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Establishment of novel in vitro assay for evaluation of killing effect of chloroquine against malaria parasite

Research Project

Project/Area Number 20K16238
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 49040:Parasitology-related
Research InstitutionJuntendo University

Principal Investigator

バリカガラ ベテイ  順天堂大学, 大学院医学研究科, 助教 (70805895)

Project Period (FY) 2020-04-01 – 2025-03-31
Project Status Granted (Fiscal Year 2023)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2023: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2022: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2021: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2020: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
KeywordsChloroquine / Cytocidal effect / Plasmodium falciparum / Plasmodium / Cytociday efficacy / Africa / Cytocidal-efficacy / Novel / In-vitro assay / マラリア / クロロキン
Outline of Research at the Start

クロロキンの殺原虫効果をin vitroで評価できるアッセイを確立し、ウガンダで、クロロキンによる殺原虫効果が回復しているかについて明らかにする。全流行地で第一選択薬として広く用いられているアルテミシニンへの耐性原虫の出現と拡散、さらに同様の効果を示す代替薬の開発が滞っている現状を鑑みると、将来的な熱帯熱マラリア治療への、クロロキンの再導入に直接貢献することができる本研究のインパクトは極めて高い。

Outline of Annual Research Achievements

The first objective of the research to confirm presence of resistance to the parasiticidal effect of chloroquine using laboratory cultured standard strains according to the method of a previous study (Paguio, Mol Biochem Parasitol 2011) was confirmed. Using laboratory cultured Plasmodium falciparum parasites; chloroquine sensitive (HB3) and resistant parasites: Dd2 (Southeast Asian origin) and 7G8 (South American origin) we compared the cytocidal chloroquine efficacy (lethal dose 50%, LD50) and conventional cytostatic chloroquine efficacy (inhibitory dose 50%, IC50). The difference of cytostatic value between chloroquine-sensitive HB3 and chloroquine-resistant Dd2 was about 10 times [52.4nM versus 501.7nM] and HB3 versus chloroquine-resistant 7G8 was over 5 times [52.4nM versus 331.56nM]. In contrast, 100-fold difference was observed in cytocidal chloroquine efficacy between HB3 and Dd2 [50nM versus 5230nM] and about 10-fold between HB3 versus 7G8 [37.4nM versus 344nM].
The second objective is to verify the chloroquine parasiticidal effect using cryopreserved natural parasites recovered from Uganda field site. Currently a diverse parasite population of 237 fresh natural parasites has been collected from three field surveys: Feb-Mar 2022 (29), Oct-Nov 2022 (106) and May 2023 (102). Parasite recovery and adaptation of these field parasites into continuous culture is now successful for three parasite isolates. More parasites from this diverse pool are expected to get adapted into continuous culture afterwhich the chloroquine parasiticidal assay will be performed.

Current Status of Research Progress
Current Status of Research Progress

3: Progress in research has been slightly delayed.

Reason

The progress of this research is slightly delayed because recovery and culture adaptation of the natural field parasites is not progressing as fast as expected. Parasite recovery from the frozen state and adaptation into culture has been challenging. Although parasites initially recover from the frozen state and growth in culture is good for the first three weeks, parasites eventually die off and adaptation into continuous culture fails. This could be due to individual parasite potential to adapt into continuous culture or probably delayed potential of natural parasites to adapt to environments outside the human body. Nonetheless, parasite adaptation into continuous culture will be continued until a sufficient number of parasites is obtained for the chloroquine drug assays.

Strategy for Future Research Activity

Recovery and adaptation into culture of cryopreserved natural parasites is continuing. All successfully culture adapted natural parasites, will be exposed to the lethal chloroquine dose to evaluate the parasiticidal chloroquine effect in a two step process.
Step 1: Parasites will be cultured for 6 hours at chloroquine concentrations (0.625-2000 μM) covering the maximum chloroquine concentration in the human body, 10 μM, then the drug will be washed off. Parasites will then be incubated for 48 hours without drug and LD50 (lethal dose concentration) determined from surviving parasites. The conventional in-vitro assay will also be performed. Parasites are cultured at chloroquine concentrations of 0.025-1.6 μM for 72 hours and IC50 (50% growth inhibitory concentration) evaluated.
Step 2: The method in step 1 will be improved by developing a new in vitro assay that easily evaluates the parasiticidal chloroquine effect. Specifically, optimize the blood volume used, the chloroquine concentration, drug exposure and culture time, simplify the parasite quantification method, and the objectiveness of the LD50 and IC50 determination methods.

Report

(4 results)
  • 2023 Research-status Report
  • 2022 Research-status Report
  • 2021 Research-status Report
  • 2020 Research-status Report
  • Research Products

    (16 results)

All 2022 2021 2020 Other

All Int'l Joint Research (3 results) Journal Article (7 results) (of which Int'l Joint Research: 7 results,  Peer Reviewed: 7 results,  Open Access: 6 results) Presentation (6 results) (of which Int'l Joint Research: 3 results,  Invited: 2 results)

  • [Int'l Joint Research] Gulu University/St. Mary's Hospital Lacor(ウガンダ)

    • Related Report
      2023 Research-status Report
  • [Int'l Joint Research] Faculty of Medicine, Gulu University/PO Box 166/Gulu Uganda(ウガンダ)

    • Related Report
      2021 Research-status Report
  • [Int'l Joint Research] St. Mary's Hospital Lacor Hospital/PO Box 180/Gulu Uganda(ウガンダ)

    • Related Report
      2021 Research-status Report
  • [Journal Article] The impact of sequestration on artemisinin-induced parasite clearance in Plasmodium falciparum malaria in Africa.2022

    • Author(s)
      Fukuda N, Balikagala B, Ueno T, Anywar DA, Kimura E, Palacpac NMQ, Odongo-Aginya EI, Ogwang M, Horii T, Miida T, Mita T.
    • Journal Title

      Clin Infect Dis.

