“…The use of fosmidomycin as a single-drug treatment for P. falciparum malaria has been hampered by low bioavailability, recrudescent, and rapid clearance from the parasite, although the compound has been used more successfully in combination with clindamycin [37]. Many efforts, with great results, have been made to improve the efficacy of fosmidomycin as modifications to the phosphonate group, extensions to the hydroxamic acid group [38,39], and substitution of the α-position [40,41] or, more recently, β-position [42]. The inhibition of downstream enzyme IspD (2-C-methyl-d-erythritol 4-phosphate cytidylyltransferase) which catalyzes the cytidylation of MEP to cytidine diphosphate methylerythritol (CDP-ME) is also metabolically apparent in fosmidomycin-treated cells.…”