K13-mediated reduced susceptibility to artemisinin in Plasmodium falciparum is overlaid on a trait of enhanced DNA damage repair

Southeast Asia has been the hotbed for the development of drug-resistant malaria parasites, including those with resistance to artemisinin combination therapy. While mutations in the kelch propeller domain (K13 mutations) are associated with artemisinin resistance, a range of evidence suggests that...

Full description

Bibliographic Details
Main Authors: Xiong, Aoli, Prakash, Prem, Gao, Xiaohong, Chew, Marvin, Tay, Ian Jun Jie, Woodrow, Charles J., Engelward, Bevin P., Han, Jongyoon, Preiser, Peter Rainer
Other Authors: School of Biological Sciences
Format: Journal Article
Language:English
Published: 2021
Subjects:
Online Access:https://hdl.handle.net/10356/146590
_version_ 1826111494546259968
author Xiong, Aoli
Prakash, Prem
Gao, Xiaohong
Chew, Marvin
Tay, Ian Jun Jie
Woodrow, Charles J.
Engelward, Bevin P.
Han, Jongyoon
Preiser, Peter Rainer
author2 School of Biological Sciences
author_facet School of Biological Sciences
Xiong, Aoli
Prakash, Prem
Gao, Xiaohong
Chew, Marvin
Tay, Ian Jun Jie
Woodrow, Charles J.
Engelward, Bevin P.
Han, Jongyoon
Preiser, Peter Rainer
author_sort Xiong, Aoli
collection NTU
description Southeast Asia has been the hotbed for the development of drug-resistant malaria parasites, including those with resistance to artemisinin combination therapy. While mutations in the kelch propeller domain (K13 mutations) are associated with artemisinin resistance, a range of evidence suggests that other factors are critical for the establishment and subsequent transmission of resistance in the field. Here, we perform a quantitative analysis of DNA damage and repair in the malaria parasite Plasmodium falciparum and find a strong link between enhanced DNA damage repair and artemisinin resistance. This experimental observation is further supported when variations in seven known DNA repair genes are found in resistant parasites, with six of these mutations being associated with K13 mutations. Our data provide important insights on confounding factors that are important for the establishment and spread of artemisinin resistance and may explain why resistance has not yet arisen in Africa.
first_indexed 2024-10-01T02:51:39Z
format Journal Article
id ntu-10356/146590
institution Nanyang Technological University
language English
last_indexed 2024-10-01T02:51:39Z
publishDate 2021
record_format dspace
spelling ntu-10356/1465902023-02-28T17:09:34Z K13-mediated reduced susceptibility to artemisinin in Plasmodium falciparum is overlaid on a trait of enhanced DNA damage repair Xiong, Aoli Prakash, Prem Gao, Xiaohong Chew, Marvin Tay, Ian Jun Jie Woodrow, Charles J. Engelward, Bevin P. Han, Jongyoon Preiser, Peter Rainer School of Biological Sciences Science::Biological sciences Artemisinin K13 Protein Southeast Asia has been the hotbed for the development of drug-resistant malaria parasites, including those with resistance to artemisinin combination therapy. While mutations in the kelch propeller domain (K13 mutations) are associated with artemisinin resistance, a range of evidence suggests that other factors are critical for the establishment and subsequent transmission of resistance in the field. Here, we perform a quantitative analysis of DNA damage and repair in the malaria parasite Plasmodium falciparum and find a strong link between enhanced DNA damage repair and artemisinin resistance. This experimental observation is further supported when variations in seven known DNA repair genes are found in resistant parasites, with six of these mutations being associated with K13 mutations. Our data provide important insights on confounding factors that are important for the establishment and spread of artemisinin