Plasmodium falciparum phenotypic and genotypic resistance profile during the emergence of Piperaquine resistance in Northeastern Thailand

Abstract Malaria remains a public health problem in Thailand, especially along its borders where highly mobile populations can contribute to persistent transmission. This study aimed to determine resistant genotypes and phenotypes of 112 Plasmodium falciparum isolates from patients along the Thai-Ca...

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Autores principales: Nonlawat Boonyalai, Chatchadaporn Thamnurak, Piyaporn Sai-ngam, Winita Ta-aksorn, Montri Arsanok, Nichapat Uthaimongkol, Siratchana Sundrakes, Sorayut Chattrakarn, Chaiyaporn Chaisatit, Chantida Praditpol, Watcharintorn Fagnark, Kirakarn Kirativanich, Suwanna Chaorattanakawee, Pattaraporn Vanachayangkul, Paphavee Lertsethtakarn, Panita Gosi, Darunee Utainnam, Wuttikon Rodkvamtook, Worachet Kuntawunginn, Brian A. Vesely, Michele D. Spring, Mark M. Fukuda, Charlotte Lanteri, Douglas Walsh, David L. Saunders, Philip L. Smith, Mariusz Wojnarski, Narongrid Sirisopana, Norman C. Waters, Krisada Jongsakul, Jariyanart Gaywee
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:e561be68a4d74b6890b162a3ab5db4ce2021-12-02T18:18:44ZPlasmodium falciparum phenotypic and genotypic resistance profile during the emergence of Piperaquine resistance in Northeastern Thailand10.1038/s41598-021-92735-62045-2322https://doaj.org/article/e561be68a4d74b6890b162a3ab5db4ce2021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-92735-6https://doaj.org/toc/2045-2322Abstract Malaria remains a public health problem in Thailand, especially along its borders where highly mobile populations can contribute to persistent transmission. This study aimed to determine resistant genotypes and phenotypes of 112 Plasmodium falciparum isolates from patients along the Thai-Cambodia border during 2013–2015. The majority of parasites harbored a pfmdr1-Y184F mutation. A single pfmdr1 copy number had CVIET haplotype of amino acids 72–76 of pfcrt and no pfcytb mutations. All isolates had a single pfk13 point mutation (R539T, R539I, or C580Y), and increased % survival in the ring-stage survival assay (except for R539I). Multiple copies of pfpm2 and pfcrt-F145I were detected in 2014 (12.8%) and increased to 30.4% in 2015. Parasites containing either multiple pfpm2 copies with and without pfcrt-F145I or a single pfpm2 copy with pfcrt-F145I exhibited elevated IC90 values of piperaquine. Collectively, the emergence of these resistance patterns in Thailand near Cambodia border mirrored the reports of dihydroartemisinin-piperaquine treatment failures in the adjacent province of Cambodia, Oddar Meanchey, suggesting a migration of parasites across the border. As malaria elimination efforts ramp up in Southeast Asia, host nations militaries and other groups in border regions need to coordinate the proposed interventions.Nonlawat BoonyalaiChatchadaporn ThamnurakPiyaporn Sai-ngamWinita Ta-aksornMontri ArsanokNichapat UthaimongkolSiratchana SundrakesSorayut ChattrakarnChaiyaporn ChaisatitChantida PraditpolWatcharintorn FagnarkKirakarn KirativanichSuwanna ChaorattanakaweePattaraporn VanachayangkulPaphavee LertsethtakarnPanita GosiDarunee UtainnamWuttikon RodkvamtookWorachet KuntawunginnBrian A. VeselyMichele D. SpringMark M. FukudaCharlotte LanteriDouglas WalshDavid L. SaundersPhilip L. SmithMariusz WojnarskiNarongrid SirisopanaNorman C. WatersKrisada JongsakulJariyanart GayweeNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-13 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Nonlawat Boonyalai
Chatchadaporn Thamnurak
Piyaporn Sai-ngam
Winita Ta-aksorn
Montri Arsanok
Nichapat Uthaimongkol
Siratchana Sundrakes
Sorayut Chattrakarn
Chaiyaporn Chaisatit
Chantida Praditpol
Watcharintorn Fagnark
Kirakarn Kirativanich
Suwanna Chaorattanakawee
Pattaraporn Vanachayangkul
Paphavee Lertsethtakarn
Panita Gosi
Darunee Utainnam
Wuttikon Rodkvamtook
Worachet Kuntawunginn
Brian A. Vesely
