Ex vivo drug sensitivity profiles of Plasmodium falciparum field isolates from Cambodia and Thailand, 2005 to 2010, determined by a ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2012-12

AUTHORS

Stuart D Tyner, Chanthap Lon, Youry Se, Delia Bethell, Doung Socheat, Harald Noedl, Darapiseth Sea, Wichai Satimai, Kurt Schaecher, Wiriya Rutvisuttinunt, Mark M Fukuda, Suwanna Chaorattanakawee, Kritsanai Yingyuen, Siratchana Sundrakes, Panjaporn Chaichana, Piyaporn Saingam, Nillawan Buathong, Sabaithip Sriwichai, Soklyda Chann, Ans Timmermans, David L Saunders, Douglas S Walsh

ABSTRACT

BACKGROUND: In vitro drug susceptibility assay of Plasmodium falciparum field isolates processed "immediate ex vivo" (IEV), without culture adaption, and tested using histidine-rich protein-2 (HRP-2) detection as an assay, is an expedient way to track drug resistance. METHODS: From 2005 to 2010, a HRP-2 in vitro assay assessed 451 P. falciparum field isolates obtained from subjects with malaria in western and northern Cambodia, and eastern Thailand, processed IEV, for 50% inhibitory concentrations (IC50) against seven anti-malarial drugs, including artesunate (AS), dihydroartemisinin (DHA), and piperaquine. RESULTS: In western Cambodia, from 2006 to 2010, geometric mean (GM) IC50 values for chloroquine, mefloquine, quinine, AS, DHA, and lumefantrine increased. In northern Cambodia, from 2009-2010, GM IC50 values for most drugs approximated the highest western Cambodia GM IC50 values in 2009 or 2010. CONCLUSIONS: Western Cambodia is associated with sustained reductions in anti-malarial drug susceptibility, including the artemisinins, with possible emergence, or spread, to northern Cambodia. This potential public health crisis supports continued in vitro drug IC50 monitoring of P. falciparum isolates at key locations in the region. More... »

PAGES

198

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1475-2875-11-198

DOI

http://dx.doi.org/10.1186/1475-2875-11-198

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1037314780

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22694953


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