Occurrence of the Southeast Asian/South American SVMNT haplotype of the chloroquine-resistance transporter gene in Plasmodium falciparum in Tanzania

Michael Alifrangis, Michael B Dalgaard, John P Lusingu, Lasse S Vestergaard, Trine Staalsoe, Anja T R Jensen, Anders Enevold, Anita M Rønn, Insaf F Khalil, David C Warhurst, Martha M Lemnge, Thor G Theander, Ib C Bygbjerg

69 Citations (Scopus)

Abstract

Two main haplotypes, CVIET and SVMNT, of the Plasmodium falciparum chloroquine-resistance transporter gene (Pfcrt) are linked to 4-aminoquinoline resistance. The CVIET haplotype has been reported in most malaria-endemic regions, whereas the SVMNT haplotype has only been found outside Africa. We investigated Pfcrt haplotype frequencies in Korogwe District, Tanzania, in 2003 and 2004. The SVMNT haplotype was not detected in 2003 but was found in 19% of infected individuals in 2004. Amodiaquine use has increased in the region. The introduction and high prevalence of the SVMNT haplotype may reflect this and may raise concern regarding the use of amodiaquine in artemisinin-based combination therapies in Africa.
Original languageEnglish
JournalJournal of Infectious Diseases
Volume193
Issue number12
Pages (from-to)1738-41
Number of pages3
ISSN0022-1899
DOIs
Publication statusPublished - 2006

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