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Ordered Accumulation of Mutations Conferring Resistance to Sulfadoxine-Pyrimethamine in the Plasmodium falciparum Parasite
Author(s) -
Toshihiro Mita,
Jun Ohashi,
Meera Venkatesan,
Aung Swi Prue Marma,
Masatoshi Nakamura,
Christopher V. Plowe,
Kazuyuki Tanabe
Publication year - 2013
Publication title -
the journal of infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.69
H-Index - 252
eISSN - 1537-6613
pISSN - 0022-1899
DOI - 10.1093/infdis/jit415
Subject(s) - dhps , dihydropteroate synthase , dihydrofolate reductase , plasmodium falciparum , antifolate , sulfadoxine , biology , pyrimethamine , malaria , genetics , drug resistance , mutation , virology , gene , immunology , antimetabolite , chemotherapy
Monitoring the prevalence of drug resistant Plasmodium falciparum is essential for effective malaria control. Resistance to pyrimethamine and sulfadoxine increases as mutations accumulate in the parasite genes encoding dihydrofolate reductase (dhfr) and dihydropteroate synthase (dhps), respectively. Although parasites are exposed to these antifolate drugs simultaneously, it remains virtually unknown whether dhfr and dhps mutations accumulate along interrelated paths.

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