| Literature DB >> 26462203 |
Tamar E Carter1, Halley Malloy2, Alexandre Existe3, Gladys Memnon4, Yves St Victor5, Bernard A Okech6, Connie J Mulligan7.
Abstract
Hispaniola, comprising Haiti and the Dominican Republic, has been identified as a candidate for malaria elimination. However, incomplete surveillance data in Haiti hamper efforts to assess the impact of ongoing malaria control interventions. Characteristics of the genetic diversity of Plasmodium falciparum populations can be used to assess parasite transmission, which is information vital to evaluating malaria elimination efforts. Here we characterize the genetic diversity of P. falciparum samples collected from patients at seven sites in Haiti using 12 microsatellite markers previously employed in population genetic analyses of global P. falciparum populations. We measured multiplicity of infections, level of genetic diversity, degree of population geographic substructure, and linkage disequilibrium (defined as non-random association of alleles from different loci). For low transmission populations like Haiti, we expect to see few multiple infections, low levels of genetic diversity, high degree of population structure, and high linkage disequilibrium. In Haiti, we found low levels of multiple infections (12.9%), moderate to high levels of genetic diversity (mean number of alleles per locus = 4.9, heterozygosity = 0.61), low levels of population structure (highest pairwise Fst = 0.09 and no clustering in principal components analysis), and moderate linkage disequilibrium (ISA = 0.05, P<0.0001). In addition, population bottleneck analysis revealed no evidence for a reduction in the P. falciparum population size in Haiti. We conclude that the high level of genetic diversity and lack of evidence for a population bottleneck may suggest that Haiti's P. falciparum population has been stable and discuss the implications of our results for understanding the impact of malaria control interventions. We also discuss the relevance of parasite population history and other host and vector factors when assessing transmission intensity from genetic diversity data.Entities:
Mesh:
Year: 2015 PMID: 26462203 PMCID: PMC4604141 DOI: 10.1371/journal.pone.0140416
Source DB: PubMed Journal: PLoS One ISSN: 1932-6203 Impact factor: 3.240
Fig 1Map of study sites in Haiti. Study sites are indicated by the colored stars. Blue stars indicate the study sites where the majority of samples were collected.
Sample size across study sites and collection years.
| Site | 2010 | 2011 | 2012 | 2013 | All |
|---|---|---|---|---|---|
| Terre Noire | 6 | 21 | 12 | 0 | 39 |
| Leogane | 0 | 9 | 9 | 0 | 18 |
| Jacmel | 0 | 0 | 14 | 2 | 16 |
| Chabin | 0 | 0 | 0 | 2 | 2 |
| Hinche | 0 | 4 | 0 | 0 | 4 |
| North Cap Haitien | 0 | 4 | 0 | 0 | 4 |
| Nippes | 0 | 0 | 2 | 0 | 2 |
| All Sites | 6 | 38 | 37 | 4 | 85 |
Multiplicity of infection, mean number of alleles, and heterozygosity in Haiti compared to ranges observed in high and low malaria transmission populations.
| n | No. multiple infections–at least one locus with multiple alleles | Percent Multiple Infection(95% Confidence Intervals) | Mean No. of alleles(Standard deviation) | Heterozygosity (Standard deviation) | |
|---|---|---|---|---|---|
| Haiti | 85 | 11 | 12.94 (5.81,20.08) | 4.92 (± 1.68) | 0.61 (± 0.13) |
|
| |||||
| Low Transmission | — | — | <20.00% | 2.17–4.92 | 0.30–0.40 |
| High Transmission | — | — | >45.00% | 6.00–10.67 | 0.62–0.80 |
¥ Data reported from Anderson et al.[20].
Fig 2Allele frequency distribution in Haiti compared to high and low malaria transmission countries. Non-Haitian data taken from Anderson et al.[20]. Mebat and Buksak are sites within Papua New Guinea.
Analysis of population structure across three largest sample sites: Terre Noire (Port au Prince), Leogane, and Jacmel. Pairwise Fst (bottom half) and p-values (top half) are listed.
| Study Sites | Terre Noire | Leogane | Jacmel |
|---|---|---|---|
| Terre Noire | — | 0.04505 | <0.00001 |
| Leogane | 0.02488 | — | 0.00901 |
| Jacmel | 0.09288 | 0.06959 | — |
Fig 3Plot of the first two principal components of principal component analysis, color coded by study site.