Target intelligence / Profile preview

Heme (Iron-protoporphyrin IX) and heme-dependent proteins (Heme/Fe(III)-PPIX)

Target
Heme/Fe(III)-PPIX
Molecular classification
Porphyrin, Metalloporphyrin, Cofactor, Metabolic byproduct, Enzyme cofactor
01

Overview

Heme (Iron-protoporphyrin IX) is a central molecule in the pathogenesis of Plasmodium falciparum malaria. During its intraerythrocytic stage, the parasite digests up to 80% of host hemoglobin to acquire essential amino acids, a process that releases toxic free heme (Ferriprotoporphyrin IX) (Francis et al., 1997, Annu Rev Microbiol). To prevent oxidative damage and membrane lysis, the parasite detoxifies heme by sequestering it into an inert crystalline polymer called hemozoin, or malaria pigment (Egan, 2008, J Inorg Biochem). This biocrystallization pathway is the primary target of quinoline-based antimalarials like chloroquine, which bind to heme and prevent its incorporation into hemozoin, resulting in parasite death due to heme toxicity (Sullivan et al., 1996, Science). Furthermore, heme acts as a crucial activator for artemisinin-based drugs; the iron in heme facilitates the cleavage of the drug's endoperoxide bridge, generating carbon-centered radicals that alkylate various parasite proteins (Meshnick, 2002, Int J Parasitol). Beyond detoxification, heme-dependent proteins such as Cytochrome b in the mitochondrial electron transport chain are also vital targets, specifically for drugs like atovaquone (Kessl et al., 2003, J Biol Chem). The target name provided in the prompt contained a typographical error (a closing parenthesis) and combined a molecule with a functional class of proteins.

Other names
Ferriprotoporphyrin IXFP-IXHematinHemozoin precursorIron-protoporphyrin IXMalaria pigment precursor
02

Mechanism of action

Inhibition of hemozoin biocrystallization (Egan, 2008, J Inorg Biochem), formation of toxic heme-drug complexes (Sullivan et al., 1996, Science), and heme-mediated activation of endoperoxide prodrugs to generate lethal free radicals (Meshnick, 2002, Int J Parasitol).

03

Biological functions

Heme detoxificationHemozoin formationMitochondrial electron transportHemoglobin catabolismOxidative stress regulation
04

Disease associations

MalariaInfection
05

Safety considerations

Development of drug resistance via PfCRT and PfMDR1 mutations (Fidock et al., 2000, Mol Cell)Retinopathy and cardiotoxicity (QT prolongation) associated with quinoline accumulation (White, 2007, Lancet)Potential neurotoxicity associated with certain quinolines (Nontprasert et al., 2002, Am J Trop Med Hyg)
06

Interacting drugs

Chloroquine

8 more in the full profile.

07

Biomarkers

Hemozoin (malaria pigment) levelsPlasmodium falciparum histidine-rich protein 2 (PfHRP2)Parasite lactate dehydrogenase (pLDH)

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