MINI REVIEW article

Front. Chem., 15 September 2025

Sec. Medicinal and Pharmaceutical Chemistry

Volume 13 - 2025 | https://doi.org/10.3389/fchem.2025.1645334

Quinolines: the role of substitution site in antileishmanial activity

  • Laboratorio de Biocatálisis. Departamento de Química Orgánica y UMYMFOR, Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires, Ciudad Universitaria, Buenos Aires, Argentina

Abstract

Leishmaniasis is one of the most widespread parasitic diseases in the world, primarily affecting the poorest and most vulnerable populations. The development of new therapeutic agents that are more efficient, safe, and selective remains a challenge. The quinoline framework emerges as a privileged scaffold for this purpose. This mini-review comprehensively analyses advancements from the last two decades on 2-, 3-, 6-, and 8-substituted quinolines, as well as polysubstituted analogues, as potential antileishmanial agents, focusing on how the position and nature of substituents influence their activity. Although the assays were conducted in different Leishmania species, 2- and 6-substituted quinolones generally show greater activity, often enhanced by the presence of halogen or hydroxyl groups.

1 Introduction

Leishmaniasis is the second most widespread protozoan disease globally. It is a parasitic infection caused by protozoa of the Leishmania genus; more than 20 species and subspecies can infect humans, leading to various clinical manifestations, from localized cutaneous leishmaniasis to visceral leishmaniasis, the more severe form, depending on the parasite species and the host’s immune system (; ). This disease is transmitted through the bite of infected female sandflies, and it is estimated that between 700,000 and one million new cases and between 26,000 and 65,000 deaths occur annually ().

The main drugs used to treat leishmaniasis are pentavalent antimonials, amphotericin B, and pentamidine (; ), but they present toxicity, primarily affecting the kidneys and heart (). Furthermore, pentamidine requires hospitalization for administration, which often leads to treatment discontinuation. Considering that: i) the complete eradication of the vector insects for leishmaniasis is infeasible; ii) the effective vaccines are not yet available; iii) the current chemotherapy is still deficient; and iv) there is a high level of resistance to these drugs, the search for new, more potent, selective, and safer compounds is essential.

In line with this, N-based heterocycles have received special attention due to a wide range of biological properties and pharmacological applications (; ; ). Since the discovery of the natural alkaloid quinine as an antimalarial drug, there has been great interest in the search for substituted quinolines as potential pharmacological agents (). The relevance of quinolines is demonstrated in several reports regarding their use as antimalarial drugs (). Very recently, we have reported a revision on the use of quinoline antimalarial drugs as antileishmanial agents ().

Particularly, quinoline-based compounds have arisen as a privileged scaffold for the development of more selective and potent antileishmanial agents. Based on currently used antimalarial drugs, the most significant development to date concerns 4-substituted quinolines (; ). In addition to 4-substituted quinolines such as chloroquine, hydroxychloroquine, mefloquine, or amodiaquine, among others—well-known antimalarial drugs— (; ), new compounds with various activities, such as antifungal (), antibacterial (), or antitumor (), have also been developed. However, it has also been observed that quinolines substituted at other positions have also demonstrated antiparasitic activity (; ). Herein, we describe advancements from the last decades on the development of 2-, 3-, 6 and 8-substituted quinolines that display antileishmanial activity. Our focus is on these substitutions because they have yielded compounds with the most promising activity. Substitutions at other positions have been less frequently explored in the context of antileishmanial drug design and thus fall outside the scope of this analysis.

