We described the use of the random amplified polymorphic DNA (RAPD) technique on Plasmodium falciparum DNA to detect genetic markers for chloroquine-resistant strains. Fourteen RAPD primers were tested, three of which generated banding patterns correlated with chloroquine resistance. To measure this correlation, the RAPD profiles were analyzed using the Nei and Li similarity coefficient. Detection of distinctive RAPD bands allowed us to synthesize specific PCR primers to be used on whole-blood samples. Two primer sets were synthesized and tested on sensitive and resistant strains for their ability to amplify the DNA fragment corresponding to the RAPD marker. These results suggest that RAPD and PCR techniques can be used as powerful tools for the detection of genetic markers associated with drug resistance.[The nucleotide sequence data described in this paper have been submitted to the EMBL, GenBank, and DDBJ Nucleotide Sequence databases under accession nos. A863W25C and U854T571.] Malaria, with an estimated 300 to 500 million cases and 1.5-2.7 million deaths per year (World Health Organization 1996), is a major health problem. Today, one of the main obstacles encountered in the control of this disease is the rapid spread of drug resistant Plasmodium falciparum strains (Slater 1993). Chloroquine, the drug most widely used in the world, is the main issue involved with this problem. Extensive literature deals with biochemical and genetic mechanisms of chloroquine resistance but there is still no substantial data available to assess the precise mechanisms underlying this phenomenon. Chloroquine-resistant parasites are known to accumulate less of the drug in their digestive vacuole than sensitive parasites, however the biochemical basis is yet to be determined as to whether it is linked with increased efflux of pre-accumulated drug or reduced chloroquine uptake (Slater 1993). The hypothesis of a rapid efflux system linked to the Pfmdr 1 gene (Krogstad et al. 1987;Wilson et al. 1989;Foote et al. 1990) has now been questioned by a number of authors (Slater 1993;Cremer et al. 1995). The genetic basis is also controversial. Data has been published suggesting the linkage of chloroquine resistance with either a unique locus (Wellems et al. 1991) or a multigenic mechanism (Karcz and Cowman 1991;Ward et al. 1995).In this context, it would be of great interest to determine genomic profiles of malaria parasites and to compare those obtained with chloroquinesensitive and chloroquine-resistant P. falciparum strains. As no similar data is available, we performed the random amplified polymorphic DNA (RAPD) analysis, which represents a powerful tool for genome characterization (Welsh and McClellend 1990;Williams et al. 1990;Lymbery 1996), on 13 different strains (5 sensitive and 8 resistant to chloroquine). The Nei and Li (NL) coefficient (Nei and Li 1979) was used to score the DNA polymorphisms. The purpose of this study was to find a correlation between RAPD banding patterns and the behavior of the parasite in relation to c...