      Volume: 10 Issue: 9 Pages: 1585-1593

    • DOI

      10.1093/cid/ciac944

    • Related Report
      2023 Research-status Report 2022 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Circulation of an Artemisinin-Resistant Malaria Lineage in a Traveler Returning from East Africa to France.2022

    • Author(s)
      Coppee R, Bailly J, Sarrasin V, Vianou B, Zinsou BE, Mazars E, Georges H, Hamane S, Lavergne RA, Dannaoui E, Balikagala B, Fukuda N, Odongo-Aginya EI, Mita T, Houze S, Clain J.
    • Journal Title

      Clin Infect Dis.

      Volume: 75 Issue: 7 Pages: 1242-4

    • DOI

      10.1093/cid/ciac162

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] African-specific polymorphisms in Plasmodium falciparum serine repeat antigen 5 in Uganda and Burkina Faso clinical samples do not interfere with antibody response to BK-SE36 vaccination2022

    • Author(s)
      Arisue Nobuko、Palacpac Nirianne Marie Q.、Ntege Edward H.、Yeka Adoke、Balikagala Betty、Kanoi Bernard N.、Bougouma Edith Christiane、Tiono Alfred B.、Nebie Issa、Diarra Amidou、Houard Sophie、D’Alessio Flavia、Leroy Odile、Sirima Sodiomon B.、Egwang Thomas G.、Horii Toshihiro
    • Journal Title

      Frontiers in Cellular and Infection Microbiology

      Volume: 12 Pages: 1058081-1058081

    • DOI

      10.3389/fcimb.2022.1058081

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Evidence of Artemisinin-Resistant Malaria in Africa.2021

    • Author(s)
      Balikagala B, Fukuda N, Ikeda M, Katuro OT, Tachibana SI, Yamauchi M, Opio W, Emoto S, Anywar DA, Kimura E, Palacpac NMQ, Odongo-Aginya EI, Ogwang M, Horii T, Mita T.
    • Journal Title

      N Engl J Med.

      Volume: 385 Issue: 13 Pages: 1163-71

    • DOI

      10.1056/nejmoa2101746

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Ex vivo susceptibility of Plasmodium falciparum to antimalarial drugs in Northern Uganda2021

    • Author(s)
      Fukuda N, Tachibana S-I、Ikeda M、Sakurai-Yatsushiro M、Balikagala B、Katuro O、Yamauchi M、Emoto S、Hashimoto M、Yatsushiro S、Sekihara Makoto、et al
    • Journal Title

      Parasitology International

      Volume: 81 Pages: 102277-102277

    • DOI

      10.1016/j.parint.2020.102277

    • Related Report
      2021 Research-status Report 2020 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Recovery and stable persistence of chloroquine sensitivity in Plasmodium falciparum parasites after its discontinued use in Northern Uganda2020

    • Author(s)
      Balikagala Betty、Sakurai-Yatsushiro Miki、Hirai Makoto  et al
    • Journal Title

      Malaria Journal

      Volume: 19 Issue: 1 Pages: 1-12

    • DOI

      10.1186/s12936-020-03157-0

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Global repertoire of human antibodies against Plasmodium falciparum RIFINs, SURFINs, and STEVORs in a malaria exposed population2020

    • Author(s)
      Kanoi Bernard N.、Nagaoka Hikaru、Morita Masayuki、White Michael T.、Palacpac Nirianne M.Q.、Ntege Edward H.、Balikagala Betty、Yeka Adoke、Egwang Thomas G.、Horii Toshihiro、Tsuboi Takafumi、Takashima Eizo
    • Journal Title

      Frontiers in Immunology

      Volume: "" Pages: 1-12

    • DOI

      10.3389/fimmu.2020.00893

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] Evidence for artemisinin artemisinin resistance in Gulu, Northern Uganda2022

    • Author(s)
      Balikagala Betty
    • Organizer
      Presented in the American Society of Tropical Medicine and Hygiene Symposium 91
    • Related Report
      2022 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Evidence of artemisinin resistance in Africa.2022

    • Author(s)
      Betty Balikagala
    • Organizer
      Presented in a meeting titled Malaria: Research for impact in the COVID-19 era, in Madrid Spain
    • Related Report
      2022 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Evidence of artemisinin resistantce in Uganda2022

    • Author(s)
      Betty Balikagala
    • Organizer
      PMI-supported Antimalarial Resistance Monitoring in Africa (PARMA) Webinar: Artemisinin Resistance.
    • Related Report
      2022 Research-status Report
  • [Presentation] Efficacy of piperaquine drug in Northern Uganda,a region where artemisinin resistance has emerged2022

    • Author(s)
      Betty Balikagala
    • Organizer
      Japanese society of parasitology
    • Related Report
      2022 Research-status Report
  • [Presentation] Emergence of artemisinin resistance in Africa2021

    • Author(s)
      Balikagala Betty
    • Organizer
      The 90th Annual meeting of the Japanese Society of Parasitology
    • Related Report
      2021 Research-status Report
  • [Presentation] In vivo artemisinin resistance has emerged in Uganda (Africa)2020

    • Author(s)
      Balikagala Betty
    • Organizer
      The United States-Japan Cooperative Medical Science Program
    • Related Report
      2020 Research-status Report
    • Int'l Joint Research

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Published: 2020-04-28   Modified: 2024-12-25  

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