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Mini Review

Emerging Plasmodium falciparum K13 gene mutation to artemisinin-based combination therapies and partner drugs among malaria-infected population in sub-Saharan Africa
Samuel Adeniyi Oyegbade, Emmanuel Ojochegbe Mameh, Daniel Oluwatobiloba Balogun, Victoria-Grace Onyekachi Aririguzoh, Paul Akinniyi Akinduti
Parasites Hosts Dis 2025;63(2):109-122.
Published online May 26, 2025
DOI: https://doi.org/10.3347/PHD.24053
The continuous Plasmodium falciparum kelch13 (PfK13) genetic alterations conferring resistance to artemisinin-based combination therapies and partner drugs pose a significant threat to effective treatment and control of P. falciparum infection in developing countries. This review evaluates the emergence and epidemiology of the PfK13 mutation associated with artemisinin resistance in the sub-Saharan Africa (SSA) population. Despite empirical control and artemisinin combination therapy, the PfK13 gene mutation, previously described in Southeast Asia, has been reported in the SSA. Eight of these validated markers, including P553L, M476I, C580Y, A675V, P574L, R561H, R622I, and F446I, were reported among the SSA population. Novel and unvalidated markers, such as P615S, M472I, F434S, A578S, P570L, Y558C, K563R, A569T, I684N, M472I, and C473F spread among the population with low frequency. We provide insight into the emergence and spread of validated and unvalidated PfK13 mutations among the SSA population, which could lead to high artemisinin resistance. Investigating the verified PfK13 mutations will improve prophylactic strategies, prognostic diagnosis and guide effective population-based surveillance for effective P. falciparum malaria control in SSA.

Citations

Citations to this article as recorded by  Crossref logo
  • Emergence of chloroquine-sensitive Plasmodium falciparum and rising resistance to first-line artemisinin partner drugs in Malawi
    Ernest Mazigo, Hojong Jun, Wang-Jong Lee, Johnsy Mary Louis, Jadidan Hada Syahada, Fadhila Fitriana, Fauzi Muh, Md Atique Ahmed, Feng Lu, Joon-Hee Han, Tae-Hyung Kwon, Se Jin Lee, Sunghun Na, Wanjoo Chun, Won Sun Park, Eun-Taek Han, Winifrida Kidima, Jin-
    Emerging Microbes & Infections.2025;[Epub]     CrossRef
  • A scoping review of antimalarial drug resistance markers in Kenya (1987–2022): toward a National Surveillance Framework and Data Repository
    Kevin Wamae, John Magudha, Emmanuel Asiimwe, Kariuki Kimani, Regina Kandie, Kibor Keitany, Robert W. Snow, L. Isabella Ochola-Oyier
    Malaria Journal.2025;[Epub]     CrossRef
  • Imidazolopiperazines as next-generation antimalarial agents: a scoping review of efficacy, mechanisms of action and resistance; prospects for future development
    Fatoumata Ousmane Maiga, Laurent Dembele, Mohamed Maiga, Abdoulaye A. Djimde
    Therapeutic Advances in Infectious Disease.2025;[Epub]     CrossRef
  • 5,806 View
  • 96 Download
  • 3 Web of Science
  • Crossref

Original Articles

Antimalarial Efficacy of Aqueous Extract of Strychnos ligustrina and Its Combination with Dihydroartemisinin and Piperaquine Phosphate (DHP) against Plasmodium berghei Infection
Umi Cahyaningsih, Siti Sa’diah, Wasrin Syafii, Rita Kartika Sari, Abdul Jafar Maring, Arifin Budiman Nugraha
Korean J Parasitol 2022;60(5):339-344.
Published online October 21, 2022
DOI: https://doi.org/10.3347/kjp.2022.60.5.339
The development of drug resistance is one of the most severe concerns of malaria control because it increases the risk of malaria morbidity and death. A new candidate drug with antiplasmodial activity is urgently needed. This study evaluated the efficacy of different dosages of aqueous extract of Strychnos ligustrina combined with dihydroartemisinin and piperaquine phosphate (DHP) against murine Plasmodium berghei infection. The BALB/c mice aged 6-8 weeks were divided into 6 groups, each consisting of 10 mice. The growth inhibition of compounds against P. berghei was monitored by calculating the percentage of parasitemia. The results showed that the mice receiving aqueous extract and combination treatment showed growth inhibition of P. berghei in 74% and 94%, respectively. S. ligustrina extract, which consisted of brucine and strychnine, effectively inhibited the multiplication of P. berghei. The treated mice showed improved hematology profiles, body weight, and temperature, as compared to control mice. Co-treatment with S. ligustrina extract and DHP revealed significant antimalarial and antipyretic effects. Our results provide prospects for further discovery of antimalarial drugs that may show more successful chemotherapeutic treatment.

