Malaria is a deadly disease killing worldwide hundreds of thousands people each year and the responsible parasite has acquired resistance to the available drug combinations. The four vacuolar plasmepsins (PMs) in Plasmodium falciparum involved in hemoglobin catabolism represent promising targets to combat drug resistance. High antimalarial activities can be achieved by developing a single drug that would simultaneously target all the vacuolar PMs. We have demonstrated for the first time the use of soluble recombinant plasmepsin II (PMII) for structure-guided drug discovery with KNI inhibitors. Compounds used in this study (KNI-10742, 10743, 10395, 10333, and 10343) exhibit nanomolar inhibition against PMII, and are also effective in blocking the activities of PMI and PMIV with the low nanomolar K i values. The high resolution * Corresponding author,
pbhaumik@iitb.ac.in. Structural data are available in the PDB under the accession numbers 5YIE, 5YIB, 5YID, 5YIC, and 5YIA. Conflict of Interest The authors declare no competing financial interests. Author contributions V.M. and I.R. have contributed equally. V.M, I.R., and P.B. conceived the idea and coordinated the study. V.M. and I.R. prepared the proteins and undertook the purification and crystallographic experiments under the supervision of P.B. The structures were solved and structural analysis were done by V.M. and I.R. with input from P.B., A.G., and A.W. The kinetics experiments were performed by V.M. with assistance from I.R. and suggestions from H.X. and R.Y.Y. under the supervision of P.B. The antiparasitic assay was performed by A.A. with an advice from S.P. The cytotoxicity assay was done by L.K.S. under the supervision of S.S. The inhibitors were synthesized by K.H and Y.K. The paper was jointly written by V.M., I.R., and P.B. with inputs from the remaining authors.