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Genetic characteristics of P. falciparum parasites collected from 2012 to 2016 and anti-malaria resistance along the China-Myanmar border

Title: Genetic characteristics of P. falciparum parasites collected from 2012 to 2016 and anti-malaria resistance along the China-Myanmar border
Authors: Li, Mei; Liu, Hui; Tang, Linhua; Yang, Henglin; Bustos, Maria Dorina Geluz; Tu, Hong; Ringwald, Pascal
Contributors: Gupta, Himanshu; National Natural Science Foundation of China; WHO Mekong Malaria Programme; USAID-PMI; Global Fund
Source: PLOS ONE ; volume 18, issue 11, page e0293590 ; ISSN 1932-6203
Publisher Information: Public Library of Science (PLoS)
Publication Year: 2023
Collection: PLOS Publications (via CrossRef)
Description: Backgrounds The therapeutic efficacy studies of DHA-PIP for uncomplicated Plasmodium falciparum patients were implemented from 2012 to 2016 along China (Yunnan province)-Myanmar border, which verified the high efficacy of DHA-PIP. With the samples collected in these studies, the genetic characteristics of P . falciparum parasites based on in vivo parasite clearance time (PCT) was investigated to explore if these parasites had developed resistance to DHA and PIP at molecular level. Methods The genetic characteristics were investigated based on K13 genotypes, copy numbers of genes pfpm2 and pfmdr1, and nine microsatellite loci (Short Tandem Repeats, STR) flanking the K13 gene on chromosome 13. The PCT 50s were compared based on different K13 genotypes, sites, periods and copy numbers. Results In the NW (North-West Yunnan province bordering with Myanmar) region, F446I was the main K13 genotype. No significant differences for PCT 50s presented among three K13 genotypes. In SW (South-West Yunnan province bordering with Myanmar) region, only wild K13 genotype was detected in all parasite isolates whose PCT 50s was significantly longer than those in NW region. For the copy numbers of genes, parasite isolates containing multiple copies of pfmdr1 gene were found in both regions, but only single copy of pfpm2 gene was detected. Though the prevalence of parasite isolates with multiple copies of pfmdr1 gene in SW region was higher than that in NW region, no difference in PCT 50s were presented between isolates with single and multiple copies of pfmdr1 gene. The median He values of F446I group and Others (Non-F446I K13 mutation) group were 0.08 and 0.41 respectively. The mean He values of ML group (Menglian County in SW) and W (wild K13 genotype in NW) group were 0 and 0.69 respectively. The mean F st values between ML and W groups were significantly higher than the other two K13 groups. Conclusions P . falciparum isolates in NW and SW regions had very different genetic characteristics. The F446I was hypothesized to have ...
Document Type: article in journal/newspaper
Language: English
DOI: 10.1371/journal.pone.0293590
Availability: https://doi.org/10.1371/journal.pone.0293590; https://dx.plos.org/10.1371/journal.pone.0293590
Rights: http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.C77C0212
Database: BASE