2006
DOI: 10.4269/ajtmh.2006.75.575
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Evidence for Transmission of Plasmodium Vivax Among a Duffy Antigen Negative Population in Western Kenya

Abstract: Abstract. We present evidence that a parasite with characteristics of Plasmodium vivax is being transmitted among Duffy blood group-negative inhabitants of Kenya. Thirty-two of 4,901 Anopheles gambiae and An. funestus (0.65%) collected in Nyanza Province were ELISA positive for the P. vivax circumsporozoite protein VK 247. All positives were found late in the rainy season, when An. funestus predominated, and disproportionately many were found at a single village. A P. vivax specific sequence of the SSU rRNA ge… Show more

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Cited by 199 publications
(176 citation statements)
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“…Meanwhile, debate persists regarding the evolutionary relationship between P. vivax and Duffy negativity. Observations of P. vivax PCR positivity in Duffy-negative people add support for alternative receptors (20)(21)(22). In contrast, the observation that carriers of the Papua New Guinea Duffy-negative allele (FY*A ES ) (37) experience reduced P. vivax blood-stage infection (38) underscores the strong dependence this parasite displays on Duffy-dependent invasion.…”
Section: Discussionmentioning
confidence: 82%
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“…Meanwhile, debate persists regarding the evolutionary relationship between P. vivax and Duffy negativity. Observations of P. vivax PCR positivity in Duffy-negative people add support for alternative receptors (20)(21)(22). In contrast, the observation that carriers of the Papua New Guinea Duffy-negative allele (FY*A ES ) (37) experience reduced P. vivax blood-stage infection (38) underscores the strong dependence this parasite displays on Duffy-dependent invasion.…”
Section: Discussionmentioning
confidence: 82%
“…With the availability of molecular diagnostics, observations of P. vivax PCR-positive, Duffy-negative individuals have been made (20)(21)(22). PCR-positive samples have been reported in Brazil where there is significant admixture of Duffy-negative and Duffypositive individuals (20,21).…”
mentioning
confidence: 99%
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“…Though not as clinically relevant in many settings, it is becoming more appreciated that P. vivax lifecycle can persist in some Duffy-negative African populations, 7,9,30 and serological surveillance through the MBA offers a prime opportunity for inexpensive and robust identification of regions where this parasite may be endemic. …”
Section: Discussionmentioning
confidence: 99%
“…It has been proposed that due to the near-fixation of FY Ã O, P. vivax infection in humans is largely absent from equatorial Africa. An important recent discovery suggests low levels of P.vivax infection in FY Ã O homozygotes [13][14][15][16][17], which indicates that P. vivax might be evolving escape variants able to overcome the protective effect of FY Ã O. Phenotypic effects of the FY Ã A mutation are less clear than FY Ã O; however, there is evidence of natural selection and reduced P. vivax infection in individuals with this genotype ( [18,19], with conflicting reports in the Brazilian Amazon however [12,20,21]). …”
Section: Introductionmentioning
confidence: 99%