Citations

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  • In Vitro and Molecular Docking Studies of the Antimalarial Activities of Strychnos ligustrina Extracts from Different Parts of the Woody Stem
    Rita Kartika SARI, Wasrin SYAFII, Yanico Hadi PRAYOGO, Anne CAROLINA, Sri FAMILASARI, Umi CAHYANINGSIH, Siti SA’DIAH, Setyanto Tri WAHYUDI, Muhammad Adly Rahandi LUBIS
    Journal of the Korean Wood Science and Technology.2025; 53(1): 89.     CrossRef
  • Antimalarial drug resistance and drug discovery: learning from the past to innovate the future
    Liana Theodoridis, Teresa G. Carvalho
    International Journal for Parasitology: Drugs and Drug Resistance.2025; 28: 100602.     CrossRef
  • Chemical constituents, pharmacological action, antitumor application, and toxicity of Strychnine Semen from Strychnons pierriana A.W.Hill.: A review
    Weiran Liu, Xintian Tang, Chengyu Fan, Guannan He, Xiaoxin Wang, Xiaodong Liang, Xia Bao
    Journal of Ethnopharmacology.2023; 317: 116748.     CrossRef
  • 3,667 View
  • 179 Download
  • 3 Web of Science
  • Crossref
A LAMP-SNP Assay Detecting C580Y Mutation in Pfkelch13 Gene from Clinically Dried Blood Spot Samples
Thunchanok Khammanee, Nongyao Sawangjaroen, Hansuk Buncherd, Aung Win Tun, Supinya Thanapongpichat
Korean J Parasitol 2021;59(1):15-22.
Published online February 19, 2021
DOI: https://doi.org/10.3347/kjp.2021.59.1.15
Artemisinin resistance (ART) has been confirmed in Greater Mekong Sub-region countries. Currently, C580Y mutation on Pfkelch13 gene is known as the molecular marker for the detection of ART. Rapid and accurate detection of ART in field study is essential to guide malaria containment and elimination interventions. A simple method for collection of malaria-infected blood is to spot the blood on filter paper and is fast and easy for transportation and storage in the field study. This study aims to evaluate LAMP-SNP assay for C580Y mutation detection by introducing an extra mismatched nucleotide at the 3’ end of the FIP primer. The LAMP-SNP assay was performed in a water bath held at a temperature of 56°C for 45 min. LAMP-SNP products were interpreted by both gel-electrophoresis and HNB-visualized changes in color. The method was then tested with 120 P. falciparum DNA from dried blood spot samples. In comparing the LAMP-SNP assay results with those from DNA sequencing of the clinical samples, the 2 results fully agreed to detect C580Y. The sensitivity and specificity of the LAMP-SNP assay showed 100%. There were no cross-reactions with other Plasmodium species and other Pfkelch13 mutations. The LAMP-SNP assay performed in this study was rapid, reliable, and useful in detecting artemisinin resistance in the field study.

