作者
Rachida Tahar, Pascal Ringwald, Leonardo K Basco
发表日期
2009/7/1
期刊
American Journal of Tropical Medicine and Hygiene
卷号
81
期号
1
页码范围
13
简介
The Plasmodium falciparum ATPase 6 (Pfatp6), homolog of sarco-endoplasmic reticulum, calcium-dependent ATPase in malaria parasites, has been proposed to be the main target of artemisinins. Four distinct point mutations (L263E, E431K, A623E, and S769N) have been reported to be associated with artemisinin resistance. The Pfatp6 sequence polymorphism was determined to evaluate the prevalence of these mutations in fresh clinical isolates in Yaounde, Cameroon, and compare sequence data with in vitro response to dihydroartemisinin. Two major haplotypes were observed: the wild-type LEAS (n= 60, 62%) and a single mutant LKAS (n= 35, 36%). These amino acid substitutions did not influence the level of in vitro response to dihydroartemisinin (P> 0.05). Plasmodium falciparum isolates from Cameroon are highly sensitive in vitro to artemisinins. However, the relatively high prevalence of E431K may be a warning signal that warrants a regular monitoring of these molecular markers and/or in vitro activity of artemisinin derivatives.
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