Generation of a mutator parasite to drive resistome discovery in Plasmodium falciparum

Abstract In vitro evolution of drug resistance is a powerful approach for identifying antimalarial targets, however, key obstacles to eliciting resistance are the parasite inoculum size and mutation rate. Here we sought to increase parasite genetic diversity to potentiate resistance selections by ed...

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Main Authors: Krittikorn Kümpornsin, Theerarat Kochakarn, Tomas Yeo, John Okombo, Madeline R. Luth, Johanna Hoshizaki, Mukul Rawat, Richard D. Pearson, Kyra A. Schindler, Sachel Mok, Heekuk Park, Anne-Catrin Uhlemann, Gouranga P. Jana, Bikash C. Maity, Benoît Laleu, Elodie Chenu, James Duffy, Sonia Moliner Cubel, Virginia Franco, Maria G. Gomez-Lorenzo, Francisco Javier Gamo, Elizabeth A. Winzeler, David A. Fidock, Thanat Chookajorn, Marcus C. S. Lee
Format: Article
Language:English
Published: Nature Portfolio 2023-05-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-023-38774-1
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author Krittikorn Kümpornsin
Theerarat Kochakarn
Tomas Yeo
John Okombo
Madeline R. Luth
Johanna Hoshizaki
Mukul Rawat
Richard D. Pearson
Kyra A. Schindler
Sachel Mok
Heekuk Park
Anne-Catrin Uhlemann
Gouranga P. Jana
Bikash C. Maity
Benoît Laleu
Elodie Chenu
James Duffy
Sonia Moliner Cubel
Virginia Franco
Maria G. Gomez-Lorenzo
Francisco Javier Gamo
Elizabeth A. Winzeler
David A. Fidock
Thanat Chookajorn
Marcus C. S. Lee
author_facet Krittikorn Kümpornsin
Theerarat Kochakarn
Tomas Yeo
John Okombo
Madeline R. Luth
Johanna Hoshizaki
Mukul Rawat
Richard D. Pearson
Kyra A. Schindler
Sachel Mok
Heekuk Park
Anne-Catrin Uhlemann
Gouranga P. Jana
Bikash C. Maity
Benoît Laleu
Elodie Chenu
James Duffy
Sonia Moliner Cubel
Virginia Franco
Maria G. Gomez-Lorenzo
Francisco Javier Gamo
Elizabeth A. Winzeler
David A. Fidock
Thanat Chookajorn
Marcus C. S. Lee
author_sort Krittikorn Kümpornsin
collection DOAJ
description Abstract In vitro evolution of drug resistance is a powerful approach for identifying antimalarial targets, however, key obstacles to eliciting resistance are the parasite inoculum size and mutation rate. Here we sought to increase parasite genetic diversity to potentiate resistance selections by editing catalytic residues of Plasmodium falciparum DNA polymerase δ. Mutation accumulation assays reveal a ~5–8 fold elevation in the mutation rate, with an increase of 13–28 fold in drug-pressured lines. Upon challenge with the spiroindolone PfATP4-inhibitor KAE609, high-level resistance is obtained more rapidly and at lower inocula than wild-type parasites. Selections also yield mutants with resistance to an “irresistible” compound, MMV665794 that failed to yield resistance with other strains. We validate mutations in a previously uncharacterised gene, PF3D7_1359900, which we term quinoxaline resistance protein (QRP1), as causal for resistance to MMV665794 and a panel of quinoxaline analogues. The increased genetic repertoire available to this “mutator” parasite can be leveraged to drive P. falciparum resistome discovery.
