Paper
Methemoglobinemia caused by 8-aminoquinoline drugs: DFT calculations suggest an analogy to H4B's role in nitric oxide synthase.
Published Feb 9, 2011 · Haining Liu, L. Walker, N. Nanayakkara
Journal of the American Chemical Society
14
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Abstract
We suggest a possible mechanism of how 8-aminoquinolines (8-AQ's) cause hemotoxicity by oxidizing hemoglobin to methemoglobin. In our DFT calculations, we found that 5-hydroxyprimaquine is able to donate an electron to O(2) to facilitate its conversion to H(2)O(2). Meanwhile, Fe(II) is oxidized to Fe(III) and methemoglobin is formed. In this mechanism, the 8-AQ drug plays a similar role as that of H(4)B in nitric oxide synthase. Furthermore, our study offers an approach to inform the design of less toxic antimalarial drugs.
8-aminoquinoline drugs cause hemotoxicity by oxidizing hemoglobin to methemoglobin, similar to H4B's role in nitric oxide synthase, offering a potential approach for designing less toxic antimalarial drugs.
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