2 Substituted quinolines

2.1 2-Substitution

Given the antileishmanial activity of natural 2-substituted quinoline alkaloids (; ), a library of 2-substituted quinolines was synthesized (; ). Initial in vitro screening against L. amazonensis and L. infantum identified quinolines substituted in the 2-position by a three-carbon alkenyl side chain containing an aldehyde (1), hydroxy (2) or bromine substituent (3) as the most active compounds, with IC50 values between 2 and 4 μM. By contrast, three carbon alkenyl side chains containing carboxylic acid, ester, amide, nitro or phenyl functionalities or larger alkenyl side chains displayed lower activity. To determine if this potent in vitro activity translated to a therapeutic effect, some derivatives were selected for in vivo studies. Compounds were administered by the oral route to a group of mice infected with L. amazonensis, L. infantum, and L. donovani. Interestingly, a disconnect was observed: compound 3, which was the most potent in vitro, showed no activity in vivo, whereas other derivatives with lower in vitro potency demonstrated a significant reduction (>80%) in parasite burden. Compounds 1 and 2 showed satisfactory activity in the visceral leishmaniasis models, with more than an 80% reduction of the parasite burden in the liver and close to 50% reduction in the spleen of mice infected with L. infantum and close to 50% reduction of the parasite burden in the liver of mice infected with L. donovani (). Based on these results, the same group synthesized an α,β-unsaturated nitrile (4) with promising in vitro activity against L. donovani amastigotes and significant in vivo efficacy with a significant reduction in parasite burden in the liver ().

The synthesis of a group of quinoline-2-carbohydrazides yielded compounds 5a and 5b as the most active against Leishmania (Viannia) panamensis (). These compounds bear a 2-hydroxyphenyl moiety with a second hydroxy group at the 3- or 4- position of the aromatic ring, the presence of which is associated with the improvement of antileishmanial activity. Similar derivatives, with hydroxy groups replaced by methoxy functionalities, showed lower activity ().

GDP-mannose pyrophosphorylase, which is involved in the biosynthetic pathway of glycoconjugates, has been recognized as an interesting target for the development of chemotherapeutic agents. Among several selected inhibitors, compound 6 emerged as the most promising antileishmanial agent, with an IC50 of 1.06 μM on axenic amastigotes and 0.63 μM on the RAW264.7 model of L. donovani. However, its selectivity index (SI) of 2.4 was low, limiting its therapeutic potential ().

The primary strength of C-2 substitution lies in the accessibility for introducing different groups, which allows for an easy structural optimization. Despite this, a disconnection between in vitro potency and in vivo efficacy is generally observed.

2.2 3-Substitution

Based on previous studies describing the antileishmanial activity of 3-arylquinolines, this structure was selected as the lead to perform different substitution modifications at various positions (; ). Some 3-substituted quinolines bearing alkenyl, alkynyl, and phenyl groups were synthesized and evaluated against L. amazonensis amastigotes. These analogues exerted low to negligible activity, suggesting this position is less favorable (). Among a series of synthesized 3-arylamino quinolines, 3- and 4-fluorophenyl derivatives (7a-b) were effective against L. mexicana promastigotes (IC50 = 41.9 μM) with low cytotoxicity (>100 μM) ().

Synthesis of hybrid molecules constitutes an attractive strategy for obtaining pharmaceutical compounds, which involves the covalent combination of two biologically active pharmacophores (). Several quinoline-based hybrids have been shown to exhibit various activities, including antimalarial, antibacterial, antiviral, antitumoral, and anti-inflammatory (; ; ). From this perspective, a library of quinoline-thiazolidinone hybrids was synthesized to target methionine aminopeptidase, an important enzyme for the development of antiprotozoal agents. Compound 8 arose as a promising antileishmanial agent with a twenty-fold higher inhibitory activity against L. donovani aminopeptidase (IC50 = 3.0 μM) compared to the human enzyme (IC50 = 58.0 μM), a good drug-likeness profile, and low cytotoxicity (CC50 > 150 μM) ().

Simple substitutions at C-3 have generally failed to produce potent compounds but the design of hybrid molecules with complex pharmacophores could yield more selective compounds. Additionally, a general lack of in vivo validation is observed.

