Serveur d'exploration Chloroquine

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Plasmodium vivax multidrug resistance-1 gene polymorphism in French Guiana

Identifieur interne : 000114 ( France/Analysis ); précédent : 000113; suivant : 000115

Plasmodium vivax multidrug resistance-1 gene polymorphism in French Guiana

Auteurs : Emilie Faway [Belgique] ; Lise Musset ; Stéphane Pelleau ; Béatrice Volney ; Jessica Casteras ; Valérie Caro [France] ; Didier Menard [Cambodge] ; Sébastien Briolant [France] ; Eric Legrand

Source :

RBID : Hal:pasteur-01400964

Abstract

BACKGROUND:Plasmodium vivax malaria is a major public health problem in French Guiana. Some cases of resistance to chloroquine, the first-line treatment used against P. vivax malaria, have been described in the Brazilian Amazon region. The aim of this study is to investigate a possible dispersion of chloroquine-resistant P. vivax isolates in French Guiana. The genotype, polymorphism and copy number variation, of the P. vivax multidrug resistance gene-1 (pvmdr1) have been previously associated with modification of the susceptibility to chloroquine.METHODS:The pvmdr1 gene polymorphism was evaluated by sequencing and copy number variation was assessed by real-time PCR, in P. vivax isolates obtained from 591 symptomatic patients from 1997 to 2013.RESULTS:The results reveal that 1.0% [95% CI 0.4-2.2] of French Guiana isolates carry the mutations Y976F and F1076L, and that the proportion of isolates with multiple copies of pvmdr1 has significantly decreased over time, from 71.3% (OR = 6.2 [95% CI 62.9-78.7], p < 0.0001) in 1997-2004 to 12.8% (OR = 0.03 [95% CI 9.4-16.9], p < 0.0001) in 2009-2013. A statistically significant relationship was found between Guf-A (harboring the single mutation T958M) and Sal-1 (wild type) alleles and pvmdr1 copy number.CONCLUSIONS:Few P. vivax isolates harboring chloroquine-resistant mutations in the pvmdr1 gene are circulating in French Guiana. However, the decrease in the prevalence of isolates carrying multiple copies of pvmdr1 might indicate that the P. vivax population in French Guiana is evolving towards a decreased susceptibility to chloroquine.


