Target intelligence / Profile preview

Plasmodium vivax (P. vivax)

Target
P. vivax
Molecular classification
Other (Protozoan parasite), Eukaryote, Sporozoa (phylum Apicomplexa)
01

Overview

Plasmodium vivax is a unicellular eukaryotic protozoan belonging to the phylum Apicomplexa and class Sporozoa. It is one of five Plasmodium species known to cause malaria in humans and is responsible for recurring ("relapsing") forms due to its ability to form dormant liver-stage hypnozoites that can reactivate weeks or months after initial infection. The life cycle alternates between female Anopheles mosquitoes—where sexual reproduction occurs—and humans—where it infects hepatocytes and erythrocytes through complex developmental stages including sporozoite, trophozoite, schizont, merozoite, gametocyte forms.[3][5] Unlike typical drug targets such as receptors or enzymes, Plasmodium vivax represents an entire pathogenic organism targeted by antimalarial therapies at various points during its lifecycle rather than through interaction with one specific biomolecule.

Other names
P. vivaxMalaria parasite (vivax type)Human malaria parasite (vivax)
02

Mechanism of action

For drugs targeting P. vivax infection: Inhibition of heme detoxification pathway by chloroquine in blood stages. Generation of reactive oxygen species by primaquine affecting both host and parasite hypnozoites; mechanism may involve host metabolism via CYP2D6 enzyme for activation. (No single defined molecular mechanism due to lack of unique druggable targets identified for this whole organism.)

03

Biological functions

Infection of human red blood cells and liver cellsAsexual and sexual reproduction within hosts
04

Disease associations

Infection (malaria)
05

Safety considerations

Drug resistance has emerged against chloroquine and sometimes primaquine, complicating treatment strategies.Primaquine therapy carries risk of hemolysis in patients with glucose‑6‑phosphate dehydrogenase deficiency.Relapse from dormant liver stage hypnozoites poses ongoing therapeutic challenges.
06

Interacting drugs

Chloroquine

2 more in the full profile.

07

Biomarkers

Antibody responses against Duffy binding protein region II (PvDBP-II), apical membrane antigen‑1 (PvAMA1), merozoite surface protein‑1 C-terminal region (PvMSP119) are used as surrogate markers for exposure/immune response monitoring in patients with P. vivax infection.Detection of Schüffner’s dots in infected red blood cells on Giemsa-stained smears can be used diagnostically.CYP2D6 genotype status can predict risk for relapse after primaquine therapy due to its role in drug metabolism.

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