Am J Trop Med Hyg. 2012 Aug;87(2):231-241. doi: 10.4269/ajtmh.2012.12-0025.
Artemisinin-based combination therapies are the most effective drugs to treat Plasmodium falciparum malaria. Reduced sensitivity to artemisinin monotherapy, coupled with the emergence of parasite resistance to all partner drugs, threaten to place millions of patients at risk of inadequate treatment of malaria. Recognizing the significance and immediacy of this possibility, the Fogarty International Center and the National Institute of Allergy and Infectious Diseases of the U.S. National Institutes of Health convened a conference in November 2010 to bring together the diverse array of stakeholders responding to the growing threat of artemisinin resistance, including scientists from malarious countries in peril. This conference encouraged and enabled experts to share their recent unpublished data from studies that may improve our understanding of artemisinin resistance. Conference sessions addressed research priorities to forestall artemisinin resistance and fostered collaborations between field- and laboratory-based researchers and international programs, with the aim of translating new scientific evidence into public health solutions. Inspired by this conference, this review summarizes novel findings and perspectives on artemisinin resistance, approaches for translating research data into relevant public health information, and opportunities for interdisciplinary collaboration to combat artemisinin resistance.
以青蒿素为基础的联合疗法是治疗恶性疟原虫疟疾最有效的药物。青蒿素单一疗法敏感性降低,加上寄生虫对所有联合用药的抗药性出现,这有可能使数以百万计的疟疾患者面临治疗不足的风险。美国国立卫生研究院过敏和传染病研究所福格蒂国际中心认识到这种可能性的重要性和紧迫性,于 2010 年 11 月召开了一次会议,召集了应对青蒿素耐药性日益严重威胁的各种利益攸关方,包括来自疟疾风险国家的科学家。这次会议鼓励并使专家能够分享他们最近未发表的研究数据,这些数据可能有助于提高我们对青蒿素耐药性的认识。会议专题讨论了防止青蒿素耐药性的研究重点,并促进了实地和实验室研究人员与国际方案之间的合作,目的是将新的科学证据转化为公共卫生解决方案。受这次会议的启发,这篇综述总结了青蒿素耐药性的新发现和新观点、将研究数据转化为相关公共卫生信息的方法,以及开展跨学科合作对抗青蒿素耐药性的机会。