Antimalarial Drug Resistance Profiling of Plasmodium falciparum Infections in Ghana Using Molecular Inversion Probes and Next-Generation Sequencing

Author:

Mensah Benedicta A.12,Aydemir Ozkan3,Myers-Hansen James L.1,Opoku Millicent1,Hathaway Nicholas J.3,Marsh Patrick W.3,Anto Francis2,Bailey Jeffrey34,Abuaku Benjamin1,Ghansah Anita1

Affiliation:

1. Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Accra, Ghana

2. School of Public Health, University of Ghana, Accra, Ghana

3. Program in Bioinformatics and Integrative Biology, University of Massachusetts, Worcester, Massachusetts, USA

4. Division of Transfusion Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA

Abstract

A key drawback to monitoring the emergence and spread of antimalarial drug resistance in sub-Saharan Africa is early detection and containment. Next-generation sequencing methods offer the resolution, sensitivity, and scale required to fill this gap by surveilling for molecular markers of drug resistance. We performed targeted sequencing using molecular inversion probes to interrogate five Plasmodium falciparum genes ( pfcrt , pfmdr1 , pfdhps , pfdhfr , and pfk13 ) implicated in chloroquine, sulfadoxine-pyrimethamine (SP), and artemisinin resistance in two sites in Ghana.

Funder

HHS | NIH | National Institute of Allergy and Infectious Diseases

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference84 articles.

1. WHO. 2019. World malaria report 2019. https://www.who.int/publications-detail/world-malaria-report-2019. Accessed 9 December 2019.

2. WHO. 2009. Anti-malaria drug policy for Ghana 2nd revised version 2009. http://apps.who.int/medicinedocs/en/d/Js18072en/.

3. Ghana Statistical Service, Ghana Health Service, ICF International. 2015. Ghana demographic and health survey 2014. Ghana Statistical Service, Ghana Health Service, and ICF International, Rockville, MD.

4. Ghana Statistical Service/Ghana, National Malaria Control Programme/Ghana, National Public Health Reference Laboratory/Ghana, ICF. 2017. Ghana malaria indicator survey 2016. Ghana Statistical Service/Ghana, National Malaria Control Programme/Ghana, National Public Health Reference Laboratory/Ghana, ICF, Accra, Ghana.

5. Ghana Health Service. 2015. Seasonal malaria chemoprevention (SMC). https://ghanahealthservice.org/malaria/subcategory.php?nmcpscid=115&nmcpcid=85. Accessed 2018.

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