Artemisinin

Mechanism of action:
Artemisinin is derived from the plant Artemisia annua. Artemisinin acts on the erythrocytic stage of malaria parasites. When the parasite digests hemoglobin inside red blood cells, free ferrous iron (Fe²⁺) is released. The endoperoxide bridge (-O-O-) within the artemisinin molecule is then cleaved under Fe²⁺ catalysis, generating highly reactive carbon-centered radicals. These radicals damage multiple molecular structures within the parasite, ultimately leading to parasite death.
Reference(s):
1. Hedrich WD et al. (2016). Insights into CYP2B6-mediated drug-drug interactions. Acta Pharm Sin B.
2. Xing J et al. (2012). Evaluation of P450 inhibition and induction by artemisinin antimalarials in human liver microsomes and primary human hepatocytes. Drug Metab Dispos.
