Distribution and Temporal Dynamics of Plasmodium falciparum Chloroquine Resistance Transporter Mutations Associated With Piperaquine Resistance in Northern Cambodia
Autor: | Soklyda Chann, Mariusz Wojnarski, Brian Vesely, Piyaporn Saingam, Prom Satharath, Nonlawat Boonyalai, Chaiyaporn Chaisatit, Paphavee Lertsethtakarn, Michele D. Spring, Somethy Sok, Zalak Shah, Panita Gosi, Huy Rekol, Matthew Adams, Biraj Shrestha, David L. Saunders, Molly Deutsch-Feldman, Andrew P. Morgan, Darapiseth Sea, Chantida Praditpol, Philip L. Smith, Shannon Takala-Harrison, Dysoley Lek, Chanthap Lon, Jessica T. Lin, Norman C. Waters, Stuart D. Tyner, Charlotte A. Lanteri, Suwanna Chaorattanakawee |
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Rok vydání: | 2021 |
Předmět: |
0301 basic medicine
Plasmodium falciparum 030106 microbiology Drug Resistance Protozoan Proteins Real-Time Polymerase Chain Reaction medicine.disease_cause Piperazines Antimalarials Major Articles and Brief Reports 03 medical and health sciences Chloroquine Piperaquine parasitic diseases Prevalence medicine Animals Immunology and Allergy Malaria Falciparum Allele Whole genome sequencing Mutation biology Mefloquine fungi Membrane Transport Proteins medicine.disease biology.organism_classification Virology 030104 developmental biology Infectious Diseases Quinolines Cambodia Biomarkers Malaria medicine.drug |
Zdroj: | J Infect Dis |
ISSN: | 1537-6613 0022-1899 |
Popis: | Background Newly emerged mutations within the Plasmodium falciparum chloroquine resistance transporter (PfCRT) can confer piperaquine resistance in the absence of amplified plasmepsin II (pfpm2). In this study, we estimated the prevalence of co-circulating piperaquine resistance mutations in P. falciparum isolates collected in northern Cambodia from 2009 to 2017. Methods The sequence of pfcrt was determined for 410 P. falciparum isolates using PacBio amplicon sequencing or whole genome sequencing. Quantitative polymerase chain reaction was used to estimate pfpm2 and pfmdr1 copy number. Results Newly emerged PfCRT mutations increased in prevalence after the change to dihydroartemisinin-piperaquine in 2010, with >98% of parasites harboring these mutations by 2017. After 2014, the prevalence of PfCRT F145I declined, being outcompeted by parasites with less resistant, but more fit PfCRT alleles. After the change to artesunate-mefloquine, the prevalence of parasites with amplified pfpm2 decreased, with nearly half of piperaquine-resistant PfCRT mutants having single-copy pfpm2. Conclusions The large proportion of PfCRT mutants that lack pfpm2 amplification emphasizes the importance of including PfCRT mutations as part of molecular surveillance for piperaquine resistance in this region. Likewise, it is critical to monitor for amplified pfmdr1 in these PfCRT mutants, as increased mefloquine pressure could lead to mutants resistant to both drugs. |
Databáze: | OpenAIRE |
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