Pharmacia (Feb 2024)

Malaria’s molecular dance: Mechanism, therapies, and emerging insights

  • Nabila Ananda,
  • Athaya Sabina,
  • Ulfa Rahmadani,
  • Ali Syahrizal,
  • Nabillah Deskya,
  • Sinta Maria,
  • Muhammad Riza,
  • Lusi Rahmadia,
  • Anni Holila,
  • Dwi Putri,
  • Kevin Gabriel,
  • Ratna Sari Zai,
  • Mega Carensia,
  • Princella Halim,
  • Naomi Regina,
  • Dinda Rizka,
  • Aulia Syahfitri,
  • Tessa Rotua,
  • Maria Belen,
  • Fahmy Nanda,
  • Rizzanda Pramuditya,
  • Khairunnisa Khairunnisa,
  • Emil Salim,
  • Fahrul Nurkolis,
  • Chindy Umaya,
  • Rony Abdi Syahputra

DOI
https://doi.org/10.3897/pharmacia.71.e117145
Journal volume & issue
Vol. 71
pp. 1 – 12

Abstract

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Malaria, caused by Plasmodium parasites and transmitted through Anopheles mosquitoes, remains a formidable global health challenge. This abstract provides an overview of the intricate molecular mechanisms underlying malaria pathogenesis, explores current therapeutic approaches, and highlights emerging insights that may shape future strategies for malaria control. The intricate dance between Plasmodium parasites and their human hosts begins with the mosquito’s bite, leading to the invasion of erythrocytes by Plasmodium species. We delve into the molecular mechanisms governing parasite entry and subsequent replication within host cells, shedding light on key factors such as erythrocyte surface receptors and parasite-encoded proteins critical to invasion and survival. While malaria treatment has relied heavily on antimalarial drugs, the emergence of drug resistance necessitates ongoing exploration of novel therapeutic strategies. This abstract reviews current antimalarial drug classes, their mechanisms of action, and the challenges posed by drug resistance. We also highlight promising drug candidates and innovative approaches in the pipeline, including the use of advanced molecular techniques and immunotherapies. Emerging insights from genomics, proteomics, and transcriptomics have deepened our understanding of Plasmodium biology and host-parasite interactions. We discuss the potential of these omics approaches in identifying new drug targets, understanding drug resistance mechanisms, and developing vaccines. Additionally, we examine the role of human genetics in influencing susceptibility to malaria and response to treatment. Vector control remains a critical component of malaria prevention. We touch upon emerging strategies, such as genetically modified mosquitoes and novel insecticides, in the context of integrated vector management programs. Finally, we emphasize the importance of a multifaceted approach to malaria control, combining advances in molecular biology, drug development, vector control, and public health interventions.