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Pathway Description
Lumefantrine Action Pathway
Plasmodium falciparum
Category:
Metabolite Pathway
Sub-Category:
Drug Action
Created: 2023-02-09
Last Updated: 2023-10-25
Lumefantrine is an antimalarial agent used in combination with artemether for the treatment of acute uncomplicated malaria caused by Plasmodium falciparum and unidentified Plasmodium species, including infections acquired in chloroquine-resistant areas. It is thought that administration of lumefantrine with artemether results in cooperate antimalarial clearing effects. Artemether has a rapid onset of action and is rapidly cleared from the body. It is thus thought to provide rapid symptomatic relief by reducing the number of malarial parasites. Lumefantrine has a much longer half life and is believed to clear residual parasites.
The exact mechanism by which lumefantrine exerts its antimalarial effect is unknown. However, available data suggest that lumefantrine inhibits the formation of β-hematin by forming a complex with hemin and inhibits nucleic acid and protein synthesis, as well as causing the accumulation of toxic heme.
References
Lumefantrine Pathway References
Abamecha A, Yilma D, Adissu W, Yewhalaw D, Abdissa A: Efficacy and safety of artemether-lumefantrine for treatment of uncomplicated Plasmodium falciparum malaria in Ethiopia: a systematic review and meta-analysis. Malar J. 2021 May 6;20(1):213. doi: 10.1186/s12936-021-03745-8.
Pubmed: 33957925
Stover KR, King ST, Robinson J: Artemether-lumefantrine: an option for malaria. Ann Pharmacother. 2012 Apr;46(4):567-77. doi: 10.1345/aph.1Q539. Epub 2012 Apr 10.
Pubmed: 22496476
Silva-Pinto A, Domingos J, Cardoso M, Reis A, Benavente ED, Caldas JP, Conceicao C, Toscano C, Baptista-Fernandes T, Clark TG, Mansinho K, Campino S, Nogueira F: Artemether-lumefantrine treatment failure of uncomplicated Plasmodium falciparum malaria in travellers coming from Angola and Mozambique. Int J Infect Dis. 2021 Sep;110:151-154. doi: 10.1016/j.ijid.2021.07.008. Epub 2021 Jul 7.
Pubmed: 34242769
Makanga M, Krudsood S: The clinical efficacy of artemether/lumefantrine (Coartem). Malar J. 2009 Oct 12;8 Suppl 1(Suppl 1):S5. doi: 10.1186/1475-2875-8-S1-S5.
Pubmed: 19818172
Wishart DS, Feunang YD, Guo AC, Lo EJ, Marcu A, Grant JR, Sajed T, Johnson D, Li C, Sayeeda Z, Assempour N, Iynkkaran I, Liu Y, Maciejewski A, Gale N, Wilson A, Chin L, Cummings R, Le D, Pon A, Knox C, Wilson M: DrugBank 5.0: a major update to the DrugBank database for 2018. Nucleic Acids Res. 2018 Jan 4;46(D1):D1074-D1082. doi: 10.1093/nar/gkx1037.
Pubmed: 29126136
Michelson AM, Orkin SH: The 3' untranslated regions of the duplicated human alpha-globin genes are unexpectedly divergent. Cell. 1980 Nov;22(2 Pt 2):371-7. doi: 10.1016/0092-8674(80)90347-5.
Pubmed: 7448866
Wilson JT, Wilson LB, Reddy VB, Cavallesco C, Ghosh PK, deRiel JK, Forget BG, Weissman SM: Nucleotide sequence of the coding portion of human alpha globin messenger RNA. J Biol Chem. 1980 Apr 10;255(7):2807-15.
Pubmed: 6244294
Liebhaber SA, Goossens MJ, Kan YW: Cloning and complete nucleotide sequence of human 5'-alpha-globin gene. Proc Natl Acad Sci U S A. 1980 Dec;77(12):7054-8. doi: 10.1073/pnas.77.12.7054.
Pubmed: 6452630
Marotta CA, Forget BG, Cohen-Solal M, Weissman SM: Nucleotide sequence analysis of coding and noncoding regions of human beta-globin mRNA. Prog Nucleic Acid Res Mol Biol. 1976;19:165-75.
Pubmed: 1019344
Lawn RM, Efstratiadis A, O'Connell C, Maniatis T: The nucleotide sequence of the human beta-globin gene. Cell. 1980 Oct;21(3):647-51. doi: 10.1016/0092-8674(80)90428-6.
Pubmed: 6254664
Wood ET, Stover DA, Slatkin M, Nachman MW, Hammer MF: The beta -globin recombinational hotspot reduces the effects of strong selection around HbC, a recently arisen mutation providing resistance to malaria. Am J Hum Genet. 2005 Oct;77(4):637-42. doi: 10.1086/491748. Epub 2005 Aug 29.
Pubmed: 16175509
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