Url:
DOI: 10.1186/s12936-016-1595-9


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Hal:pasteur-01400964

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<name sortKey="Volney, Beatrice" sort="Volney, Beatrice" uniqKey="Volney B" first="Béatrice" last="Volney">Béatrice Volney</name>
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<addrLine>25, rue du Dr Roux 75724 Paris Cedex 15</addrLine>
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<name sortKey="Casteras, Jessica" sort="Casteras, Jessica" uniqKey="Casteras J" first="Jessica" last="Casteras">Jessica Casteras</name>
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<orgName>WHO Collaborating Center for Surveillance of Antimalarial Drug Resistance</orgName>
<desc>
<address>
<addrLine>Cayenne</addrLine>
<country key="GF"></country>
</address>
</desc>
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<orgName>Institut Pasteur de la Guyane</orgName>
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<addrLine>23 Avenue Pasteur BP 6010 - 97306 Cayenne Cedex </addrLine>
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<orgName>Réseau International des Instituts Pasteur</orgName>
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<addrLine>25, rue du Dr Roux 75724 Paris Cedex 15</addrLine>
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<name sortKey="Caro, Valerie" sort="Caro, Valerie" uniqKey="Caro V" first="Valérie" last="Caro">Valérie Caro</name>
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<orgName>Environnement et Risques infectieux - Environment and Infectious Risks</orgName>
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<address>
<addrLine>Département Infection et Epidémiologie, 28, rue du Docteur Roux, 75724 Paris Cedex 15</addrLine>
<country key="FR"></country>
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<ref type="url">https://research.pasteur.fr/en/team/environment-and-infectious-risks/</ref>
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<idno type="IdRef">027936643</idno>
<idno type="ISNI">0000 0001 2353 6535</idno>
<orgName>Institut Pasteur [Paris]</orgName>
<date type="start">1887-06-04</date>
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<address>
<addrLine>25-28, rue du docteur Roux, 75724 Paris cedex 15</addrLine>
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<country>France</country>
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<name sortKey="Menard, Didier" sort="Menard, Didier" uniqKey="Menard D" first="Didier" last="Menard">Didier Menard</name>
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<orgName>Institut Pasteur du Cambodge</orgName>
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<addrLine>BP 983 - 5 , Boulevard Monivong, Phnom Penh</addrLine>
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<orgName>Réseau International des Instituts Pasteur</orgName>
<orgName type="acronym">RIIP</orgName>
<desc>
<address>
<addrLine>25, rue du Dr Roux 75724 Paris Cedex 15</addrLine>
<country key="FR"></country>
</address>
<ref type="url">https://research.pasteur.fr/ip-network</ref>
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</org>
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</hal:affiliation>
<country>Cambodge</country>
</affiliation>
</author>
<author>
<name sortKey="Briolant, Sebastien" sort="Briolant, Sebastien" uniqKey="Briolant S" first="Sébastien" last="Briolant">Sébastien Briolant</name>
<affiliation wicri:level="1">
<hal:affiliation type="institution" xml:id="struct-507058" status="VALID">
<orgName>Institut de Recherche Biomédicale des Armées</orgName>
<orgName type="acronym">IRBA</orgName>
<desc>
<address>
<addrLine>Brétigny-sur-Orge</addrLine>
<country key="FR"></country>
</address>
<ref type="url">https://www.defense.gouv.fr/sante/notre-expertise/recherche-biomedicale/recherche-biomedicale</ref>
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</hal:affiliation>
<country>France</country>
</affiliation>
</author>
<author>
<name sortKey="Legrand, Eric" sort="Legrand, Eric" uniqKey="Legrand E" first="Eric" last="Legrand">Eric Legrand</name>
<affiliation>
<hal:affiliation type="laboratory" xml:id="struct-413216" status="VALID">
<orgName>Laboratoire de Parasitologie, Centre National de Référence du Paludisme - Région Antilles-Guyane</orgName>
<desc>
<address>
<country key="GF"></country>
</address>
</desc>
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<org type="institution" xml:id="struct-413215" status="INCOMING">
<orgName>WHO Collaborating Center for Surveillance of Antimalarial Drug Resistance</orgName>
<desc>
<address>
<addrLine>Cayenne</addrLine>
<country key="GF"></country>
</address>
</desc>
</org>
</tutelle>
<tutelle active="#struct-300193" type="direct">
<org type="institution" xml:id="struct-300193" status="VALID">
<orgName>Institut Pasteur de la Guyane</orgName>
<desc>
<address>
<addrLine>23 Avenue Pasteur BP 6010 - 97306 Cayenne Cedex </addrLine>
<country key="GF"></country>
</address>
<ref type="url">http://www.pasteur-cayenne.fr/</ref>
</desc>
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<orgName>Réseau International des Instituts Pasteur</orgName>
<orgName type="acronym">RIIP</orgName>
<desc>
<address>
<addrLine>25, rue du Dr Roux 75724 Paris Cedex 15</addrLine>
<country key="FR"></country>
</address>
<ref type="url">https://research.pasteur.fr/ip-network</ref>
</desc>
</org>
</tutelle>
</tutelles>
</hal:affiliation>
<wicri:noCountry>GF</wicri:noCountry>
</affiliation>
</author>
</analytic>
<idno type="DOI">10.1186/s12936-016-1595-9</idno>
<series>
<title level="j">Malaria Journal</title>
<idno type="ISSN">1475-2875</idno>
<imprint>
<date type="datePub">2016-11-08</date>
</imprint>
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<textClass></textClass>
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<front>
<div type="abstract" xml:lang="en">
<p>BACKGROUND:Plasmodium vivax malaria is a major public health problem in French Guiana. Some cases of resistance to chloroquine, the first-line treatment used against P. vivax malaria, have been described in the Brazilian Amazon region. The aim of this study is to investigate a possible dispersion of chloroquine-resistant P. vivax isolates in French Guiana. The genotype, polymorphism and copy number variation, of the P. vivax multidrug resistance gene-1 (pvmdr1) have been previously associated with modification of the susceptibility to chloroquine.METHODS:The pvmdr1 gene polymorphism was evaluated by sequencing and copy number variation was assessed by real-time PCR, in P. vivax isolates obtained from 591 symptomatic patients from 1997 to 2013.RESULTS:The results reveal that 1.0% [95% CI 0.4-2.2] of French Guiana isolates carry the mutations Y976F and F1076L, and that the proportion of isolates with multiple copies of pvmdr1 has significantly decreased over time, from 71.3% (OR = 6.2 [95% CI 62.9-78.7], p < 0.0001) in 1997-2004 to 12.8% (OR = 0.03 [95% CI 9.4-16.9], p < 0.0001) in 2009-2013. A statistically significant relationship was found between Guf-A (harboring the single mutation T958M) and Sal-1 (wild type) alleles and pvmdr1 copy number.CONCLUSIONS:Few P. vivax isolates harboring chloroquine-resistant mutations in the pvmdr1 gene are circulating in French Guiana. However, the decrease in the prevalence of isolates carrying multiple copies of pvmdr1 might indicate that the P. vivax population in French Guiana is evolving towards a decreased susceptibility to chloroquine.</p>
</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Belgique</li>
<li>Cambodge</li>
<li>France</li>
</country>
</list>
<tree>
<noCountry>
<name sortKey="Casteras, Jessica" sort="Casteras, Jessica" uniqKey="Casteras J" first="Jessica" last="Casteras">Jessica Casteras</name>
<name sortKey="Legrand, Eric" sort="Legrand, Eric" uniqKey="Legrand E" first="Eric" last="Legrand">Eric Legrand</name>
<name sortKey="Musset, Lise" sort="Musset, Lise" uniqKey="Musset L" first="Lise" last="Musset">Lise Musset</name>
<name sortKey="Pelleau, Stephane" sort="Pelleau, Stephane" uniqKey="Pelleau S" first="Stéphane" last="Pelleau">Stéphane Pelleau</name>
<name sortKey="Volney, Beatrice" sort="Volney, Beatrice" uniqKey="Volney B" first="Béatrice" last="Volney">Béatrice Volney</name>
</noCountry>
<country name="Belgique">
<noRegion>
<name sortKey="Faway, Emilie" sort="Faway, Emilie" uniqKey="Faway E" first="Emilie" last="Faway">Emilie Faway</name>
</noRegion>
</country>
<country name="France">
<noRegion>
<name sortKey="Caro, Valerie" sort="Caro, Valerie" uniqKey="Caro V" first="Valérie" last="Caro">Valérie Caro</name>
</noRegion>
<name sortKey="Briolant, Sebastien" sort="Briolant, Sebastien" uniqKey="Briolant S" first="Sébastien" last="Briolant">Sébastien Briolant</name>
</country>
<country name="Cambodge">
<noRegion>
<name sortKey="Menard, Didier" sort="Menard, Didier" uniqKey="Menard D" first="Didier" last="Menard">Didier Menard</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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