Independent origin of Plasmodium falciparum antifolate super-resistance, Uganda, Tanzania, and Ethiopia
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Independent origin of Plasmodium falciparum antifolate super-resistance, Uganda, Tanzania, and Ethiopia. / Alifrangis, Michael; Nag, Sidsel; Schousboe, Mette L; Ishengoma, Deus; Lusingu, John; Pota, Hirva; Kavishe, Reginald A; Pearce, Richard; Ord, Rosalynn; Lynch, Caroline; Dejene, Seyoum; Cox, Jonathan; Rwakimari, John; Minja, Daniel T R; Lemnge, Martha M; Roper, Cally.
In: Emerging Infectious Diseases (Print Edition), Vol. 20, No. 8, 08.2014, p. 1280-6.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Independent origin of Plasmodium falciparum antifolate super-resistance, Uganda, Tanzania, and Ethiopia
AU - Alifrangis, Michael
AU - Nag, Sidsel
AU - Schousboe, Mette L
AU - Ishengoma, Deus
AU - Lusingu, John
AU - Pota, Hirva
AU - Kavishe, Reginald A
AU - Pearce, Richard
AU - Ord, Rosalynn
AU - Lynch, Caroline
AU - Dejene, Seyoum
AU - Cox, Jonathan
AU - Rwakimari, John
AU - Minja, Daniel T R
AU - Lemnge, Martha M
AU - Roper, Cally
PY - 2014/8
Y1 - 2014/8
N2 - Super-resistant Plasmodium falciparum threatens the effectiveness of sulfadoxine-pyrimethamine in intermittent preventive treatment for malaria during pregnancy. It is characterized by the A581G Pfdhps mutation on a background of the double-mutant Pfdhps and the triple-mutant Pfdhfr. Using samples collected during 2004-2008, we investigated the evolutionary origin of the A581G mutation by characterizing microsatellite diversity flanking Pfdhps triple-mutant (437G+540E+581G) alleles from 3 locations in eastern Africa and comparing it with double-mutant (437G+540E) alleles from the same area. In Ethiopia, both alleles derived from 1 lineage that was distinct from those in Uganda and Tanzania. Uganda and Tanzania triple mutants derived from the previously characterized southeastern Africa double-mutant lineage. The A581G mutation has occurred multiple times on local Pfdhps double-mutant backgrounds; however, a novel microsatellite allele incorporated into the Tanzania lineage since 2004 illustrates the local expansion of emergent triple-mutant lineages.
AB - Super-resistant Plasmodium falciparum threatens the effectiveness of sulfadoxine-pyrimethamine in intermittent preventive treatment for malaria during pregnancy. It is characterized by the A581G Pfdhps mutation on a background of the double-mutant Pfdhps and the triple-mutant Pfdhfr. Using samples collected during 2004-2008, we investigated the evolutionary origin of the A581G mutation by characterizing microsatellite diversity flanking Pfdhps triple-mutant (437G+540E+581G) alleles from 3 locations in eastern Africa and comparing it with double-mutant (437G+540E) alleles from the same area. In Ethiopia, both alleles derived from 1 lineage that was distinct from those in Uganda and Tanzania. Uganda and Tanzania triple mutants derived from the previously characterized southeastern Africa double-mutant lineage. The A581G mutation has occurred multiple times on local Pfdhps double-mutant backgrounds; however, a novel microsatellite allele incorporated into the Tanzania lineage since 2004 illustrates the local expansion of emergent triple-mutant lineages.
U2 - 10.3201/eid2008.131897
DO - 10.3201/eid2008.131897
M3 - Journal article
C2 - 25061906
VL - 20
SP - 1280
EP - 1286
JO - Emerging Infectious Diseases
JF - Emerging Infectious Diseases
SN - 1080-6040
IS - 8
ER -
ID: 119725232