We have discovered a remarkable synergistic antimalarial interaction b
etween rufigallol and the structurally similar compound exifone. The s
ynergistic effects were produced in chloroquine-susceptible and chloro
quine-resistant clones of Plasmodium falciparum. The degree of potenti
ation as estimated by standard isobolar analysis was similar to 60-fol
d for experiments initiated with asynchronous parasites. The most pron
ounced synergism was observed in experiments with synchronized trophoz
oite-infected erythrocytes, in which the degree of synergy was at leas
t 300-fold. While the mechanism underlying this drug potentiation rema
ins unresolved, it is hypothesized that rufigallol acts in pro-oxidant
fashion to produce oxygen radicals inside parasitized erythrocytes. T
hese radicals would attack exifone, thereby initiating its transformat
ion into a more potent compound, a xanthone.