Literature DB >> 27443612

Whole-Genome Sequencing to Evaluate the Resistance Landscape Following Antimalarial Treatment Failure With Fosmidomycin-Clindamycin.

Ann M Guggisberg1, Sesh A Sundararaman2, Miguel Lanaspa3, Cinta Moraleda3, Raquel González3, Alfredo Mayor3, Pau Cisteró4, David Hutchinson5, Peter G Kremsner6, Beatrice H Hahn2, Quique Bassat7, Audrey R Odom8.   

Abstract

Novel antimalarial therapies are needed in the face of emerging resistance to artemisinin combination therapies. A previous study found a high cure rate in Mozambican children with uncomplicated Plasmodium falciparum malaria 7 days after combination treatment with fosmidomycin-clindamycin. However, 28-day cure rates were low (45.9%), owing to parasite recrudescence. We sought to identify any genetic changes underlying parasite recrudescence. To this end, we used a selective whole-genome amplification method to amplify parasite genomes from blood spot DNA samples. Parasite genomes from pretreatment and postrecrudescence samples were subjected to whole-genome sequencing to identify nucleotide variants. Our data did not support the existence of a genetic change responsible for recrudescence following fosmidomycin-clindamycin treatment. Additionally, we found that previously described resistance alleles for these drugs do not represent biomarkers of recrudescence. Future studies should continue to optimize fosmidomycin combinations for use as antimalarial therapies.
© The Author 2016. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail journals.permissions@oup.com.

Entities:  

Keywords:  Malaria; Plasmodium; clindamycin; fosmidomycin; recrudescence; whole genome amplification

Mesh:

Substances:

Year:  2016        PMID: 27443612      PMCID: PMC5021231          DOI: 10.1093/infdis/jiw304

Source DB:  PubMed          Journal:  J Infect Dis        ISSN: 0022-1899            Impact factor:   5.226


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