Oral Presentation 8th International Conference on Plasmodium vivax Research 2022

Artemisinin-independent inhibitory activity of Artemisia infusions against P. cynomolgi and P. vivax hepatic stages: microscopic evidence for disruption of parasite apicoplast (80314)

Shahin Tajeri 1 , Kutub Ashraf 1 2 , Christophe-Sébastien Arnold 3 , Nadia Amanzougaghene 1 4 , Jean-François Franetich 1 , Amélie Vantaux 5 , Valerie Soulard 1 , Mallaury Bordessoulles 1 , Guillaume Cazals 6 , Teun Bousema 7 , Geert-Jan van Gemert 7 , Roger Le Grand 4 , Nathalie Dereuddre-Bosquet 4 , Jean-Christophe Barale 8 , Benoit Witkowski 5 , Georges Snounou 4 , Romain Duval 9 , Cyrille Y. Botté 3 , Dominique Mazier 1
  1. INSERM, CNRS, Centre d'Immunologie et des Maladies Infectieuses, CIMI, Sorbonne Université, Paris, France
  2. Department of Microbiology, Biochemistry and Molecular Genetics, Rutgers New Jersey Medical School, Newark, New Jersey, United States
  3. Institute for Advanced Biosciences, CNRS UMR5309, Université Alpes, INSERM U1209, Grenoble , France
  4. Immunology of Viral Infections and Autoimmune Diseases (IMVA-HB), IDMIT Department, CEA-Université Paris Sud 11-INSERM U1184, Fontenay-aux-Roses, France
  5. Unité d'Epidémiologie Moléculaire du Paludisme , Institut Pasteur du Cambodge, Phnom Penh, Cambodia
  6. Institut des Biomolécules Max Mousseron, UMR 5247, Université de Montpellier, Montpellier, France
  7. Department of Medical Microbiology, Radboud University Nijmegen Medical Center , Nijmegen, Netherlands
  8. Structural Microbiology Unit, CNRS UMR 3528, Institut Pasteur, Paris, France
  9. IRD, UMR 261 MERIT , Université de Paris,, Paris, France

The liver stage of hypnozoite-forming species (P. vivax and P. ovale) is considered an important chemotherapeutic target due to the role of hypnozoites in extending their parasitological and epidemiological persistence. Chemotherapies for eliminating Plasmodium hypnozoites are limited to primaquine and tafenoquine. However, potentially dangerous or fatal haemolysis restricts their use making it urgent to find novel hypnozoitocidal compounds. We undertook a comparative evaluation of the anti-parasitic activity of infusions prepared from an Artemisia species (A. annua) with high artemisinin content and another A. afra with low artemisinin content, in in vitro cultures of the hepatic stages of P. vivax and P. cynomolgi. Interestingly, at doses that are not toxic to the primary hepatocytes, both infusions were equally effective in eliminating parasites especially when cultures were treated early after sporozoite inoculation. Confocal microscopic examination following exposure to either infusions revealed disruption of the parasites’ apicoplast (including in hypnozoite) which might have been mediated by a non-artemisinin component and that might have led to parasite killing. Taken together, our results open up a potential avenue to identify a novel class of compounds present in Artemisia that might be active against hypnozoites.