The malaria parasite Plasmodium falciparum degrades host cell hemoglobin inside an acidic food vacuole during the blood stage of the infectious cycle. A number of aspartic proteinases called plasmepsins (PMs) have been identified to play important roles in this degradation process and therefore generated significant interest as new antimalarial targets. Several x-ray structures of PMII have been described previously, but thus far, structure-guided drug design has been hampered by the fact that only inhibitors comprising a statine moiety or derivatives thereof have been published. Our drug discovery efforts to find innovative, cheap, and easily synthesized inhibitors against aspartic proteinases yielded some highly potent non-peptidic achiral inhibitors. A highly resolved (1.6 Å) x-ray structure of PMII is presented, featuring a potent achiral inhibitor in an unprecedented orientation, contacting the catalytic aspartates indirectly via the "catalytic" water. Major side chain rearrangements in the active site occur, which open up a new pocket and allow a new binding mode of the inhibitor. Moreover, a second inhibitor molecule could be located unambiguously in the active site of PMII. These newly obtained structural insights will further guide our attempts to improve compound properties eventually leading to the identification of molecules suitable as antimalarial drugs.Malaria is a major public health issue in many areas of the world, with Plasmodium falciparum being the causative agent of the most severe and deadliest form of this disease. Each year, 500 million new infections resulting in up to 2 million deaths and enormous economic damage (1) are attributed to this parasite. Drug resistance in P. falciparum has been aggravating the problem in many parts of the world during the last two decades, and new antimalarial agents addressing new targets are desperately needed.The protozoan parasite resides in erythrocytes of infected individuals during the asexual part of its life cycle. Recent studies indicated that hemoglobin degradation in a parasitic acidic organelle represents a major metabolic pathway and is crucial for survival of the parasite. Multiple proteinases appear to be actively involved in hemoglobin degradation (2-5). In particular, three members of a family of P. falciparum aspartic proteinases (PMI, 1 PMII, and PMIV) have been localized in the food vacuole (4, 5) and shown to be able to degrade hemoglobin in vitro. Another sequence-related proteinase with a new catalytic apparatus called PMIII or histo-aspartic proteinase (6) is also involved in hemoglobin catabolism in vitro. A number of research groups have reported attempts to find potent inhibitors of plasmepsins (7-12). Many of the identified molecules are peptidomimetic in nature, a compound class often associated with relatively low bioavailability and, importantly for use in developing countries, unfeasible due to significant cost of goods. We have discovered and subsequently optimized a new class of potent PMII inhibitors that could potential...