Citations

Citations to this article as recorded by  Crossref logo
  • Colorimetric loop-mediated isothermal amplification (cLAMP) assay for the genotyping of a thrombophilia genetic risk factor, MTHFR (C677T)
    Reham Altwayan, Huseyin Tombuloglu, Moneerah Alsaeed, Abdulrahman Alhusil
    Analytical Methods.2025; 17(21): 4432.     CrossRef
  • Advancing artemisinin resistance monitoring using a high sensitivity ddPCR assay for Pfkelch13 mutation detection in Asia
    Suttipat Srisutham, Aungkana Saejeng, Nardlada Khantikul, Rungniran Sugaram, Raweewan Sangsri, Arjen M. Dondorp, Nicholas P. J. Day, Mallika Imwong
    Scientific Reports.2025;[Epub]     CrossRef
  • Loop-mediated isothermal amplification (LAMP): A promising tool for rapid, point-of-care diagnosis of parasitic diseases in low-income countries
    Kevin Polpitiya, Madhavi Hewadikaram
    Molecular and Biochemical Parasitology.2025; 264: 111704.     CrossRef
  • A Biotinylated cpFIT-PNA Platform for the Facile Detection of Drug Resistance to Artemisinin in Plasmodium falciparum
    Odelia Tepper, Daniel H. Appella, Hongchao Zheng, Ron Dzikowski, Eylon Yavin
    ACS Sensors.2024; 9(3): 1458.     CrossRef
  • Interference reduction isothermal nucleic acid amplification strategy for COVID-19 variant detection
    Guodong Li, Chung-Nga Ko, Zikang Wang, Feng Chen, Wanhe Wang, Dik-Lung Ma, Chung-Hang Leung
    Sensors and Actuators B: Chemical.2023; 377: 133006.     CrossRef
  • Super-assembly of integrated gold magnetic assay with loop-mediated isothermal amplification for point-of-care testing
    Jianping Liang, Jie Zeng, Xiaojuan Huang, Tengteng Zhu, Yonglong Gong, Chen Dong, Xiangrong Wang, Lingzhi Zhao, Lei Xie, Kang Liang, Qiongxiang Tan, Yali Cui, Biao Kong, Wenli Hui
    Nano Research.2023; 16(1): 1242.     CrossRef
  • Engineered Biosensors for Diagnosing Multidrug Resistance in Microbial and Malignant Cells
    Niharika G. Jha, Daphika S. Dkhar, Sumit K. Singh, Shweta J. Malode, Nagaraj P. Shetti, Pranjal Chandra
    Biosensors.2023; 13(2): 235.     CrossRef
  • Application of loop-mediated isothermal amplification combined with lateral flow assay visualization of Plasmodium falciparum kelch 13 C580Y mutation for artemisinin resistance detection in clinical samples
    Wannida Sanmoung, Nongyao Sawangjaroen, Suwannee Jitueakul, Hansuk Buncherd, Aung Win Tun, Supinya Thanapongpichat, Mallika Imwong
    Acta Tropica.2023; 246: 106998.     CrossRef
  • Visual single nucleotide polymorphism (SNP) detection for ALDH2 genotyping based on multiplex ligation probe amplification (MLPA) and lateral flow assay
    Dan Yin, Xiaolan Li, Li Mai, Ruxin Wang, Sitian Tang, Liyi Hu
    Microchemical Journal.2023; 194: 109329.     CrossRef
  • Application of multiple binding sites for LAMP primers across P. falciparum genome improves detection of the parasite from whole blood samples
    Cavin Mgawe, Clement Shilluli, Steven Nyanjom, Eddy Odari, Jacqueline C. Linnes, Bernard N. Kanoi, Jesse Gitaka, Lucy Ochola
