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2024年乌干达西部福特portal的青蒿素部分抗性标志物

artemisinin partial resistance markers in Fort Portal, Western Uganda, 2024.

作者信息

van Loon Welmoed, Schallenberg Emma, Mande Emmanuel, Musinguzi Patrick, Ngobi Paul, Atukunda Sharon, Rubaihayo John, Mockenhaupt Frank P

机构信息

Institute of International Health, Charité Center for Global Health, Charité-Universitaetsmedizin Berlin, Berlin, Germany.

Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Central Region, Uganda.

出版信息

Antimicrob Agents Chemother. 2025 Jun 4;69(6):e0175524. doi: 10.1128/aac.01755-24. Epub 2025 Apr 23.

DOI:10.1128/aac.01755-24
PMID:40265952
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12135530/
Abstract

In Fort Portal, Uganda, artemisinin resistance-associated mutations in ( = 126) were present in 4.8% (675V, 561H, and 441L). A mutation of unknown relevance, 490T, occurred in 9.5%. variants suggested increased lumefantrine tolerance (N86, 100%). Mutation 500N was absent, and 199S occurred in 12.8%. The latter is of unknown relevance. These data indicate an incipient emergence of artemisinin resistance in a crucial location between Rwandan and Ugandan resistance hotspots and hardly affected DR Congo.

摘要

在乌干达福特波特,126例样本中与青蒿素耐药相关的突变(675V、561H和441L)占4.8%。一种相关性未知的突变490T出现率为9.5%。某些变异提示对本芴醇耐受性增加(N86,100%)。不存在500N突变,199S突变出现率为12.8%,后者相关性未知。这些数据表明在卢旺达和乌干达耐药热点之间的关键位置已初现青蒿素耐药情况,且对刚果民主共和国影响极小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ee/12135530/428e59f56347/aac.01755-24.f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ee/12135530/428e59f56347/aac.01755-24.f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ee/12135530/428e59f56347/aac.01755-24.f001.jpg

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本文引用的文献

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J Infect Dis. 2025 Feb 4;231(1):269-280. doi: 10.1093/infdis/jiae475.
2
Prevalence of mutations associated with artemisinin partial resistance and sulfadoxine-pyrimethamine resistance in 13 regions in Tanzania in 2021: a cross-sectional survey.2021 年坦桑尼亚 13 个地区与青蒿素部分耐药和磺胺多辛-乙胺嘧啶耐药相关突变的流行情况:一项横断面调查。
Lancet Microbe. 2024 Oct;5(10):100920. doi: 10.1016/S2666-5247(24)00160-5. Epub 2024 Aug 16.
3
A retrospective analysis of drug resistance markers detects an early (2016/17) high prevalence of the k13 C469Y mutation in asymptomatic infections in Northern Uganda.
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Antimicrob Agents Chemother. 2024 Sep 4;68(9):e0157623. doi: 10.1128/aac.01576-23. Epub 2024 Aug 13.
4
Escalating marker prevalence indicative of artemisinin resistance in southern Rwanda.卢旺达南部青蒿素耐药标志物流行率上升。
Antimicrob Agents Chemother. 2024 Jan 10;68(1):e0129923. doi: 10.1128/aac.01299-23. Epub 2023 Dec 11.
5
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Int J Infect Dis. 2024 Feb;139:41-49. doi: 10.1016/j.ijid.2023.11.026. Epub 2023 Nov 26.
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