Efficacy and mechanism of action of cipargamin as an antibabesial drug candidate
Data files
Jun 26, 2025 version files 46.89 KB
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Figure_1-figure_supplement_1.csv
973 B
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Figure_1.csv
4.70 KB
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Figure_2-figure_supplement_1.txt
7.68 KB
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Figure_2.csv
750 B
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Figure_3.csv
9.64 KB
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Figure_5.csv
6 KB
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README.md
13.46 KB
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Supplementary_file_1.txt
913 B
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Supplementary_file_2.txt
827 B
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Supplementary_file_3.txt
1.95 KB
Abstract
Babesiosis is a disease brought on by intraerythrocytic parasites of the genus Babesia. Current chemotherapies are accompanied by side effects and parasite relapse. Therefore, it is crucial to develop highly effective drugs against Babesia. Cipargamin (CIP) has shown inhibition against apicomplexan parasites, mainly Plasmodium and Toxoplasma. This study evaluated the growth-inhibiting properties of CIP against Babesia spp. and investigated the mechanism of CIP on B. gibsoni. The half inhibitory concentration (IC50) values of CIP against the in vitro growth of B. bovis and B. gibsoni were 20.2 ± 1.4 nM and 69.4 ± 2.2 nM, respectively. CIP significantly inhibited the growth of B. microti and B. rodhaini in vivo. Resistance was conferred by L921V and L921I mutations in BgATP4, which reduced the sensitivity to CIP by 6.1- and 12.8-fold. The inhibitory potency of CIP against BgATP4-associated ATPase activity was moderately reduced in mutant strains, with a 1.3-fold and 2.4-fold decrease in BgATP4L921V and BgATP4L921I, respectively, compared to that of BgATP4WT. An in-silico investigation revealed reductions in affinity for CIP binding to BgATP4L921V and BgATP4L921I compared to BgATP4WT. Resistant strains showed no significant cross-resistance to atovaquone (ATO) or tafenoquine succinate (TQ), with less than a one-fold change in IC50 values. Combining CIP with TQ effectively eliminated B. microti infection in SCID mice with no relapse, and parasite DNA was not detected by qPCR within 90 days post-infection. Our findings reveal the efficacy of CIP as an anti-babesial agent, its limitations as a monotherapy due to resistance development, and the potential of combination therapy with TQ to overcome said resistance and achieve complete parasite clearance.
Project Title: Efficacy and mechanism of action of cipargamin as an antibabesial drug candidate
Contact Information: lmm_2010@hotmail.com; gen@obihiro.ac.jp
Overview
This dataset accompanies the publication titled "Efficacy and mechanism of action of cipargamin as an antibabesial drug candidate." It includes data files corresponding to the figures and supplementary materials in the article. Each file is described below, along with variable definitions, experimental context, and processing methods. This README is designed to be a standalone guide, enabling users to interpret the data without referring to the original publication.
File Descriptions
Several .csv files are combined figures. Each subfigure is separated by empty rows. Subfigures are explained as needed.
Figure 1.csv
1. Figure 1A & B: Growth data
Context:
Dose-dependent growth inhibition of CIP on B. bovis and B. gibsoni in vitro.
Variables:
Concentration_nM: Drug concentration in nanomolar (nM)
B. bovis_growth_percent: Mean cell growth (%) of B. bovis across replicates
B. gibsoni_growth_percent: Mean cell growth (%) of B. gibsoni across replicates
Notes:
IC50 values (half inhibitory concentration) were calculated from this data.
Triplicate measurements were taken for each concentration.
2. Figure 1C: Inhibition data
Context:
In vivo inhibition of B. microti proliferation in BALB/c mice by CIP and ATO + AZI.
Variables:
Day: Days post-infection
Parasitemia (%): Parasitemia in blood (%) for each mouse (n=6 per group)
Treatment_Group: CIP 20 mg/kg, ATO + AZI 20 mg/kg, or vehicle
Notes:
Data are presented as individual mouse values.
