynchronized	Ring-rich^*	Trophozoite-rich^*
ED₅₀	22.0±2.0	27.0±4.0	22.0±3.0

ED₉₀	45.0±1.0	48.0±2.0	47.0±2.0

^* represents around 60% of the parasite life cycle.

Data were presented as the mean and standard deviation.