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Added by standudu
Last modified by jacques.colinge
Group name EquipeJC
Item Type Journal Article
Title Functional analysis of Plasmodium falciparum subpopulations associated with artemisinin resistance in Cambodia
Creator Dwivedi et al.
Author Ankit Dwivedi
Author Christelle Reynes
Author Axel Kuehn
Author Daniel B. Roche
Author Nimol Khim
Author Maxim Hebrard
Author Sylvain Milanesi
Author Eric Rivals
Author Roger Frutos
Author Didier Menard
Author Choukri Ben Mamoun
Author Jacques Colinge
Author Emmanuel Cornillot
Abstract BACKGROUND: Plasmodium falciparum malaria is one of the most widespread parasitic infections in humans and remains a leading global health concern. Malaria elimination efforts are threatened by the emergence and spread of resistance to artemisinin-based combination therapy, the first-line treatment of malaria. Promising molecular markers and pathways associated with artemisinin drug resistance have been identified, but the underlying molecular mechanisms of resistance remains unknown. The genomic data from early period of emergence of artemisinin resistance (2008-2011) was evaluated, with aim to define k13 associated genetic background in Cambodia, the country identified as epicentre of anti-malarial drug resistance, through characterization of 167 parasite isolates using a panel of 21,257 SNPs. RESULTS: Eight subpopulations were identified suggesting a process of acquisition of artemisinin resistance consistent with an emergence-selection-diffusion model, supported by the shifting balance theory. Identification of population specific mutations facilitated the characterization of a core set of 57 background genes associated with artemisinin resistance and associated pathways. The analysis indicates that the background of artemisinin resistance was not acquired after drug pressure, rather is the result of fixation followed by selection on the daughter subpopulations derived from the ancestral population. CONCLUSIONS: Functional analysis of artemisinin resistance subpopulations illustrates the strong interplay between ubiquitination and cell division or differentiation in artemisinin resistant parasites. The relationship of these pathways with the P. falciparum resistant subpopulation and presence of drug resistance markers in addition to k13, highlights the major role of admixed parasite population in the diffusion of artemisinin resistant background. The diffusion of resistant genes in the Cambodian admixed population after selection resulted from mating of gametocytes of sensitive and resistant parasite populations.
Publication Malaria Journal
Volume 16
Issue 1
Pages 493
Date Dec 19, 2017
Journal Abbr Malar. J.
Language eng
DOI 10.1186/s12936-017-2140-1
ISSN 1475-2875
Library Catalog PubMed
Extra PMID: 29258508 PMCID: PMC5735551
Tags Admixed subpopulations, Artemisinin resistance, Cambodia, corresponding, k13, last, Malaria, Network based stratification, original, phd, Plasmodium falciparum, Population fragmentation, postdoc, Redox metabolism, Shifting balance theory
Date Added 2018/02/28 - 16:51:41
Date Modified 2019/10/22 - 21:12:20
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