South American Plasmodium falciparum after the Malaria Eradication Era: Clonal Population Expansion and Survival of the Fittest Hybrids
2011

Population Structure and Drug Resistance of Plasmodium falciparum in Peru

Sample size: 220 publication 10 minutes Evidence: high

Author Information

Author(s): Griffing Sean M., Mixson-Hayden Tonya, Sridaran Sankar, Alam Md Tauqeer, McCollum Andrea M., Cabezas César, Marquiño Quezada Wilmer, Barnwell John W., Macedo De Oliveira Alexandre, Lucas Carmen, Arrospide Nancy, Escalante Ananias A., Bacon David J., Udhayakumar Venkatachalam

Primary Institution: Malaria Branch, Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America

Hypothesis

Only populations adapted to local ecological niches could expand and repopulate and originated as vestigial populations or recent introductions.

Conclusion

The study found that local adaptations in the post-eradication era have contributed to clonal lineage expansion of Plasmodium falciparum in Peru.

Supporting Evidence

  • The majority of parasites could be grouped into five clonal lineages.
  • Geographic structure was suggested by the distribution of clonal lineages and their drug sensitivity profiles.
  • Clonal lineages had recombined under selection for the fittest parasites.
  • Understanding the population substructure of P. falciparum has implications for vaccine and drug studies.

Takeaway

Scientists studied malaria parasites in Peru to see how they changed after efforts to eliminate malaria. They found that some parasites adapted and grew stronger.

Methodology

The study analyzed the genetic structure and drug resistance profiles of 220 P. falciparum parasites collected from patients across Peru using microsatellite markers.

Potential Biases

Potential biases may arise from the geographic distribution of samples and the focus on specific time periods.

Limitations

The study may not account for all genetic variations due to limited sampling from certain regions.

Participant Demographics

Parasites were collected from patients across various sites in Peru, including the northern Pacific Coast and the Amazon region.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0023486

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