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2015 ; 5
(ä): 13891
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High-throughput matrix screening identifies synergistic and antagonistic
antimalarial drug combinations
#MMPMID26403635
Mott BT
; Eastman RT
; Guha R
; Sherlach KS
; Siriwardana A
; Shinn P
; McKnight C
; Michael S
; Lacerda-Queiroz N
; Patel PR
; Khine P
; Sun H
; Kasbekar M
; Aghdam N
; Fontaine SD
; Liu D
; Mierzwa T
; Mathews-Griner LA
; Ferrer M
; Renslo AR
; Inglese J
; Yuan J
; Roepe PD
; Su XZ
; Thomas CJ
Sci Rep
2015[Sep]; 5
(ä): 13891
PMID26403635
show ga
Drug resistance in Plasmodium parasites is a constant threat. Novel therapeutics,
especially new drug combinations, must be identified at a faster rate. In
response to the urgent need for new antimalarial drug combinations we screened a
large collection of approved and investigational drugs, tested 13,910 drug pairs,
and identified many promising antimalarial drug combinations. The activity of
known antimalarial drug regimens was confirmed and a myriad of new classes of
positively interacting drug pairings were discovered. Network and clustering
analyses reinforced established mechanistic relationships for known drug
combinations and identified several novel mechanistic hypotheses. From eleven
screens comprising >4,600 combinations per parasite strain (including duplicates)
we further investigated interactions between approved antimalarials, calcium
homeostasis modulators, and inhibitors of phosphatidylinositide 3-kinases (PI3K)
and the mammalian target of rapamycin (mTOR). These studies highlight important
targets and pathways and provide promising leads for clinically actionable
antimalarial therapy.