pfcrt Polymorphism and the spread of chloroquine resistance in Plasmodium falciparum populations across the Amazon Basin.

作者: Pedro Paulo Vieira , Marcelo Urbano Ferreira , Maria das Graças Alecrim , Wilson D. Alecrim , Luiz Hidelbrando P. da Silva

DOI: 10.1086/422006

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摘要: The widespread occurrence of drug-resistant malaria parasites in South America presents a formidable obstacle to disease control this region. To characterize parasite populations and the chloroquine-resistance profile Plasmodium falciparum Amazon Basin, we analyzed DNA segment pfcrt gene, spanning codons 72-76, genotyped 15 microsatellite (MS) markers 98 isolates from 6 areas Brazil, Peru, Colombia where is endemic. K76T mutation, which critical for chloroquine resistance, was found all isolates. Five haplotypes (S[tct]MNT, S[agt]MNT, CMNT, CMET, CIET) were observed, including 1 previously Asian/African MS genotyping showed relatively homogeneous genetic backgrounds among isolates, with an average 3.8 alleles per marker. Isolates identical 15-loci different locations, suggesting free gene flow across Basin. Allopatric carrying SMNT CMNT have similar backgrounds, although CIET haplotype some exclusive alleles, that likely been introduced into Brazil Asia or Africa. This study provides first evidence Asian allele detailed analysis P. populations, respect haplotypes,

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