Adam Ruqayya, Mukhtar Muhammad M, Abubakar Umar F, Damudi Hajara A, Muhammad Abdullahi, Ibrahim Sulaiman S
Department of Biological Sciences, Federal University Dutsinma, Katsina PMB 5001, Nigeria.
Department of Biochemistry, Bayero University, Kano PMB 3011, Nigeria.
Diseases. 2021 Jan 4;9(1):6. doi: 10.3390/diseases9010006.
Suspicion of failure in the effectiveness of artemisinin-based combination therapies (currently the first-line treatment of malaria, worldwide) is leading to the unofficial use of alternative antimalarials, including chloroquine and sulfadoxine/pyrimethamine, across northern Nigeria. To facilitate evidence-based resistance management, antimalarial resistance mutations were investigated in () and (), in isolates from Kano, northwestern Nigeria. Out of the 88 samples genotyped for N86Y mutation using PCR/restriction fragment length polymorphism, one sample contained the 86Y mutation (86Y = 1.14%). The analysis of 610 bp fragments of from 16 isolates revealed two polymorphic sites and low haplotype diversity (H = 0.492), with only 86 Y mutations in one isolate, and 184 F replacements in five isolates (184F = 31.25%). The analysis of 267 bp fragments of isolates revealed high polymorphism (H = 0.719), with six haplotypes and seven non-synonymous polymorphic sites. Eleven isolates (61.11%) were chloroquine-resistant, CQR (CVIET haplotype), two of which had an additional mutation, DE. An additional sequence was CQR, but of the CVMET haplotype, while the rest of the sequences (33.33%) were chloroquine susceptible (CVMNK haplotype). The findings of these well characterized resistance markers should be considered when designing resistance management strategies in the northwestern Nigeria.
对以青蒿素为基础的联合疗法(目前全球疟疾的一线治疗方法)疗效不佳的怀疑,导致尼日利亚北部各地非正式地使用包括氯喹和磺胺多辛/乙胺嘧啶在内的替代抗疟药。为了促进基于证据的耐药性管理,在尼日利亚西北部卡诺分离出的疟原虫()和()中对抗疟药耐药性突变进行了调查。在使用PCR/限制性片段长度多态性对88个样本进行N86Y突变基因分型时,有一个样本含有86Y突变(86Y = 1.14%)。对16个分离株的610 bp片段进行分析,发现了两个多态性位点和低单倍型多样性(H = 0.492),只有一个分离株中有86 Y突变,五个分离株中有184 F替换(184F = 31.25%)。对分离株的267 bp片段进行分析,发现多态性较高(H = 0.719),有六种单倍型和七个非同义多态性位点。11个分离株(61.11%)对氯喹耐药,CQR(CVIET单倍型),其中两个有额外的DE突变。另一个序列为CQR,但属于CVMET单倍型,其余序列(33.33%)对氯喹敏感(CVMNK单倍型)。在设计尼日利亚西北部的耐药性管理策略时,应考虑这些特征明确的耐药性标记的研究结果。