Abstract
An efficient and fast diagnostic assay was developed to detect the point mutation involved in the resistance of Plasmodium falciparum to chloroquine. The test, based upon a real-time PCR principle and performed with the LightCycler system, was carried out on venous blood isolates from 221 cases of falciparum malaria. The assay provided a quick, sensitive and reliable detection of the T76 Pfcrt mutation and the chloroquine resistance. The results of this study suggest that this LightCycler-based technique could be used to optimise the treatment of imported uncomplicated falciparum malaria, and also for the molecular surveillance of drug resistance among imported cases of this disease.
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References
Basco LK, Ringwald P (2001) Analysis of the key pfcrt point mutation and in vitro and in vivo response to chloroquine in Yaoundé, Cameroon. J Infect Dis 183:1828–1831
De Monbrison F, Raynaud D, Latour-Fondanaiche C, Staal A, Favre S, Kaiser K, Peyron F, Picot S (2003) Real-time PCR for chloroquine sensitivity assay and for pfmdr1-pfcrt single nucleotide polymorphisms in Plasmodium falciparum. J Microbiol Methods 54:391–401
Durand R, Huart V, Jafari S, Le Bras J (2002) Rapid detection of a molecular marker for chloroquine-resistant falciparum malaria. Antimicrob Agents Chemother 46:2684–2686
Fidock DA, Nomura T, Talley AK, Cooper AR, Dzekunov MS, Ferdig TM, Ursos ML, Sidhu AB, Naude B, Deitsch WK, Su ZX, Wootton CJ, Roepe DP, Wellems ET (2000) Mutations in the P. falciparum digestive vacuole transmembrane protein Pfcrt and evidence for their role in chloroquine resistance. Mol Cell 6:861–871
Le Bras J, Pradines B, Di Piazza JP, Durand R, Godineau N, Bouchaud O, Roue R, Marchou B, Martet G, Longuet C, Parzy D (1998) Résistance a la chloroquine et au cycloguanil de Plasmodium falciparum chez des patients arrivant en France après un voyage en Afrique sans chimioprophylaxie. Bull Soc Pathol Exot 91:490–492
Longuet C, Ramiliarisoa O, Thor R, Bouchaud O, Basco LK, Doury JC, Le Bras J (1997) Chimiosensibilité du paludisme d’importation a Plasmodium falciparum en France en 1995. Bull Soc Pathol Exot 90:253–256
Ralaimazova P, Durand R, Godineau N, Keundjian A, Jezic Z, Pradines B, Bouchaud O, Le Bras J (2002) Profile and evolution of the chemosusceptibility of falciparum malaria imported into France in 2000. Euro Surveill 7:113-118
Trape JF, Pison G, Preziosi MP, Enel C, Desgrees du Lou A, Delaunay V, Samb B, Lagarde E, Molez JF, Simondon F (1998) Impact of chloroquine resistance on malaria mortality. C R Acad Sci III 321:689–697
Wellems TE, Plowe CV (2001) Chloroquine-resistant malaria. J Infect Dis 184:770–776
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The authors gratefully acknowledge Joëlle Beaudou, Sandra Bernadets, Cécile Escaffre and Cathy Prohèze for technical assistance.
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Vessière, A., Berry, A., Fabre, R. et al. Detection by real-time PCR of the Pfcrt T76 mutation, a molecular marker of chloroquine-resistant Plasmodium falciparum strains. Parasitol Res 93, 5–7 (2004). https://doi.org/10.1007/s00436-004-1096-6
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DOI: https://doi.org/10.1007/s00436-004-1096-6