Selection of pfmdr1 and pfcrt alleles in amodiaquine treatment failure in north-western Burkina Faso

In 111 children under five years of age and with uncomplicated malaria in Nouna, north-western Burkina Faso, amodiaquine treatment failed in 75% (after PCR-based exclusion of new infections, 32%). In these, we assessed the role of Plasmodium falciparum pfmdr1 and pfcrt polymorphisms in amodiaquine r...

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Hauptverfasser: Danquah, Ina (VerfasserIn) , Coulibaly, Boubacar (VerfasserIn) , Meissner, Peter (VerfasserIn) , Petruschke, Inga (VerfasserIn) , Müller, Olaf (VerfasserIn) , Mockenhaupt, Frank Peter (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 7 January 2010
In: Acta tropica
Year: 2010, Jahrgang: 114, Heft: 1, Pages: 63-66
ISSN:1873-6254
DOI:10.1016/j.actatropica.2009.12.008
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.actatropica.2009.12.008
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0001706X10000021
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Verfasserangaben:Ina Danquah, Boubacar Coulibaly, Peter Meissner, Inga Petruschke, Olaf Müller, Frank P. Mockenhaupt
Beschreibung
Zusammenfassung:In 111 children under five years of age and with uncomplicated malaria in Nouna, north-western Burkina Faso, amodiaquine treatment failed in 75% (after PCR-based exclusion of new infections, 32%). In these, we assessed the role of Plasmodium falciparum pfmdr1 and pfcrt polymorphisms in amodiaquine resistance. Except for pfmdr1 1246Y (prevalence, 5%), no P. falciparum allele predicted treatment outcome. Pfcrt 76T as well as pfmdr1 86Y, 86Y-184F-1246D, and 86Y-184Y-1246Y were positively selected in treatment failures, and pfmdr1 86N-184F-1246D negatively. The weak association of pfmdr1/pfcrt alleles with amodiaquine treatment outcome suggests further factors to be involved in the unsatisfactory low efficacy of the drug and limits the usefulness of these markers in this area.
Beschreibung:Gesehen am 10.08.2023
Beschreibung:Online Resource
ISSN:1873-6254
DOI:10.1016/j.actatropica.2009.12.008