CONCENTRATION AND TIME DEPENDENCY OF ARTEMISININ EFFICACY AGAINST PLASMODIUM-FALCIPARUM IN-VITRO

A chloroquine-sensitive strain of Plasmodium falciparum, F32, from Tan zania was exposed during continuous culture to concentrations of artem isinin, 10(-8)-10(-5) M, with exposure times ranging from 1 to 96 hr. After drug exposure, the cultures were washed and the incubation was c ontinued for one or two parasite cycles to assess the remaining viabil ity of the parasites. Artemisinin at a concentration of 10(-6) M inhib ited parasite growth by 63% within 3 hr of drug exposure. The parasite mia then continued to decrease after removing the drug by washing the cultures. A 95% inhibition was thus observed 48 hr later. For 100% inh ibition, at least 12 hr of exposure to 10(-6) M artemisinin was requir ed. The compound at a concentration of 10(-7) M inhibited growth by 86 % within 24 hr of drug exposure and by 98% 48 hours after removing the drug. A concentration of 3 x 10(-8) M exhibited 97-100% inhibition on ly after 72 or 96 hr of drug exposure, while 10(-8) M did not have any appreciable effect on the growth of the parasites even after 96 hr. I t is concluded that artemisinin at high concentrations has a significa nt rapid in vitro effect that appears to be highly parasitocidal. The compound appears to have a broad spectrum of action, not only schizont ocidal as reported earlier, but also against the asexual blood stages of P. falciparum.