- McNamara, Case W;
- Lee, Marcus CS;
- Lim, Chek Shik;
- Lim, Siau Hoi;
- Roland, Jason;
- Nagle, Advait;
- Simon, Oliver;
- Yeung, Bryan KS;
- Chatterjee, Arnab K;
- McCormack, Susan L;
- Manary, Micah J;
- Zeeman, Anne-Marie;
- Dechering, Koen J;
- Kumar, TR Santha;
- Henrich, Philipp P;
- Gagaring, Kerstin;
- Ibanez, Maureen;
- Kato, Nobutaka;
- Kuhen, Kelli L;
- Fischli, Christoph;
- Rottmann, Matthias;
- Plouffe, David M;
- Bursulaya, Badry;
- Meister, Stephan;
- Rameh, Lucia;
- Trappe, Joerg;
- Haasen, Dorothea;
- Timmerman, Martijn;
- Sauerwein, Robert W;
- Suwanarusk, Rossarin;
- Russell, Bruce;
- Renia, Laurent;
- Nosten, Francois;
- Tully, David C;
- Kocken, Clemens HM;
- Glynne, Richard J;
- Bodenreider, Christophe;
- Fidock, David A;
- Diagana, Thierry T;
- Winzeler, Elizabeth A
Achieving the goal of malaria elimination will depend on targeting Plasmodium pathways essential across all life stages. Here we identify a lipid kinase, phosphatidylinositol-4-OH kinase (PI(4)K), as the target of imidazopyrazines, a new antimalarial compound class that inhibits the intracellular development of multiple Plasmodium species at each stage of infection in the vertebrate host. Imidazopyrazines demonstrate potent preventive, therapeutic, and transmission-blocking activity in rodent malaria models, are active against blood-stage field isolates of the major human pathogens P. falciparum and P. vivax, and inhibit liver-stage hypnozoites in the simian parasite P. cynomolgi. We show that imidazopyrazines exert their effect through inhibitory interaction with the ATP-binding pocket of PI(4)K, altering the intracellular distribution of phosphatidylinositol-4-phosphate. Collectively, our data define PI(4)K as a key Plasmodium vulnerability, opening up new avenues of target-based discovery to identify drugs with an ideal activity profile for the prevention, treatment and elimination of malaria.