Confirmation of Plasmodium falciparum in vitro resistance to monodesethylamodiaquine and chloroquine in Dakar, Senegal, in 2015
Identifieur interne : 000103 ( France/Analysis ); précédent : 000102; suivant : 000104Confirmation of Plasmodium falciparum in vitro resistance to monodesethylamodiaquine and chloroquine in Dakar, Senegal, in 2015
Auteurs : Silman Diawara [Sénégal] ; Marylin Madamet [Sénégal, France] ; Mame Bou Kounta [Sénégal] ; Gora Lo [Sénégal] ; Khalifa Ababacar Wade [Sénégal] ; Aminata Nakoulima [Sénégal] ; Raymond Bercion [Sénégal] ; Remy Amalvict [Sénégal, France] ; Mamadou Wague Gueye [Sénégal] ; Bécaye Fall [Sénégal] ; Bakary Diatta [Sénégal] ; Bruno Pradines [Sénégal, France]Source :
- Malaria Journal [ 1475-2875 ] ; 2017-03.
Abstract
Background: In response to increasing resistance to anti-malarial drugs, Senegal adopted artemisinin-based combination therapy ( ACT) as the first-line treatment for uncomplicated malaria in 2006. However, resistance of Plasmodium falciparum parasites to artemisinin derivatives, characterized by delayed parasite clearance after treatment with ACT or artesunate monotherapy, has recently emerged and rapidly spread in Southeast Asia. After 10 years of stability with rates ranging from 5.6 to 11.8%, the prevalence of parasites with reduced susceptibility in vitro to monodesethylamodiaquine, the active metabolite of an ACT partner drug, increased to 30.6% in 2014 in Dakar. Additionally, after a decrease of the in vitro chloroquine resistance in Dakar in 2009-2011, the prevalence of parasites that showed in vitro chloroquine resistance increased again to approximately 50% in Dakar since 2013. The aim of this study was to follow the evolution of the susceptibility to ACT partners and other anti- malarial drugs in 2015 in Dakar. An in vitro test is the only method currently available to provide an early indication of resistance to ACT partners. Results: Thirty-two P. falciparum isolates collected in 2015 in Dakar were analysed using a standard ex vivo assay based on an HRP2 ELISA. The prevalence of P. falciparum parasites with reduced susceptibility in vitro to monodesethylamodiaquine, chloroquine, mefloquine, doxycycline and quinine was 28.1, 46.9, 45.2, 31.2 and 9.7%, respectively. None of the parasites were resistant to lumefantrine, piperaquine, pyronaridine, dihydroartemisinin and artesunate. These results confirm an increase in the reduced susceptibility to monodesethylamodiaquine observed in 2014 in Dakar and the chloroquine resistance observed in 2013. The in vitro resistance seems to be established in Dakar. Additionally, the prevalence of parasites with reduced susceptibility to doxycycline has increased two-fold compared to 2014. Conclusions: The establishment of a reduced susceptibility to monodesethylamodiaquine as well as chloroquine resistance, and the emergence of a reduced susceptibility to doxycycline are disturbing. The in vitro and in vivo surveillance of anti- malarial drugs must be implemented in Senegal.
Url:
DOI: 10.1186/s12936-017-1773-4
Affiliations:
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Hal:hal-01521245Le document en format XML
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<desc> <address> <addrLine>Aix-Marseille UniversitéJardins du Pharo58 Boulevard Charles Livon13284 Marseille cedex 7</addrLine>
<country key="FR"></country>
</address>
<ref type="url">http://www.univ-amu.fr/</ref>
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<tutelle name="U1095" active="#struct-303623" type="indirect"><org type="institution" xml:id="struct-303623" status="VALID"> <idno type="IdRef">026388278</idno>
<orgName>Institut National de la Santé et de la Recherche Médicale</orgName>
<orgName type="acronym">INSERM</orgName>
<desc> <address> <addrLine>101, rue de Tolbiac, 75013 Paris </addrLine>
<country key="FR"></country>
</address>
<ref type="url">http://www.inserm.fr</ref>
</desc>
</org>
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<tutelle active="#struct-303759" type="indirect"><org type="regrouplaboratory" xml:id="struct-303759" status="OLD"> <orgName>IFR48</orgName>
<date type="start">1996-01-01</date>
<date type="end">2011-12-31</date>
<desc> <address> <country key="FR"></country>
</address>
</desc>
<listRelation> <relation active="#struct-302108" type="direct"></relation>
</listRelation>
</org>
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<tutelle active="#struct-302108" type="indirect"><org type="institution" xml:id="struct-302108" status="VALID"> <orgName>INSB</orgName>
<desc> <address> <country key="FR"></country>
</address>
</desc>
</org>
</tutelle>
<tutelle name="UMR7278" active="#struct-441569" type="indirect"><org type="institution" xml:id="struct-441569" status="VALID"> <idno type="IdRef">02636817X</idno>
<idno type="ISNI">0000000122597504</idno>
<orgName>Centre National de la Recherche Scientifique</orgName>
<orgName type="acronym">CNRS</orgName>
<date type="start">1939-10-19</date>
