Molecules versus Malaria
Malaria is
one of the most fatal and widespread diseases that affect a large amount of
people annually due to the accumulation of the disease from the anopheles
mosquito. Whenever the female mosquito requires a meal of blood in order to lay
her eggs, the disease is transmitted into the bloodstream. Every year, there
are three-hundred to five-hundred cases of malaria with two-three million
resulting deaths, mainly in certain regions in Africa .
The symptoms of malaria include jaundice, lethargy, fever, chills, coma,
headache, muscle pains, and confusion. During the twentieth century, many
people attempted to control the spread of malaria and provide protection
against the disease. In the Andes, near Bolivia
and Columbia ,
there is a species of plants of the Cinchona genus that contain an alkaloid,
quinine. Quinine is a natural antidote that cures the disease of malaria. The
quina bark has been consumed in the New World
to cure the symptoms of malaria, along with cancer, hair loss, indigestion, and
fever. In 1735, a French botanist, Joseph de Jussieu noticed another species of
plants of the Rubiaceae family, yet the quina tree has been used and cut down
in order to generate profit. Like another other molecule discussed in this
book, the trade and monopoly of certain substances and compounds generate huge
profits, which lead to the clear-cutting of approximately 25,000 quina trees
every year, which depleted the natural supply of the quinine molecule. In 1820,
the researchers Joseph Pelletier and Joseph Caventou managed to isolate and
extract quinine, while it has been assumed that two molecules of allytoluidine
reacting with three molecules of oxygen would yield to quinine and water, while
the chemical reaction has been invalid; the yield of the combination of the reagents
do not yield to the production of a quinine molecule; that is why Perkin failed
to synthesize quinine, but synthesized mauve for the dye industry. Synthetic
quinine could not have been derived at that time, therefore quina trees were
being cut down to isolate the molecule from the Amazon basin. Large profit
margins and economic expansion were noticed in many countries such as Bolivia , Deutschland, Columbia ,
Ecuador , and Peru from the
monopoly of the quinine trade. Quinine is a derivative of the molecule
quinoline; during World War II chloroquine has been synthesized from quinine
after different methods of isolating quinoline from the quina tree have been
discovered. Chlorquine contains a chlorine atom and acts as an effective
anti-malarial agent and successfully treats acute malaria. During 1944, Robert
Woodland and William Doering have synthesized quinine from quinoline and the
synthesis of an identical to chemical/molecular structure of quinine requires a
preparation of a mixture of two similar molecules present in the quina tree;
the separation of the two similar anti-malarial would be very time-consuming
and a difficult process to accomplish. The cultivation of quina trees, along
with the harvesting of quinine still occurs in Indonesia ,
Zaire , India , and
certain other counties. Alphonse Laveran and Ronald Ross discovered that the
Plasmodium parasite undergoes a life cycle in the human body whenever a female
mosquito bites an infected human. The sporozoites develop in the liver and
produce spores in the bloodstream. This discovery lead to a new field of
thought concerning the treatment of malaria and it has been proposed that
preventing or breaking a certain section of the life cycle would prevent the
disease from being spread. The molecule, DDT, or dichlorodiphenyltrichloroethane,
is a potent insecticide that interferes with the nerve impulse transmission
unique to insects and the World Health Organization initiated a campaign to
manufacture and produce large amounts of DDT to cure and prevent malaria and to
eliminate it. DDT has been applied in many parts of the world and significant
percentages of eliminated malaria have been noticed and in 1975, the WHO
declared that Europe is malaria-free. However,
DDT is poses toxicity towards humans as well. There is a certain mutation in
the hemoglobin molecule that provides immunity to malaria, which is common in
areas such as Africa , and provides the
disorder or sickle-celled anemia. Regular red blood cells or erythrocytes have
a flexible, biconcave shape that pass through blood vessels and deliver oxygen
to the specialized tissues and organs. However, the sickle-cells adapt a
different shape and are more rigid and less flexible, which means that improper
transportation and an inadequate supply of oxygen to the tissues and organs
might lead to their damage and failure. Therefore, the sickle-cells are being
constantly destroyed, which leads to a lower count of red blood cells, which
accounts for symptoms of anemia. Carriers of sickle-cell traits live in
malarial areas. In the beta strand of the hemoglobin polypeptide (which
contains repeating units of amino acids), the sixth amino acid in sickle-celled
trait carriers would be glutamic acid instead of valine; the problem with this
missense mutation is that a mild alteration in the molecular structure of the
hemoglobin molecule might lead to life-threatening conditions such as
sickle-celled anemia. Since the amino acid, glutamic acid contains an attached
–COOH (carboxyl) group, insolubility occurs inside the red blood cells and the
precipitation accounts for the change in shape and a lack of flexibility of the
erythrocyte. The author’s argument makes sense because the overall picture
based on the effect of the molecules and anti-malarial agents, quinine and DDT,
on the economy, settlement, changes in society, and the eradication of malaria
in North America and Europe . During the 19th
century, the quinine molecule facilitated the expansion of European colonies
and the British Empire and during the 20th
century, the molecule DDT has eradicated malaria in certain parts of the world
and accounts for the safety of many people living in former malarial areas. Therefore,
the effects of the two molecules quinine, which is derived from quinoline
(extracted from the quina tree) and DDT, a synthetic organic compound that is a
potent pesticide, on society and civilization is immense; malaria has been
eradicated and controlled in many parts of the world, huge profits have been
generated, and a significant economic growth has been induced by the monopoly
of the quinine trade and the large-scale industrial production of DDT.

Its interesting how DDT was so perfect for around 20 years or so and after so much accumulation it started showing its dark side.
ReplyDeleteIn this chapter I think one of the most fascinating things was the fact that the carriers of the disease had some kind of immunity to malaria. And the possibility that evolution may be able to eventually create a certain human immunity to the disease is something very interesting and promising.
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