Drug-resistant malaria - an insight

被引:165
作者
Hyde, John E. [1 ]
机构
[1] Univ Manchester, Fac Life Sci, Manchester Interdisciplinary Bioctr, Manchester M1 7DN, Lancs, England
基金
英国惠康基金;
关键词
antifolates; artemisinins; atovaquone; chloroquine; combination therapy; gene copy number; gene polymorphisms; Plasmodium falciparum; FALCIPARUM CYTOCHROME-B; PLASMODIUM-FALCIPARUM; CHLOROQUINE RESISTANCE; DIHYDROFOLATE-REDUCTASE; ARTEMETHER-LUMEFANTRINE; ANTIFOLATE RESISTANCE; PLASMODIUM-FALCIPARUM-PFMDR1; ALLELES; SULFADOXINE-PYRIMETHAMINE; ATOVAQUONE RESISTANCE; QUININE RESISTANCE;
D O I
10.1111/j.1742-4658.2007.05999.x
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Despite intensive research extending back to the 1930s, when the first synthetic antimalarial drugs made their appearance, the repertoire of clinically licensed formulations remains very limited. Moreover, widespread and increasing resistance to these drugs contributes enormously to the difficulties in controlling malaria, posing considerable intellectual, technical and humanitarian challenges. A detailed understanding of the molecular mechanisms underlying resistance to these agents is emerging that should permit new drugs to be rationally developed and older ones to be engineered to regain their efficacy. This review summarizes recent progress in analysing the causes of resistance to the major antimalarial drugs and its spread.
引用
收藏
页码:4688 / 4698
页数:11
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