Induction of Artesunate Resistance in Plasmodium falciparum 3D7 Strain Using Intermittent Exposure Method and Comparing P.fk13 Sequence between Susceptible and Resistant Strains

Background: Resistance to artemisinin has threatened major achievements in malaria control, more investigations is needed about resistant strains and related genes. We aimed to induce resistance to artesunate in the Plasmodium falciparum 3D7 strain using intermittent exposure method and comparing P...

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Main Authors: Sahar Barati, Afsaneh Motevalli Haghi, Mehdi Nateghpour, Zahra Zamani, Sadegh Khodaveisi, Soudabeh Etemadi
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2023-11-01
Series:Iranian Journal of Parasitology
Subjects:
Online Access:https://ijpa.tums.ac.ir/index.php/ijpa/article/view/3736
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author Sahar Barati
Afsaneh Motevalli Haghi
Mehdi Nateghpour
Zahra Zamani
Sadegh Khodaveisi
Soudabeh Etemadi
author_facet Sahar Barati
Afsaneh Motevalli Haghi
Mehdi Nateghpour
Zahra Zamani
Sadegh Khodaveisi
Soudabeh Etemadi
author_sort Sahar Barati
collection DOAJ
description Background: Resistance to artemisinin has threatened major achievements in malaria control, more investigations is needed about resistant strains and related genes. We aimed to induce resistance to artesunate in the Plasmodium falciparum 3D7 strain using intermittent exposure method and comparing P.fk13 gene sequence between susceptible and resistance strains. Methods: P. falciparum 3D7 strain was cultured according to Trager & Jensen method with some modifications. Serial concentrations between 10-2 mol/l, to 10-7mol/l were prepared, then P. falciparum 3D7 was exposed to each of the dilution to determine IC50 and lethal dose. Sensitivity reduction process was started from the concentration of 10-7mol/l and ended at 10-2mol/l. Exposed parasites were collected after at least 27 days after cultivation in each drug concentration. DNA extraction, PCR and sequencing process were performed to investigate any possible mutations in the P.fk13 gene sequence. Results: Effectiveness of 10-2mol/l concentration of artemisinin was found as a lethal dose. IC50 value was equal to 5˟10-4 mol/l. The resistant strain was provided in the lab, sequenced and registered in the gene bank as P.f Art -2, (accession number MH796123. 1). Alignment of this registered sample showed no mutation in P.f kelch13 gene in comparison with standard strain submitted in the GenBank. Conclusion: Resistance to artesunate in malaria parasite may occur but with no mutation in the P.f kelch13 gene. Therefore, whole genome sequencing should be applied to determine mutations in resistant strains.
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spelling doaj.art-2a2993b5b1aa4bf5b3400f049bcc98b22023-12-12T04:54:32ZengTehran University of Medical SciencesIranian Journal of Parasitology1735-70202008-238X2023-11-0118410.18502/ijpa.v18i4.14244Induction of Artesunate Resistance in Plasmodium falciparum 3D7 Strain Using Intermittent Exposure Method and Comparing P.fk13 Sequence between Susceptible and Resistant StrainsSahar Barati0Afsaneh Motevalli Haghi1Mehdi Nateghpour2Zahra Zamani3Sadegh Khodaveisi4Soudabeh Etemadi5Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Scienc-es, Tehran, IranDepartment of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Scienc-es, Tehran, IranDepartment of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Scienc-es, Tehran, IranBiochemistry Department, Pasteur Institute of Iran, Pasteur Avenue, Tehran, IranDepartment of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Scienc-es, Tehran, IranDepartment of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Scienc-es, Tehran, Iran Background: Resistance to artemisinin has threatened major achievements in malaria control, more investigations is needed about resistant strains and related genes. We aimed to induce resistance to artesunate in the Plasmodium falciparum 3D7 strain using intermittent exposure method and comparing P.fk13 gene sequence between susceptible and resistance strains. Methods: P. falciparum 3D7 strain was cultured according to Trager & Jensen method with some modifications. Serial concentrations between 10-2 mol/l, to 10-7mol/l were prepared, then P. falciparum 3D7 was exposed to each of the dilution to determine IC50 and lethal dose. Sensitivity reduction process was started from the concentration of 10-7mol/l and ended at 10-2mol/l. Exposed parasites were collected after at least 27 days after cultivation in each drug concentration. DNA extraction, PCR and sequencing process were performed to investigate any possible mutations in the P.fk13 gene sequence. Results: Effectiveness of 10-2mol/l concentration of artemisinin was found as a lethal dose. IC50 value was equal to 5˟10-4 mol/l. The resistant strain was provided in the lab, sequenced and registered in the gene bank as P.f Art -2, (accession number MH796123. 1). Alignment of this registered sample showed no mutation in P.f kelch13 gene in comparison with standard strain submitted in the GenBank. Conclusion: Resistance to artesunate in malaria parasite may occur but with no mutation in the P.f kelch13 gene. Therefore, whole genome sequencing should be applied to determine mutations in resistant strains. https://ijpa.tums.ac.ir/index.php/ijpa/article/view/3736Artesunate resistancePlasmodium falciparumIntermittent exposureMalaria
spellingShingle Sahar Barati
Afsaneh Motevalli Haghi
Mehdi Nateghpour
Zahra Zamani
Sadegh Khodaveisi
Soudabeh Etemadi
Induction of Artesunate Resistance in Plasmodium falciparum 3D7 Strain Using Intermittent Exposure Method and Comparing P.fk13 Sequence between Susceptible and Resistant Strains
Iranian Journal of Parasitology
Artesunate resistance
Plasmodium falciparum
Intermittent exposure
Malaria
title Induction of Artesunate Resistance in Plasmodium falciparum 3D7 Strain Using Intermittent Exposure Method and Comparing P.fk13 Sequence between Susceptible and Resistant Strains
title_full Induction of Artesunate Resistance in Plasmodium falciparum 3D7 Strain Using Intermittent Exposure Method and Comparing P.fk13 Sequence between Susceptible and Resistant Strains
title_fullStr Induction of Artesunate Resistance in Plasmodium falciparum 3D7 Strain Using Intermittent Exposure Method and Comparing P.fk13 Sequence between Susceptible and Resistant Strains
title_full_unstemmed Induction of Artesunate Resistance in Plasmodium falciparum 3D7 Strain Using Intermittent Exposure Method and Comparing P.fk13 Sequence between Susceptible and Resistant Strains
title_short Induction of Artesunate Resistance in Plasmodium falciparum 3D7 Strain Using Intermittent Exposure Method and Comparing P.fk13 Sequence between Susceptible and Resistant Strains
title_sort induction of artesunate resistance in plasmodium falciparum 3d7 strain using intermittent exposure method and comparing p fk13 sequence between susceptible and resistant strains
topic Artesunate resistance
Plasmodium falciparum
Intermittent exposure
Malaria
url https://ijpa.tums.ac.ir/index.php/ijpa/article/view/3736
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