Evidence map›Paper›PMID 38755679›Full record

ArticleParasites & vectors2024

Worldwide absence of canonical benzimidazole resistance-associated mutations within β-tubulin genes from Ascaris.

Ben P Jones, Kezia Kozel, Allen Jethro I Alonte, Kennesa Klariz R Llanes, Alexandra Juhász, Umer Chaudhry, Sara Roose, Peter Geldhof, Vicente Y Belizario, Peter Nejsum and 5 more

Abstract read
In one paragraph

Article in Parasites & vectors, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Ben P JonesDepartment of Comparative Biomedical Sciences, School of Veterinary Medicine, University of Surrey, Guildford, GU2 7AL, UK.
Kezia KozelDepartment of Comparative Biomedical Sciences, School of Veterinary Medicine, University of Surrey, Guildford, GU2 7AL, UK.
Allen Jethro I AlonteInstitute of Biological Sciences, University of the Philippines Los Baños, Laguna, Philippines.
Kennesa Klariz R LlanesInstitute of Biological Sciences, University of the Philippines Los Baños, Laguna, Philippines.
Alexandra JuhászDepartment of Tropical Disease Biology, Liverpool School of Tropical Medicine, Liverpool, L3 5QA, UK.
Umer ChaudhryDepartment of Comparative Biomedical Sciences, School of Veterinary Medicine, University of Surrey, Guildford, GU2 7AL, UK.
Sara RooseDepartment of Translational Physiology, Infectiology and Public Health, Ghent University, Merelbeke, Belgium.
Peter GeldhofDepartment of Translational Physiology, Infectiology and Public Health, Ghent University, Merelbeke, Belgium.
Vicente Y BelizarioDepartment of Parasitology, College of Public Health, University of the Philippines Manila, Manila, Philippines.
Peter NejsumDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
J Russell StothardDepartment of Tropical Disease Biology, Liverpool School of Tropical Medicine, Liverpool, L3 5QA, UK.
E James LaCourseDepartment of Tropical Disease Biology, Liverpool School of Tropical Medicine, Liverpool, L3 5QA, UK.
Arnoud H M van VlietDepartment of Comparative Biomedical Sciences, School of Veterinary Medicine, University of Surrey, Guildford, GU2 7AL, UK.
Vachel Gay V PallerInstitute of Biological Sciences, University of the Philippines Los Baños, Laguna, Philippines.
Martha BetsonDepartment of Comparative Biomedical Sciences, School of Veterinary Medicine, University of Surrey, Guildford, GU2 7AL, UK. m.betson@surrey.ac.uk.

Funding

Medical Research Council MR/R025592/1Philippine Council for Health Research and Development N9A6823
6 · The paper itself

Abstract

backgroundThe giant roundworm Ascaris is an intestinal nematode, causing ascariasis by infecting humans and pigs worldwide. Recent estimates suggest that Ascaris infects over half a billion people, with chronic infections leading to reduced growth and cognitive ability. Ascariasis affects innumerable pigs worldwide and is known to reduce production yields via decreased growth and condemnation of livers. The predominant anthelminthic drugs used to treat ascariasis are the benzimidazoles. Benzimidazoles interact with β-tubulins and block their function, and several benzimidazole resistance-associated mutations have been described in the β-tubulins of ruminant nematodes. Recent research on ascarids has shown that these canonical benzimidazole resistance-associated mutations are likely not present in the β-tubulins of Ascaris, Ascaridia or Parascaris, even in phenotypically resistant populations.

methodsTo further determine the putative absence of key β-tubulin polymorphisms, we screened two β-tubulin isotypes of Ascaris, highly expressed in adult worms. Using adult and egg samples of Ascaris obtained from pigs and humans worldwide, we performed deep amplicon sequencing to look for canonical resistance-associated mutations in Ascaris β-tubulins. Subsequently, we examined these data in closer detail to study the population dynamics of Ascaris and genetic diversity within the two isotypes and tested whether genotypes appeared to partition across human and pig hosts.

resultsIn the 187 isolates, 69 genotypes were found, made up of eight haplotypes of β-tubulin isotype A and 20 haplotypes of isotype B. Single nucleotide polymorphisms were seen at 14 and 37 positions for β-tubulin isotype A and isotype B, respectively. No evidence of any canonical benzimidazole resistance-associated mutations was found in either human- or pig-derived Ascaris isolates. There was, however, a difference in the genetic diversity of each isotype and distribution of β-tubulin genotypes between human- and pig-derived Ascaris. Statistical tests of population differentiation show significant differences (p < 0.001) between pig- and human-derived worms; however, more diversity was seen between worms from different populations than worms from different hosts.

conclusionsOur work suggests an absence of canonical β-tubulin mutations within Ascaris, but alternative modes of anthelminthic resistance may emerge necessitating continued genetic scrutiny alongside monitoring of drug efficacy.

Indexed as

AnthelminticsAscariasisAscarisBenzimidazolesDrug ResistanceMutationTubulinAnimalsHumansSwineSwine DiseasesAnthelminticsbenzimidazoleBenzimidazolesTubulinAscarisBenzimidazoleDrug-resistanceβ-Tubulin

Identifiers

PMID38755679
PMCPMC11098727

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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.