“…Table 1) [33], with the most lipophilic, 8c, being also the most active anti-plasmodial; amino acid and dipeptide esters are known to cross cell membranes by passive diffusion [38], so it is possible that the presence of the dipeptide spacer in HEDICINs augments cell permeation of these compounds by such process; b) recognition of the dipeptide motif by specific transporters from the P. falciparum ABC transporter super-family, many of which have been taken as putative drug transporting proteins [39] and found to be directly implicated in drugresistance mechanisms [40,41]; c) increased permeability of dipeptide derivatives due to the new permeation pathways created in P. falciparum-infected RBCs to promote uptake of nutrients such as sugars or nucleosides [42], as well as amino acids and oligopeptides [31]; II. Alternatively, a difference in the respective mechanism of action (MOA) may be operating in addition, or in alternative, to a difference in uptake of HEDICINs versus HECINs: a) due to their dipeptide moiety, HEDICINs might be able to inhibit plasmodial cytosolic proteases like aminopeptidases PfA-M1 and PfA-M17, which function in regulating the intracellular pool of amino acids required for parasite growth and development inside the red blood cell [43,44]; b) HEDICINs anti-plasmodial activity could otherwise be related to the cinnamoyl moiety, as it has been shown that cinnamic acid derivatives inhibit the growth of intraerythrocytic P. falciparum in culture by inhibiting monocarboxylate (e.g. lactate) transport and translocation of other nutrients, as carbohydrates and amino acids required for parasite nourishment [45]; c) finally, HEDICINs anti-plasmodial activity could as well be due to inhibition of the new permeation pathways; meaning that HEDICINs could eventually block the new permeation pathways created in infected RBC (see above, I.c), hampering the uptake of molecules essential to the parasite; it is interesting to notice that amongst our most active molecules as antiplasmodials are those bearing a nitro-aryl moiety, also present in potent new permeation pathways inhibitors such as 5-nitro-2-(phenylalkylamino) benzoic acid derivatives [31].…”