Plasmodium falciparum Drug-Resistant Haplotypes and Population Structure in Postearthquake Haiti, 2010

Autor: David A. Townes, Dragan Ljolje, Curtis S. Huber, Michelle A. Chang, Sheila Okoth, Sean M. Griffing, Naomi W. Lucchi, Meredith McMorrow, Roland Oscar, Lindsay Morton, Venkatachalam Udhayakumar, Jacques Boncy, John W. Barnwell
Rok vydání: 2016
Předmět:
Zdroj: The American Journal of Tropical Medicine and Hygiene. 95:811-816
ISSN: 1476-1645
0002-9637
Popis: Chloroquine (CQ) remains the first-line treatment of malaria in Haiti. Given the challenges of conducting in vivo drug efficacy trials in low-endemic settings like Haiti, molecular surveillance for drug resistance markers is a reasonable approach for detecting resistant parasites. In this study, 349 blood spots were collected from suspected malaria cases in areas in and around Port-au-Prince from March to July 2010. Among them, 121 samples that were Plasmodium falciparum positive by polymerase chain reaction were genotyped for drug-resistant pfcrt, pfdhfr, pfdhps, and pfmdr1 alleles. Among the 108 samples that were successfully sequenced for CQ resistant markers in pfcrt, 107 were wild type (CVMNK), whereas one sample carried a CQ-resistant allele (CVIET). Neutral microsatellite genotyping revealed that the CQ-resistant isolate was distinct from all other samples in this study. Furthermore, the remaining parasite specimens appeared to be genetically distinct from other reported Central and South American populations.
Databáze: OpenAIRE