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Cited by 414

The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.

Mutations in Plasmodium falciparum Dihydrofolate Reductase and Dihydropteroate Synthase and Epidemiologic Patterns of Pyrimethamine‐Sulfadoxine Use and Resistance

Open access
Plowe, Christopher V., Cortese, Joseph F., Djimde, Abdoulaye, Nwanyanwu, Okey C., Watkins, William M., Winstanley, Peter A., Estrada‐Franco, Jose G., Mollinedo, Rene E., Avila, Juan Carlos, Cespedes, Jose Luis, Carter, Darrick, Doumbo, Ogobara K.·1997·The Journal of Infectious Diseases

Abstract

To assess the relationship between mutations in Plasmodium falciparum dihydrofolate reductase (DHFR) and dihydropteroate synthase (DHPS) and clinical pyrimethamine-sulfadoxine resistance, polymerase chain reaction surveys and analyses for new mutations were conducted in four countries with increasing levels of pyrimethamine-sulfadoxine resistance: Mali, Kenya, Malawi, and Bolivia. Prevalence of mutations at DHFR codon 108 and a new mutation at DHPS 540 correlated with increased pyrimethamine-sulfadoxine resistance (P < .05). Mutations at DHFR 51, DHFR 59, and DHPS 437 correlated with resistance without achieving statistical significance. Mutations at DHFR 164 and DHPS 581 were common in Bolivia, where pyrimethamine-sulfadoxine resistance is widespread, but absent in African sites. Two new DHFR mutations, a point mutation at codon 50 and an insert at codon 30, were found only in Bolivia. DHFR and DHPS mutations occur in a progressive, stepwise fashion. Identification of specific sets of mutations causing in vivo drug failure may lead to the development of molecular surveillance methods for pyrimethamine-sulfadoxine resistance.

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Metadata

Authors
Plowe, C. V., Cortese, J. F., Djimde, A., Nwanyanwu, O. C., Watkins, W. M., Winstanley, P. A., Estrada‐Franco, J. G., Mollinedo, R. E., Avila, J. C., Cespedes, J. L., Carter, D., & Doumbo, O. K.
Venue
The Journal of Infectious Diseases
Published
1997-12
Volume
176
Issue
6
Pages
1590-1596
ISSN
  • 0022-1899 (ISSN-L)
  • 1537-6613
OpenAlex
W2160884305
Cited by
414
References
25
FWCI
14.93
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Mutations in Plasmodium falciparum Dihydrofolate Reductase and Dihydropteroate Synthase and Epidemiologic Patterns of Pyrimethamine‐Sulfadoxine Use and Resistance. https://app.cochat.ai/papers/10.1086/514159
The paper
Plowe, C. V., Cortese, J. F., Djimde, A., Nwanyanwu, O. C., Watkins, W. M., Winstanley, P. A., Estrada‐Franco, J. G., Mollinedo, R. E., Avila, J. C., Cespedes, J. L., Carter, D., & Doumbo, O. K. (1997). Mutations in Plasmodium falciparum Dihydrofolate Reductase and Dihydropteroate Synthase and Epidemiologic Patterns of Pyrimethamine‐Sulfadoxine Use and Resistance. The Journal of Infectious Diseases. https://doi.org/10.1086/514159

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

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.