How do antimalarial drugs like chloroquine function against malaria parasites?

Explore the USMLE Step 3 Drug MOA Test. Use flashcards and multiple-choice questions, each with hints and explanations. Ace your exam with confidence!

Antimalarial drugs like chloroquine function primarily by inhibiting heme polymerization in malaria parasites. Chloroquine acts on the food vacuole of the Plasmodium species, the causal agent of malaria. During their life cycle, malaria parasites digest hemoglobin from host red blood cells to obtain amino acids for their growth. This digestion releases heme, which is toxic to the parasites. To counteract this toxicity, the parasites polymerize free heme into non-toxic hemozoin. Chloroquine interferes with this polymerization process, leading to the accumulation of toxic free heme within the parasite. This accumulation ultimately results in cell death, thereby effectively combating the malaria infection.

The other options describe mechanisms that are not applicable to chloroquine's action in treating malaria. For example, inhibiting folate synthesis pertains to drugs like sulfonamides and pyrimethamine, while enhancing the immune response relates to immunomodulatory therapies that are not specific to chloroquine. Blocking protein synthesis is typically the mechanism of action for antibiotics like tetracyclines, which target bacterial infections rather than malaria.

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