    Frontiers in Malaria.2023;[Epub]     CrossRef
  • Single nucleotide polymorphism genotyping of ALDH2 gene based on asymmetric PCR and fluorescent probe-mediated melting curves
    Limei Zhang, Dan Liu, Baolin Li, Jingling Xie, Jinbo Liu, Zhang Zhang
    Analytical Biochemistry.2022; 642: 114509.     CrossRef
  • Prevalence of Glucose-6-Phosphate Dehydrogenase (G6PD) Deficiency among Malaria Patients in Southern Thailand: 8 Years Retrospective Study
    Thunchanok Khammanee, Nongyao Sawangjaroen, Hansuk Buncherd, Aung Win Tun, Supinya Thanapongpichat
    The Korean Journal of Parasitology.2022; 60(1): 15.     CrossRef
  • Current Epidemiological Characteristics of Imported Malaria, Vector Control Status and Malaria Elimination Prospects in the Gulf Cooperation Council (GCC) Countries
    Jamshaid Iqbal, Suhail Ahmad, Ali Sher, Mohammad Al-Awadhi
    Microorganisms.2021; 9(7): 1431.     CrossRef
  • 6,255 View
  • 183 Download
  • 13 Web of Science
  • Crossref
Molecular Surveillance of Pfkelch13 and Pfmdr1 Mutations in Plasmodium falciparum Isolates from Southern Thailand
Thunchanok Khammanee, Nongyao Sawangjaroen, Hansuk Buncherd, Aung Win Tun, Supinya Thanapongpichat
Korean J Parasitol 2019;57(4):369-377.
Published online August 31, 2019
DOI: https://doi.org/10.3347/kjp.2019.57.4.369
Artemisinin-based combination therapy (ACT) resistance is widespread throughout the Greater Mekong Subregion. This raises concern over the antimalarial treatment in Thailand since it shares borders with Cambodia, Laos, and Myanmar where high ACT failure rates were reported. It is crucial to have information about the spread of ACT resistance for efficient planning and treatment. This study was to identify the molecular markers for antimalarial drug resistance: Pfkelch13 and Pfmdr1 mutations from 5 provinces of southern Thailand, from 2012 to 2017, of which 2 provinces on the Thai- Myanmar border (Chumphon and Ranong), one on Thai-Malaysia border (Yala) and 2 from non-border provinces (Phang Nga and Surat Thani). The results showed that C580Y mutation of Pfkelch13 was found mainly in the province on the Thai-Myanmar border. No mutations in the PfKelch13 gene were found in Surat Thani and Yala. The Pfmdr1 gene isolated from the Thai-Malaysia border was a different pattern from those found in other areas (100% N86Y) whereas wild type strain was present in Phang Nga. Our study indicated that the molecular markers of artemisinin resistance were spread in the provinces bordering along the Thai-Myanmar, and the pattern of Pfmdr1 mutations from the areas along the international border of Thailand differed from those of the non-border provinces. The information of the molecular markers from this study highlighted the recent spread of artemisinin resistant parasites from the endemic area, and the data will be useful for optimizing antimalarial treatment based on regional differences.

