Volume 85, Issue 5
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



Widespread antimalarial resistance has been a barrier to malaria elimination efforts in Sri Lanka. Analysis of genetic markers in historic parasites may uncover trends in the spread of resistance. We examined the frequency of chloroquine transporter (; codons 72–76) haplotypes in Sri Lanka in 1996–1998 and 2004–2006 using a high-resolution melting assay. Among 59 samples from 1996 to 1998, we detected the SVMNT (86%), CVMNK (10%), and CVIET (2%) haplotypes, with a positive trend in SVMNT and a negative trend in CVMNK frequency ( = 0.004) over time. Among 24 samples from 2004 to 2006, we observed only the SVMNT haplotype. This finding indicates selection for the SVMNT haplotype over time and its possible fixation in the population.


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  1. Snow RW, Guerra CA, Noor AM, Myint HY, Hay SI, , 2005. The global distribution of clinical episodes of Plasmodium falciparum malaria. Nature 434: 214217.[Crossref] [Google Scholar]
  2. Epidemiology Unit, Ministry of Health, Sri Lanka, 2009. Quarterly Reports, Epidemiology Unit, Ministry of Health, Colombo, Sri Lanka, 2000–2009. Sri Lanka: Ministry of Health. [Google Scholar]
  3. Ministry of Health, Sri Lanka, 2008. Strategic Plan for Elimination of Malaria 2008–2012. Anti-Malaria Campaign, Ministry of Health, Colombo, Sri Lanka. Sri Lanka: Ministry of Health. [Google Scholar]
  4. Rajakaruna R, Amerasinghe P, Galappaththy G, Konradsen F, Briet O, Alifrangis M, , 2008. Current status of malaria and anti-malarial drug resistance in Sri Lanka. Ceylon J Sci (Bio Sci) 37: 1522. [Google Scholar]
  5. Ratnapala R, Subramaniam K, Yapabandara MG, Fernando WP, , 1984. Chloroquine resistant Plasmodium falciparum in Sri Lanka. Ceylon Med J 29: 135145. [Google Scholar]
  6. Handunnetti SM, Jayasinghe S, Pathirana PP, Fernando R, Sheriff MH, Mendis KN, , 1994. Sulphadoxine-pyrimethamine and chloroquine resistant Plasmodium falciparum infection in Sri Lanka. Ceylon Med J 39: 4546. [Google Scholar]
  7. Hapuarachchi HC, Abeysundara S, Dayanath MY, Manamperi A, Abeyewickreme W, de Silva NR, , 2009. Molecular markers of chloroquine resistance in Plasmodium falciparum in Sri Lanka: frequency before revision of the antimalarial drug policy. Ann Trop Med Parasitol 103: 351356.[Crossref] [Google Scholar]
  8. Fidock DA, Nomura T, Talley AK, Cooper RA, Dzekunov SM, Ferdig MT, Ursos LMB, Sidhu AS, Naudé B, Deitsch KW, Su X, Wootton JC, Roepe PD, Wellems TE, , 2000. Mutations in the P. falciparum digestive vacuole transmembrane protein PfCRT and evidence for their role in chloroquine resistance. Mol Cell 6: 861871.[Crossref] [Google Scholar]
  9. Djimde A, Doumbo OK, Cortese JF, Kayentao K, Doumbo S, Diourte Y, Dicko A, Su X, Nomura T, Fidock D, Wellems T, Plowe C, Coulibaly D, , 2001. A molecular marker for chloroquine-resistant falciparum malaria. N Engl J Med 344: 257263.[Crossref] [Google Scholar]
  10. Mita T, Tanabe K, Kita K, , 2009. Spread and evolution of Plasmodium falciparum drug resistance. Parasitol Int 58: 201209.[Crossref] [Google Scholar]
  11. JM, Twu O, Hayton K, Reyes S, Fay MP, Ringwald P, Wellems TE, , 2009. Geographic patterns of Plasmodium falciparum drug resistance distinguished by differential responses to amodiaquine and chloroquine. Proc Natl Acad Sci USA 106: 1888318889.[Crossref] [Google Scholar]
  12. Beshir K, Sutherland CJ, Merinopoulos I, Durrani N, Leslie T, Rowland M, Hallett R, , 2010. Amodiaquine resistance in Plasmodium falciparum malaria in Afghanistan is associated with the Pfcrt SVMNT allele at codons 72 to 76. Antimicrob Agents Chemother 54: 37143716.[Crossref] [Google Scholar]
  13. Schousboe ML, Rajakaruna RS, Salanti A, Hapuarachchi HC, Galappaththy GN, Bygbjerg IC, Amerasinghe PH, Konradsen F, Alifrangis M, , 2007. Island-wide diversity in single nucleotide polymorphisms of the Plasmodium vivax dihydrofolate reductase and dihydropteroate synthetase genes in Sri Lanka. Malar J 6: 28.[Crossref] [Google Scholar]
  14. Mixson-Hayden T, Jain V, McCollum AM, Poe A, Nagpal AC, Dash AP, Stiles JK, Udhayakumar V, Singh N, , 2010. Evidence of selective sweeps in genes conferring resistance to chloroquine and pyrimethamine in Plasmodium falciparum isolates in India. Antimicrob Agents Chemother 54: 9971006.[Crossref] [Google Scholar]
  15. Rebaudet S, Bogreau H, Silai R, Lepere JF, Bertaux L, Pradines B, Delmont J, Gautret P, Parola P, Rogier C, , 2010. Genetic structure of Plasmodium falciparum and elimination of malaria, Comoros Archipelago. Emerg Infect Dis 16: 16861694.[Crossref] [Google Scholar]

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  • Received : 23 Mar 2011
  • Accepted : 30 Jul 2011
  • Published online : 01 Nov 2011

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