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适应性成本与快速传播的 C580Y 取代突变赋予青蒿素耐药性。

Fitness Costs and the Rapid Spread of -C580Y Substitutions Conferring Artemisinin Resistance.

机构信息

Texas Biomedical Research Institute, San Antonio, Texas, USA

Texas Biomedical Research Institute, San Antonio, Texas, USA.

出版信息

Antimicrob Agents Chemother. 2018 Aug 27;62(9). doi: 10.1128/AAC.00605-18. Print 2018 Sep.

Abstract

Fitness costs are key determinants of whether drug resistance alleles establish and how fast they spread within populations. More than 125 different alleles, each containing a different amino acid substitution, have arisen in Southeast Asian malaria parasite () populations under artemisinin selection over the past 15 years in a dramatic example of a soft selective event. However, just one of these alleles (C580Y) is now outcompeting other alleles in multiple different countries and is spreading toward fixation. Here we examine the fitness consequences of C580Y, relative to another less successful mutation (R561H), to try to explain the distinctive dynamics of C580Y. We hypothesized that C580Y will show lower fitness costs than other substitutions in the absence of artemisinin treatment. We used CRISPR/Cas9 methods to introduce single mutations (C580Y or R561H) or synonymous control edits into a wild-type parasite isolated on the Thailand-Myanmar border, conducted replicated head-to-head competition assays, and determined the outcome of competition using deep sequencing of amplicons. Contrary to our predictions, these experiments reveal that C580Y carries higher fitness costs ( [selection coefficient] = 0.15 ± 0.008 [1 standard error {SE}]) than R561H ( = 0.084 ± 0.005). Furthermore, R561H outcompetes C580Y in direct competition ( = 0.065 ± 0.004). We conclude that fitness costs of C580Y in isolation are unlikely to explain the rapid spread of this substitution.

摘要

适应成本是耐药等位基因是否建立以及在人群中传播速度的关键决定因素。在过去的 15 年中,在东南亚疟原虫()种群中,由于青蒿素的选择,已经出现了超过 125 种不同的等位基因,每种等位基因都包含不同的氨基酸替换,这是一个软选择事件的惊人例子。然而,在多个不同的国家,只有一个等位基因(C580Y)现在正在与其他等位基因竞争,并正在向固定方向传播。在这里,我们研究了 C580Y 相对于另一个不太成功的突变(R561H)的适应成本,试图解释 C580Y 的独特动态。我们假设,在没有青蒿素治疗的情况下,C580Y 将显示出比其他突变更低的适应成本。我们使用 CRISPR/Cas9 方法将单个突变(C580Y 或 R561H)或同义对照编辑引入从泰国-缅甸边境分离的野生型寄生虫中,进行了复制的头对头竞争测定,并使用扩增子的深度测序确定了竞争的结果。与我们的预测相反,这些实验表明 C580Y 携带更高的适应成本([选择系数] = 0.15 ± 0.008 [1 个标准误差 {SE}]) 比 R561H(= 0.084 ± 0.005)。此外,R561H 在直接竞争中胜过 C580Y(= 0.065 ± 0.004)。我们得出的结论是,C580Y 的孤立适应成本不太可能解释这种替换的快速传播。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db35/6125530/44011fc14723/zac0091874130001.jpg

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