Prevalence and temporal changes of mutations linked to antimalarial drug resistance in Plasmodium falciparum and Plasmodium vivax in Palawan, Philippines

Objective: This study provides 2016 data on the prevalence of key single nucleotide polymorphisms (SNPs) associated with antimalarial drug resistance in Palawan, Philippines. Findings were combined with historical data to model temporal changes in the prevalence of these SNPs in Plasmodium isolates....

Full description

Bibliographic Details
Main Authors: Alison Paolo N. Bareng, Lynn Grignard, Ralph Reyes, Kim Fornace, Freya Spencer, Ma. Lourdes Macalinao, Jennifer Luchavez, Fe Esperanza Espino, Chris Drakeley, Julius Clemence R. Hafalla
Format: Article
Language:English
Published: Elsevier 2022-03-01
Series:International Journal of Infectious Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S120197122101211X
_version_ 1818872632672518144
author Alison Paolo N. Bareng
Lynn Grignard
Ralph Reyes
Kim Fornace
Freya Spencer
Ma. Lourdes Macalinao
Jennifer Luchavez
Fe Esperanza Espino
Chris Drakeley
Julius Clemence R. Hafalla
author_facet Alison Paolo N. Bareng
Lynn Grignard
Ralph Reyes
Kim Fornace
Freya Spencer
Ma. Lourdes Macalinao
Jennifer Luchavez
Fe Esperanza Espino
Chris Drakeley
Julius Clemence R. Hafalla
author_sort Alison Paolo N. Bareng
collection DOAJ
description Objective: This study provides 2016 data on the prevalence of key single nucleotide polymorphisms (SNPs) associated with antimalarial drug resistance in Palawan, Philippines. Findings were combined with historical data to model temporal changes in the prevalence of these SNPs in Plasmodium isolates. Methods: Plasmodium isolates were genotyped using drug resistance markers pfmdr1, pfcrt, pfdhfr, pfdhps, kelch-13, pvmdr1, pvdhfr, and pvdhps. Temporal trends in the probability of mutations were estimated as a function of time using a binomial generalised linear model. Results: All samples sequenced for Plasmodium falciparum chloroquine markers pfmdr1 and pfcrt had wild-type alleles. Varying mutation patterns were observed for the sulphadoxine/pyrimethamine markers pfdhps and pfdhfr; complete quintuplet mutations were not found. No SNPs were observed for the artemisinin marker kelch-13. For Plasmodium vivax, differing patterns were detected for pvmdr1, pvdhfr, and pvdhps. Conclusions: The study findings suggest that the current drugs remain effective and that there is limited importation and establishment of resistant parasites in the area. Clear temporal trends were recognised, with prominent decreases in the proportions of pfcrt and pfmdr mutations detected within the past 15 years, consistent with a change in antimalarial drug policy. Continuous surveillance of antimalarial drug resistance is important to support malaria elimination efforts.
first_indexed 2024-12-19T12:41:54Z
format Article
id doaj.art-0a4d3fa84ecd4dc0bef587f828459c02
institution Directory Open Access Journal
issn 1201-9712
language English
last_indexed 2024-12-19T12:41:54Z
publishDate 2022-03-01
publisher Elsevier
record_format Article
series International Journal of Infectious Diseases
spelling doaj.art-0a4d3fa84ecd4dc0bef587f828459c022022-12-21T20:20:57ZengElsevierInternational Journal of Infectious Diseases1201-97122022-03-01116174181Prevalence and temporal changes of mutations linked to antimalarial drug resistance in Plasmodium falciparum and Plasmodium vivax in Palawan, PhilippinesAlison Paolo N. Bareng0Lynn Grignard1Ralph Reyes2Kim Fornace3Freya Spencer4Ma. Lourdes Macalinao5Jennifer Luchavez6Fe Esperanza Espino7Chris Drakeley8Julius Clemence R. Hafalla9Department of Parasitology and National Reference Centre for Malaria and Other Parasites, Research Institute for Tropical Medicine, Department of Health, Muntinlupa City, Philippines; Corresponding authors: Alison Paolo N. Bareng, Department of Parasitology and National Reference Centre for Malaria and Other Parasites, Research Institute for Tropical Medicine, Department of Health, Muntinlupa City, Philippines.Department of Infection Biology, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United KingdomDepartment of Parasitology and National Reference Centre for Malaria and Other Parasites, Research Institute for Tropical Medicine, Department of Health, Muntinlupa City, PhilippinesDepartment of Infection Biology, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United KingdomDepartment of Infection Biology, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United KingdomDepartment of Parasitology and National Reference Centre for Malaria and Other Parasites, Research Institute for Tropical Medicine, Department of Health, Muntinlupa City, PhilippinesDepartment of Parasitology and National Reference Centre for Malaria and Other Parasites, Research Institute for Tropical Medicine, Department of Health, Muntinlupa City, PhilippinesDepartment of Parasitology and National Reference Centre for Malaria and Other Parasites, Research Institute for Tropical Medicine, Department of Health, Muntinlupa City, PhilippinesDepartment of Infection