RT Journal Article SR Electronic T1 Acridinediones: Selective and Potent Inhibitors of the Malaria Parasite Mitochondrial bc1 Complex JF Molecular Pharmacology JO Mol Pharmacol FD American Society for Pharmacology and Experimental Therapeutics SP 1347 OP 1355 DO 10.1124/mol.108.045120 VO 73 IS 5 A1 Biagini, Giancarlo A. A1 Fisher, Nicholas A1 Berry, Neil A1 Stocks, Paul A. A1 Meunier, Brigitte A1 Williams, Dominic P. A1 Bonar-Law, Richard A1 Bray, Patrick G. A1 Owen, Andrew A1 O'Neill, Paul M. A1 Ward, Stephen A. YR 2008 UL http://molpharm.aspetjournals.org/content/73/5/1347.abstract AB The development of drug resistance to affordable drugs has contributed to a global increase in the number of deaths from malaria. This unacceptable situation has stimulated research for new drugs active against multidrug-resistant Plasmodium falciparum parasites. In this regard, we show here that deshydroxy-1-imino derivatives of acridine (i.e., dihydroacridinediones) are selective antimalarial drugs acting as potent (nanomolar Ki) inhibitors of parasite mitochondrial bc1 complex. Inhibition of the bc1 complex led to a collapse of the mitochondrial membrane potential, resulting in cell death (IC50 ∼15 nM). The selectivity of one of the dihydroacridinediones against the parasite enzyme was some 5000-fold higher than for the human bc1 complex, significantly higher (∼200 fold) than that observed with atovaquone, a licensed bc1-specific antimalarial drug. Experiments performed with yeast manifesting mutations in the bc1 complex reveal that binding is directed to the quinol oxidation site (Qo) of the bc1 complex. This is supported by favorable binding energies for in silico docking of dihydroacridinediones to P. falciparum bc1 Qo. Dihydroacridinediones represent an entirely new class of bc1 inhibitors and the potential of these compounds as novel antimalarial drugs is discussed.