Antimalarial drugs can be classified based on their chemical structure and mode of action. Below is a classification with examples and corresponding structural features:
1. 4-Aminoquinolines
- Mechanism: Interfere with hemoglobin digestion in the parasite.
- Examples:
- Chloroquine
Structure: Contains a quinoline ring attached to a secondary amine.
- Amodiaquine Structure: Similar to chloroquine, but has a hydroxyl group on the aromatic ring.
2. Aryl Amino Alcohols
- Mechanism: Inhibit heme detoxification within the parasite.
- Examples:
- Quinine
Structure: A quinoline ring attached to an alcohol and an aromatic amine.
- Mefloquine
Structure: Fluorinated aromatic ring with a piperidine ring attached to it.
3. 8-Aminoquinolines
- Mechanism: Active against liver stages of the parasite.
- Examples:
- Primaquine
Structure: Quinoline ring attached to an amine group at the 8th position.
- Tafenoquine
Structure: Modified primaquine with a fluorinated tail, improving its activity and half-life.
4. Antifolate Drugs
- Mechanism: Inhibit folate synthesis crucial for parasite DNA replication.
- Examples:
- Pyrimethamine
Structure: Pyrimidine ring attached to two aromatic rings.
- Proguanil
Structure: A biguanide group attached to a cyclohexane ring.
5. Artemisinin and Derivatives
- Mechanism: Generate free radicals within the parasite.
- Examples:
- Artemisinin
Structure: A sesquiterpene lactone with a unique endoperoxide bridge.
- Artemether
Structure: Methylated derivative of artemisinin.
6. Antibiotics (Used as Antimalarials)
- Mechanism: Inhibit protein synthesis within the parasite.
- Examples:
- Doxycycline
Structure: A tetracycline derivative with a four-ring structure. - Clindamycin
Structure: A lincosamide antibiotic with a complex structure containing amino sugars.
- Doxycycline
7. Naphthoquinones
- Mechanism: Inhibit the mitochondrial electron transport chain.
- Example:
- Atovaquone
Structure: A naphthoquinone ring with hydrophobic substituents.
- Atovaquone
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