2.3 6-Substitution

Substitution on the benzene ring also presents alternatives for the development of new drugs. Based on the concept of molecular hybridization, two series of 6-substituted quinolines linked to either oxadiazole-thiosemicarbazides or 1,3,4-thiadiazoles were synthesized. The in vitro activity against L. major promastigotes was evaluated, showing excellent antileishmanial activity with an IC50 in the submicromolar range. In the first series, fluorinated derivatives 9a and 9b were the most potent with IC50 values of 0.10 μM and 0.15 μM, respectively (). In the second series, dihydroxyphenyl derivatives (10a-d) were the most potent compounds, achieving IC50 values as low as 0.04 µM (). Docking studies suggested a possible mechanism of action as these compounds are tightly fitted into the active site of pteridine reductase 1, a validated drug target in trypanosomatids. The presence and position of hydroxyl groups influenced antileishmanial activity, indicating that these groups afford polar interactions with residues from the active site of pteridine reductase 1. In the case of fluorinated derivatives, the one with the fluorine atom in the ortho position was the one that exhibited the most significant inhibition, demonstrating that the substitution in this position is essential for its activity.

The primary strength of the 6-substitution is the extremely high in vitro potency achieved through hybridization. In addition, the SAR is relatively clear, with electron-withdrawing and hydrogen-bond-donating groups significantly improving activity. The major limitation is the absence of amastigotes and cytotoxicity assays.

2.4 8-Substitution

The 8-position of the quinoline ring is historically significant due to the antimalarial drug primaquine. A group of N-quinolin-8-yl-arylsulphonamides showed promising activity (). Particularly, the dihalogenated compounds 11a-c were very effective against both promastigotes of L. amazonensis and L. chagasi, and significant selectivity indices (SI). More lipophilic derivatives without halogenated substituents have shown somewhat lower activity. Promising results were obtained from assays on the amastigote form of L. amazonensis: significant antileishmanial activity was observed with compounds 11a-c, with IC50 < 1 µM. In contrast, substitution with a hydroxyl or phenyl group resulted in weaker antileishmanial activity against L. amazonensis or L. (V) panamensis amastigotes (; ).

Chalcone, furochalcone, and chromone–quinoline hybrids via an alkyl linker have also been tested against L. (Viannia) panamensis (; ). The antileishmanial activity was influenced by the length of the alkyl linker connecting the quinoline ring to its substituent. However, no clear correlation between antiprotozoal activity and alkyl chain length was established, as no consistent trend in activity relative to chain length was observed. Within the furanochalcone series, the derivative which features a three-carbon linker exhibited the highest activity against L. (V) panamensis amastigotes, but it showed high cytotoxicity. In the case of chromone-based series, compounds 12a and 12b, bearing two- and seven-carbon linkers respectively, showed the highest antileishmanial activity (IC50 = 16.9 and 17.0 μM). However, these compounds also displayed considerable cytotoxicity, with SI values below 1. By contrast, compounds 12c and 12d were less active but exhibited low cytotoxicity, with SI values of 4.89 and 5.84, respectively. All chalcone-quinoline hybrids showed moderate activity and low SI.

The low cytotoxicity constitutes the main strength of the 8-substitution pattern. Additionally, some compounds showed very potent activity against the clinically relevant amastigote form.

2.5 Polisubstitution

Considering the groups and substitution positions that have led to compounds with higher activity, new quinolines have been developed, combining different substituents at various positions. For example, a series of 2-styrylquinolines with additional groups at the C-7 position was synthesized and evaluated in vitro against the amastigote form of L. donovani (). Compound 13 emerged as the most promising candidate, with IC50 = 1.2 µM and low toxicity (SI = 121.5). Additionally, it was observed that highly hydrophilic groups, such as COOH, dramatically decreased antileishmanial activity, whereas the presence of NO2 groups improved the SI. Compound 2 was taken as the lead structure for the synthesis of a series of quinolines with a hydroxypropenyl group at the two-position. In vitro and in vivo activity against L. donovani was measured (). It was observed that the presence of halogens improved metabolic stability compared to the reference compound, and with a morpholine group at position 4, compound 14 emerged as the best candidate with significantly enhanced antileishmanial activity (IC50 = 0.22 μM, SI = 187). Furthermore, in vivo assays using a L. donovani/hamster model, its hydrochloride salt exhibited an 84% inhibition of parasite growth.

