Synthesis of Novel Hybrids of Quinazoline and Artemisinin with High Activities against Plasmodium falciparum, Human Cytomegalovirus, and Leukemia Cells

[Image: see text] Many quinazoline derivatives have been synthesized over the last few decades with great pharmacological potential, such as antimalarial, anti-inflammatory, antimicrobial, anticancer, and antiviral. But so far, no quinazoline–artemisinin hybrids have been reported in the literature. In the present study, five novel quinazoline–artemisinin hybrids were synthesized and evaluated for their in vitro biological activity against malarial parasites (Plasmodium falciparum 3D7), leukemia cells (CCRF-CEM and CEM/ADR5000), and human cytomegalovirus. Remarkably, hybrid 9 (EC(50) = 1.4 nM), the most active antimalarial compound of this study, was not only more potent than artesunic acid (EC(50) = 9.7 nM) but at the same time more active than the clinically used drugs dihydroartemisinin (EC(50) = 2.4 nM) and chloroquine (EC(50) = 9.8 nM). Furthermore, hybrids 9 and 10 were the most potent compounds with regard to anticytomegaloviral activity (EC(50) = 0.15–0.21 μM). They were able to outperform ganciclovir (EC(50) = 2.6 μM), which is the relevant standard drug of antiviral therapy, by a factor of 12–17. Moreover, we identified a new highly active quinazoline derivative, compound 14, that is most effective in suppressing cytomegalovirus replication with an EC(50) value in the nanomolar range (EC(50) = 50 nM). In addition, hybrid 9 exhibited an antileukemia effect similar to that of artesunic acid, with EC(50) values in the low micromolar range, and was 45 times more active toward the multidrug-resistant CEM/ADR5000 cells (EC(50) = 0.5 μM) than the standard drug doxorubicin.