[Analysis of Pfcrt gene polymorphism in Plasmodium falciparum from imported cases]

Abstract

Insights

The Plasmodium falciparum chloroquine resistance transporter (Pfcrt) gene mutation incidence varies geographically. Mutant Pfcrt alleles were more prevalent in Southeast Asian Plasmodium falciparum isolates compared to African ones.

Area of Science:

  • Molecular biology
  • Parasitology
  • Genetics

Context:

  • The Pfcrt gene is a key determinant of Plasmodium falciparum resistance to antimalarial drugs, particularly chloroquine.
  • Imported Plasmodium falciparum strains from Africa and Southeast Asia represent diverse genetic backgrounds and potential resistance profiles.

Purpose:

  • To determine the frequency of the K76T mutation in the Pfcrt gene of imported Plasmodium falciparum.
  • To investigate the genetic polymorphism of the Pfcrt gene in Plasmodium falciparum isolates from different geographical regions.

Summary:

  • A study analyzed 72 Plasmodium falciparum blood samples from travelers returning from Africa and Southeast Asia (2008-2012).
  • Using nested PCR and Apo I digestion, mutant Pfcrt alleles were detected in 57.7% of samples (41/71), with higher prevalence in Southeast Asia (76.2%) compared to Africa (50%).

Impact:

  • Findings highlight regional variations in Pfcrt gene mutations, crucial for understanding antimalarial drug resistance.
  • This data informs malaria treatment strategies and drug resistance surveillance efforts globally.