Considering the hybridization approach and the known antiparasitic activity of metronidazoles, a series of quinoline-metronidazole hybrids was synthesized and evaluated against L. donovani promastigotes and amastigotes (). Among these hybrids, compound 15 showed more potent activity against L. donovani both in vitro and in vivo and presented a high selectivity index and metabolic stability. Furthermore, the induction of apoptosis via mitochondrial membrane depolarization and an increase in the generation of reactive oxygen species was established as a possible dual mechanism of action. Compound 15 is a promising candidate both as a lead structure for the development of new antileishmanial agents and for clinical trials, taking into account its potency in vitro (IC50 = 3.75 µM in amastigotes) and in vivo assays (>80% reduction of parasite burden in liver and spleen), low toxicity (SI = 57.9) and excellent pharmacokinetic properties.

Consequently, a series of 3-aryl and 3-heteroaryl-N7,N7-dimethylquinoline-2,7-diamine derivatives was synthesized. These compounds were evaluated against L. mexicana amastigotes, showing promising activity (IC50 < 1 μM) (). According to SAR analysis, no significant variation in antileishmanial activity was observed upon substitution of the aromatic ring, and replacing the aryl group with six membered or bicyclic heterocycles also maintained the activity. However, substitution with five-membered heterocycles reduced activity, suggesting a minimum steric bulk requirement. Among the series, compounds 16 and 17 were the most active and were selected for in vivo experiments, but 16 exhibited toxicity, and 17 failed to suppress lesion progression in a murine model of cutaneous leishmaniasis.

Considering the antileishmanial activity of quinoline and 1,2,3-triazole scaffolds, a series of triazolyl 2-methyl-4-phenylquinoline-3-carboxylate derivatives was synthesized via click chemistry-based molecular hybridization approach and evaluated against L. donovani (). Despite good antileishmanial activity against promastigotes in most cases, only a few compounds showed significant inhibitory activity against intracellular amastigotes. Among them, compounds 18a-b and 19a-b were selected for their evaluation in a L. donovani/golden hamster model. Compounds 18a and 19a showed moderate activity, with 40% and 46% parasite inhibition, respectively, whereas 18b and 19b exhibited poor inhibitory activity.

Clioquinol (20), a dihalogenated 8-hydroxyquinoline, showed promising in vitro activity against L. infantum and L. amazonensis promastigotes and amastigotes, exhibiting low cytotoxicity against murine macrophages (CC50 = 834.4 µM) and human erythrocytes (CC50 = 1.5 × 103 μM), with a higher selectivity index than amphotericin B. As no toxicity was observed when clioquinol was administered to BALB/c mice, it constitutes a promising candidate for subsequent in vivo studies (). Compound 21, a racemic 8-aminoquinoline derivative, has a strong effect on the mobility and morphology of L. mexicana promastigotes, exhibiting an IC50 value of 1.03 µM, markedly lower compared to glucantime (). Also, 21 exhibited negligible cytotoxicity toward HeLa cells over 120 h.

The obvious strength of polysubstitution is the possibility of designing more active and selective molecules, optimizing pharmacokinetic and pharmacodynamic properties, although at the cost of increased synthetic complexity.

The structures of the most representative compounds are shown in the Figure 1 at the end of the manuscript. The Table 1 summarizes the antileishmania activity data of the most promising quinolines, which exhibit low IC50 values in vitro assays (<10 μM), or significant in vivo inhibition, or high selectivity indexes (SI > 10).

