Primaquine for Plasmodium vivax radical cure: What we do not know and why it matters

Autor: Kieran Tebben, Benoit Witkowski, David Serre, Jean Popovici
Přispěvatelé: Malaria Molecular Epidemiology, Institut Pasteur du Cambodge, Réseau International des Instituts Pasteur (RIIP)-Réseau International des Instituts Pasteur (RIIP), University of Maryland School of Medicine, University of Maryland System, David Serre acknowledges the NIH for financial support (1R01AI146590).
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: International Journal for Parasitology: Drugs and Drug Resistance, Vol 15, Iss, Pp 36-42 (2021)
International journal for parasitology. Drugs and drug resistance
International journal for parasitology. Drugs and drug resistance, Elsevier, 2021, 15, pp.36-42. ⟨10.1016/j.ijpddr.2020.12.004⟩
International Journal for Parasitology: Drugs and Drug Resistance
ISSN: 2211-3207
Popis: Plasmodium vivax radical cure requires the administration of a blood schizonticide for killing blood-stage parasites and the addition of a drug able to kill hypnozoites, the dormant parasite stages residing in the liver of infected patients. All drugs used clinically for killing hypnozoites are 8-aminoquinolines and among them, primaquine has been at the forefront of P. vivax case management for decades. We discuss here the possible factors that could lead to the emergence and selection of P. vivax primaquine resistant parasites and emphasize on how a better understanding of the mechanisms underlying primaquine treatment and hypnozoite biology is needed to prevent this catastrophic scenario from happening.
Graphical abstract Image 1
Databáze: OpenAIRE