Plasmodium falciparum kelch propeller polymorphisms in clinical isolates from Ghana: 2007-2016.

Plasmodium falciparum kelch propeller polymorphisms in clinical isolates from Ghana: 2007-2016. Antimicrob Agents Chemother. 2019 Aug 19;: Authors: Matrevi SA, Opoku-Agyeman P, Quashie NB, Bruku S, Abuaku B, Koram KA, Fox A, Letizia A, Duah-Quashie NO Abstract The continuous surveillance of polymorphisms in the kelch propeller domain of Plasmodium falciparum from Africa is important for the discovery of the actual markers of artemisinin resistance in the region. The information on the markers is crucial for control strategies involving chemotherapy and chemoprophylaxis for residents and non-immune travellers to the country. Polymorphisms in the kelch propeller domain of Ghanaian malaria parasites from three different ecological zones at several time periods were assessed. A total of 854 archived samples (2007-2016) collected from uncomplicated malaria patients aged ≤9 years old from 10 sentinel sites were used. Eighty-four percent had wildtype sequences (PF3D7_1343700) while many of the mutants had mostly nonsynonymous mutations clustered around codons 404-650. Variants with different amino acid changes of the codons associated with ART resistance validated markers were observed in Ghanaian isolates: frequencies for I543I, I543S, I543V, R561P, R561R, C580V were 0.12% each and 0.6% for R539I. Mutations reported from African parasites, A578S (0.23%) and Q613L (0.23%) were also observed. Three persisting NS mutations, N599Y (0.005%), ...
Source: Antimicrobial Agents and Chemotherapy - Category: Microbiology Authors: Tags: Antimicrob Agents Chemother Source Type: research