Local emergence in Amazonia of Plasmodium falciparum k13 C580Y mutants associated with in vitro artemisinin resistance

Antimalarial drug resistance has historically arisen through convergent de novo mutations in Plasmodium falciparum parasite populations in Southeast Asia and South America. For the past decade in Southeast Asia, artemisinins, the core component of first-line antimalarial therapies, have experienced...

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Main Authors: Luana C Mathieu, Horace Cox, Angela M Early, Sachel Mok, Yassamine Lazrek, Jeanne-Celeste Paquet, Maria-Paz Ade, Naomi W Lucchi, Quacy Grant, Venkatachalam Udhayakumar, Jean SF Alexandre, Magalie Demar, Pascal Ringwald, Daniel E Neafsey, David A Fidock, Lise Musset
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2020-05-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/51015
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author Luana C Mathieu
Horace Cox
Angela M Early
Sachel Mok
Yassamine Lazrek
Jeanne-Celeste Paquet
Maria-Paz Ade
Naomi W Lucchi
Quacy Grant
Venkatachalam Udhayakumar
Jean SF Alexandre
Magalie Demar
Pascal Ringwald
Daniel E Neafsey
David A Fidock
Lise Musset
author_facet Luana C Mathieu
Horace Cox
Angela M Early
Sachel Mok
Yassamine Lazrek
Jeanne-Celeste Paquet
Maria-Paz Ade
Naomi W Lucchi
Quacy Grant
Venkatachalam Udhayakumar
Jean SF Alexandre
Magalie Demar
Pascal Ringwald
Daniel E Neafsey
David A Fidock
Lise Musset
author_sort Luana C Mathieu
collection DOAJ
description Antimalarial drug resistance has historically arisen through convergent de novo mutations in Plasmodium falciparum parasite populations in Southeast Asia and South America. For the past decade in Southeast Asia, artemisinins, the core component of first-line antimalarial therapies, have experienced delayed parasite clearance associated with several pfk13 mutations, primarily C580Y. We report that mutant pfk13 has emerged independently in Guyana, with genome analysis indicating an evolutionary origin distinct from Southeast Asia. Pfk13 C580Y parasites were observed in 1.6% (14/854) of samples collected in Guyana in 2016–2017. Introducing pfk13 C580Y or R539T mutations by gene editing into local parasites conferred high levels of in vitro artemisinin resistance. In vitro growth competition assays revealed a fitness cost associated with these pfk13 variants, potentially explaining why these resistance alleles have not increased in frequency more quickly in South America. These data place local malaria control efforts at risk in the Guiana Shield.
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spelling doaj.art-c827568158c04d0c8f054f163d27f21d2022-12-22T03:24:30ZengeLife Sciences Publications LtdeLife2050-084X2020-05-01910.7554/eLife.51015Local emergence in Amazonia of Plasmodium falciparum k13 C580Y mutants associated with in vitro artemisinin resistanceLuana C Mathieu0https://orcid.org/0000-0002-6021-468XHorace Cox1Angela M Early2Sachel Mok3https://orcid.org/0000-0002-9605-0154Yassamine Lazrek4Jeanne-Celeste Paquet5https://orcid.org/0000-0001-6046-0154Maria-Paz Ade6Naomi W Lucchi7Quacy Grant8Venkatachalam Udhayakumar9Jean SF Alexandre10Magalie Demar11Pascal Ringwald12Daniel E Neafsey13https://orcid.org/0000-0002-1665-9323David A Fidock14https://orcid.org/0000-0001-6753-8938Lise Musset15https://orcid.org/0000-0003-0215-4110Laboratoire de parasitologie, Centre Nationale de Référence du Paludisme, World Health Organization Collaborating Center for surveillance of antimalarial drug resistance, Institut Pasteur de la Guyane, Cayenne, French Guiana; Ecole Doctorale n°587, Diversités, Santé, et Développement en Amazonie, Université de Guyane, Cayenne, French GuianaMinistry of Public Health, Georgetown, GuyanaBroad Institute of MIT and Harvard, Cambridge, United States; Department of Immunology and Infectious Diseases, Harvard T.H. Chan School of Public Health, Boston, United StatesDepartment of Microbiology and Immunology, Columbia University Irving Medical Center, New York, United StatesLaboratoire de parasitologie, Centre Nationale de Référence du Paludisme, World Health Organization Collaborating