resistance and may explain why resistance has not yet arisen in Africa. National Research Foundation (NRF) Singapore-MIT Alliance for Research and Technology (SMART) Published version We would like to thank David Fidock (Columbia University, New York, NY, USA) for the P. falciparum Dd2 and Dd2I543T strains. This work was supported by the National Research Foundation, Prime Minister’s Office , Singapore, through the Singapore-MIT Alliance for Research and Technology (SMART) BioSystems and Micromechanics (BioSym) Interdisciplinary Research Group (IRG) (to A.X. and J.H.) and Antimicrobial Resistance IRG (to A.X., J.H., M.Z., W.C., and P.R.P.); and by the Bill and Melinda Gates Foundation (Global Health grant number OPP1040463 to A.X., C.W., P.P., G.X., and P.R.P.). 2021-03-02T05:51:32Z 2021-03-02T05:51:32Z 2020 Journal Article Xiong, A., Prakash, P., Gao, X., Chew, M., Tay, I. J. J., Woodrow, C. J., . . . Preiser, P. R. (2020). K13-mediated reduced susceptibility to artemisinin in Plasmodium falciparum is overlaid on a trait of enhanced DNA damage repair. Cell Reports, 32(5), 107996-. doi:10.1016/j.celrep.2020.107996 2211-1247 https://hdl.handle.net/10356/146590 10.1016/j.celrep.2020.107996 32755588 2-s2.0-85088856605 5 32 en Cell Reports © 2020 The Author(s). This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). application/pdf
spellingShingle Science::Biological sciences
Artemisinin
K13 Protein
Xiong, Aoli
Prakash, Prem
Gao, Xiaohong
Chew, Marvin
Tay, Ian Jun Jie
Woodrow, Charles J.
Engelward, Bevin P.
Han, Jongyoon
Preiser, Peter Rainer
K13-mediated reduced susceptibility to artemisinin in Plasmodium falciparum is overlaid on a trait of enhanced DNA damage repair
title K13-mediated reduced susceptibility to artemisinin in Plasmodium falciparum is overlaid on a trait of enhanced DNA damage repair
title_full K13-mediated reduced susceptibility to artemisinin in Plasmodium falciparum is overlaid on a trait of enhanced DNA damage repair
title_fullStr K13-mediated reduced susceptibility to artemisinin in Plasmodium falciparum is overlaid on a trait of enhanced DNA damage repair
title_full_unstemmed K13-mediated reduced susceptibility to artemisinin in Plasmodium falciparum is overlaid on a trait of enhanced DNA damage repair
title_short K13-mediated reduced susceptibility to artemisinin in Plasmodium falciparum is overlaid on a trait of enhanced DNA damage repair
title_sort k13 mediated reduced susceptibility to artemisinin in plasmodium falciparum is overlaid on a trait of enhanced dna damage repair
topic Science::Biological sciences
Artemisinin
K13 Protein
url https://hdl.handle.net/10356/146590
work_keys_str_mv AT xiongaoli k13mediatedreducedsusceptibilitytoartemisinininplasmodiumfalciparumisoverlaidonatraitofenhanceddnadamagerepair
AT prakashprem k13mediatedreducedsusceptibilitytoartemisinininplasmodiumfalciparumisoverlaidonatraitofenhanceddnadamagerepair
AT gaoxiaohong k13mediatedreducedsusceptibilitytoartemisinininplasmodiumfalciparumisoverlaidonatraitofenhanceddnadamagerepair
AT chewmarvin k13mediatedreducedsusceptibilitytoartemisinininplasmodiumfalciparumisoverlaidonatraitofenhanceddnadamagerepair
AT tayianjunjie k13mediatedreducedsusceptibilitytoartemisinininplasmodiumfalciparumisoverlaidonatraitofenhanceddnadamagerepair
AT woodrowcharlesj k13mediatedreducedsusceptibilitytoartemisinininplasmodiumfalciparumisoverlaidonatraitofenhanceddnadamagerepair
AT engelwardbevinp k13mediatedreducedsusceptibilitytoartemisinininplasmodiumfalciparumisoverlaidonatraitofenhanceddnadamagerepair
AT hanjongyoon k13mediatedreducedsusceptibilitytoartemisinininplasmodiumfalciparumisoverlaidonatraitofenhanceddnadamagerepair
AT preiserpeterrainer k13mediatedreducedsusceptibilitytoartemisinininplasmodiumfalciparumisoverlaidonatraitofenhanceddnadamagerepair