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The cytochrome bc1 complex, specifically its ubiquinone-reduction (Qi) site in Plasmodium falciparum, is a critical target for antimalarial drug development. The Qi site is responsible for reducing ubiquinone, a process essential for regenerating oxidized ubiquinone required by dihydroorotate dehydrogenase (DHODH) in pyrimidine biosynthesis. Inhibition of the Qi site disrupts the electron transport chain, halts DHODH function, and leads to parasite death. Several drug classes, including pyridones and endochin-like quinolones, target the Qi site. Resistance can develop through mutations within cytochrome b. Targeting the Qi site remains a validated strategy for antimalarial drug development.
Inhibition of ubiquinone reduction at the Qi site, leading to disruption of electron transport chain and pyrimidine biosynthesis
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