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Resistance of Plasmodium falciparum field isolates to in-vitro artemether and point mutations of the SERCA-type PfATPase6

Artemisinin derivatives are an essential component of treatment against multidrug-resistant Plasmodium falciparum malaria. We aimed to investigate in-vitro resistance to artemisinin derivatives in field isolates. In-vitro susceptibility of 530 P falciparum isolates from three countries (Cambodia, Fr...

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Published in:The Lancet (British edition) 2005-12, Vol.366 (9501), p.1960-3
Main Authors: Jambou, Ronan, Legrand, Eric, Niang, Makhtar, Khim, Nimol, Lim, Pharath, Volney, Béatrice, Ekala, Marie Thérèse, Bouchier, Christiane, Esterre, Philippe, Fandeur, Thierry, Mercereau-Puijalon, Odile
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container_issue 9501
container_start_page 1960
container_title The Lancet (British edition)
container_volume 366
creator Jambou, Ronan
Legrand, Eric
Niang, Makhtar
Khim, Nimol
Lim, Pharath
Volney, Béatrice
Ekala, Marie Thérèse
Bouchier, Christiane
Esterre, Philippe
Fandeur, Thierry
Mercereau-Puijalon, Odile
description Artemisinin derivatives are an essential component of treatment against multidrug-resistant Plasmodium falciparum malaria. We aimed to investigate in-vitro resistance to artemisinin derivatives in field isolates. In-vitro susceptibility of 530 P falciparum isolates from three countries (Cambodia, French Guiana, and Senegal) with different artemisinin use was assessed with an isotopic microtest. Artemether IC50 up to 117 and 45 nmol/L was seen in French Guiana and Senegal, respectively. DNA sequencing in a subsample of 60 isolates lends support to SERCA-PfATPase6 as the target for artemisinins. The S769N PfATPase6 mutation, noted exclusively in French Guiana, was associated with raised (>30 nmol/L) artemether IC50s (p
doi_str_mv 10.1016/S0140-6736(05)67787-2
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subjects Animals
Antimalarials
Artemisinins
Drug Resistance, Multiple
Genotype
Humans
Life Sciences
Microbiology and Parasitology
Parasitic Sensitivity Tests
Parasitology
Plasmodium falciparum
Point Mutation
title Resistance of Plasmodium falciparum field isolates to in-vitro artemether and point mutations of the SERCA-type PfATPase6
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