Artemisinin resistance in Plasmodium falciparum: A process linked to dormancy?

被引:58
作者
Cheng, Qin [1 ,2 ]
Kyle, Dennis E. [3 ]
Gatton, Michelle L. [2 ]
机构
[1] Australian Army Malaria Inst, Brisbane, Qld, Australia
[2] Queensland Inst Med Res, Brisbane, Qld 4006, Australia
[3] Univ S Florida, Dept Global Hlth, Tampa, FL USA
来源
INTERNATIONAL JOURNAL FOR PARASITOLOGY-DRUGS AND DRUG RESISTANCE | 2012年 / 2卷
基金
美国国家卫生研究院; 澳大利亚国家健康与医学研究理事会;
关键词
Plasmodium falciparum; Artemisinin; Treatment failure; Dormancy; Artemisinin resistance; ANTIMALARIAL-DRUG-RESISTANCE; MALARIA PARASITES; IN-VITRO; TREATMENT REGIMENS; TREATMENT FAILURE; WESTERN CAMBODIA; RODENT MALARIA; ARTESUNATE; QINGHAOSU; VIVO;
D O I
10.1016/j.ijpddr.2012.01.001
中图分类号
R38 [医学寄生虫学]; Q [生物科学];
学科分类号
07 ; 0710 ; 09 ; 100103 ;
摘要
Artemisinin (ART) based combination therapy (ACT) is used as the first line treatment of uncomplicated falciparum malaria in over 100 countries and is the cornerstone of malaria control and elimination programs in these areas. However, despite the high potency and rapid parasite killing action of ART derivatives there is a high rate of recrudescence associated with ART monotherapy and recrudescence is not uncommon even when ACT is used. Compounding this problem are reports that some parasites in Cambodia, a known foci of drug resistance, have decreased in vivo sensitivity to ART. This raises serious concerns for the development of ART resistance in the field even though no major phenotypic and genotypic changes have yet been identified in these parasites. In this article we review available data on the characteristics of ART, its effects on Plasmodium falciparum parasites and present a hypothesis to explain the high rate of recrudescence associated with this potent class of drugs and the current enigma surrounding ART resistance. (C) 2012 Australian Society for Parasitology Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:249 / 255
页数:7
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