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Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/119078

Drug-Resistant Polymorphisms and Copy Numbers in Plasmodium falciparum, Mozambique, 2015

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One of the fundamental steps toward malaria control is the use of antimalarial drugs. The success of antimalarial treatment can be affected by the presence of drug-resistant populations of Plasmodium falciparum. To assess resistance, we used molecular methods to examine 351 P. falciparum isolates collected from 4 sentinel sites in Mozambique for K13, pfmdr1, pfcrt, and pfdhps polymorphisms and for plasmepsin2 (pfpm2) and pfmdr1 copy numbers. We found multiple copies of pfpm2 in 1.1% of isolates. All isolates carried K13 wild-type alleles (3D7-like), except 4 novel polymorphisms (Leu619Leu, Phe656Ile, Val666Val, Gly690Gly). Prevalence of isolates with pfcrt mutant (K76T) allele was low (2.3%). Prevalence of isolates with pfdhps mutant alleles (A437G and K540E) was >80%, indicating persistence of sulfadoxine/pyrimethamine resistance; however, markers of artemisinin were absent, and markers of piperaquine resistance were low. Piperaquine resistance isolates may spread in Mozambique as dihydroartemisinin/piperaquine drug pressure increases.

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GUPTA, Himanshu, MACETE, Eusebio víctor, BULO, Helder, SALVADOR, Crizolgo, WARSAME, Marian, CARVALHO, Eva, MENARD, Didier, RINGWALD, Pascal, BASSAT ORELLANA, Quique, ENOSSE, Sonia, MAYOR APARICIO, Alfredo gabriel. Drug-Resistant Polymorphisms and Copy Numbers in Plasmodium
                falciparum, Mozambique, 2015. _Emerging Infectious Diseases_. 2018. Vol. 24, núm. 1, pàgs. 40-48. [consulta: 27 de gener de 2026]. ISSN: 1080-6040. [Disponible a: https://hdl.handle.net/2445/119078]

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