Analysis of Plasmodium falciparum Na+/H+ exchanger (pfnhe1) polymorphisms among imported African malaria parasites isolated in Wuhan, Central China
Abstract Background Quinine (QN) remains an effective drug for malaria treatment. However, quinine resistance (QNR) in Plasmodium falciparum has been reported in many malaria-endemic regions particularly in African countries. Genetic polymorphism of the P. falciparum Na+/H+ exchanger (pfnhe1) is con...
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doaj-0dde75dbe82946bca747196c237e1a282020-11-25T03:51:07ZengBMCBMC Infectious Diseases1471-23342019-04-011911910.1186/s12879-019-3921-7Analysis of Plasmodium falciparum Na+/H+ exchanger (pfnhe1) polymorphisms among imported African malaria parasites isolated in Wuhan, Central ChinaKai Wu0Yi Yao1Fang Chen2Mingxing Xu3Guangquan Lu4Tingting Jiang5Ziyu Liu6Weixing Du7Fang Li8Rugui Li9Huabing Tan10Jian Li11Department of Schistosomiasis and Endemic Diseases, Wuhan City Center for Disease Prevention and ControlDepartment of Infectious Diseases, Renmin Hospital; Department of Human Parasitology, School of Basic Medical Sciences, Hubei University of MedicineDepartment of Schistosomiasis and Endemic Diseases, Wuhan City Center for Disease Prevention and ControlDepartment of Schistosomiasis and Endemic Diseases, Wuhan City Center for Disease Prevention and ControlDepartment of Pediatrics, Shiyan Hospital of Traditional ChineseDepartment of Infectious Diseases, Renmin Hospital; Department of Human Parasitology, School of Basic Medical Sciences, Hubei University of MedicineDepartment of Infectious Diseases, Renmin Hospital; Department of Human Parasitology, School of Basic Medical Sciences, Hubei University of MedicineDepartment of Infectious Diseases, Renmin Hospital; Department of Human Parasitology, School of Basic Medical Sciences, Hubei University of MedicineDepartment of Infectious Diseases, Renmin Hospital; Department of Human Parasitology, School of Basic Medical Sciences, Hubei University of MedicineDepartment of Infectious Diseases, Renmin Hospital; Department of Human Parasitology, School of Basic Medical Sciences, Hubei University of MedicineDepartment of Infectious Diseases, Renmin Hospital; Department of Human Parasitology, School of Basic Medical Sciences, Hubei University of MedicineDepartment of Infectious Diseases, Renmin Hospital; Department of Human Parasitology, School of Basic Medical Sciences, Hubei University of MedicineAbstract Background Quinine (QN) remains an effective drug for malaria treatment. However, quinine resistance (QNR) in Plasmodium falciparum has been reported in many malaria-endemic regions particularly in African countries. Genetic polymorphism of the P. falciparum Na+/H+ exchanger (pfnhe1) is considered to influence QN susceptibility. Here, ms4760 alleles of pfnhe1 were analysed from imported African P. falciparum parasites isolated from returning travellers in Wuhan, Central China. Methods A total of 204 dried-blood spots were collected during 2011–2016. The polymorphisms of the pfnhe1 gene were determined using nested PCR with DNA sequencing. Results Sequences were generated for 99.51% (203/204) of the PCR products and 68.63% (140/204) of the isolates were analysed successfully for the pfnhe1 ms4760 haplotypes. In total, 28 distinct ms4760 alleles containing 0 to 5 DNNND and 1 to 3 NHNDNHNNDDD repeats were identified. For the alleles, ms4760–1 (22.86%, 32/140), ms4760–3 (17.86%, 25/140), and ms4760–7 (10.71%, 15/140) were the most prevalent profiles. Furthermore, 5 undescribed ms4760 alleles were reported. Conclusions The study offers an initial comprehensive analysis of pfnhe1 ms4760 polymorphisms from imported P. falciparum isolates in Wuhan. Pfnhe1 may constitute a good genetic marker to evaluate the prevalence of QNR in malaria-endemic and non-endemic regions.http://link.springer.com/article/10.1186/s12879-019-3921-7Plasmodium falciparumNa+/H+ exchangerQuinine resistanceMicrosatellite |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kai Wu Yi Yao Fang Chen Mingxing Xu Guangquan Lu Tingting Jiang Ziyu Liu Weixing Du Fang Li Rugui Li Huabing Tan Jian Li |
