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Evaluation of the in vitro antiplasmodial and toxicity profiles of novel drug delivery formulations for combination therapies

Dissertation (MSc (Biochemistry))--University of Pretoria, 2024.

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Other Authors: Birkholtz, Lyn-Marie
Format: Thesis
Language:English
Published: University of Pretoria 2025
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access_status_str Open Access
author2 Birkholtz, Lyn-Marie
author_browse Birkholtz, Lyn-Marie
author_facet Birkholtz, Lyn-Marie
collection Thesis
dc_rights_str_mv © 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Dissertation (MSc (Biochemistry))--University of Pretoria, 2024.
format Thesis
id oai:repository.up.ac.za:2263/103433
institution University of Pretoria (South Africa)
language English
last_indexed 2026-06-10T12:36:34.949Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2025
publishDateRange 2025
publishDateSort 2025
publisher University of Pretoria
publisherStr University of Pretoria
record_format dspace
source_str UPSpace — University of Pretoria Institutional Repository
spelling oai:repository.up.ac.za:2263/103433 Evaluation of the in vitro antiplasmodial and toxicity profiles of novel drug delivery formulations for combination therapies Birkholtz, Lyn-Marie muruyamartha@gmail.com Coertzen, Dina Muruya, Martha Joy Oguttu UCTD Plasmodium falciparum Artemisinin-based combination therapies (ACT) Drug delivery system Solid lipid nanoparticles (SLNs) Toxicity Sustainable Development Goals (SDGs) Dissertation (MSc (Biochemistry))--University of Pretoria, 2024. While considerable progress has been made towards malaria elimination over the past several decades, it continues to inflict a heavy burden on socio-economically challenged countries. Artemisinin-based combination therapies, including a fast-acting artemisinin component such as dihydroartemisinin (DHA), have been highly effective in slowing down the rate of drug resistance development and remain the mainstay of control against the disease. However, the complexity of the P. falciparum life cycle combined with antimalarial resistance development has necessitated the development of alternative therapeutic options. As malaria control interventions move toward disease elimination, the focus has shifted towards developing compounds targeting transmissible, gametocyte stages, which remain in the human host long after the asexual stages are cleared. While the clinical candidate MMV390048 exhibits multistage antimalarial activity, inefficient pharmacokinetic and pharmacodynamic properties, poor patient compliance, and the requirement for long-term drug administration pose a challenge for developing dual-stage therapies incorporating this compound. Here, the encapsulation of MMV390048 with the known clinically active DHA in a slow release, bio-functional 3D polymer drug delivery system using P. falciparum as a model organism, is interrogated for its ability to deliver novel combinations with therapeutic applications. This drug delivery system uses DHA- and MMV390048-loaded solid lipid nanoparticles (SLNs). SLNs can directly release DHA and MMV390048, ensuring an antimalarial therapeutic effect. The in vitro inhibitory activity of a novel, dual active drug combination, DHA and MMV390048, was evaluated against asexual blood stages and transmissible gametocyte stages. Evidence for the combinatorial treatment of asexual and gametocyte stages with DHA and MMV390048 is provided. This revealed that late-stage gametocytes are susceptible to inhibition by the combination, an attractive point for transmission-blocking treatment geared towards elimination. DHA- and MMV390048-loaded SLNs did not retain antimalarial activity compared to the unencapsulated drugs against asexual stages, with excessive haemolytic effects and cytotoxicity. Ultimately, this project presents informative and preliminary evidence of polymer drug delivery systems for administering antimalarials. This strategy may contribute to improved pharmacokinetic and pharmacodynamic properties of transmission-blocking drugs and eventual malaria elimination. Biochemistry, Genetics and Microbiology (BGM) MSc (Biochemistry) Unrestricted Faculty of Natural and Agricultural Sciences SDG-03: Good health and well-being 2025-07-17T08:17:20Z 2025-07-17T08:17:20Z 2025-09 2024-11 Dissertation * S2025 http://hdl.handle.net/2263/103433 https://doi.org/10.25403/UPresearchdata.28520345 en © 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria
spellingShingle UCTD
Plasmodium falciparum
Artemisinin-based combination therapies (ACT)
Drug delivery system
Solid lipid nanoparticles (SLNs)
Toxicity
Sustainable Development Goals (SDGs)
Evaluation of the in vitro antiplasmodial and toxicity profiles of novel drug delivery formulations for combination therapies
title Evaluation of the in vitro antiplasmodial and toxicity profiles of novel drug delivery formulations for combination therapies
title_full Evaluation of the in vitro antiplasmodial and toxicity profiles of novel drug delivery formulations for combination therapies
title_fullStr Evaluation of the in vitro antiplasmodial and toxicity profiles of novel drug delivery formulations for combination therapies
title_full_unstemmed Evaluation of the in vitro antiplasmodial and toxicity profiles of novel drug delivery formulations for combination therapies
title_short Evaluation of the in vitro antiplasmodial and toxicity profiles of novel drug delivery formulations for combination therapies
title_sort evaluation of the in vitro antiplasmodial and toxicity profiles of novel drug delivery formulations for combination therapies
topic UCTD
Plasmodium falciparum
Artemisinin-based combination therapies (ACT)
Drug delivery system
Solid lipid nanoparticles (SLNs)
Toxicity
Sustainable Development Goals (SDGs)
url http://hdl.handle.net/2263/103433
https://doi.org/10.25403/UPresearchdata.28520345