Abstract
Patients living in endemic areas can carry a mixture of Plasmodium falciparum genotypes. To investigate the genetic composition of parasite genotypes in malaria patients during the acute phase of the infection, we performed close follow-ups of 17 Gabonese pediatric patients aged 2–7 years. Capillary blood samples were taken on admission and every 4–6 h after the start of quinine therapy. Merozoite surface protein 2 (MSP2) genotypes were used to assess the parasites’ genetic characteristics in each sample. We found that each patient carried parasites with the same genotypic pattern throughout the infection.
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Al-Yaman F, Genton B, Reeder JC, Anders RF, Smith T, Alpers MP (1997) Reduced risk of clinical malaria in children infected with multiple clones of Plasmodium falciparum in a highly endemic area: a prospective community study. Trans R Soc Trop Med Hyg 91:602–605
Baruch DI, Pasloske BL, Singh HB, Bi X, Ma XC, Feldman M, Taraschi TF, Howard RJ (1995) Cloning the P. falciparum gene encoding PFEMP1, a malarial variant antigen and adherence receptor on the surface of parasitized human erythrocytes. Cell 82:77–87
Beck HP, Felger I, Huber W, Steiger S, Smith T, Weiss N, Alonso P, Tanner M, Carter R (1997) Analysis of multiple Plasmodium falciparum infections in Tanzanian children during the phase III trial of the malaria vaccine SPf66. J Infect Dis 175:921–926
Carter R, McGregor IA (1973) Enzyme variation in Plasmodium falciparum in the Gambia. Trans R Soc Trop Med Hyg 67:830–837
Färnert A, Snounou G, Rooth I, Björkman A (1997) Daily dynamics of Plasmodium falciparum subpopulations in asymptomatic children in a holoendemic area. Am J Trop Med Hyg 56:538–547
Färnert A, Rooth I, Svensson Å, Snounou G, Björkman A (1999) Complexity of Plasmodium falciparum infection is consistent over time and protects against clinical disease in Tanzanian children. J Infect Dis 179:989–995
Kremsner PG, Radloff P, Metzger W, Wildling E, Mordmüller B, Philipps J, Jenne L, Nkeyi M, Prada J, Bienzle U, Graninger W (1995) Quinine plus clindamycin improves chemotherapy of severe malaria in children. Antimicrob Agents Chemother 39:1603–1605
Kun JF, Schmidt-Ott RJ, Lehman LG, Lell B, Luckner D, Greve B, Matousek P, Kremsner PG (1998) Merozoite surface antigen 1 and 2 genotypes and rosetting of P. falciparum in severe and mild malaria in Lambaréné, Gabon. Trans R Soc Trop Med Hyg 92:110–114
Kun JF, Missinou MA, Lell B, Sovric M, Knoop H, Bojowald B, Dangelmaier O, Kremsner PG (2002) New emerging Plasmodium falciparum genotypes in children during the transition phase from asymptomatic parasitemia to malaria. Am J Trop Med Hyg 66:653–658
Lell B, Brandts CH, Graninger W, Kremsner PG (2000) The circadian rhythm of body temperature is preserved during malarial fever. Wien Klin Wochenschr 112:1014–1015
Magesa SM, Mdira KY, Babiker HA, Alifrangis M, Färrnert A, Simonsen PE, Bygbjerg IC, Walliker D, Jakobsen PH (2002) Diversity of Plasmodium falciparum clones infecting children living in a holoendemic area in north-eastern Tanzania. Acta Trop 84:83–92
Planche T, Krishna S, Kombila M, Engel K, Faucher JF, Ngou-Milama E, Kremsner PG (2001) Comparison of methods for the rapid laboratory assessment of children with malaria. Am J Trop Med Hyg 65:599–602
Robert F, Ntoumi F, Angel G, Candito D, Rogier C, Fandeur T, Sarthou JL, Mercereau-Puijalon O (1996) Extensive genetic diversity of Plasmodium falciparum isolates collected from patients with severe malaria in Dakar, Senegal. Trans R Soc Trop Med Hyg 90:704–711
Schwenke A, Brandts C, Philipps J, Winkler S, Wernsdorfer WH, Kremsner PG (2001) Declining chloroquine resistance of Plasmodium falciparum in Lambarene, Gabon from 1992 to 1998. Wien Klin Wochenschr 113:63–64
Su XZ, Heatwole VM, Wertheimer SP, Guinet F, Herrfeldt JA, Peterson DS, Ravetch JA, Wellems TE (1995) The large diverse gene family var encodes proteins involved in the cytoadherence and antigenic variation of Plasmodium falciparum-infected erythrocytes. Cell 82:89–100
Sylla EH, Kun JF, Kremsner PG (2000) Mosquito distribution and entomological inoculation rates in three malaria-endemic areas in Gabon. Trans R Soc Trop Med Hyg 94:652–656
Wildling E, Winkler S, Kremsner PG, Brandts C, Jenne L, Wernsdorfer WH (1995) Malaria epidemiology in the province of the Moyen Ogooué, Gabon. Trop Med Parasitol 46:77–82
Wilson RJ, McGregor IA, Hall P, William K, Bartholomew R (1969) Antigens associated Plasmodium falciparum infections in man. Lancet 2:201–205
Acknowledgements
We thank the study participants and their parents. We are grateful to the laboratory staff in Lambaréné for the help. We thank Marcel Nkeyi, Anselme Ndzengue, Ariane Ntseyi, Andrea Weierich and Sylvelia Grummes for technical assistance. The study was conducted in accordance with the Guidelines for good clinical practices and for human experimentation in clinical research of the Ministry of Public Health and Population of Gabon.
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Missinou, M.A., Kun, J.F.J. & Kremsner, P.G. No change in parasite genotype during single episodes of Plasmodium falciparum malaria in Gabonese children. Parasitol Res 93, 322–327 (2004). https://doi.org/10.1007/s00436-004-1137-1
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DOI: https://doi.org/10.1007/s00436-004-1137-1