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ELQ-453 is an endochin-like quinolone (ELQ) prodrug that acts as a potent inhibitor of the ubiquinol oxidation (Qo) site of the cytochrome bc1 complex (CytB) in the mitochondrial electron transport chain of *Plasmodium falciparum*. It is enzymatically converted by host esterases to its active form, ELQ-121. Developed by researchers at Harvard University and Oregon Health & Science University, ELQ-453 is designed for mosquito-targeted antimalarial interventions. When incorporated into bed net-like low-density polyethylene (LDPE) films, ELQ-453 is absorbed through the mosquito's legs (tarsal contact) and completely blocks *P. falciparum* infection and transmission without killing the mosquito vector, thereby avoiding the selection of insecticide resistance.
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