A broad analysis of resistance development in the malaria parasite

  • Victoria C. Corey
  • , Amanda K. Lukens
  • , Eva S. Istvan
  • , Marcus C.S. Lee
  • , Virginia Franco
  • , Pamela Magistrado
  • , Olivia Coburn-Flynn
  • , Tomoyo Sakata-Kato
  • , Olivia Fuchs
  • , Nina F. Gnädig
  • , Greg Goldgof
  • , Maria Linares
  • , Maria G. Gomez-Lorenzo
  • , Cristina De Cózar
  • , Maria Jose Lafuente-Monasterio
  • , Sara Prats
  • , Stephan Meister
  • , Olga Tanaseichuk
  • , Melanie Wree
  • , Yingyao Zhou
  • Paul A. Willis, Francisco Javier Gamo, Daniel E. Goldberg, David A. Fidock, Dyann F. Wirth, Elizabeth A. Winzeler

Research output: Contribution to journalArticlepeer-review

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 bc 1, 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.

Original languageEnglish
Article number11901
JournalNature communications
Volume7
DOIs
StatePublished - Jun 15 2016

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