FIGURE 1

TABLE 1

CompoundIn vitro evaluationIn vivo evaluationCytotoxicitySelectivity index (SI)Reference
2-substitution
1L. amazonensis
IC50 = 4.0 µM (A)
L. infantum
IC50 = 2.0 µM (A)
No activity
93% reduction of parasite burden in the liver
CC50 = 9.0 µM2.0
4.5

2L. amazonensis
IC50 = 4.0 µM (A)
L. infantum
IC50 = 2.0 µM (A)
No activity
83% reduction of parasite burden in liver
CC50 = 34.0 µM8.5
17.0

3L. amazonensis
IC50 = 3.0 µM (A)
L. infantum
IC50 = 2.0 µM (A)
No activityCC50 = 13.0 µM4.3
6.5

4L. donovani
IC50 = 2.4 µM (A)
83% reduction of parasite burden in liver
5aL. (V) panamensis
IC50 = 2.6 µM (A)
NDCC50 = 11.7 µM4.5
5bL. (V) panamensis
IC50 = 21.2 µM (A)
NDCC50 = 99.6 µM4.71
6L. donovani
IC50 = 1.06 µM (A)
NDCC50 > 100 µM>94.3 (in BMDM)
3-substitution
7aL. mexicana
IC50 = 41.9 µM (A)
NDCC50 > 100 µM>2.4
7aL. mexicana
IC50 = 41.9 µM (A)
NDCC50 » 100 µM» 2.4
6-substitution
9aL. major
IC50 = 0.10 µM (P)
NDND-
9bL. major
IC50 = 0.15 µM (P)
NDND-
10aL. major
IC50 = 0.04 µM (P)
NDND-
10bL. major
IC50 = 0.08 µM (P)
NDND-
10cL. major
IC50 = 0.7 µM (P)
NDND-
10dL. major
IC50 = 0.9 µM (P)
NDND-
8-substitution
11aL. amazonensis
IC50 = 2.12 µM (P)
L. amazonensis
IC50 < 1 µM (A)
L. chagasi
IC50 = 0.45 µM (P)
NDCC50 = 66.3 µM31
>66
147
11bL. amazonensis
IC50 = 2.25 µM (P)
L. amazonensis
IC50 < 1 µM (A)
L. chagasi
IC50 = 0.56 µM (P)
NDCC50 = 67.4 µM30
120
11cL. amazonensis
IC50 = 2.85 µM (P)
L. amazonensis
IC50 < 1 µM (A)
L. chagasi
IC50 = 0.53 µM (P)
NDCC50 = 68.7 µM24
129
12aL. (V) panamensis
IC50 = 16.9 µM (A)
NDCC50 = 14.9 µM0.89
12bL. (V) panamensis
IC50 = 17 µM (A)
NDCC50 = 9.5 µM0.56
12cL. (V) panamensis
IC50 = 34.2 µM (A)
NDCC50 = 151.8 µM4.9
12dL. (V) panamensis
IC50 = 51 µM (A)
NDCC50 = 290.8 µM5.6
Polisubstitution
13L. donovani
IC50 = 0.22 µM (A)
84% inhibition of parasite growth (hydrochloride salt)CC50 = 41.3 µM187
14L. donovani
IC50 = 1.2 µM (A)
NDCC50 = 145.8 µM122
15L. donovani
IC50 = 5.42 µM (P)
L. donovani
IC50 = 3.75 µM (A)
>80% reduction of parasite burden in liver and spleenCC50 = 217.2 µM57.9
16L. mexicana
IC50 = 0.12 µM (A)
L. donovani
BPK282
IC50 = 0.86 µM (A)
L. donovani
BPK275
IC50 = 0.71 µM (A)
L. donovani
BPK173
IC50 = 0.66 µM (A)
Showed toxicityCC50 = 3.7 µM31
17L. mexicana
IC50 = 0.22 µM (A)
No activityCC50 = 3.7 µM17
18aL. donovani
IC50 = 16 µM (P)
L. donovani
IC50 = 7 µM (A)
40.36%CC50 = 39 µM5.6
19aL. donovani
IC50 = 5 µM (P)
L. donovani
IC50 = 14 µM (A)
17.29%CC50 = 99 µM7.1
20L. infantum
IC50 = 4.7 µM (P)
L. infantum
IC50 = 3.2 µM (A)
L. amazonensis
IC50 = 8.3 µM (P)
L. amazonensis
IC50 = 6.2 µM (A)
NDIC50 = 834.4 µM177.1
260.1
99.9
135.6
21L. mexicana
IC50 = 1.03 µM (P)
NDND-

Antileishmanial data for selected substituted quinolines.