CIP showed significant inhibition compared to ATO + AZI and vehicle groups.
3. Figure 1D: hematocrit data
Context:
Hematocrit (HCT) values in B. microti infected BALB/c mice treated with CIP, ATO + AZI, or vehicle.
Variables:
Day: Timepoint of measurement (Day 0 to Day 32)
HCT (%): The mean hematocrit value (%) for each group of mice
Treatment_Group: CIP 20 mg/kg, ATO + AZI 20 mg/kg, or vehicle
Notes:
HCT values were monitored to assess anemia due to parasite infection and treatment effects.
Data indicate no significant anemia in drug-treated groups.
4. Figure 1E: Inhibition data
Context:
In vivo inhibition of B. rodhaini proliferation in BALB/c mice by CIP and ATO + AZI.
Variables:
Day: Days post-infection
Survival_Status: — = not applicable
Parasitemia (%): Parasitemia in blood (%) for each mouse
Treatment_Group: CIP 20 mg/kg, ATO + AZI 20 mg/kg, or vehicle
Notes:
CIP showed strong inhibition of B. rodhaini proliferation.
ATO + AZI was less effective, and the vehicle group showed rapid disease progression.
5. Figure 1F: Survival data
Context:
Survival rates of BALB/c mice treated with CIP, ATO + AZI, or vehicle following infection with B. rodhaini.
Variables:
Day: Timepoint of survival observation (Day 0 to Day 22)
Survival_Status: ○ = alive, × = dead, — = not applicable
Treatment_Group: CIP 20 mg/kg, ATO + AZI 20 mg/kg, or vehicle
Notes:
CIP-treated mice showed significantly higher survival rates compared to the other groups.
Figure 2.csv
1. Figure 2D: NGS variants
Context:
Genes of high-frequency sequence variants detected by NGS.
Variables:
Strain: Name of the Babesia gibsoni strain (BgATP4WT, BgATP4L921V, or BgATP4L921I)
Chr: Chromosome number
pos: Genomic position of the mutation (position 2761 in this dataset)
ref: Reference nucleotide at the mutation site
cov: Sequencing coverage depth at this position
A, C, G, T, N: Number of reads showing each nucleotide at the position
Percent: Mutation frequency (percentage of reads showing the variant nucleotide)
Notes:
High-frequency sequence variants in the Bgatp4 gene were confirmed in different *B. gibsoni *strains.
All strains carry mutations at position 2761 on chromosome III:
BgATP4WT: Reference nucleotide C (100%)
BgATP4L921V: G variant (99.97%)
BgATP4L921I: A variant (99.92%)
Data was generated by next-generation sequencing (NGS) and validated for use in downstream functional analysis.
2. Figure 2E: Growth curve
Context:
Dose-dependent in vitro growth curves of *B. gibsoni *strains expressing different ATP4 variants: BgATP4WT, BgATP4L921V, and BgATP4L921I.
Variables:
nM: CIP concentration in nanomolar
BgATP4WT: % growth of BgATP4WT strain at each CIP concentration
BgATP4L921V: % growth of BgATP4L921V strain at each CIP concentration
BgATP4L921I: % growth of BgATP4L921I strain at each CIP concentration
Notes:
Growth inhibition is presented for increasing concentrations of CIP.
The data represent means ± SD from one of three independent experiments.
BgATP4L921V and BgATP4L921I strains showed reduced sensitivity to CIP compared to BgATP4WT strain.
Figure 3.csv
Context:
Mechanistic basis for resistance to CIP conferred by the L921V and L921I mutations in BgATP4.
Notes:
This figure presents the mechanistic analysis of CIP resistance in *B. gibsoni *strains expressing mutant ATP4 proteins (BgATP4L921V and BgATP4L921I). It includes morphological changes, ultrastructural analysis, intracellular sodium ([Na⁺]i) and proton (pHi) concentration changes, and ATPase activity of wild-type and mutant BgATP4 proteins in response to CIP.
