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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Foote, S. J. Galatis, D. Cowman, A. F. |
| Description | Author Affiliation: Foote SJ ( Walter and Eliza Hall Institute of Medical Research, Victoria, Australia.); |
| Abstract | Cycloguanil, the active metabolite of the antimalarial drug proguanil, is an inhibitor of dihydrofolate reductase as is another antimalarial, pyrimethamine. Its use has been limited by the rapid development of resistance by parasites around the world. We have determined the cycloguanil- and pyrimethamine-sensitivity status of 10 isolates of Plasmodium falciparum and have sequenced in all these isolates the dihydrofolate reductase (DHFR; 5,6,7,8-tetrahydrofolate: NADP+ oxidoreductase, EC 1.5.1.3) portion of the DHFR-thymidylate synthase (TS; 5,10-methylenetetrahydrofolate: dUMP C-methyltransferase, EC 2.1.1.45) gene. Instead of the known serine-to-asparagine change at position 108 that is important in pyrimethamine resistance, a serine-to-threonine change at the same position is found in cycloguanil-resistant isolates along with an alanine-to-valine change at position 16. We conclude that pyrimethamine and cycloguanil resistance most commonly involve alternative mutations at the same site. However, we also have identified a parasite with a unique set of changes that results in resistance to both drugs. |
| ISSN | 00278424 |
| e-ISSN | 10916490 |
| Journal | Proceedings of the National Academy of Sciences of the United States of America |
| Issue Number | 8 |
| Volume Number | 87 |
| Language | English |
| Publisher | National Academy of Sciences |
| Publisher Date | 1990-05-01 |
| Publisher Place | United States |
| Access Restriction | Open |
| Subject Keyword | Genes Plasmodium Falciparum Genetics Pyrimethamine Pharmacology Tetrahydrofolate Dehydrogenase Thymidylate Synthase Triazines Amino Acid Sequence Animals DNA Isolation & Purification Drug Resistance Molecular Sequence Data Oligonucleotide Probes Drug Effects Enzymology Proguanil Research Support, Non-U.S. Gov't Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
| Subject | Multidisciplinary |
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