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Genetic Polymorphisms in Plasmodium vivax Dihydrofolate Reductase and Dihydropteroate Synthase in Isolates from the Philippines, Bangladesh, and Nepal

  • Thongdee, Pimwan (Graduate Program in Bioclinical Sciences, Chulabhorn International College of Medicine, Thammasat University) ;
  • Kuesap, Jiraporn (Graduate Program in Biomedical Sciences, Faculty of Allied Health Sciences, Thammasat University) ;
  • Rungsihirunrat, Kanchana (Malaria Research Program, College of Public Health Sciences, Chulalongkorn University) ;
  • Dumre, Shyam Prakash (World Health Organization-Nepal/Epidemiology and Disease Control Division (EDCD), DoHS) ;
  • Espino, Effie (Research Institute for Tropical Medicine (RITM), Department of Health (DOH)) ;
  • Noedl, Harald (Institute of Specific Prophylaxis and Tropical Medicine, Medical University of Vienna) ;
  • Na-Bangchang, Kesara (Graduate Program in Bioclinical Sciences, Chulabhorn International College of Medicine, Thammasat University)
  • Received : 2014.11.24
  • Accepted : 2015.01.25
  • Published : 2015.04.30

Abstract

Genetic polymorphisms of pvdhfr and pvdhps genes of Plasmodium vivax were investigated in 83 blood samples collected from patients in the Philippines, Bangladesh, and Nepal. The SNP-haplotypes of the pvdhfr gene at the amino acid positions 13, 33, 57, 58, 61, 117, and 173, and that of the pvdhps gene at the positions 383 and 553 were analyzed by nested PCR-RFLP. Results suggest diverse polymorphic patterns of pvdhfr alone as well as the combination patterns with pvdhps mutant alleles in P. vivax isolates collected from the 3 endemic countries in Asia. All samples carried mutant combination alleles of pvdhfr and pvdhps. The most prevalent combination alleles found in samples from the Philippines and Bangladesh were triple mutant pvdhfr combined with single mutant pvdhps allele and triple mutant pvdhfr combined with double wild-type pvdhps alleles, respectively. Those collected from Nepal were quadruple mutant pvdhfr combined with double wild-type pvdhps alleles. New alternative antifolate drugs which are effective against sulfadoxine-pyrimethamine (SP)-resistant P. vivax are required.

Keywords

References

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