Michele D. Spring
Mark M. Fukuda
Charlotte Lanteri
Douglas Walsh
David L. Saunders
Philip L. Smith
Mariusz Wojnarski
Narongrid Sirisopana
Norman C. Waters
Krisada Jongsakul
Jariyanart Gaywee
Plasmodium falciparum phenotypic and genotypic resistance profile during the emergence of Piperaquine resistance in Northeastern Thailand
description Abstract Malaria remains a public health problem in Thailand, especially along its borders where highly mobile populations can contribute to persistent transmission. This study aimed to determine resistant genotypes and phenotypes of 112 Plasmodium falciparum isolates from patients along the Thai-Cambodia border during 2013–2015. The majority of parasites harbored a pfmdr1-Y184F mutation. A single pfmdr1 copy number had CVIET haplotype of amino acids 72–76 of pfcrt and no pfcytb mutations. All isolates had a single pfk13 point mutation (R539T, R539I, or C580Y), and increased % survival in the ring-stage survival assay (except for R539I). Multiple copies of pfpm2 and pfcrt-F145I were detected in 2014 (12.8%) and increased to 30.4% in 2015. Parasites containing either multiple pfpm2 copies with and without pfcrt-F145I or a single pfpm2 copy with pfcrt-F145I exhibited elevated IC90 values of piperaquine. Collectively, the emergence of these resistance patterns in Thailand near Cambodia border mirrored the reports of dihydroartemisinin-piperaquine treatment failures in the adjacent province of Cambodia, Oddar Meanchey, suggesting a migration of parasites across the border. As malaria elimination efforts ramp up in Southeast Asia, host nations militaries and other groups in border regions need to coordinate the proposed interventions.
format article
author Nonlawat Boonyalai
Chatchadaporn Thamnurak
Piyaporn Sai-ngam
Winita Ta-aksorn
Montri Arsanok
Nichapat Uthaimongkol
Siratchana Sundrakes
Sorayut Chattrakarn
Chaiyaporn Chaisatit
Chantida Praditpol
Watcharintorn Fagnark
Kirakarn Kirativanich
Suwanna Chaorattanakawee
Pattaraporn Vanachayangkul
Paphavee Lertsethtakarn
Panita Gosi
Darunee Utainnam
Wuttikon Rodkvamtook
Worachet Kuntawunginn
Brian A. Vesely
Michele D. Spring
Mark M. Fukuda
Charlotte Lanteri
Douglas Walsh
David L. Saunders
Philip L. Smith
Mariusz Wojnarski
Narongrid Sirisopana
Norman C. Waters
Krisada Jongsakul
Jariyanart Gaywee
author_facet Nonlawat Boonyalai
Chatchadaporn Thamnurak
Piyaporn Sai-ngam
Winita Ta-aksorn
Montri Arsanok
Nichapat Uthaimongkol
Siratchana Sundrakes
Sorayut Chattrakarn
Chaiyaporn Chaisatit
Chantida Praditpol
Watcharintorn Fagnark
Kirakarn Kirativanich
Suwanna Chaorattanakawee
Pattaraporn Vanachayangkul
Paphavee Lertsethtakarn
Panita Gosi
Darunee Utainnam
Wuttikon Rodkvamtook
Worachet Kuntawunginn
Brian A. Vesely
Michele D. Spring
Mark M. Fukuda
Charlotte Lanteri
Douglas Walsh
David L. Saunders
Philip L. Smith
Mariusz Wojnarski
Narongrid Sirisopana
Norman C. Waters
Krisada Jongsakul
Jariyanart Gaywee
author_sort Nonlawat Boonyalai
title Plasmodium falciparum phenotypic and genotypic resistance profile during the emergence of Piperaquine resistance in Northeastern Thailand
title_short Plasmodium falciparum phenotypic and genotypic resistance profile during the emergence of Piperaquine resistance in Northeastern Thailand
title_full Plasmodium falciparum phenotypic and genotypic resistance profile during the emergence of Piperaquine resistance in Northeastern Thailand
title_fullStr Plasmodium falciparum phenotypic and genotypic resistance profile during the emergence of Piperaquine resistance in Northeastern Thailand
title_full_unstemmed Plasmodium falciparum phenotypic and genotypic resistance profile during the emergence of Piperaquine resistance in Northeastern Thailand
title_sort plasmodium falciparum phenotypic and genotypic resistance profile during the emergence of piperaquine resistance in northeastern thailand
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/e561be68a4d74b6890b162a3ab5db4ce
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