Artemisinin semisynthetic antimalarial derivatives

A series of artemisinin-based semisynthetic antimalarial derivatives, with all of them maintaining the key endoperoxide bridge, such as arteether (18), artemether (19), artesunate (20), and dihydroartemisinin (21), have been designed to improve the water solubility and the metabolic stability of artemisinin [53, 54], Among them, dihydroartemisinin (artenimol), is considered as a common active metaboUte of artemisinin derivatives [53, 54]. Currently, artemisinin-based therapies eombined with standard antimalarials such as amodiaquine, sulfadoxine-pyrimethamine, mefloquine, and lumefantrine are recommended by the World Health Organization (WHO) as first-line therapies for malaria [55, 56]. 

In the laboratory of G.A. Posner, semisynthetic antimalarial trioxanes in the artemisinin family were prepared via an efficient Friedel-Crafts alkylation using a pyranosyi fluoride derived from the natural trioxane lactone artemisinin. The alkylating agent, pyranosyi fluoride, was prepared from the lactone in two steps reduction to the lactol followed by treatment with diethylaminosulfur trifluoride. The highly chemoselective alkylation was promoted by BF3-OEt2 and several electron-rich aromatic and heteroaromatic compounds were alkylated in moderate to high yield using this method. 

Artemisinin is an excellent antimalarial, approximately equal in potency to chloro-quine, with a good therapeutic index except on the fetus. The preparation of semisynthetic derivatives has been stimulated primarily by a requirement for improved solubility because artemisinin is relatively insoluble in both water and oil. 

Artemisia annua, known in China as Qinghaosu, contains artemisinin, which has antimalarial activity. Several derivatives of the original compound have proved effective in the treatment of Plasmodium falciparum malaria and are currently available in a variety of formulations artesunate (intravenous, rectal, oral), artelinate (oral), artemisinin (intravenous, rectal, oral), dihydroartemisinin (oral), arte-mether (intravenous, oral, rectal), and artemotil (intravenous). Artemisinic acid (qinghao acid), the precursor of artemisin, is present in the plant in a concentration up to 10 times that of artemisinin. Several semisynthetic derivatives have been developed from dihydroartemisinin (11). The artemisinin derivatives are the subject of a separate monograph. 

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