Application of genetic markers to the identification of recrudescent Plasmodium falciparum infections on the northwestern border of Thailand

Parasite genotyping by the polymerase chain reaction was used to distinguish recrudescent from newly acquired Plasmodium falciparum infections in a Karen population resident on the northwestern border of Thailand where malaria transmission is low (one infection/person/year). Plasmodium falciparum in...

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Veröffentlicht in:The American journal of tropical medicine and hygiene 1999-01, Vol.60 (1), p.14-21
Hauptverfasser: Brockman, A, Paul, RE, Anderson, TJ, Hackford, I, Phaiphun, L, Looareesuwan, S, Nosten, F, Day, KP
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container_issue 1
container_start_page 14
container_title The American journal of tropical medicine and hygiene
container_volume 60
creator Brockman, A
Paul, RE
Anderson, TJ
Hackford, I
Phaiphun, L
Looareesuwan, S
Nosten, F
Day, KP
description Parasite genotyping by the polymerase chain reaction was used to distinguish recrudescent from newly acquired Plasmodium falciparum infections in a Karen population resident on the northwestern border of Thailand where malaria transmission is low (one infection/person/year). Plasmodium falciparum infections were genotyped for allelic variation in three polymorphic antigen loci, merozoite surface proteins-1 and -2 (MSP-1 and -2) and glutamaterich protein (GLURP), before and after antimalarial drug treatment. Population genotype frequencies were measured to provide the baseline information to calculate the probability of a new infection with a different or the same genotype to the initial pretreatment isolate. Overall, 38% of the infections detected following treatment had an identical genotype before and up to 121 days after treatment. These post-treatment genotypes were considered recrudescent because of the low (< 5%) probability of repeated occurrence by chance in the same patient. This approach allows studies of antimalarial drug treatment to be conducted in areas of low transmission since recrudescences can be distinguished confidently from newly acquired infections.
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subjects Alleles
Animals
Antigens, Protozoan - genetics
Biological and medical sciences
DNA, Protozoan - analysis
DNA, Protozoan - chemistry
Drug Resistance, Multiple
Gene Frequency
Genetic Markers
Genetic Variation
Genotype
glutamate-rich protein
Human protozoal diseases
Humans
Infectious diseases
Malaria
Malaria, Falciparum - drug therapy
Malaria, Falciparum - epidemiology
Malaria, Falciparum - parasitology
Medical sciences
merozoite surface protein 1
merozoite surface protein 2
merozoite surface protein 3
Parasitic diseases
Plasmodium falciparum
Plasmodium falciparum - classification
Plasmodium falciparum - drug effects
Plasmodium falciparum - genetics
Polymerase Chain Reaction
Polymorphism, Restriction Fragment Length
Protozoal diseases
Recurrence
Thailand - epidemiology
Tropical medicine
title Application of genetic markers to the identification of recrudescent Plasmodium falciparum infections on the northwestern border of Thailand
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