Citations

Citations to this article as recorded by  Crossref logo
  • Advancing artemisinin resistance monitoring using a high sensitivity ddPCR assay for Pfkelch13 mutation detection in Asia
    Suttipat Srisutham, Aungkana Saejeng, Nardlada Khantikul, Rungniran Sugaram, Raweewan Sangsri, Arjen M. Dondorp, Nicholas P. J. Day, Mallika Imwong
    Scientific Reports.2025;[Epub]     CrossRef
  • Tracking Drug Resistance in Plasmodium falciparum: Genetic Diversity of Key Resistance Markers in Brazilian Malaria Hotspots
    Rebecca de Abreu-Fernandes, Lucas Tavares de Queiroz, Natália Ketrin Almeida-de-Oliveira, Aline Rosa de Lavigne Mello, Jacqueline de Aguiar Barros, Lilian Rose Pratt-Riccio, Gisely Cardoso de Melo, Patrícia Brasil, Cláudio Tadeu Daniel-Ribeiro, Didier Men
    International Journal of Molecular Sciences.2025; 26(13): 5977.     CrossRef
  • Preliminary analysis of the conserved Plasmodium falciparum k13 gene in Arbaminch and Mirab Abaya, Ethiopia
    Kefiyalew Jote, Yirgalem Gebrehiwot, Abnet Abebe, Canelle Kipayko, Cheikh Cambel Dieng, Eugenia Lo, Lemu Golassa, Bayissa Chala
    Malaria Journal.2025;[Epub]     CrossRef
  • Antimalarial Mechanisms and Resistance Status of Artemisinin and Its Derivatives
    Dan Zheng, Tingting Liu, Shasha Yu, Zhilong Liu, Jing Wang, Ying Wang
    Tropical Medicine and Infectious Disease.2024; 9(9): 223.     CrossRef
  • Molecular insights into artemisinin resistance in Plasmodium falciparum: An updated review
    Wihda Aisarul Azmi, Andita Fitri Mutiara Rizki, Yenny Djuardi, I. Made Artika, Josephine Elizabeth Siregar
    Infection, Genetics and Evolution.2023; 112: 105460.     CrossRef
  • Application of loop-mediated isothermal amplification combined with lateral flow assay visualization of Plasmodium falciparum kelch 13 C580Y mutation for artemisinin resistance detection in clinical samples
    Wannida Sanmoung, Nongyao Sawangjaroen, Suwannee Jitueakul, Hansuk Buncherd, Aung Win Tun, Supinya Thanapongpichat, Mallika Imwong
    Acta Tropica.2023; 246: 106998.     CrossRef
  • Prevalence of Glucose-6-Phosphate Dehydrogenase (G6PD) Deficiency among Malaria Patients in Southern Thailand: 8 Years Retrospective Study
    Thunchanok Khammanee, Nongyao Sawangjaroen, Hansuk Buncherd, Aung Win Tun, Supinya Thanapongpichat
    The Korean Journal of Parasitology.2022; 60(1): 15.     CrossRef
  • An insight into the recent development of the clinical candidates for the treatment of malaria and their target proteins
    Hari Madhav, Nasimul Hoda
    European Journal of Medicinal Chemistry.2021; 210: 112955.     CrossRef
  • Diagnosing the drug resistance signature in Plasmodium falciparum: a review from contemporary methods to novel approaches
    Laxman Kumar Murmu, Arpita Arsmika Sahu, Tapan Kumar Barik
    Journal of Parasitic Diseases.2021; 45(3): 869.     CrossRef
  • A resistant mutant of Plasmodium falciparum purine nucleoside phosphorylase uses wild-type neighbors to maintain parasite survival
    Yacoba V.T. Minnow, Rajesh K. Harijan, Vern L. Schramm
    Journal of Biological Chemistry.2021; 296: 100342.     CrossRef
  • A LAMP-SNP Assay Detecting C580Y Mutation in Pfkelch13 Gene from Clinically Dried Blood Spot Samples
    Thunchanok Khammanee, Nongyao Sawangjaroen, Hansuk Buncherd, Aung Win Tun, Supinya Thanapongpichat
    The Korean Journal of Parasitology.2021; 59(1): 15.     CrossRef
  • New insights into the spread of resistance to artemisinin and its analogues
    Noreen Noreen, Asad Ullah, Syed Muhammad Salman, Yahia Mabkhot, Abdulrhman Alsayari, Syed Lal Badshah
    Journal of Global Antimicrobial Resistance.2021; 27: 142.     CrossRef
  • Efficacy and safety of artemether-lumefantrine and dihydroartemisinin-piperaquine for the treatment of uncomplicated Plasmodium falciparum malaria and prevalence of molecular markers associated with artemisinin and partner drug resistance in Uganda
    Chris Ebong, Asadu Sserwanga, Jane Frances Namuganga, James Kapisi, Arthur Mpimbaza, Samuel Gonahasa, Victor Asua, Sam Gudoi, Ruth Kigozi, James Tibenderana, John Bosco Bwanika, Agaba Bosco, Denis Rubahika, Daniel Kyabayinze, Jimmy Opigo, Damian Rutazana,
    Malaria Journal.2021;[Epub]     CrossRef
  • 7,873 View
  • 222 Download
  • 14 Web of Science
  • Crossref

Brief Communications

Antimalarial Activity of C-10 Substituted Triazolyl Artemisinin
Gab-Man Park, Hyun Park, Sangtae Oh, Seokjoon Lee
Korean J Parasitol 2017;55(6):661-665.
Published online December 31, 2017
DOI: https://doi.org/10.3347/kjp.2017.55.6.661
We synthesized C-10 substituted triazolyl artemisinins by the Huisgen cycloaddition reaction between dihydroartemisinins (2) and variously substituted 1, 2, 3-triazoles (8a-8h). The antimalarial activities of 32 novel artemisinin derivatives were screened against a chloroquine-resistant parasite. Among them, triazolyl artemisinins with electron-withdrawing groups showed stronger antimalarial activities than those shown by the derivatives having electron-donating groups. In particularly, m-chlorotriazolyl artemisinin (9d-12d) showed antimalarial activity equivalent to that of artemisinin and could be a strong drug candidate.

