2011
DOI: 10.1016/j.actatropica.2011.07.003
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Molecular analysis of pfatp6 and pfmdr1 polymorphisms and their association with in vitro sensitivity in Plasmodium falciparum isolates from the Thai-Myanmar border

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Cited by 32 publications
(28 citation statements)
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References 43 publications
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“…With regards to pfmdr1 copy number, the increase of copy number found in some P. falciparum isolates in this study correlates well with the observation of decline in sensitivity of P. falciparum to artesunate and mefloquine and therefore, the chance of recrudescence/treatment failure following treatment with this artemisinin-based combination therapy regimen [25,26] . Application of the median copy number and prevalence of isolates carrying more than one gene copies can sort out the provinces with relatively high possibility of treatment failure and require close monitoring for drug resistance as Kanchanaburi, followed by Mae Hongson, Tak and Ranong, respectively.…”
Section: Discussionsupporting
confidence: 85%
“…With regards to pfmdr1 copy number, the increase of copy number found in some P. falciparum isolates in this study correlates well with the observation of decline in sensitivity of P. falciparum to artesunate and mefloquine and therefore, the chance of recrudescence/treatment failure following treatment with this artemisinin-based combination therapy regimen [25,26] . Application of the median copy number and prevalence of isolates carrying more than one gene copies can sort out the provinces with relatively high possibility of treatment failure and require close monitoring for drug resistance as Kanchanaburi, followed by Mae Hongson, Tak and Ranong, respectively.…”
Section: Discussionsupporting
confidence: 85%
“…Nonetheless, we show that the 86Y mutation was significantly associated with increased susceptibility to MQ (P ϭ 0.00002). These results are in accordance with previous studies in Asia (12,42) and in Benin (43) and are strengthened by field studies demonstrating MQ selection of the N86 allele in recurrent infections after treatment with artesunate plus MQ (44).…”
Section: Discussionsupporting
confidence: 82%
“…The involvement of N86Y in QN resistance is still debated: in some studies, the mutation 86Y is associated with increased susceptibility (42,55), although this is not the case in other studies (56). The 1042D mutation has been reported to induce QN resistance (38).…”
Section: Discussionmentioning
confidence: 99%
“…Some studies showed that deployments of ACTs were associated with changes of frequencies of certain mutations in PfATP6. In one study the frequency of the A623E mutation was increased in Niger after ACT use (3), whereas in another study an increase in the frequency of a deletion mutant was noticed in Peru (8,49,64). In the GMS, an epicenter of malaria drug resistance with the most extensive use of ART drugs, A623E and S769N mutations associated with reduced sensitivity to ARTs have not been detected so far (26).…”
Section: Discussionmentioning
confidence: 99%