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尼日利亚西北部疟原虫分离株的多态性分析揭示了与抗疟耐药性相关的主要标志物。

Polymorphism Analysis of and from Isolates in Northwestern Nigeria Revealed the Major Markers Associated with Antimalarial Resistance.

作者信息

Adam Ruqayya, Mukhtar Muhammad M, Abubakar Umar F, Damudi Hajara A, Muhammad Abdullahi, Ibrahim Sulaiman S

机构信息

Department of Biological Sciences, Federal University Dutsinma, Katsina PMB 5001, Nigeria.

Department of Biochemistry, Bayero University, Kano PMB 3011, Nigeria.

出版信息

Diseases. 2021 Jan 4;9(1):6. doi: 10.3390/diseases9010006.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4314/7838797/e0d7199ab689/diseases-09-00006-g001.jpg

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