Plasmodium falciparum Isolates with Increased pfmdr1 Copy Number Circulate in West Africa

Author:

Witkowski Benoit12,Nicolau Marie-Laure12,Soh Patrice Njomnang12,Iriart Xavier13,Menard Sandie13,Alvarez Muriel4,Marchou Bruno4,Magnaval Jean-François1,Benoit-Vical Françoise12,Berry Antoine13

Affiliation:

1. Service de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Toulouse, Université de Toulouse, and Faculté de Médecine de Rangueil, Université de Toulouse III, Toulouse, France

2. Laboratoire de Chimie de Coordination, CNRS, UPR8241, and Université de Toulouse III, Toulouse, France

3. UMR3 MD-UM-UPS, Université Paul Sabatier Toulouse III, Toulouse, France

4. Service des Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire de Toulouse, Toulouse, France

Abstract

ABSTRACT Amplification of pfmdr1 in Plasmodium falciparum is linked to resistance to aryl-amino-alcohols and in reduced susceptibility to artemisinins. We demonstrate here that duplicated pfmdr1 genotypes circulate in West Africa. The monitoring of this prevalence in Africa appears essential for determining the antimalarial policy and to maintain the efficiency of artemisinin-based combination therapy (ACT) for as long as possible.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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