1. Figure 3B–Parasite size measurement
Context:
Sizes of 100 parasites in untreated and CIP-treated groups measured with ImageJ software.
Variables:
Ctrl / CIP: Treatment condition (untreated vs. CIP-treated)
Measurement (µm): Size measurements of individual parasites (n = 100 per group)
Notes:
Statistically significant differences were found between untreated and CIP-treated groups (t-test, ****, P < 0.0001).
Data represents results from a single experiment based on morphological observations from Figure 3A.
2. Figure 3D&E – [Na⁺]i concentration and pHi alkalinization in response to CIP in BgATP4WT Line
Context:
Intracellular sodium concentration ([Na⁺]i) and pH (pHi) changes in BgATP4WT line after exposure to various concentrations of CIP.
Variables:
Time/min: Time points (0 to 20 min)
CIP 0 nM / 1 nM / 20 nM: Three different treatment conditions
Notes:
Data shows real-time [Na⁺]i and pHi changes after addition of 0, 1, or 20 nM CIP.
Values represent mean ± SD from a representative experiment of six biological replicates.
3. Figure 3F&G – [Na⁺]i concentration and pHi changes in wild-type and resistant lines after 20 nM CIP
Context:
Comparative analysis of [Na⁺]i concentration and pHi changes in three B. gibsoni lines after treatment with 20 nM CIP.
Variables:
BgATP4WT, BgATP4L921V, BgATP4L921I: Strain name
[Na⁺]i (mM): Measured intracellular sodium concentration
pHi: Measured intracellular pH value
Notes:
BgATP4WT exhibited a higher [Na⁺]i and pHi increase than the mutant lines after CIP exposure.
Indicates that resistance mutations affect the ion transport function of ATP4.
4. Figure 3H – ATPase activity
Context:
ATPase activity of BgATP4WT, BgATP4L921V, and BgATP4L921I.
Variables:
BgATP4WT, BgATP4L921V, BgATP4L921I: Strain name
ATPase Activity (nmol Pi/mg protein/min): Measured activity
Notes:
Mutant lines show significantly reduced ATPase activity compared to wild-type.
5. Figure 3I – Dose-dependent ATPase activity of BgATP4 variants
Context:
Dose-dependent ATPase activity of BgATP4WT, BgATP4L921V, and BgATP4L921I in vitro.
Variables:
nM: CIP concentration
Notes:
Wild-type ATP4 showed greater inhibition at higher CIP concentrations compared to mutant variants.
Each value represents the mean ± SD from three biological replicates.
Figure 5.csv
Cross-resistance between atovaquone (ATO) and tafenoquine (TQ) is examined in resistant parasites, and the therapeutic efficacy of CIP and TQ combination is evaluated in a SCID mouse model infected with Babesia microti.
1. Figure 5A & B: Growth curve
Context
Dose-dependent in vitro growth inhibition of B. gibsoni strains (BgATP4WT, BgATP4L921V, BgATP4L921I) by ATO and TQ.
Variables
nM: ATO and TQ concentration in nanomolar
BgATP4WT/ BgATP4L921V/ BgATP4L921I: % growth of each strain at each drug concentration
Notes
Minimal changes in IC50 values (<1-fold) suggest mild alterations in ATO and TQ susceptibility in resistant strains, without strong resistance or cross-resistance.
Data represent means ± SD from six biological replicates.
2. Figure 5C: Parasitemia
Context
In vivo inhibition of B. microti proliferation in SCID mice treated with CIP (20 mg/kg once daily for 7 days), TQ (single 20 mg/kg dose), or CIP+TQ combination therapy.
Variables
Day: Days post-infection
Vehicle / CIP / TQ / CIP+TQ: Parasitemia (%) in each treatment group based on five biological replicates
Notes
CIP alone showed significant suppression of parasitemia.
TQ alone had moderate effect.
CIP+TQ combination therapy showed the strongest inhibition, indicating potential synergistic effect.
