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Cited by 523

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

Molecular Markers for Failure of Sulfadoxine‐Pyrimethamine and Chlorproguanil‐Dapsone Treatment of Plasmodium falciparum Malaria

Open access
Kublin, James G., Dzinjalamala, Fraction K., Kamwendo, Deborah D., Malkin, Elissa M., Cortese, Joseph F., Martino, Lisa M., Mukadam, Rabia A. G., Rogerson, Stephen J., Lescano, Andres G., Molyneux, Malcolm E., Winstanley, Peter A., Chimpeni, Phillips, Taylor, Terrie E., Plowe, Christopher V.·2002·The Journal of Infectious Diseases

Abstract

Molecular assays for monitoring sulfadoxine-pyrimethamine-resistant Plasmodium falciparum have not been implemented because of the genetic and statistical complexity of the parasite mutations that confer resistance and their relation to treatment outcomes. This study analyzed pretreatment dihydrofolate reductase (DHFR) and dihydropteroate synthase (DHPS) genotypes and treatment outcomes in a double-blind, placebo-controlled trial of sulfadoxine-pyrimethamine and chlorproguanil-dapsone treatment for uncomplicated P. falciparum malaria. Multiple logistic regression was used to identify mutations that were predictive of treatment failure and to identify interactions and confounding factors. Infections caused by parasites with 3 DHFR mutations and 2 DHPS mutations (the "quintuple mutant") were associated with sulfadoxine-pyrimethamine treatment failure but not with chlorproguanil-dapsone treatment failure. The presence of a single DHFR mutation (Arg-59) with a single DHPS mutation (Glu-540) accurately predicted the presence of the quintuple mutant. If this model is validated in other populations, it will finally be possible to use molecular markers for surveillance of antifolate-resistant P. falciparum malaria in Africa.

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Metadata

Authors
Kublin, J. G., Dzinjalamala, F. K., Kamwendo, D. D., Malkin, E. M., Cortese, J. F., Martino, L. M., Mukadam, R. A. G., Rogerson, S. J., Lescano, A. G., Molyneux, M. E., Winstanley, P. A., Chimpeni, P., Taylor, T. E., & Plowe, C. V.
Venue
The Journal of Infectious Diseases
Published
2002-02
Volume
185
Issue
3
Pages
380-388
ISSN
  • 0022-1899 (ISSN-L)
  • 1537-6613
OpenAlex
W2099198335
Cited by
523
References
1
FWCI
31.66
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Molecular Markers for Failure of Sulfadoxine‐Pyrimethamine and Chlorproguanil‐Dapsone Treatment of Plasmodium falciparum Malaria. https://app.cochat.ai/papers/10.1086/338566
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Kublin, J. G., Dzinjalamala, F. K., Kamwendo, D. D., Malkin, E. M., Cortese, J. F., Martino, L. M., Mukadam, R. A. G., Rogerson, S. J., Lescano, A. G., Molyneux, M. E., Winstanley, P. A., Chimpeni, P., Taylor, T. E., & Plowe, C. V. (2002). Molecular Markers for Failure of Sulfadoxine‐Pyrimethamine and Chlorproguanil‐Dapsone Treatment of Plasmodium falciparum Malaria. The Journal of Infectious Diseases. https://doi.org/10.1086/338566

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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