Introduction
Molecular characterization of malaria parasites from different localities is important to improve understanding of acquisition of natural immunity to
Plasmodium falciparum
, to assist in identifying the most appropriate strategies for control and to evaluate the impact of control interventions. This study aimed to determine the genetic diversity and the multiplicity of infection in
Plasmodium falciparum
isolates from Pointe-Noire, Republic of Congo.
Methods
Plasmodium falciparum
isolates were collected from 71 children with uncomplicated malaria; enrolled into the study for evaluating the therapeutic efficacy of artemether-lumefantrine combination. Both
msp-1
and
msp-2
genes were genotyped.
Results
From 296 distinct fragments detected, 13
msp-1
and 27
msp-2
different alleles were identified. For
msp-1
, RO33 family was poorly polymorphic. The K1 family has shown the trend of predominance (41%), followed by Mad20 (35%). Comparatively to
msp-2
, 49.6% and 48.8% fragments belonged to 3D7 and FC27 respectively. Taking together
msp-1
and
msp-2
genes, the overall multiplicity of infection has been increased to 2.64 and 86% harbored more than one parasite genotype. Parasite density was not influenced by age as well as the multiplicity of infection which was not influenced neither by age nor by parasite density.
Conclusion
Genetic diversity of
Plasmodium falciparum
in isolates from patients with uncomplicated malaria in Pointe-Noire is high and consisted mainly of multiple clones. The overall multiplicity of infection has been largely increased when considering
msp-1
and
msp-2
genes together. With the changes in malaria epidemiology, the use of both
msp-1
and msp-2 genes in the characterization of
Plasmodium falciparum
infection is recommended.