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Cited by 609

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Genetic architecture of artemisinin-resistant Plasmodium falciparum

Open access
Miotto, Olivo, Amato, Roberto, Ashley, Elizabeth A, MacInnis, Bronwyn, Almagro-Garcia, Jacob, Amaratunga, Chanaki, Lim, Pharath, Mead, Daniel, Oyola, Samuel O, Dhorda, Mehul, Imwong, Mallika, Woodrow, Charles, Manske, Magnus, Stalker, Jim, Drury, Eleanor, Campino, Susana, Amenga-Etego, Lucas, Thanh, Thuy-Nhien Nguyen, Tran, Hien Tinh, Ringwald, Pascal, Bethell, Delia, Nosten, Francois, Phyo, Aung Pyae, Pukrittayakamee, Sasithon, Chotivanich, Kesinee, Chuor, Char Meng, Nguon, Chea, Suon, Seila, Sreng, Sokunthea, Newton, Paul N, Mayxay, Mayfong, Khanthavong, Maniphone, Hongvanthong, Bouasy, Htut, Ye, Han, Kay Thwe, Kyaw, Myat Phone, Faiz, Md Abul, Fanello, Caterina I, Onyamboko, Marie, Mokuolu, Olugbenga A, Jacob, Christopher G, Takala-Harrison, Shannon, Plowe, Christopher V, Day, Nicholas P, Dondorp, Arjen M, Spencer, Chris C A, McVean, Gilean, Fairhurst, Rick M, White, Nicholas J, Kwiatkowski, Dominic P·2015·Nature Genetics

Abstract

We report a large multicenter genome-wide association study of Plasmodium falciparum resistance to artemisinin, the frontline antimalarial drug. Across 15 locations in Southeast Asia, we identified at least 20 mutations in kelch13 (PF3D7_1343700) affecting the encoded propeller and BTB/POZ domains, which were associated with a slow parasite clearance rate after treatment with artemisinin derivatives. Nonsynonymous polymorphisms in fd (ferredoxin), arps10 (apicoplast ribosomal protein S10), mdr2 (multidrug resistance protein 2) and crt (chloroquine resistance transporter) also showed strong associations with artemisinin resistance. Analysis of the fine structure of the parasite population showed that the fd, arps10, mdr2 and crt polymorphisms are markers of a genetic background on which kelch13 mutations are particularly likely to arise and that they correlate with the contemporary geographical boundaries and population frequencies of artemisinin resistance. These findings indicate that the risk of new resistance-causing mutations emerging is determined by specific predisposing genetic factors in the underlying parasite population.

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Metadata

Authors
Miotto, O., Amato, R., Ashley, E. A., MacInnis, B., Almagro-Garcia, J., Amaratunga, C., Lim, P., Mead, D., Oyola, S. O., Dhorda, M., Imwong, M., Woodrow, C., Manske, M., Stalker, J., Drury, E., Campino, S., Amenga-Etego, L., Thanh, T.-N. N., Tran, H. T., Ringwald, P., Bethell, D., Nosten, F., Phyo, A. P., Pukrittayakamee, S., Chotivanich, K., Chuor, C. M., Nguon, C., Suon, S., Sreng, S., Newton, P. N., Mayxay, M., Khanthavong, M., Hongvanthong, B., Htut, Y., Han, K. T., Kyaw, M. P., Faiz, M. A., Fanello, C. I., Onyamboko, M., Mokuolu, O. A., Jacob, C. G., Takala-Harrison, S., Plowe, C. V., Day, N. P., Dondorp, A. M., Spencer, C. C. A., McVean, G., Fairhurst, R. M., White, N. J., & Kwiatkowski, D. P.
Venue
Nature Genetics
Published
2015-01-19
Volume
47
Issue
3
Pages
226-234
ISSN
  • 1061-4036 (ISSN-L)
  • 1546-1718
OpenAlex
W1969571661
Cited by
609
References
5
FWCI
73.76
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Genetic architecture of artemisinin-resistant Plasmodium falciparum. https://app.cochat.ai/papers/10.1038/ng.3189
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Miotto, O., Amato, R., Ashley, E. A., MacInnis, B., Almagro-Garcia, J., Amaratunga, C., Lim, P., Mead, D., Oyola, S. O., Dhorda, M., Imwong, M., Woodrow, C., Manske, M., Stalker, J., Drury, E., Campino, S., Amenga-Etego, L., Thanh, T.-N. N., Tran, H. T., . . . Kwiatkowski, D. P. (2015). Genetic architecture of artemisinin-resistant Plasmodium falciparum. Nature Genetics. https://doi.org/10.1038/ng.3189

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