Biology, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United KingdomDepartment of Infection Biology, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom; Julius Hafalla, Department of Infection Biology, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom.Objective: This study provides 2016 data on the prevalence of key single nucleotide polymorphisms (SNPs) associated with antimalarial drug resistance in Palawan, Philippines. Findings were combined with historical data to model temporal changes in the prevalence of these SNPs in Plasmodium isolates. Methods: Plasmodium isolates were genotyped using drug resistance markers pfmdr1, pfcrt, pfdhfr, pfdhps, kelch-13, pvmdr1, pvdhfr, and pvdhps. Temporal trends in the probability of mutations were estimated as a function of time using a binomial generalised linear model. Results: All samples sequenced for Plasmodium falciparum chloroquine markers pfmdr1 and pfcrt had wild-type alleles. Varying mutation patterns were observed for the sulphadoxine/pyrimethamine markers pfdhps and pfdhfr; complete quintuplet mutations were not found. No SNPs were observed for the artemisinin marker kelch-13. For Plasmodium vivax, differing patterns were detected for pvmdr1, pvdhfr, and pvdhps. Conclusions: The study findings suggest that the current drugs remain effective and that there is limited importation and establishment of resistant parasites in the area. Clear temporal trends were recognised, with prominent decreases in the proportions of pfcrt and pfmdr mutations detected within the past 15 years, consistent with a change in antimalarial drug policy. Continuous surveillance of antimalarial drug resistance is important to support malaria elimination efforts.http://www.sciencedirect.com/science/article/pii/S120197122101211XMalariaPlasmodiumDrug resistanceSingle nucleotide polymorphismMutationElimination
spellingShingle Alison Paolo N. Bareng
Lynn Grignard
Ralph Reyes
Kim Fornace
Freya Spencer
Ma. Lourdes Macalinao
Jennifer Luchavez
Fe Esperanza Espino
Chris Drakeley
Julius Clemence R. Hafalla
Prevalence and temporal changes of mutations linked to antimalarial drug resistance in Plasmodium falciparum and Plasmodium vivax in Palawan, Philippines
International Journal of Infectious Diseases
Malaria
Plasmodium
Drug resistance
Single nucleotide polymorphism
Mutation
Elimination
title Prevalence and temporal changes of mutations linked to antimalarial drug resistance in Plasmodium falciparum and Plasmodium vivax in Palawan, Philippines
title_full Prevalence and temporal changes of mutations linked to antimalarial drug resistance in Plasmodium falciparum and Plasmodium vivax in Palawan, Philippines
title_fullStr Prevalence and temporal changes of mutations linked to antimalarial drug resistance in Plasmodium falciparum and Plasmodium vivax in Palawan, Philippines
title_full_unstemmed Prevalence and temporal changes of mutations linked to antimalarial drug resistance in Plasmodium falciparum and Plasmodium vivax in Palawan, Philippines
title_short Prevalence and temporal changes of mutations linked to antimalarial drug resistance in Plasmodium falciparum and Plasmodium vivax in Palawan, Philippines
title_sort prevalence and temporal changes of mutations linked to antimalarial drug resistance in plasmodium falciparum and plasmodium vivax in palawan philippines
topic Malaria
Plasmodium
Drug resistance
Single nucleotide polymorphism
Mutation
Elimination
url http://www.sciencedirect.com/science/article/pii/S120197122101211X
work_keys_str_mv AT alisonpaolonbareng prevalenceandtemporalchangesofmutationslinkedtoantimalarialdrugresistanceinplasmodiumfalciparumandplasmodiumvivaxinpalawanphilippines
AT lynngrignard prevalenceandtemporalchangesofmutationslinkedtoantimalarialdrugresistanceinplasmodiumfalciparumandplasmodiumvivaxinpalawanphilippines
AT ralphreyes prevalenceandtemporalchangesofmutationslinkedtoantimalarialdrugresistanceinplasmodiumfalciparumandplasmodiumvivaxinpalawanphilippines
AT kimfornace prevalenceandtemporalchangesofmutationslinkedtoantimalarialdrugresistanceinplasmodiumfalciparumandplasmodiumvivaxinpalawanphilippines
AT freyaspencer prevalenceandtemporalchangesofmutationslinkedtoantimalarialdrugresistanceinplasmodiumfalciparumandplasmodiumvivaxinpalawanphilippines
AT malourdesmacalinao prevalenceandtemporalchangesofmutationslinkedtoantimalarialdrugresistanceinplasmodiumfalciparumandplasmodiumvivaxinpalawanphilippines
AT jenniferluchavez prevalenceandtemporalchangesofmutationslinkedtoantimalarialdrugresistanceinplasmodiumfalciparumandplasmodiumvivaxinpalawanphilippines
AT feesperanzaespino prevalenceandtemporalchangesofmutationslinkedtoantimalarialdrugresistanceinplasmodiumfalciparumandplasmodiumvivaxinpalawanphilippines
AT chrisdrakeley prevalenceandtemporalchangesofmutationslinkedtoantimalarialdrugresistanceinplasmodiumfalciparumandplasmodiumvivaxinpalawanphilippines
AT juliusclemencerhafalla prevalenceandtemporalchangesofmutationslinkedtoantimalarialdrugresistanceinplasmodiumfalciparumandplasmodiumvivaxinpalawanphilippines