Evidence map›Paper›PMID 29351800›Full record

ArticleMalaria journal2018

Drug resistance genes: pvcrt-o and pvmdr-1 polymorphism in patients from malaria endemic South Western Coastal Region of India.

Shiny Joy, Benudhar Mukhi, Susanta K Ghosh, Rajeshwara N Achur, D Channe Gowda, Namita Surolia

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 42 citations in OpenAlex.

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  8. Multi-Omics Advancements towardsDiagnostics (Basel, Switzerland) · 2021
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  9. Review
  10. Monitoring Plasmodium vivax resistance to antimalarials: Persisting challenges and future directions.International journal for parasitology. Drugs and drug resistance · 2021
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  11. Article
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  15. Molecular detection of antimalarial drug resistance inPathogens (Basel, Switzerland) · 2020
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  16. Characterization ofThe American journal of tropical medicine and hygiene · 2019
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Shiny JoyMolecular Biology and Genetics Unit, Jawaharlal Nehru Centre For Advanced Scientific Research, Jakkur, Bangalore, India.
Benudhar MukhiDepartment of Biological Control, National Institute of Malaria Research, Poojanahalli, Bangalore, India.
Susanta K GhoshDepartment of Biological Control, National Institute of Malaria Research, Poojanahalli, Bangalore, India.
Rajeshwara N AchurDepartment of Biochemistry, Kuvempu University, Shivamogga District, Shankaraghatta, Karnataka, India.
D Channe GowdaDepartment of Biochemistry and Molecular Biology, The Pennsylvania State University College of Medicine, 500 University Drive, Hershey, PA, 17033, USA.
Namita SuroliaMolecular Biology and Genetics Unit, Jawaharlal Nehru Centre For Advanced Scientific Research, Jakkur, Bangalore, India. surolia@jncasr.ac.in.
Jawaharlal Nehru Centre for Advanced Scientific Research · INNational Institute of Malaria Research · INKuvempu University · INPennsylvania State University · US

Funding

Innate Immune Responses to Malaria ParasitesR01AI041139 · NIAID · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI GOWDA, CHANNE D · 1998 to 2017
$5.8M
Malaria Research Training in South IndiaD43TW008268 · FIC · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI GOWDA, CHANNE D · 2010 to 2015
$682k
FIC NIH HHS D43 TW008268Fogarty International Center of the National Institutes of Health, USA Grant D43 TW008268NIAID NIH HHS R01 AI041139
6 · The paper itself

Abstract

backgroundMalaria is highly prevalent in many parts of India and is mostly caused by the parasite species Plasmodium vivax followed by Plasmodium falciparum. Chloroquine (CQ) is the first-line treatment for blood stage P. vivax parasites, but cases of drug resistance to CQ have been reported from India. One of the surveillance strategies which is used to monitor CQ drug resistance, is the analysis of single nucleotide polymorphisms (SNPs) of the associated gene markers. Susceptibility to CQ can also be determined by copy number assessment of multidrug resistant gene (mdr-1). The current study has examined the prevalence of SNPs in P. vivax orthologs of P. falciparum chloroquine resistant and multi-drug resistant genes (pvcrt-o and pvmdr-1, respectively) and pvmdr-1 copy number variations in isolates from the highly endemic Mangaluru city near the South Western Coastal region of India.

methodsA total of 140 blood samples were collected from P. vivax infected patients attending Wenlock Hospital Mangaluru during July 2014 to January 2016. Out of these 140 samples, sequencing was carried out for 54 (38.5%) and 85 (60.7%) isolates for pvcrt-o and pvmdr-1, respectively. Single nucleotide polymorphisms (SNPs) in the pvcrt-o and pvmdr-1 genes were analysed by direct sequencing method, while copy number variations of 60 isolates (42. 8%) were determined by real time PCR.

resultsOut of 54 clinical isolates analysed for pvcrt-o, three (5.6%) showed K10 insertion and the rest had wild type sequence. This is the first report to show K10 insertion in P. vivax isolates from India. Further, out of 85 clinical isolates of P. vivax analysed for mutations in pvmdr-1 gene, only one isolate had wild type sequence (~ 1%) while the remaining (99%) carried mutant alleles. Seven non-synonymous mutations with two novel mutations (I946V and Y1028C) were observed. Of all the observed mutations in pvmdr-1 gene, T958M was most highly prevalent (present in 90% of samples) followed by F1076L (76%), and Y976F (7%). Amplification of pvmdr-1 gene was observed in 31.6% of the isolates, out of 60 amplified.

conclusionThe observed variations both in pvmdr-1 and pvcrt-o genes indicate a trend towards parasite acquiring CQ resistance in this endemic area.

Indexed as

AntimalarialsATP-Binding Cassette TransportersChloroquineDNA Copy Number VariationsDrug ResistanceIndiaMalaria, VivaxMembrane Transport ProteinsPlasmodium vivaxPolymorphism, Single NucleotideProtozoan ProteinsAntimalarialsATP-Binding Cassette TransportersChloroquineCrt-o protein, Plasmodium vivaxmdr gene protein, PlasmodiumMembrane Transport ProteinsProtozoan ProteinsChloroquine resistance markersCopy number variationIndiaMangaluru city areaPlasmodium vivax

Identifiers

PMID29351800
PMCPMC5775544
OpenAlexW2794301356

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Registered trials

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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.