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加蓬疟原虫分离株对抗疟药物的体外药敏试验

Ex Vivo Drug Susceptibility of Isolates to Antimalarial Drugs in Gabon.

作者信息

Pinilla Yudi T, Hoffmann Anton, Viehweg Maxim, Saison Nathanaël, Sambe Stravensky Terence Boussougou, Ndalembouly Ange Gatien Doumba, Ngossanga Barclaye, Awamu Florence, Adegnika Ayola Akim, Borrmann Steffen

机构信息

Centre de Recherches Médicales de Lambaréné, Lambaréné BP 242, Gabon.

Institute for Tropical Medicine, University of Tübingen, 72074 Tübingen, Germany.

出版信息

Pathogens. 2025 May 6;14(5):453. doi: 10.3390/pathogens14050453.

DOI:10.3390/pathogens14050453
PMID:40430773
Abstract

is a neglected human malaria parasite despite its global distribution and propensity for persistent, sub-microscopic infections, which are associated with a mild but significant disease burden. Artemisinin-based therapies appear to be efficacious, but the susceptibility profiles of field isolates are largely unknown. We performed ex vivo assays with isolates collected from asymptomatic volunteers in Gabon. The mean concentrations required to inhibit 50% of growth (IC50) with chloroquine (n = 21), artesunate (n = 20), atovaquone (n = 21), and lumefantrine (n = 14) were 7.2 nM, 2.7 nM, 3.1 nM, and 7.4 nM, respectively. Our study provides novel data on the ex vivo susceptibility of to several key antimalarials, including the first dataset for atovaquone.

摘要

尽管其分布于全球且易于引发持续性亚显微感染(这种感染与轻度但显著的疾病负担相关),但它仍是一种被忽视的人类疟原虫。基于青蒿素的疗法似乎有效,但野外分离株的药敏谱在很大程度上尚不清楚。我们对从加蓬无症状志愿者身上采集的分离株进行了体外试验。用氯喹(n = 21)、青蒿琥酯(n = 20)、阿托伐醌(n = 21)和卤泛群(n = 14)抑制50%生长所需的平均浓度(IC50)分别为7.2 nM、2.7 nM、3.1 nM和7.4 nM。我们的研究提供了关于该疟原虫对几种关键抗疟药体外药敏性的新数据,包括阿托伐醌的首个数据集。

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本文引用的文献

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Nat Commun. 2024 Dec 30;15(1):10779. doi: 10.1038/s41467-024-55102-3.
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The emergence of artemisinin partial resistance in Africa: how do we respond?非洲青蒿素部分抗性的出现:我们如何应对?
Lancet Infect Dis. 2024 Sep;24(9):e591-e600. doi: 10.1016/S1473-3099(24)00141-5. Epub 2024 Mar 26.
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Treatment Failure in a UK Malaria Patient Harboring Genetically Variant Plasmodium falciparum From Uganda With Reduced In Vitro Susceptibility to Artemisinin and Lumefantrine.
英国疟疾病例治疗失败,携带源自乌干达具遗传变异的疟原虫 falciparum,对青蒿素和咯萘啶的体外敏感性降低。
Clin Infect Dis. 2024 Feb 17;78(2):445-452. doi: 10.1093/cid/ciad724.
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Prevalence of non-Plasmodium falciparum species in southern districts of Brazzaville in The Republic of the Congo.刚果共和国布拉柴维尔南部地区非恶性疟原虫种属的流行情况。
Parasit Vectors. 2022 Jun 16;15(1):209. doi: 10.1186/s13071-022-05312-9.
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Plasmodium malariae after successful treatment of P. falciparum malaria with artemether-lumefantrine.在用蒿甲醚-本芴醇成功治疗恶性疟原虫疟疾后出现的三日疟原虫。
Int J Infect Dis. 2022 Jun;119:56-58. doi: 10.1016/j.ijid.2022.03.045. Epub 2022 Mar 28.
6
High prevalence of Plasmodium malariae and Plasmodium ovale in co-infections with Plasmodium falciparum in asymptomatic malaria parasite carriers in southwestern Nigeria.在尼日利亚西南部无症状疟原虫携带者的疟原虫混合感染中,恶性疟原虫与疟原虫卵形疟原虫的高流行率。
Int J Parasitol. 2022 Jan;52(1):23-33. doi: 10.1016/j.ijpara.2021.06.003. Epub 2021 Aug 11.
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Plasmodium malariae and Plasmodium falciparum comparative susceptibility to antimalarial drugs in Mali.马里间日疟原虫和恶性疟原虫对抗疟药物敏感性的比较。
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