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01.12.2012 | Research | Ausgabe 1/2012 Open Access

Malaria Journal 1/2012

Reduction of multiplicity of infections but no change in msp2 genetic diversity in Plasmodium falciparum isolates from Congolese children after introduction of artemisinin-combination therapy

Zeitschrift:
Malaria Journal > Ausgabe 1/2012
Autoren:
Rod Ibara-Okabande, Felix Koukouikila-Koussounda, Mathieu Ndounga, Jeannhey Vouvoungui, Vladimir Malonga, Prisca Nadine Casimiro, Jean Rosaire Ibara, Anissa Sidibe, Francine Ntoumi
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1475-2875-11-410) contains supplementary material, which is available to authorized users.
Rod Ibara-Okabande, Felix Koukouikila-Koussounda contributed equally to this work.

Competing interests

The authors declare that they have no competing interest.

Authors’ contributions

RIO participated in genomic DNA extraction, molecular genetic study and writing of the manuscript. FKK contributed in data analysis and writing of the manuscript. CJV participated in data analysis. VM participated in molecular genetic study. MN and NPC designed and supervised the field work. AS contributed in writing of the manuscript. JRI participated in correction of the manuscript. FN supervised the different steps of the work and participated in writing of the manuscript. All authors contributed to the final manuscript.

Abstract

Background

In this first study conducted after the introduction of artemisinin-combination therapy (ACT), the major objective was to evaluate Plasmodium falciparum genetic diversity and multiplicity of infection in isolates from Congolese children between one and nine years of age enrolled and followed up for one year. The secondary objective was to characterize the msp2 profiles of P. falciparum isolates collected from successive malaria episodes in ten children who had four or more clinical episodes during the follow up.

Methods

Three-hundred and thirteen children residing in southern part of Brazzaville participated in this study. Blood samples were obtained from all children at enrollment and checked for P. falciparum infection. Based on the one year follow-up data, two clinical groups were considered according to the number of malaria episodes presented over the follow up period: “protected”(children who did not experience any episode) and “unprotected” (those who experienced more that two episodes). Therefore, the msp2 genetic diversity of P. falciparum isolates collected at enrollment in the two groups was characterized by allele-specific nested PCR and compared. The msp2 profiles of P. falciparum isolates collected from successive malaria episodes was also characterized by allele-specific nested PCR.

Results

Forty-three percent of FC27 and fifty-seven percent of 3D7 in protected vs fifty-six percent of FC27 and forty-four percent of 3D7 in isolates from unprotected children were detected. Seven and two alleles belonging to the FC27, and six and three alleles belonging to 3D7 families were distinguished in isolates from protected and unprotected children respectively. The mean multiplicity of infection (MOI) values at inclusion for the msp2 locus was 1.29 and 1.43 for protected and unprotected children respectively. 43 isolates were obtained from the ten children who had four or more clinical episodes during the follow up. A total of 63 alleles or fragments corresponding to 57% (36/63) FC27 and 43% (27/63) 3D7 were detected. The variant 400bp of FC27 was the most prevalent. 46% (20/43), 42% (18/43), 2% (1/43) and 2% (1/43) of isolates were found to have 1, 2, 3 and 4 parasite genotypes respectively and the mean MOI was 1.78.

Conclusion

This study shows that the introduction of ACT in the Republic of Congo has reduced the MOI but not the genetic diversity of P. falciparum isolates from children living in Southern districts of Brazzaville.
Zusatzmaterial
Authors’ original file for figure 1
12936_2012_2569_MOESM1_ESM.tiff
Authors’ original file for figure 2
12936_2012_2569_MOESM2_ESM.tiff
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