| Literature DB >> 28039354 |
Patrick Tumwebaze1, Stephen Tukwasibwe1, Aimee Taylor2,3, Melissa Conrad4, Emmanuel Ruhamyankaka1, Victor Asua1, Andrew Walakira1, Joaniter Nankabirwa1, Adoke Yeka5, Sarah G Staedke6, Bryan Greenhouse4, Samuel L Nsobya1, Moses R Kamya1,7, Grant Dorsey4, Philip J Rosenthal4.
Abstract
We assessed Plasmodium falciparum drug resistance markers in parasites collected in 2012, 2013, and 2015 at 3 sites in Uganda. The prevalence and frequency of parasites with mutations in putative transporters previously associated with resistance to aminoquinolines, but increased sensitivity to lumefantrine (pfcrt 76T; pfmdr1 86Y and 1246Y), decreased markedly at all sites. Antifolate resistance mutations were common, with apparent emergence of mutations (pfdhfr 164L; pfdhps 581G) associated with high-level resistance. K13 mutations linked to artemisinin resistance were uncommon and did not increase over time. Changing malaria treatment practices have been accompanied by profound changes in markers of resistance.Entities:
Keywords: K13; Malaria; Plasmodium falciparum; amodiaquine; artemether; artemisinin; artesunate; chloroquine; dihydroartemisinin; drug resistance; lumefantrine; pfcrt; pfmdr1; piperaquine
Mesh:
Substances:
Year: 2017 PMID: 28039354 PMCID: PMC5853976 DOI: 10.1093/infdis/jiw614
Source DB: PubMed Journal: J Infect Dis ISSN: 0022-1899 Impact factor: 5.226