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spelling doaj.art-cd0bb7acaa454eeba503bf34e9f1ecc82023-05-28T11:22:14ZengNature PortfolioNature Communications2041-17232023-05-0114111410.1038/s41467-023-38774-1Generation of a mutator parasite to drive resistome discovery in Plasmodium falciparumKrittikorn Kümpornsin0Theerarat Kochakarn1Tomas Yeo2John Okombo3Madeline R. Luth4Johanna Hoshizaki5Mukul Rawat6Richard D. Pearson7Kyra A. Schindler8Sachel Mok9Heekuk Park10Anne-Catrin Uhlemann11Gouranga P. Jana12Bikash C. Maity13Benoît Laleu14Elodie Chenu15James Duffy16Sonia Moliner Cubel17Virginia Franco18Maria G. Gomez-Lorenzo19Francisco Javier Gamo20Elizabeth A. Winzeler21David A. Fidock22Thanat Chookajorn23Marcus C. S. Lee24Wellcome Sanger Institute, Wellcome Genome CampusThe Laboratory for Molecular Infection Medicine Sweden and Department of Molecular Biology, Umeå UniversityDepartment of Microbiology and Immunology, Columbia University Irving Medical CenterDepartment of Microbiology and Immunology, Columbia University Irving Medical CenterDepartment of Pediatrics, School of Medicine, University of California, San DiegoWellcome Sanger Institute, Wellcome Genome CampusWellcome Sanger Institute, Wellcome Genome CampusWellcome Sanger Institute, Wellcome Genome CampusDepartment of Microbiology and Immunology, Columbia University Irving Medical CenterDepartment of Microbiology and Immunology, Columbia University Irving Medical CenterDivision of Infectious Diseases, Department of Medicine, Columbia University Irving Medical CenterCenter for Malaria Therapeutics and Antimicrobial Resistance, Division of Infectious Diseases, Department of Medicine, Columbia University Irving Medical CenterTCG Lifesciences Private Limited, Salt-lake Electronics ComplexTCG Lifesciences Private Limited, Salt-lake Electronics ComplexMedicines for Malaria Venture, International Centre CointrinMedicines for Malaria Venture, International Centre CointrinMedicines for Malaria Venture, International Centre CointrinGlobal Health Medicines R&D, GlaxoSmithKline, Tres CantosGlobal Health Medicines R&D, GlaxoSmithKline, Tres CantosGlobal Health Medicines R&D, GlaxoSmithKline, Tres CantosGlobal Health Medicines R&D, GlaxoSmithKline, Tres CantosDepartment of Pediatrics, School of Medicine, University of California, San DiegoDepartment of Microbiology and Immunology, Columbia University Irving Medical CenterThe Laboratory for Molecular Infection Medicine Sweden and Department of Molecular Biology, Umeå UniversityWellcome Sanger Institute, Wellcome Genome CampusAbstract In vitro evolution of drug resistance is a powerful approach for identifying antimalarial targets, however, key obstacles to eliciting resistance are the parasite inoculum size and mutation rate. Here we sought to increase parasite genetic diversity to potentiate resistance selections by editing catalytic residues of Plasmodium falciparum DNA polymerase δ. Mutation accumulation assays reveal a ~5–8 fold elevation in the mutation rate, with an increase of 13–28 fold in drug-pressured lines. Upon challenge with the spiroindolone PfATP4-inhibitor KAE609, high-level resistance is obtained more rapidly and at lower inocula than wild-type parasites. Selections also yield mutants with resistance to an “irresistible” compound, MMV665794 that failed to yield resistance with other strains. We validate mutations in a previously uncharacterised gene, PF3D7_1359900, which we term quinoxaline resistance protein (QRP1), as causal for resistance to MMV665794 and a panel of quinoxaline analogues. The increased genetic repertoire available to this “mutator” parasite can be leveraged to drive P. falciparum resistome discovery.https://doi.org/10.1038/s41467-023-38774-1
spellingShingle Krittikorn Kümpornsin
Theerarat Kochakarn
Tomas Yeo
John Okombo
Madeline R. Luth
Johanna Hoshizaki
Mukul Rawat
Richard D. Pearson
Kyra A. Schindler
Sachel Mok
Heekuk Park
Anne-Catrin Uhlemann
Gouranga P. Jana
Bikash C. Maity
Benoît Laleu
Elodie Chenu
James Duffy
Sonia Moliner Cubel
Virginia Franco
Maria G. Gomez-Lorenzo
Francisco Javier Gamo
Elizabeth A. Winzeler
David A. Fidock
Thanat Chookajorn
Marcus C. S. Lee
Generation of a mutator parasite to drive resistome discovery in Plasmodium falciparum
Nature Communications
title Generation of a mutator parasite to drive resistome discovery in Plasmodium falciparum
title_full Generation of a mutator parasite to drive resistome discovery in Plasmodium falciparum
title_fullStr Generation of a mutator parasite to drive resistome discovery in Plasmodium falciparum
title_full_unstemmed Generation of a mutator parasite to drive resistome discovery in Plasmodium falciparum
title_short Generation of a mutator parasite to drive resistome discovery in Plasmodium falciparum
title_sort generation of a mutator parasite to drive resistome discovery in plasmodium falciparum
url https://doi.org/10.1038/s41467-023-38774-1
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