Quadruple mutations in dihydrofolate reductase of Plasmodium falciparum isolates from Car Nicobar Island, India.

Abstract:

:Quadruple mutations in the Plasmodium falciparum dihydrofolate reductase (PFDHFR) enzyme give rise to the highest level of pyrimethamine resistance leading to treatment failures. We describe here the presence of these quadruple mutations in a majority of P. falciparum isolates from Car Nicobar (Andaman and Nicobar) Island, India. Isolates from the mainland, however, continue to show a prevalence of double PFDHFR mutations and some with triple but none with quadruple mutations. In conclusion, the antifolate drug pressure is very high in the island, which should be a cause of concern for the malaria control program in the country.

authors

Ahmed A,Das MK,Dev V,Saifi MA,Wajihullah,Sharma YD

doi

10.1128/AAC.50.4.1546-1549.2006

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

1546-9

issue

4

eissn

0066-4804

issn

1098-6596

pii

50/4/1546

journal_volume

50

pub_type

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