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Revived drug prevents malaria, skirts drug resistance

d hydroxy-naphthoquinones originally readied during World War II. Most of the drugs in that group proved too toxic or too quickly broken down in the body. "They lost out when more benign and easily synthesized drugs such as chloroquine appeared," Shapiro says. But atovoquone, an offshoot developed later in the 1970s, had promise because it was the least toxic.

It crawled on a slow track until recently, when drug companies resurrected it as a therapy for the Pneumocystis infections that give AIDS patients pneumonia. "Atovoquone is a survivor," says Shapiro. "Now here it is again."

The research was funded by Glaxo Wellcome, an NIH grant and the Burroughs Wellcome Fund. Glaxo Wellcome is preparing to donate the combined form of atovaquone and proguanil to a non-profit foundation that will distribute the drug, with tight restrictions, in malaria-endemic countries. "If you have a new approach to drug resistance," says Shapiro, "you can't squander it. You can't throw the drug around carelessly. We've seen what happens when we do that."

Other Hopkins researchers in the study are Channa D. Ranasinha, M.D.(a postdoctoral fellow no longer at Hopkins), Nirbhay Kumar, Ph.D., and Patricia Barditch-Crovo, M.D.


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Contact: Marjorie Centofanti
mcentofanti@jhmi.edu
410-955-8725
Johns Hopkins Medical Institutions
24-Sep-1999


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