Methotrexate and aminopterin lack in vivo antimalarial activity against murine malaria species

Beatrice Irungu, Daniel Kiboi, Bernard Langat, Geoffrey Rukunga, Sergio Wittlin, Alexis Nzila*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

The antifolate anticancer drug methotrexate (MTX) has potent activity against Plasmodium falciparum in vitro. Experience of its use in the treatment of rheumatoid arthritis indicates that it could be safe and efficacious for treating malaria. We sought to establish a murine malaria model to study the mechanism of action and resistance of MTX and its analogue aminopterin (AMP). We used Plasmodium berghei, Plasmodium yoelii yoelii, Plasmodium chabaudi and Plasmodium vinckei. None of these species were susceptible to either drug. We have also tested the efficacy of pyrimethamine in combination with folic acid in P. berghei, and data indicate that folic acid does not influence pyrimethamine efficacy, which suggests that P. berghei may not transport folate. Since MTX and AMP utilise folate receptor/transport to gain access to cells, their lack of efficacy against the four tested murine malaria species may be the result of inefficiency of drug transport.

Original languageEnglish
Pages (from-to)118-121
Number of pages4
JournalExperimental Parasitology
Volume123
Issue number2
DOIs
StatePublished - Oct 2009
Externally publishedYes

Bibliographical note

Funding Information:
We thank the director of the Kenya Medical Research Institute for permission to publish these data. This work was supported by the European and Developing Countries Clinical Trials Partnership (EDCTP). This work was supported in part by Global Health Research Award GHRA-06-03 from the Health Research Board (Ireland) to Angus Bell and A.N., D.K. and B.L. are Masters Degree students supported by GHRA-06-03.

Keywords

  • Aminopterin
  • Antifolate
  • Folate receptor
  • Methotrexate
  • Plasmodium berghei
  • Plasmodium chabaudi and Plasmodium vinckei
  • Plasmodium yoelii yoelii
  • Pyrimethamine

ASJC Scopus subject areas

  • Parasitology
  • Immunology
  • Infectious Diseases

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