Citations

Citations to this article as recorded by  Crossref logo
  • Novel frontiers through nitrogen substitution at 6th, 10th and 11th position of artemisinin: Synthetic approaches and antimalarial activity
    Priyanka Yadav, Varun Rawat, Shalini Kaushik Love, Ved Prakash Verma
    European Journal of Medicinal Chemistry.2025; 281: 117032.     CrossRef
  • Identification of potential bi-triazole based antimalarial compounds and their effects against asexual stages of Plasmodium isolates
    Marcinete Latorre Almeida, Leandro do Nascimento Martinez, Welington da Silva Paula do Nascimento, Guilherme Matos Passarini, Daniel Sol Sol de Medeiros, Minelly Azevedo da Silva, Saara Neri Fialho, Amália do Santos Ferreira, Norton Rubens Diunior Lucas P
    Caderno Pedagógico.2024; 21(13): e12709.     CrossRef
  • In silico screening, synthesis, and antimalarial evaluation of PABA substituted 1,3,5-triazine derivatives as Pf-DHFR inhibitors
    Ashmita Saha, Ayesha Aktar Khanam Choudhury, Nayana Adhikari, Surajit Kumar Ghosh, Anshul Shakya, Saurav Jyoti Patgiri, Udaya Pratap Singh, Hans Raj Bhat
    Experimental Parasitology.2023; 250: 108546.     CrossRef
  • Current development of 1,2,3-triazole derived potential antimalarial scaffolds: Structure- activity relationship (SAR) and bioactive compounds
    S. Maheen Abdul Rahman, Jasvinder Singh Bhatti, Suresh Thareja, Vikramdeep Monga
    European Journal of Medicinal Chemistry.2023; 259: 115699.     CrossRef
  • Exploration of artemisinin derivatives and synthetic peroxides in antimalarial drug discovery research
    Om P.S. Patel, Richard M. Beteck, Lesetja J. Legoabe
    European Journal of Medicinal Chemistry.2021; 213: 113193.     CrossRef
  • 7,729 View
  • 174 Download
  • 6 Web of Science
  • Crossref
Appropriate Time for Primaquine Treatment to Reduce Plasmodium falciparum Transmission in Hypoendemic Areas
Polrat Wilairatana, Srivicha Krudsood, Noppadon Tangpukdee
Korean J Parasitol 2010;48(2):179-182.
Published online June 17, 2010
DOI: https://doi.org/10.3347/kjp.2010.48.2.179

Artemesinin-combination therapies (ACT) for falciparum malaria reduce gametocyte carriage, and therefore reduce transmission. Artemisinin derivatives will act against only young gametocytes whereas primaquine acts on mature gametocytes which are present usually in the circulation at the time when the patient presents for treatment. Both artemisinin derivatives and primaquine have short half-lives, less than 1 hr and 7 hr, respectively. Therefore, asexual parasites or young gametocytes remain after completed ACT. A single dose of primaquine (0.50-0.75 mg base/kg) at the end of ACT can kill only mature gametocytes but cannot kill young gametocytes (if present). Remaining asexual forms after completion of ACT course, e.g., artesunate-mefloquine for 3 days, may develop to mature gametocytes 7-15 days later. Thus, an additional dose of primaquine (0.50-0.75 mg base/kg) given 2 weeks after ACT completion may be beneficial for killing remaining mature gametocytes and contribute to more interruption of Plasmodium falciparum transmission than giving only 1 single dose of primaquine just after completing ACT.