Note: promastigote (P), amastigote (A), ND, not determined.

In summary, in the last decades, the development of new quinoline-derived compounds as potential chemotherapeutic agents for the treatment of leishmaniasis has increased. This remains a significant challenge due to multiple causes, such as the numerous species that cause the disease, diverse manifestations, resistance, and more. The quinoline framework interacts with different receptors, ion channels, and enzymes, making it a privileged scaffold in organic chemistry for the search for bioactive compounds; many natural and synthetic derivatives have been shown to exhibit a wide range of biological properties. In this mini-review, we presented an overview of the impact of substitution position on the antileishmanial properties of substituted quinolines.

Considering all examples mentioned, it can be observed that, among monosubstituted quinolines, 2-substitution results in compounds with greater in vitro (amastigotes) and in vivo activity; 3-substituted quinolines are the least active compounds; and 8-substitution led to compounds with good activity in vitro on amastigotes and high SI, but dependent on Leishmania species. In many cases, for the same type of derivatives, the inclusion of hydroxyl or halogen groups leads to improved antileishmanial activity. In the case of polysubstituted quinolines, substituents in position 2 and/or a hydroxyl group in position 8 seem to be key in the antileishmanial activity and excellent selectivity index values. Among the compounds described, 2, 4, 6, 11a-c, 13, 14, 15, and 20 are the most promising either due to their low IC50 (<10 μM) values against amastigotes and/or high selectivity indexes (SI > 10) SI or good in vivo activity. However, a strict comparison is hindered due to several limitations, like: different Leishmania species with differences in drug sensitivity; in studies reporting very high potency on promastigotes, lack of data about assays against amastigotes, the clinically relevant form of the parasite; heterogeneity in experimental protocols; scarcity of information about molecular targets or action mechanisms. Future strategies should focus not only on a combination of substituents at diverse positions or synthesis of hydrid molecules, but also on systematic studies on structure-activity relationships and mechanisms of action.

Statements

Author contributions

OE: Formal Analysis, Writing – original draft, Visualization, Conceptualization, Investigation, Writing – review and editing. GG: Investigation, Formal Analysis, Writing – original draft, Writing – review and editing, Funding acquisition, Visualization, Project administration, Conceptualization.

Funding

The author(s) declare that financial support was received for the research and/or publication of this article. UBA (UBACYT 20020190100242BA) and CONICET (PIP 11220210100072).

Acknowledgments

The authors thank UBA (UBACYT 20020190100242BA) and CONICET (PIP 11220210100072) for partial financial support.

Conflict of interest

Authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Summary

Keywords

quinolines, antiprotozoal activity, substitution, antileishmanial agents, leishmaniasis

Citation

Elso OG and García Liñares G (2025) Quinolines: the role of substitution site in antileishmanial activity. Front. Chem. 13:1645334. doi: 10.3389/fchem.2025.1645334

Received

11 June 2025

Accepted

27 August 2025

Published

15 September 2025

Volume

13 - 2025

Edited by

Gustavo Benaim, Fundación Instituto de Estudios Avanzados (IDEA), Venezuela

Reviewed by

Jaime Charris, Central University of Venezuela, Venezuela

Elena Aguilera, Universidad de la República, Uruguay

Updates

Copyright

*Correspondence: Guadalupe García Liñares, ; Orlando G. Elso,

ORCID: Orlando G. Elso, orcid.org/0000-0002-1970-9904; Guadalupe García Liñares, orcid.org/0000-0002-2946-4795

Disclaimer

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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