A broad analysis of resistance development in the malaria parasite

Nat Commun. 2016 Jun 15:7:11901. doi: 10.1038/ncomms11901.

Abstract

Microbial resistance to chemotherapy has caused countless deaths where malaria is endemic. Chemotherapy may fail either due to pre-existing resistance or evolution of drug-resistant parasites. Here we use a diverse set of antimalarial compounds to investigate the acquisition of drug resistance and the degree of cross-resistance against common resistance alleles. We assess cross-resistance using a set of 15 parasite lines carrying resistance-conferring alleles in pfatp4, cytochrome bc1, pfcarl, pfdhod, pfcrt, pfmdr, pfdhfr, cytoplasmic prolyl t-RNA synthetase or hsp90. Subsequently, we assess whether resistant parasites can be obtained after several rounds of drug selection. Twenty-three of the 48 in vitro selections result in resistant parasites, with time to resistance onset ranging from 15 to 300 days. Our data indicate that pre-existing resistance may not be a major hurdle for novel-target antimalarial candidates, and focusing our attention on fast-killing compounds may result in a slower onset of clinical resistance.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antimalarials / pharmacology
  • Clone Cells
  • Drug Resistance* / drug effects
  • INDEL Mutation / genetics
  • Mutation / genetics
  • Parasites / drug effects
  • Parasites / physiology*
  • Plasmodium falciparum / drug effects
  • Plasmodium falciparum / physiology*
  • Polymorphism, Single Nucleotide / genetics

Substances

  • Antimalarials