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    Wesley C. Van Voorhis, J. Stone Doggett, Marilyn Parsons, Matthew A. Hulverson, Ryan Choi, Samuel L.M. Arnold, Michael W. Riggs, Andrew Hemphill, Daniel K. Howe, Robert H. Mealey, Audrey O.T. Lau, Ethan A. Merritt, Dustin J. Maly, Erkang Fan, Kayode K. Oj
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    Daniel Gonçalves, Patrick Hunziker
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    Malaria Journal.2015;[Epub]     CrossRef
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    Rama Subba Rao Vidadala, Kayode K. Ojo, Steven M. Johnson, Zhongsheng Zhang, Stephen E. Leonard, Arinjay Mitra, Ryan Choi, Molly C. Reid, Katelyn R. Keyloun, Anna M.W. Fox, Mark Kennedy, Tiffany Silver-Brace, Jen C.C. Hume, Stefan Kappe, Christophe L.M.J.
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    Rashad Abdul-Ghani, John C. Beier
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    Solomon Mequanente Abay
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    Michael J Delves
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    Eliana M. Arango, Yulieth A. Upegui, Jaime Carmona-Fonseca
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    Jaime Carmona-Fonseca, Eliana María Arango Flórez
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    Brian T. Grimberg
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    Anthony E. Kiszewski
    Pharmaceuticals.2010; 4(1): 44.     CrossRef
  • 9,191 View
  • 129 Download
  • Crossref

Original Articles

Gametocyte Clearance in Uncomplicated and Severe Plasmodium falciparum Malaria after Artesunate-Mefloquine Treatment in Thailand
Noppadon Tangpukdee, Srivicha Krudsood, Sriripun Srivilairit, Nanthaporn Phophak, Putza Chonsawat, Wimon Yanpanich, Shigeyuki Kano, Polrat Wilairatana
Korean J Parasitol 2008;46(2):65-70.
Published online June 20, 2008
DOI: https://doi.org/10.3347/kjp.2008.46.2.65

Artemisinin-based combination therapy (ACT) is currently promoted as a strategy for treating both uncomplicated and severe falciparum malaria, targeting asexual blood-stage Plasmodium falciparum parasites. However, the effect of ACT on sexual-stage parasites remains controversial. To determine the clearance of sexual-stage P. falciparum parasites from 342 uncomplicated, and 217 severe, adult malaria cases, we reviewed and followed peripheral blood sexual-stage parasites for 4 wk after starting ACT. All patients presented with both asexual and sexual stage parasites on admission, and were treated with artesunate-mefloquine as the standard regimen. The results showed that all patients were asymptomatic and negative for asexual forms before discharge from hospital. The percentages of uncomplicated malaria patients positive for gametocytes on days 3, 7, 14, 21, and 28 were 41.5, 13.1, 3.8, 2.0, and 2.0%, while the percentages of gametocyte positive severe malaria patients on days 3, 7, 14, 21, and 28 were 33.6, 8.2, 2.7, 0.9, and 0.9%, respectively. Although all patients were negative for asexual parasites by day 7 after completion of the artesunate-mefloquine course, gametocytemia persisted in some patients. Thus, a gametocytocidal drug, e.g., primaquine, may be useful in combination with an artesunate-mefloquine regimen to clear gametocytes, so blocking transmission more effectively than artesunate alone, in malaria transmission areas.