Data were collected from day 0 to day 90 post-infection.
3. Figure 5D: qPCR results
Context
qPCR detection of B. microti DNA in blood samples from SCID mice at 90 days post-infection (DPI).
Variables
CIP / TQ / CIP+TQ / Vehicle: Cq values from qPCR analysis of parasite DNA
Notes
A cut-off Cq ≤ 35 was considered positive for B. microti DNA.
Cq > 35 or no amplification (NA) was considered negative.
CIP+TQ group showed no detectable parasite DNA (NA), indicating potential curative effect.
Figure_1-figure_supplement_1.csv
Supplemental figure 1A & B: MDCK & HFF cell viabilities
Context
Cytotoxicity assay of CIP on Madin-Darby Canine Kidney (MDCK) cells and human foreskin fibroblasts (HFF).
Variables
μM: CIP concentration in micromolar (μM)
Cell viability (%): Percentage of viable cells after CIP treatment relative to the untreated control
Notes
Cell viability was measured at 450 nm using the MTP-500 microplate reader.
Each value represents the mean ± SD from three independent experiments, each performed in triplicate.
CC50 (50% cytotoxic concentration) was calculated based on the viability data.
Figure_2-figure_supplement_1.txt: ATP4 multiple sequence alignment
Context
This file contains the multiple sequence alignment (MSA) of ATP4 ortholog protein sequences from various species, including Babesia gibsoni, Babesia bovis, Babesia microti, Toxoplasma gondii, Plasmodium falciparum, and Homo sapiens.
Notes
Mutation site(s) identified in B. gibsoni, P. falciparum, and T. gondii are described in the main manuscript.
Supplementary_File_1_.txt: BgATP4 primers
Context
This file provides a list of oligonucleotide primer pairs designed for amplification and mutation detection of the Babesia gibsoni atp4 gene (Bgatp4). These primers were used in various molecular biology applications including PCR and gene sequencing.
Notes
Primer (5'–3'): DNA sequence of the primer in 5' to 3' direction
Direction: F (forward), R (reverse)
Supplementary_File_2.txt: BmATP4 primers
Context
This file provides a list of oligonucleotide primer pairs designed for amplification and mutation detection of the Babesia microti atp4 gene (Bmatp4). These primers were used in various molecular biology applications including PCR and gene sequencing.
Notes
Primer (5'–3'): DNA sequence of the primer in 5' to 3' direction
Direction: F (forward), R (reverse)
Supplementary_File_3.txt: CIP docking interactions
Context
This file contains the results of molecular docking simulations between CIP and three Babesia gibsoni ATP4 proteins (BgATP4): the wild-type (WT) and two mutant variants (L921V and L921I).
Notes
Each entry lists the residues interacting with CIP, the distance of interaction, and the type of interaction, including hydrogen bonds, halogen bonds, and hydrophobic interactions.
The binding energy for each variant is provided in kcal/mol.
Software and Tools Used
Molecular docking: AlphaFold for prediction of BgATP4, PyMOL Molecular Graphic
Models visualization: System and Discovery Studio
Statistical analysis: GraphPad Prism v9
Image processing: ImageJ for measurement of parasites sizes, Jalview v2.11.3.2 for sequence alignment
License and Reuse
This dataset is released under the CC0 license. You are free to use, share, and modify it without restriction.
Citation
Hang Li, Shengwei Ji, Nanang R Ariefta, Eloiza May S Galon, Shimaa AES El-Sayed, Thom Do, Lijun Jia, Miako Sakaguchi, Masahito Asada, Yoshifumi Nishikawa, Xin Qin, Mingming Liu, Xuenan Xuan, 2024. Efficacy and mechanism of action of cipargamin as an antibabesial drug candidate. eLife13:RP101128
https://doi.org/10.7554/eLife.101128.3
Questions or Requests
For further clarification or additional data requests, please contact: lmm_2010@hotmail.com; gen@obihiro.ac.jp