spellingShingle |
Kai Wu Yi Yao Fang Chen Mingxing Xu Guangquan Lu Tingting Jiang Ziyu Liu Weixing Du Fang Li Rugui Li Huabing Tan Jian Li Analysis of Plasmodium falciparum Na+/H+ exchanger (pfnhe1) polymorphisms among imported African malaria parasites isolated in Wuhan, Central China BMC Infectious Diseases Plasmodium falciparum Na+/H+ exchanger Quinine resistance Microsatellite |
author_facet |
Kai Wu Yi Yao Fang Chen Mingxing Xu Guangquan Lu Tingting Jiang Ziyu Liu Weixing Du Fang Li Rugui Li Huabing Tan Jian Li |
author_sort |
Kai Wu |
title |
Analysis of Plasmodium falciparum Na+/H+ exchanger (pfnhe1) polymorphisms among imported African malaria parasites isolated in Wuhan, Central China |
title_short |
Analysis of Plasmodium falciparum Na+/H+ exchanger (pfnhe1) polymorphisms among imported African malaria parasites isolated in Wuhan, Central China |
title_full |
Analysis of Plasmodium falciparum Na+/H+ exchanger (pfnhe1) polymorphisms among imported African malaria parasites isolated in Wuhan, Central China |
title_fullStr |
Analysis of Plasmodium falciparum Na+/H+ exchanger (pfnhe1) polymorphisms among imported African malaria parasites isolated in Wuhan, Central China |
title_full_unstemmed |
Analysis of Plasmodium falciparum Na+/H+ exchanger (pfnhe1) polymorphisms among imported African malaria parasites isolated in Wuhan, Central China |
title_sort |
analysis of plasmodium falciparum na+/h+ exchanger (pfnhe1) polymorphisms among imported african malaria parasites isolated in wuhan, central china |
publisher |
BMC |
series |
BMC Infectious Diseases |
issn |
1471-2334 |
publishDate |
2019-04-01 |
description |
Abstract Background Quinine (QN) remains an effective drug for malaria treatment. However, quinine resistance (QNR) in Plasmodium falciparum has been reported in many malaria-endemic regions particularly in African countries. Genetic polymorphism of the P. falciparum Na+/H+ exchanger (pfnhe1) is considered to influence QN susceptibility. Here, ms4760 alleles of pfnhe1 were analysed from imported African P. falciparum parasites isolated from returning travellers in Wuhan, Central China. Methods A total of 204 dried-blood spots were collected during 2011–2016. The polymorphisms of the pfnhe1 gene were determined using nested PCR with DNA sequencing. Results Sequences were generated for 99.51% (203/204) of the PCR products and 68.63% (140/204) of the isolates were analysed successfully for the pfnhe1 ms4760 haplotypes. In total, 28 distinct ms4760 alleles containing 0 to 5 DNNND and 1 to 3 NHNDNHNNDDD repeats were identified. For the alleles, ms4760–1 (22.86%, 32/140), ms4760–3 (17.86%, 25/140), and ms4760–7 (10.71%, 15/140) were the most prevalent profiles. Furthermore, 5 undescribed ms4760 alleles were reported. Conclusions The study offers an initial comprehensive analysis of pfnhe1 ms4760 polymorphisms from imported P. falciparum isolates in Wuhan. Pfnhe1 may constitute a good genetic marker to evaluate the prevalence of QNR in malaria-endemic and non-endemic regions. |
topic |
Plasmodium falciparum Na+/H+ exchanger Quinine resistance Microsatellite |
url |
http://link.springer.com/article/10.1186/s12879-019-3921-7 |
work_keys_str_mv |
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