Evidence map›Paper›PMID 26152336›Full record

ArticleMalaria journal2015

Identification of large variation in pfcrt, pfmdr-1 and pfubp-1 markers in Plasmodium falciparum isolates from Ethiopia and Tanzania.

Lemu Golassa, Erasmus Kamugisha, Deus S Ishengoma, Vito Baraka, Alex Shayo, Frederick N Baliraine, Nizar Enweji, Berhanu Erko, Abraham Aseffa, Angel Choy and 1 more

Abstract read
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Article in Malaria journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

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13citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Trial
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  5. A review on molecular markers ofJournal of parasitic diseases : official organ of the Indian Society for Parasitology · 2025
    Review
  6. A NovelmedRxiv : the preprint server for health sciences · 2025
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  9. High Proportion of Genome-Wide Homology and Increased PretreatmentAntimicrobial agents and chemotherapy · 2021
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  12. Pooled Deep Sequencing of Drug Resistance Loci fromThe American journal of tropical medicine and hygiene · 2019
    Article
  13. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

11 authors.

Lemu GolassaAklilu Lemma Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia. lgolassa@gmail.com.
Erasmus KamugishaDepartment of Biochemistry, Catholic University of Health and Allied Sciences-Bugando, Mwanza, Tanzania. erasmuskamugisha@yahoo.com.
Deus S IshengomaNational Institute for Medical Research, Tanga, Tanzania. deusishe@yahoo.com.
Vito BarakaNational Institute for Medical Research, Tanga, Tanzania. vitobaraka@gmail.com.
Alex ShayoThe Nelson Mandela African Institution of Science and Technology, Arusha, Tanzania. alex.shayo@mail.com.
Frederick N BaliraineDepartment of Biology, LeTourneau University, Longview, TX, USA. fredbaliraine@letu.edu.
Nizar EnwejiDepartment of Medical Biochemistry and Microbiology, Uppsala University, Uppsala, Sweden. nizar.enweji@imbim.uu.se.
Berhanu ErkoAklilu Lemma Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia. be7roro@gmail.com.
Abraham AseffaArmauer Hansen Research Institute, Addis Ababa, Ethiopia. aseffaa@gmail.com.
Angel ChoyDepartment of Medical Biochemistry and Microbiology, Uppsala University, Uppsala, Sweden. choy.angel@gmail.com.
Göte SwedbergDepartment of Medical Biochemistry and Microbiology, Uppsala University, Uppsala, Sweden. gote.swedberg@imbim.uu.se.

Funding

Medical Research Council G0600718Medical Research Council UK-G0600718
6 · The paper itself

Abstract

backgroundPlasmodium falciparum resistance to anti-malarials is a major drawback in effective malaria control and elimination globally. Artemisinin-combination therapy (ACT) is currently the key first-line treatment for uncomplicated falciparum malaria. Plasmodium falciparum genetic signatures at pfmdr-1, pfcrt, and pfubp-1 loci are known to modulate in vivo and in vitro parasite response to ACT. The objective of this study was to assess the distribution of these resistance gene markers in isolates collected from different malaria transmission intensity in Ethiopia and Tanzania.

methodsPlasmodium falciparum clinical isolates were collected from different regions of Ethiopia and Tanzania. Genetic polymorphisms in the genes pfcrt, pfmdr-1 and pfubp-1 were analysed by PCR and sequencing. Frequencies of the different alleles in the three genes were compared within and between regions, and between the two countries.

resultsThe majority of the isolates from Ethiopia were mutant for the pfcrt 76 and wild-type for pfmdr-1 86. In contrast, the majority of the Tanzanian samples were wild-type for both pfcrt and pfmdr-1 loci. Analysis of a variable linker region in pfmdr-1 showed substantial variation in isolates from Tanzania as compared to Ethiopian isolates that had minimal variation. Direct sequencing of the pfubp-1 region showed that 92.8% (26/28) of the Ethiopian isolates had identical genome sequence with the wild type reference P. falciparum strain 3D7. Of 42 isolates from Tanzania, only 13 (30.9%) had identical genome sequences with 3D7. In the Tanzanian samples, 10 variant haplotypes were identified.

conclusionThe majority of Ethiopian isolates carried the main marker for chloroquine (CQ) resistance, while the majority of the samples from Tanzania carried markers for CQ susceptibility. Polymorphic genes showed substantially more variation in Tanzanian isolates. The low variability in the polymorphic region of pfmdr-1 in Ethiopia may be a consequence of low transmission intensity as compared to high transmission intensity and large variations in Tanzania.

Indexed as

Drug ResistancePolymorphism, GeneticAntimalarialsATP-Binding Cassette, Sub-Family C ProteinsEthiopiaGenotypeHumansMalaria, FalciparumMembrane Transport ProteinsPlasmodium falciparumProtozoan ProteinsTanzaniaAntimalarialsATP-Binding Cassette, Sub-Family C ProteinsMdr1 protein, Plasmodium falciparumMembrane Transport ProteinsPfCRT protein, Plasmodium falciparumProtozoan Proteins

Identifiers

PMID26152336
PMCPMC4495614

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.