Target intelligence / Profile preview

Plasmodium falciparum ferriprotoporphyrin IX (FP-IX)

Target
FP-IX
Molecular classification
Porphyrin, Metabolic byproduct, Non-protein target
01

Overview

Plasmodium falciparum ferriprotoporphyrin IX (heme) is a toxic metabolic byproduct generated during the intraerythrocytic stage of the malaria parasite's life cycle. As the parasite digests host hemoglobin within its acidic food vacuole to obtain essential amino acids, it releases large quantities of free heme, which can disrupt lipid membranes and generate reactive oxygen species (Source: PubMed, PMID: 11586530). To survive, the parasite detoxifies this molecule by polymerizing it into an insoluble, chemically inert crystalline form known as hemozoin, or malaria pigment (Source: Journal of Inorganic Biochemistry, DOI: 10.1016/j.jinorgbio.2008.06.007). This detoxification pathway is the primary target for several classes of antimalarial drugs, most notably the quinolines like chloroquine and quinine. These drugs bind to heme monomers or the growing faces of hemozoin crystals, preventing further polymerization and leading to the lethal accumulation of free heme or drug-heme complexes within the parasite (Source: Nature Communications, DOI: 10.1038/ncomms11551). Additionally, artemisinin-based compounds are thought to be activated by the iron in heme, leading to the formation of free radicals that damage parasite proteins and lipids (Source: NIH/NIAID).

Other names
HemeHematinFerriprotoporphyrin IXMalaria pigment precursorFree heme
02

Mechanism of action

Inhibition of hemozoin biocrystallization and induction of heme-mediated oxidative toxicity.

03

Biological functions

Hemoglobin catabolismHeme detoxificationHemozoin formation
04

Disease associations

InfectionMalaria
05

Safety considerations

Widespread drug resistance mediated by PfCRT mutationsCardiotoxicity (QT prolongation) associated with certain quinolinesNeuropsychiatric adverse effectsHemolytic anemia in G6PD-deficient patients (for related oxidative drugs)
06

Interacting drugs

Chloroquine

8 more in the full profile.

07

Biomarkers

Hemozoin levelsPlasmodium falciparum chloroquine resistance transporter (PfCRT) mutationsPlasmodium falciparum multidrug resistance protein 1 (PfMDR1) polymorphisms

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