The past, present and future of anti-malarial medicines

Abstract Great progress has been made in recent years to reduce the high level of suffering caused by malaria worldwide. Notably, the use of insecticide-treated mosquito nets for malaria prevention and the use of artemisinin-based combination therapy (ACT) for malaria treatment have made a significa...

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Bibliographic Details
Published in:Malaria Journal
Main Authors: Edwin G. Tse, Marat Korsik, Matthew H. Todd
Format: Article in Journal/Newspaper
Language:English
Published: BMC 2019
Subjects:
Online Access:https://doi.org/10.1186/s12936-019-2724-z
https://doaj.org/article/75c1af13db2c4ab48d856f24a0259ac0
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Summary:Abstract Great progress has been made in recent years to reduce the high level of suffering caused by malaria worldwide. Notably, the use of insecticide-treated mosquito nets for malaria prevention and the use of artemisinin-based combination therapy (ACT) for malaria treatment have made a significant impact. Nevertheless, the development of resistance to the past and present anti-malarial drugs highlights the need for continued research to stay one step ahead. New drugs are needed, particularly those with new mechanisms of action. Here the range of anti-malarial medicines developed over the years are reviewed, beginning with the discovery of quinine in the early 1800s, through to modern day ACT and the recently-approved tafenoquine. A number of new potential anti-malarial drugs currently in development are outlined, along with a description of the hit to lead campaign from which it originated. Finally, promising novel mechanisms of action for these and future anti-malarial medicines are outlined.