A genome wide association study of Plasmodium falciparum susceptibility to 22 antimalarial drugs in Kenya.

<h4>Background</h4>Drug resistance remains a chief concern for malaria control. In order to determine the genetic markers of drug resistant parasites, we tested the genome-wide associations (GWA) of sequence-based genotypes from 35 Kenyan P. falciparum parasites with the activities of 22...

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Main Authors: Jason P Wendler, John Okombo, Roberto Amato, Olivo Miotto, Steven M Kiara, Leah Mwai, Lewa Pole, John O'Brien, Magnus Manske, Dan Alcock, Eleanor Drury, Mandy Sanders, Samuel O Oyola, Cinzia Malangone, Dushyanth Jyothi, Alistair Miles, Kirk A Rockett, Bronwyn L MacInnis, Kevin Marsh, Philip Bejon, Alexis Nzila, Dominic P Kwiatkowski
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0096486
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author Jason P Wendler
John Okombo
Roberto Amato
Olivo Miotto
Steven M Kiara
Leah Mwai
Lewa Pole
John O'Brien
Magnus Manske
Dan Alcock
Eleanor Drury
Mandy Sanders
Samuel O Oyola
Cinzia Malangone
Dushyanth Jyothi
Alistair Miles
Kirk A Rockett
Bronwyn L MacInnis
Kevin Marsh
Philip Bejon
Alexis Nzila
Dominic P Kwiatkowski
author_facet Jason P Wendler
John Okombo
Roberto Amato
Olivo Miotto
Steven M Kiara
Leah Mwai
Lewa Pole
John O'Brien
Magnus Manske
Dan Alcock
Eleanor Drury
Mandy Sanders
Samuel O Oyola
Cinzia Malangone
Dushyanth Jyothi
Alistair Miles
Kirk A Rockett
Bronwyn L MacInnis
Kevin Marsh
Philip Bejon
Alexis Nzila
Dominic P Kwiatkowski
author_sort Jason P Wendler
collection DOAJ
description <h4>Background</h4>Drug resistance remains a chief concern for malaria control. In order to determine the genetic markers of drug resistant parasites, we tested the genome-wide associations (GWA) of sequence-based genotypes from 35 Kenyan P. falciparum parasites with the activities of 22 antimalarial drugs.<h4>Methods and principal findings</h4>Parasites isolated from children with acute febrile malaria were adapted to culture, and sensitivity was determined by in vitro growth in the presence of anti-malarial drugs. Parasites were genotyped using whole genome sequencing techniques. Associations between 6250 single nucleotide polymorphisms (SNPs) and resistance to individual anti-malarial agents were determined, with false discovery rate adjustment for multiple hypothesis testing. We identified expected associations in the pfcrt region with chloroquine (CQ) activity, and other novel loci associated with amodiaquine, quinazoline, and quinine activities. Signals for CQ and primaquine (PQ) overlap in and around pfcrt, and interestingly the phenotypes are inversely related for these two drugs. We catalog the variation in dhfr, dhps, mdr1, nhe, and crt, including novel SNPs, and confirm the presence of a dhfr-164L quadruple mutant in coastal Kenya. Mutations implicated in sulfadoxine-pyrimethamine resistance are at or near fixation in this sample set.<h4>Conclusions/significance</h4>Sequence-based GWA studies are powerful tools for phenotypic association tests. Using this approach on falciparum parasites from coastal Kenya we identified known and previously unreported genes associated with phenotypic resistance to anti-malarial drugs, and observe in high-resolution haplotype visualizations a possible signature of an inverse selective relationship between CQ and PQ.
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spelling doaj-art-d32bcf6025e640c29e09d66f4d6a85d52025-08-20T02:34:13ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0195e9648610.1371/journal.pone.0096486A genome wide association study of Plasmodium falciparum susceptibility to 22 antimalarial drugs in Kenya.Jason P WendlerJohn OkomboRoberto AmatoOlivo MiottoSteven M KiaraLeah MwaiLewa PoleJohn O'BrienMagnus ManskeDan AlcockEleanor DruryMandy SandersSamuel O OyolaCinzia MalangoneDushyanth JyothiAlistair MilesKirk A RockettBronwyn L MacInnisKevin MarshPhilip BejonAlexis NzilaDominic P Kwiatkowski<h4>Background</h4>Drug resistance remains a chief concern for malaria control. In order to determine the genetic markers of drug resistant parasites, we tested the genome-wide associations (GWA) of sequence-based genotypes from 35 Kenyan P. falciparum parasites with the activities of 22 antimalarial drugs.<h4>Methods and principal findings</h4>Parasites isolated from children with acute febrile malaria were adapted to culture, and sensitivity was determined by in vitro growth in the presence of anti-malarial drugs. Parasites were genotyped using whole genome sequencing techniques. Associations between 6250 single nucleotide polymorphisms (SNPs) and resistance to individual anti-malarial agents were determined, with false discovery rate adjustment for multiple hypothesis testing. We identified expected associations in the pfcrt region with chloroquine (CQ) activity, and other novel loci associated with amodiaquine, quinazoline, and quinine activities. Signals for CQ and primaquine (PQ) overlap in and around pfcrt, and interestingly the phenotypes are inversely related for these two drugs. We catalog the variation in dhfr, dhps, mdr1, nhe, and crt, including novel SNPs, and confirm the presence of a dhfr-164L quadruple mutant in coastal Kenya. Mutations implicated in sulfadoxine-pyrimethamine resistance are at or near fixation in this sample set.<h4>Conclusions/significance</h4>Sequence-based GWA studies are powerful tools for phenotypic association tests. Using this approach on falciparum parasites from coastal Kenya we identified known and previously unreported genes associated with phenotypic resistance to anti-malarial drugs, and observe in high-resolution haplotype visualizations a possible signature of an inverse selective relationship between CQ and PQ.https://doi.org/10.1371/journal.pone.0096486
spellingShingle Jason P Wendler
John Okombo
Roberto Amato
Olivo Miotto
Steven M Kiara
Leah Mwai
Lewa Pole
John O'Brien
Magnus Manske
Dan Alcock
Eleanor Drury
Mandy Sanders
Samuel O Oyola
Cinzia Malangone
Dushyanth Jyothi
Alistair Miles
Kirk A Rockett
Bronwyn L MacInnis
Kevin Marsh
Philip Bejon
Alexis Nzila
Dominic P Kwiatkowski
A genome wide association study of Plasmodium falciparum susceptibility to 22 antimalarial drugs in Kenya.
PLoS ONE
title A genome wide association study of Plasmodium falciparum susceptibility to 22 antimalarial drugs in Kenya.
title_full A genome wide association study of Plasmodium falciparum susceptibility to 22 antimalarial drugs in Kenya.
title_fullStr A genome wide association study of Plasmodium falciparum susceptibility to 22 antimalarial drugs in Kenya.
title_full_unstemmed A genome wide association study of Plasmodium falciparum susceptibility to 22 antimalarial drugs in Kenya.
title_short A genome wide association study of Plasmodium falciparum susceptibility to 22 antimalarial drugs in Kenya.
title_sort genome wide association study of plasmodium falciparum susceptibility to 22 antimalarial drugs in kenya
url https://doi.org/10.1371/journal.pone.0096486
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