Artelinic acid

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Artelinic acid

Artelinic acid is a drug that has been studied for the treatment of malaria, a disease caused by parasites of the genus Plasmodium. Artelinic acid is a synthetic derivative of artemisinin, a natural compound extracted from the sweet wormwood plant (Artemisia annua), which has been used in traditional Chinese medicine for centuries to treat fever and malaria. The development of artelinic acid and other artemisinin derivatives is part of ongoing efforts to combat malaria, particularly in regions where the disease is endemic and resistance to existing antimalarial drugs is a significant problem.

Chemistry[edit | edit source]

Artelinic acid belongs to a class of compounds known as sesquiterpenes, which are characterized by a 15-carbon skeleton. Its chemical structure is similar to that of other artemisinin derivatives, with modifications that aim to enhance its antimalarial efficacy and pharmacokinetic properties. The compound is specifically designed to be more stable and more easily synthesized than its parent compound, artemisinin, making it potentially more accessible for widespread use in malaria treatment.

Mechanism of Action[edit | edit source]

The exact mechanism of action of artelinic acid, like that of other artemisinin derivatives, is not fully understood. However, it is believed to involve the generation of free radicals that damage the membranes and proteins of the Plasmodium parasites, ultimately killing them. Artelinic acid is thought to be particularly effective during the early intraerythrocytic stages of the Plasmodium life cycle, where it can cause rapid clearance of the parasites from the bloodstream.

Clinical Use[edit | edit source]

Artelinic acid has been investigated in clinical trials for its potential to treat both uncomplicated and severe malaria. Its development reflects the ongoing need for new antimalarial agents that are effective against drug-resistant strains of Plasmodium. While artelinic acid has shown promise in early studies, its use in clinical practice is subject to the outcomes of further research and regulatory approval processes.

Safety and Efficacy[edit | edit source]

The safety profile of artelinic acid is an important consideration, given the potential for adverse effects associated with antimalarial drugs. In clinical trials, artelinic acid has been evaluated for its efficacy in clearing parasitemia and its safety in human subjects. The results of these studies are crucial for determining the drug's potential role in malaria treatment regimens, especially in comparison to other available treatments.

Conclusion[edit | edit source]

Artelinic acid represents a potentially valuable addition to the arsenal of antimalarial drugs, with its development reflecting the ongoing efforts to combat malaria through scientific innovation. As with any new drug, its ultimate role in malaria treatment will depend on a thorough evaluation of its efficacy, safety, and cost-effectiveness in comparison to existing therapies.

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Contributors: Prab R. Tumpati, MD