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Plasmodium endoperoxide targets encompass diverse parasite proteins, primarily those involved in redox homeostasis, as well as heme, which bioactivates endoperoxide drugs like artemisinin and ozonides by iron-catalyzed cleavage of the endoperoxide bridge. The resulting radicals alkylate - i.e., covalently modify - dozens to hundreds of parasite proteins, leading to disrupted redox balance, proteome damage, and ultimately parasite death[1][8]. These targets are chemically and functionally heterogeneous and are not unified by sequence or structure; "endoperoxide targets" is thus a functional and chemical rather than a precise molecular designation. The emergence of resistance (notably via Kelch13 mutations) does not correspond to direct mutation of these target proteins but rather to alterations in the parasite’s stress response[1]. Note: There is no single, universally accepted "Plasmodium endoperoxide receptor" or named protein; instead, the targets are numerous and were identified via chemoproteomics approaches[1][8]. This collective term cannot be mapped to a gene or protein database entry.
Alkylation of redox-related proteins and heme, leading to disruption of parasite redox homeostasis and widespread proteome damage[1][8]. Generation of free radicals following activation by heme or iron within the parasite, leading to macromolecular damage[5].
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