Center for surveillance of antimalarial drug resistance, Institut Pasteur de la Guyane, Cayenne, French GuianaDepartment of Microbiology and Immunology, Columbia University Irving Medical Center, New York, United StatesDepartment of Communicable Diseases and Environmental Determinants of Health, Pan American Health Organization/World Health Organization, Washington, United StatesMalaria Branch, Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, United StatesMinistry of Public Health, Georgetown, GuyanaMalaria Branch, Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, United StatesPan American Health Organization, Georgetown, GuyanaService de Maladies Infectieuses et Tropicales, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana; Ecosystèmes Amazoniens et Pathologie Tropicale (EPAT), EA3593, Université de Guyane, Cayenne, French GuianaGlobal Malaria Program, World Health Organization, Geneva, SwitzerlandBroad Institute of MIT and Harvard, Cambridge, United States; Department of Immunology and Infectious Diseases, Harvard T.H. Chan School of Public Health, Boston, United StatesDepartment of Microbiology and Immunology, Columbia University Irving Medical Center, New York, United States; Division of Infectious Diseases, Department of Medicine, Columbia University Irving Medical Center, New York, United StatesLaboratoire de parasitologie, Centre Nationale de Référence du Paludisme, World Health Organization Collaborating Center for surveillance of antimalarial drug resistance, Institut Pasteur de la Guyane, Cayenne, French GuianaAntimalarial drug resistance has historically arisen through convergent de novo mutations in Plasmodium falciparum parasite populations in Southeast Asia and South America. For the past decade in Southeast Asia, artemisinins, the core component of first-line antimalarial therapies, have experienced delayed parasite clearance associated with several pfk13 mutations, primarily C580Y. We report that mutant pfk13 has emerged independently in Guyana, with genome analysis indicating an evolutionary origin distinct from Southeast Asia. Pfk13 C580Y parasites were observed in 1.6% (14/854) of samples collected in Guyana in 2016–2017. Introducing pfk13 C580Y or R539T mutations by gene editing into local parasites conferred high levels of in vitro artemisinin resistance. In vitro growth competition assays revealed a fitness cost associated with these pfk13 variants, potentially explaining why these resistance alleles have not increased in frequency more quickly in South America. These data place local malaria control efforts at risk in the Guiana Shield.https://elifesciences.org/articles/51015Guyanaartemisinin resistanceevolutionkelch 13South Americamalaria
spellingShingle Luana C Mathieu
Horace Cox
Angela M Early
Sachel Mok
Yassamine Lazrek
Jeanne-Celeste Paquet
Maria-Paz Ade
Naomi W Lucchi
Quacy Grant
Venkatachalam Udhayakumar
Jean SF Alexandre
Magalie Demar
Pascal Ringwald
Daniel E Neafsey
David A Fidock
Lise Musset
Local emergence in Amazonia of Plasmodium falciparum k13 C580Y mutants associated with in vitro artemisinin resistance
eLife
Guyana
artemisinin resistance
evolution
kelch 13
South America
malaria
title Local emergence in Amazonia of Plasmodium falciparum k13 C580Y mutants associated with in vitro artemisinin resistance
title_full Local emergence in Amazonia of Plasmodium falciparum k13 C580Y mutants associated with in vitro artemisinin resistance
title_fullStr Local emergence in Amazonia of Plasmodium falciparum k13 C580Y mutants associated with in vitro artemisinin resistance
title_full_unstemmed Local emergence in Amazonia of Plasmodium falciparum k13 C580Y mutants associated with in vitro artemisinin resistance
title_short Local emergence in Amazonia of Plasmodium falciparum k13 C580Y mutants associated with in vitro artemisinin resistance
title_sort local emergence in amazonia of plasmodium falciparum k13 c580y mutants associated with in vitro artemisinin resistance
topic Guyana
artemisinin resistance
evolution
kelch 13
South America
malaria
url https://elifesciences.org/articles/51015
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