Citations

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  • Knowledge about Asymptomatic Malaria and Acceptability of Using Artemisia afra Tea among Health Care Workers (HCWs) in Yaoundé, Cameroon: A Cross-Sectional Survey
    Abenwie Suh Nchang, Lahngong Shinyuy, Sandra Noukimi, Sylvia Njong, Sylvie Bambara, Edgar Kalimba, Joseph Kamga, Stephen Ghogomu, Michel Frederich, Jean Talom, Jacob Souopgui, Annie Robert
    International Journal of Environmental Research and Public Health.2023; 20(13): 6309.     CrossRef
  • Parasite clearance dynamics in children hospitalised with severe malaria in the Ho Teaching Hospital, Volta Region, Ghana
    Laura Paris, Richmond G. Tackie, Khalid B. Beshir, John Tampuori, Gordon A. Awandare, Fred N. Binka, Britta C. Urban, Bismarck Dinko, Colin J. Sutherland
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Minor liver profile dysfunctions in Plasmodium vivax, P. malariae and P. ovale patients and normalization after treatment
Noppadon Tangpukdee, Vipa Thanachartwet, Srivicha Krudsood, Nutthanej Luplertlop, Karnchana Pornpininworakij, Kobsiri Chalermrut, Sasikarn Phokham, Shigeyuki Kano, Sornchai Looareesuwan, Polrat Wilairatana
Korean J Parasitol 2006;44(4):295-302.
Published online December 20, 2006
DOI: https://doi.org/10.3347/kjp.2006.44.4.295

Liver function tests were performed in 61 vivax, 54 malariae and 15 ovale malaria patients who were admitted to Bangkok Hospital for Tropical Diseases between 2001 and 2004. The
objective
of the study was to evaluate changes in hepatic biochemical indices before and after treatment with artemisinin derivatives. On admission and prior to treatment, hepatic dysfunction was found among the 3 groups. Serum liver function tests and physical examinations were performed weekly during the 28-day follow-up period. Initially elevated serum bilirubin and diminished albumin returned to normal within 2 weeks of treatment. Serum alkaline phosphatase and aminotransferases returned to within normal limits within 3 weeks. We conclude that patients with Plasmodium vivax, P. malariae and P. ovale infections had slightly elevated serum bilirubin, aminotransferase and alkaline phosphatase levels, and hypoalbuminemia. These minor abnormalities returned to normal within a few weeks after treatment with therapies based on artemisinin derivatives.

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Brief Communication

Antimalarial activity of thiophenyl- and benzenesulfonyl-dihydroartemisinin
Seokjoon Lee, Sangtae Oh, Gab-Man Park, Tong-Soo Kim, Jae-Sook Ryu, Han-Kyu Choi
Korean J Parasitol 2005;43(3):123-126.
Published online September 20, 2005
DOI: https://doi.org/10.3347/kjp.2005.43.3.123

Each diastereomer of 10-thiophenyl- and 10-benzenesulfonyl-dihydroartemisinin was synthesized from artemisinin in three steps, and screened against chloroquine-resistance and chloroquine-sensitive Plasmodium falciparum. Three of the four tested compounds were found to be effective. Especially, 10β-benzenesulfonyl-dihydroartemisinin showed stronger antimalarial activity than artemisinin.

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Original Article
Molecular cloning and characterization of peroxiredoxin from Toxoplasma gondii
Eui-Sun Son, Kyoung-Ju Song, Jong-Chul Shin, Ho-Woo Nam
Korean J Parasitol 2001;39(2):133-141.
Published online June 30, 2001
DOI: https://doi.org/10.3347/kjp.2001.39.2.133

A cDNA of 1.1 kb comprising the gene encoding the peroxiredoxin of Toxoplasma gondii (TgPrx) has been cloned. The open reading frame of 591 bp was translated into a protein of 196 amino acids with a molecular mass of 25 kDa. Conserved 2 cysteine domains of Phe-Val-Cys-Pro and Glu-Val-Cys-Pro indicated TgPrx belonged to 2-Cys Prx families. TgPrx showed the highest homology with that of Arabidopsis thaliana by 53.9% followed by Entamoeba histolytica with 39.5% by the amino acid sequence alignment. Polyclonal antibody against recombinant TgPrx detected 25 kDa band in T. gondii without binding to host cell proteins. TgPrx was located in the cytoplasm of T. gondii extracellularly or intracellularly by immunofluorescence assay. The expression of TgPrx was increased as early as 30 min after the treatment with artemisinin in the intracellular stage, while no changes in those of host Prx I and TgSOD. This result implies that TgPrx may function as an antioxidant protecting the cell from the attack of reactive oxygen intermediates. It is also suggested that TgPrx is a possible target of chemotherapy.

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