Direct evidence that asparagine at position 108 of the Plasmodium falciparum dihydrofolate reductase is involved in resistance to antifolate drugs in Tanzania

Trans R Soc Trop Med Hyg. 1996 Nov-Dec;90(6):678-80. doi: 10.1016/s0035-9203(96)90432-0.

Abstract

A nested polymerase chain reaction was used to amplify a fragment of the gene for dihydrofolate reductase of Plasmodium falciparum containing codon 108, where a point mutation, causing a serine to asparagine change, occurs in pyrimethamine resistant parasites. The presence of the mutation was detected by restriction enzyme digestion. Parasites in blood samples collected from asymptomatic children before, and 3 weeks after, treatment with pyrimethamine-sulfadoxine or chlorproguanil-dapsone were analysed. Parasites in the samples taken at 3 weeks carried only the asparagine mutant.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Child
  • Child, Preschool
  • Drug Resistance / genetics
  • Folic Acid Antagonists / therapeutic use*
  • Humans
  • Infant
  • Plasmodium falciparum / genetics*
  • Point Mutation
  • Polymerase Chain Reaction
  • Tetrahydrofolate Dehydrogenase / genetics*

Substances

  • Folic Acid Antagonists
  • Tetrahydrofolate Dehydrogenase