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Cited by 653

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Evidence that a point mutation in dihydrofolate reductase-thymidylate synthase confers resistance to pyrimethamine in falciparum malaria.

Open access
Peterson, D S, Walliker, D, Wellems, T E·1988·Proceedings of the National Academy of Sciences

Abstract

Analysis of a genetic cross of Plasmodium falciparum and of independent parasite isolates from Southeast Asia, Africa, and South America indicates that resistance to pyrimethamine, an antifolate used in the treatment of malaria, results from point mutations in the gene encoding dihydrofolate reductase-thymidylate synthase (EC 1.5.1.3 and EC 2.1.1.45, respectively). Parasites having a mutation from Thr-108/Ser-108 to Asn-108 in DHFR-TS are resistant to the drug. The Asn-108 mutation occurs in a region analogous to the C alpha-helix bordering the active site cavity of bacterial, avian, and mammalian enzymes. Additional point mutations (Asn-51 to Ile-51 and Cys-59 to Arg-59) are associated with increased pyrimethamine resistance and also occur at sites expected to border the active site cavity. Analogies with known inhibitor/enzyme structures from other organisms suggest that the point mutations occur where pyrimethamine contacts the enzyme and may act by inhibiting binding of the drug.

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Metadata

Authors
Peterson, D. S., Walliker, D., & Wellems, T. E.
Venue
Proceedings of the National Academy of Sciences
Published
1988-12
Volume
85
Issue
23
Pages
9114-9118
ISSN
  • 0027-8424 (ISSN-L)
  • 1091-6490
OpenAlex
W2081729133
Cited by
653
References
1
FWCI
15.32
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Evidence that a point mutation in dihydrofolate reductase-thymidylate synthase confers resistance to pyrimethamine in falciparum malaria. https://app.cochat.ai/papers/10.1073/pnas.85.23.9114
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Peterson, D. S., Walliker, D., & Wellems, T. E. (1988). Evidence that a point mutation in dihydrofolate reductase-thymidylate synthase confers resistance to pyrimethamine in falciparum malaria. Proceedings of the National Academy of Sciences. https://doi.org/10.1073/pnas.85.23.9114

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