1921
Volume 73, Issue 1
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

tests for susceptibility to antimalarial drugs require molecular methods to distinguish recrudescence from new infection. The most commonly used DNA markers (merozoite surface proteins [MSPs]) are under immune selective pressure, which might lead to misclassification. We evaluated immunologically neutral microsatellite markers in blood samples collected during a drug efficacy trial in Rwanda. Fifty percent of the infections classified as recrudescent by MSP were classified as new by microsatellite markers. Reciprocally, 23.3% of infections classified as recrudescent by microsatellite markers were identified as new by MSP. In drug efficacy studies, microsatellite markers should complement MSP genotyping to distinguish a recrudescence from a new infection.

Loading

Article metrics loading...

/content/journals/10.4269/ajtmh.2005.73.210
2005-07-01
2017-11-18
Loading full text...

Full text loading...

/deliver/fulltext/14761645/73/1/0730210.html?itemId=/content/journals/10.4269/ajtmh.2005.73.210&mimeType=html&fmt=ahah

References

  1. Snounou G, Beck H, 1998. The use of PCR genotyping in the assessment of recrudescence or reinfection after antimalarial drug treatment. Parasitol Today 14 : 462–467.
  2. Joshi H, 2003. Markers for population genetic analysis of human plasmodia species, P. falciparum and P. vivax. J Vector Borne Dis 40 : 78–83.
  3. Cattamanchi A, Kyabayinze D, Hubbard A, Rosenthal PJ, Dorsey G, 2003. Distinguishing recrudescence from reinfection in a longitudinal antimalarial drug efficacy study: comparison of results based on genotyping of msp-1, msp-2, and glurp. Am J Trop Med Hyg 68 : 133–139.
  4. Hughes MK, Hughes AL, 1995. Natural selection on Plasmodium surface proteins. Mol Biochem Parasitol 71 : 99–113.
  5. Escalante AA, Lal AA, Ayala FJ, 1998. Genetic polymorphism and natural selection in the malaria parasite Plasmodium falciparum. Genetics 149 : 189–202.
  6. Su XZ, Wellems TE, 1996. Toward a high-resolution Plasmodium falciparum linkage map: polymorphic markers from hundreds of simple sequence repeats. Genomics 33 : 430–444.
  7. Anderson TJC, Su X-Z, Bockarie M, Lagog M, Day KP, 1999. Twelve microsatellite markers for characterization of Plasmodium falciparum from finger prick blood samples. Parasitology 119 : 113–126.
  8. Rwagacondo C, Karema C, Mugisha V, Erhart A, Dujardin JC, Van Overmeir C, Ringwald P, D’Alessandro U, 2004. Is amodiaquine failing in Rwanda? Efficacy of amodiaquine alone and combined with artesunate in children with uncomplicated malaria. Trop Med Int Health 9 : 1091–1098.
  9. Wooden J, Kyes S, Sibley CH, 1993. PCR and strain identification in Plasmodium falciparum. Parasitol Today 9 : 303–305.
  10. World Health Organization (WHO), 2003. Assessment and Monitoring of Antimalarial Drug Efficacy for the Treatment of Uncomplicated falciparum Malaria. Geneva: World Health Organization. WHO/HTM/RBM/2003.50.
  11. Weber JL, Wong C, 1993. Mutation of human short tandem repeats. Hum Mol Genet 2 : 1123–1128.
  12. Rich SM, Ayala JF, 2000. Population structure and recent evolution of Plasmodium falciparum. Proc Natl Acad Sci U S A 97 : 6994–7001.
  13. Wootton JC, Feng X, Ferdig MT, Cooper RA, Mu J, Baruch DI, Magill AJ, Su XZ, 2002. Genetic diversity and chloroquine selective sweeps in Plasmodium falciparum. Nature. 18 : 320–323.
  14. Nair S, Williams JT, Brockman A, Paiphun L, Mayxay M, Newton PN, Guthmann JP, Smithuis FM, Hien TT, White NJ, Nosten F, Anderson TJ, 2003. A selective sweep driven by pyrimethamine treatment in southeast Asian malaria parasites. Mol Biol Evol 20 : 1526–1536.
  15. Anderson TJC, Su X, Roddam A, Day KP, 2000. Complex mutations in a high proportion of microsatellite loci from the protozoan parasite. Mol Ecol 9 : 1599–1608.
http://instance.metastore.ingenta.com/content/journals/10.4269/ajtmh.2005.73.210
Loading
/content/journals/10.4269/ajtmh.2005.73.210
Loading

Data & Media loading...

  • Received : 22 Nov 2004
  • Accepted : 05 Feb 2005

Most Cited This Month

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error