Drug-resistant strains of
malaria parasites have emerged for most of
antimalarial medications. A new chemotherapeutic compound is needed for malarial
therapy.
Antimalarial activity against both drug-sensitive and drug-resistant P. falciparum has been reported for an
isocryptolepine derivative, 8-bromo-2-fluoro-5-methyl-5H-indolo[3,2-c]
quinoline (ICL-M), which also showed less toxicity to human cells. ICL-M has indoloquinoline as a core structure and its mode of action remains unclear. Here, we explored the mechanisms of ICL-M in P. falciparum by assessing the stage-specific activity, time-dependent effect, a proteomic analysis and morphology. Since human
topo II activity inhibition has been reported as a function of
isocryptolepine derivatives, malarial
topo II activity inhibition of ICL-M was also examined in this study. The ICL-M exhibited
antimalarial activity against both the ring and trophozoite stages of P. falciparum. Our proteomics analysis revealed that a total of 112 P. falciparum
proteins were differentially expressed after ICL-M exposure; among these, 58 and 54
proteins were upregulated and downregulated, respectively.
Proteins localized in the food vacuole, nucleus, and cytoplasm showed quantitative alterations after ICL-M treatment. A bioinformatic analysis revealed that pathways associated with ribosomes, proteasomes, metabolic pathways,
amino acid biosynthesis, oxidative phosphorylation, and
carbon metabolism were significantly different in P. falciparum treated with ICL-M. Moreover, a loss of ribosomes was clearly observed by transmission electron microscopy in the ICL-M-treated P. falciparum. This finding is in agreement with the proteomics data, which revealed downregulated levels of
ribosomal proteins following ICL-M treatment. Our results provide important information about the mechanisms by which ICL-M affects the
malaria parasite, which may facilitate the drug development of
isocryptolepine derivatives.