Volume 9 Supplement 2

Parasite to Prevention: Advances in the understanding of malaria

Open Access

2-tert-butyl-primaquine exhibit potent blood schizontocidal antimalarial activity via inhibition of heme crystallization

  • Nhien Nguyen Thanh Thuy1, 2,
  • Huy Nguyen Tien2, 3,
  • Rahul Jain4 and
  • Kaeko Kamei2
Malaria Journal20109(Suppl 2):P69


Published: 16 December 2010


Primaquine (PQ) is the only 8-quinolinamine available to treat the malarial parasites in the infections caused by Plasmodium vivax and P. ovale. PQ has broad range of antimalarial activities, including efficacy as a causal prophylactic, gametocytocide, and sporontocide. These encouraging pharmacological properties make PQ an ideal drug to emulate while designing new antimalarials with improved activities ([1]). The placement of a metabolically stable tert-butyl group at the C-2 position of a quinoline ring in PQ (2-tert-Butyl-Primaquine - BPQ) results in a tremendous improvement in blood schizontocidal antimalarial activity ([1, 2]). Because free heme released from hemoglobin catabolism in a malarial parasite is highly toxic, the parasite protects itself mainly by crystallization of heme into insoluble nontoxic hemozoin ([3]). In this study, we investigate the mechanism of blood schizontocidal activity of BPQ.


The ability of 2-tert-butylprimaquine to inhibit in vitro beta-hematin formation (see Table 1), to form a complex with heme with a stoichiometry of 1:1 (see Figure 1 and Figure 2), and to enhance heme-induced hemolysis (see Figure 3) were demonstrated.
Table 1

IC50 values for inhibition of P. falciparum growth and heme crystallization


IC50 (μM) for inhibition of


P. falciparum D6 clone growth

BH formation










*ND, not detected.

Figure 1

(abstract P69). Job plots of heme-CQ (closed circles), heme-PQ (closed triangles), and heme-BPQ (open circles) interaction. The total final combined concentration of heme and drug in the mixtures was constant at 10 μM in 40% aqueous DMSO. The pH and the temperature were constant at pH 7.4 and 25°C. The differential absorbance at 400 nm was recorded after incubation for 30 min. Values are the means ± standard errors of the means of three independent experiments. The results are reproducible.

Figure 2

(abstract P69). Hill plots of heme-CQ (closed circles) and heme-BPQ (open circles) association. The n values correspond to individual slopes. The n and Ka values for heme-CQ association were 1.09 and 3.24×105 M–1, respectively. The n and Ka values for heme-BPQ association were 1.07 and 0.61×105 M–1, respectively.

Figure 3

(abstract P69). Effects of heme-induced hemolysis by drugs. (A) Suspensions of erythrocytes were incubated in the presence of heme (final concentrations ranged from 0 to 20 μM) without (open circles) or with 10 μM CQ (closed circles), 10 μM PQ (open triangles), or 10μM BPQ (closed triangles). (B) Suspensions of erythrocytes were incubated in the presence of 10 μM of heme with various concentrations of the drug CQ (closed circles), PQ (open triangles), or BPQ (closed triangles). Error bars indicate standard deviations.


The results described herein indicate that a major improvement in the blood-schizontocidal antimalarial activity of 2-tert-butylprimaquine might be due to a disturbance of heme catabolism pathway in the malarial parasite.



Our sincere thanks to all members in Structural Biotechnology Laboratory, Department of Applied Biology, Kyoto Institute of Technology who have contributed to and worked on this study.

Authors’ Affiliations

Oxford University Clinical Research Unit, Hospital for Tropical Diseases
Department of Applied Biology, Kyoto Institute of Technology
Department of Immunogenetics, Institute of Tropical Medicine (NEKKEN), Nagasaki University
Department of Medicinal Chemistry, National Institute of Pharmaceutical Education and Research


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© Thanh Thuy et al; licensee BioMed Central Ltd. 2010

This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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