Dr.
Prapon Wilairat obtained his B.Sc.
(Honours) degree in chemistry from
the Australian National University
under a scholarship from the Colombo
Plan in 1966 and then pursued a Ph.D.
in biochemistry at the University
of Oregon. USA. with support from
the Rockefeller Foundation.
Research in the laboratory of Professor
Prapon Wilairat has been guided by
the belief that it should be possible
to explain living processes in chemical
and physical terms. In other words,
there is a molecular logic underlying
the observed phenomena of cells and
organisms, both normal and pathological.
Two diseases found in Thailand have
been chosen for study, malaria and thalassemia (a hereditary
anemia). These two topics are not
unrelated as it is believed (but still
not definitively proven) that the
existence of thalassemic genes in
the human population at polymorphic
frequencies (i.e. greater than 1%)
is due to protection of heterozygotes
against malaria conferred by these
genes. The carrier frequency of thalassemia
in the Thai population has been estimated
to be between 30-40% (18-24 million).
with about 500,000 individuals having
the disease. On the other hand, although
malaria no longer poses a life-threatening
menace to the Thai population, the
most virulent species, Plasmodium
falciparum (accounting for about
50% of all malaria cases), is fast
becoming resistant to almost all currently
used antimalarial drugs, and thus
has the potential to become an important
cause for increase in mortality.
The strategy taken to develop novel
antimalarials is to focus attention
on metabolic processes that are unique
to the malaria parasite. The malaria
parasite degrades red cell hemoglobin
in an organelle known as the acidic
food vacuole and detoxifies the undigested
toxic heme moiety by converting in
into a polymer. Knowledge of the molecular
structures of parasite proteases (plasmepsins)
in the acidic food vacuole will enable
rational design of parasite specific
and potent inhibitors. Previous studies
from Professor Prapon Wilairat laboratory
have shown that acridine compounds
can be synthesized to target parasite
DNA topoisomerases. As these drugs
are also able to accumulate in acidic
compartments of the cell, modifications
will be made to enable them to inhibit
the parasite heme polymerization process.
Another approach that will be explored
is to tests for compounds that reverse
the resistance of Plasmodium falciparum to chloroquine. Proteases are also
involved in the invasion of the red
cell by the parasite and they can
also be exploited as targets of antimalarials.
Understanding of the pathophysiology
of thalassemia on molecular terms
has lagged behind the exquisite knowledge
of the mutations in the affected globin
genes. Shortened life span of thalassemic
red cells stems from oxidative damage
accrued with binding of unmatched
globin chains. One of the red cell
membrane-bound enzyme affected is
the calcium ATPase pump. In vitro models of the thalassemia enzyme will
be developed in the hope that an understanding
of the molecular changes will lead
to therapeutic interventions that
can improve the quality of life of
the thalassemic patients. Furthermore,
it has become increasingly apparent
that knowledge of the mutations in
thalassemic globin genes is not sufficient
to predict the severity of the anemia.
The existence of other confounding
factors, viz aberrant RNA processing,
enhancer mutations, need to be identified.
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