» Articles » PMID: 20219092

The Development of Drugs for Treatment of Sleeping Sickness: a Historical Review

Overview
Journal Parasit Vectors
Publisher Biomed Central
Date 2010 Mar 12
PMID 20219092
Citations 82
Authors
Affiliations
Soon will be listed here.
Abstract

Only four drugs are available for the chemotherapy of human African trypanosomiasis or sleeping sickness; Suramin, pentamidine, melarsoprol and eflornithine. The history of the development of these drugs is well known and documented. suramin, pentamidine and melarsoprol were developed in the first half of the last century by the then recently established methods of medicinal chemistry. Eflornithine, originally developed in the 1970s as an anti-cancer drug, became a treatment of sleeping sickness largely by accident. This review summarises the developmental processes which led to these chemotherapies from the discovery of the first bioactive lead compounds to the identification of the final drugs.

Citing Articles

Combination Therapy and Phytochemical-Loaded Nanosytems for the Treatment of Neglected Tropical Diseases.

Soto-Sanchez J, Garza-Trevino G Pharmaceutics. 2024; 16(10).

PMID: 39458571 PMC: 11510106. DOI: 10.3390/pharmaceutics16101239.


Potential Trypanocidal Activity of Glycerol Analogues.

Humann R, Smith T ChemistryOpen. 2024; 13(12):e202400094.

PMID: 39263751 PMC: 11625932. DOI: 10.1002/open.202400094.


DFMO inhibition of neuroblastoma tumorigenesis.

Gandra D, Mulama D, Foureau D, McKinney K, Kim E, Smith K Cancer Med. 2024; 13(9):e7207.

PMID: 38686627 PMC: 11058673. DOI: 10.1002/cam4.7207.


Lead Optimization of the 5-Phenylpyrazolopyrimidinone NPD-2975 toward Compounds with Improved Antitrypanosomal Efficacy.

Zheng Y, van den Kerkhof M, Ibrahim M, de Esch I, Maes L, Sterk G J Med Chem. 2024; 67(4):2849-2863.

PMID: 38330051 PMC: 10895668. DOI: 10.1021/acs.jmedchem.3c01976.


Tractable Quinolone Hydrazides Exhibiting Sub-Micromolar and Broad Spectrum Antitrypanosomal Activities.

Chirwa K, Francisco K, Dube P, Park H, Legoabe L, Teixeira T ChemMedChem. 2024; 19(9):e202300667.

PMID: 38326914 PMC: 11076157. DOI: 10.1002/cmdc.202300667.


References
1.
Meyskens Jr F, Gerner E . Development of difluoromethylornithine (DFMO) as a chemoprevention agent. Clin Cancer Res. 1999; 5(5):945-51. View

2.
Friedheim E . Some approaches to the development of chemotherapeutic compounds. Ann Trop Med Parasitol. 1959; 53(1):1-9. DOI: 10.1080/00034983.1959.11685892. View

3.
Pepin J, Milord F, Meurice F, Ethier L, Loko L, Mpia B . High-dose nifurtimox for arseno-resistant Trypanosoma brucei gambiense sleeping sickness: an open trial in central Zaire. Trans R Soc Trop Med Hyg. 1992; 86(3):254-6. DOI: 10.1016/0035-9203(92)90298-q. View

4.
Fairlamb A . Chemotherapy of human African trypanosomiasis: current and future prospects. Trends Parasitol. 2003; 19(11):488-94. DOI: 10.1016/j.pt.2003.09.002. View

5.
Soeiro M, de Souza E, Stephens C, Boykin D . Aromatic diamidines as antiparasitic agents. Expert Opin Investig Drugs. 2005; 14(8):957-72. DOI: 10.1517/13543784.14.8.957. View