<desc> <address> <country key="FR"></country>
</address>
<ref type="url">http://www.cnrs.fr/</ref>
</desc>
</org>
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</tutelles>
</hal:affiliation>
<country>Sénégal</country>
<placeName><settlement type="city">Marseille</settlement>
<region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region>
</placeName>
<country>France</country>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
</author>
</analytic>
<idno type="DOI">10.1186/s12936-017-1773-4</idno>
<series><title level="j">Malaria Journal</title>
<idno type="ISSN">1475-2875</idno>
<imprint><date type="datePub">2017-03</date>
</imprint>
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<front><div type="abstract" xml:lang="en"> <p>Background: In response to increasing resistance to anti-malarial drugs, Senegal adopted artemisinin-based combination therapy ( ACT) as the first-line treatment for uncomplicated malaria in 2006. However, resistance of Plasmodium falciparum parasites to artemisinin derivatives, characterized by delayed parasite clearance after treatment with ACT or artesunate monotherapy, has recently emerged and rapidly spread in Southeast Asia. After 10 years of stability with rates ranging from 5.6 to 11.8%, the prevalence of parasites with reduced susceptibility in vitro to monodesethylamodiaquine, the active metabolite of an ACT partner drug, increased to 30.6% in 2014 in Dakar. Additionally, after a decrease of the in vitro chloroquine resistance in Dakar in 2009-2011, the prevalence of parasites that showed in vitro chloroquine resistance increased again to approximately 50% in Dakar since 2013. The aim of this study was to follow the evolution of the susceptibility to ACT partners and other anti- malarial drugs in 2015 in Dakar. An in vitro test is the only method currently available to provide an early indication of resistance to ACT partners. Results: Thirty-two P. falciparum isolates collected in 2015 in Dakar were analysed using a standard ex vivo assay based on an HRP2 ELISA. The prevalence of P. falciparum parasites with reduced susceptibility in vitro to monodesethylamodiaquine, chloroquine, mefloquine, doxycycline and quinine was 28.1, 46.9, 45.2, 31.2 and 9.7%, respectively. None of the parasites were resistant to lumefantrine, piperaquine, pyronaridine, dihydroartemisinin and artesunate. These results confirm an increase in the reduced susceptibility to monodesethylamodiaquine observed in 2014 in Dakar and the chloroquine resistance observed in 2013. The in vitro resistance seems to be established in Dakar. Additionally, the prevalence of parasites with reduced susceptibility to doxycycline has increased two-fold compared to 2014. Conclusions: The establishment of a reduced susceptibility to monodesethylamodiaquine as well as chloroquine resistance, and the emergence of a reduced susceptibility to doxycycline are disturbing. The in vitro and in vivo surveillance of anti- malarial drugs must be implemented in Senegal.</p>
</div>
</front>
</TEI>
<affiliations><list><country><li>France</li>
<li>Sénégal</li>
</country>
<region><li>Provence-Alpes-Côte d'Azur</li>
</region>
<settlement><li>Marseille</li>
</settlement>
<orgName><li>Université d'Aix-Marseille</li>
</orgName>
</list>
<tree><country name="Sénégal"><noRegion><name sortKey="Diawara, Silman" sort="Diawara, Silman" uniqKey="Diawara S" first="Silman" last="Diawara">Silman Diawara</name>
</noRegion>
<name sortKey="Amalvict, Remy" sort="Amalvict, Remy" uniqKey="Amalvict R" first="Remy" last="Amalvict">Remy Amalvict</name>
<name sortKey="Bercion, Raymond" sort="Bercion, Raymond" uniqKey="Bercion R" first="Raymond" last="Bercion">Raymond Bercion</name>
<name sortKey="Diatta, Bakary" sort="Diatta, Bakary" uniqKey="Diatta B" first="Bakary" last="Diatta">Bakary Diatta</name>
<name sortKey="Fall, Becaye" sort="Fall, Becaye" uniqKey="Fall B" first="Bécaye" last="Fall">Bécaye Fall</name>
<name sortKey="Gueye, Mamadou Wague" sort="Gueye, Mamadou Wague" uniqKey="Gueye M" first="Mamadou Wague" last="Gueye">Mamadou Wague Gueye</name>
<name sortKey="Kounta, Mame Bou" sort="Kounta, Mame Bou" uniqKey="Kounta M" first="Mame Bou" last="Kounta">Mame Bou Kounta</name>
<name sortKey="Lo, Gora" sort="Lo, Gora" uniqKey="Lo G" first="Gora" last="Lo">Gora Lo</name>
<name sortKey="Madamet, Marylin" sort="Madamet, Marylin" uniqKey="Madamet M" first="Marylin" last="Madamet">Marylin Madamet</name>
<name sortKey="Nakoulima, Aminata" sort="Nakoulima, Aminata" uniqKey="Nakoulima A" first="Aminata" last="Nakoulima">Aminata Nakoulima</name>
<name sortKey="Pradines, Bruno" sort="Pradines, Bruno" uniqKey="Pradines B" first="Bruno" last="Pradines">Bruno Pradines</name>
<name sortKey="Wade, Khalifa Ababacar" sort="Wade, Khalifa Ababacar" uniqKey="Wade K" first="Khalifa Ababacar" last="Wade">Khalifa Ababacar Wade</name>
</country>
</tree>
</affiliations>
</record>
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