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MBE Advance Access published online on May 25, 2005

Molecular Biology and Evolution, doi:10.1093/molbev/msi177
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© The Author 2005. Published by Oxford University Press on behalf of the Society for Molecular Biology and Evolution. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org
Accepted May 23, 2005

Research Article

Reduced Variation Around Drug Resistant dhfr Alleles in African Plasmodium falciparum

Richard Pearce 1*, Allen Malisa 2, S. Patrick Kachur 3, Karen Barnes 4, Brian Sharp 5, and Cally Roper 1

1 London School of Hygiene and Tropical Medicine, Pathogen Molecular Biology Unit, Department of Infectious Tropical Diseases, Keppel Street, London, WC1E 7HT, United Kingdom
2 University of Morogoro, Department of Biological Sciences, Faculty of Science, SUA, P O Box 3038, Morogoro, Tanzania; Ifakara Health Research and Development Centre, PO Box 53, Ifakara, Tanzania
3 Ifakara Health Research and Development Centre, PO Box 53, Ifakara, Tanzania; Malaria Branch, Division of Parasitic Diseases, Centers for Disease Control and Prevention, 4770 Buford Highway NE, MS F-22, Atlanta, Georgia, United States, 30341
4 University of Cape Town Division of Clinical Pharmacology, Anzio Road, Observatory, 7925, Cape Town, South Africa
5 Malaria Research Lead Programme, Medical Research Council, PO Box 70380, Overport 4067, Durban, South Africa

* To whom correspondence should be addressed.
Richard Pearce, E-mail: richard.pearce{at}lshtm.ac.uk


   Abstract

We have measured microsatellite diversity at 26 markers around the dhfr gene in pyrimethamine sensitive and resistant parasites collected in SE Africa. Through direct comparison with diversity on ancestral comparisons we have found significant loss of diversity across a region of 70kb around the most highly resistant allele which is evidence of a selective sweep attributable to selection through widespread use of pyrimethamine (in combination with Sulfadoxine) as treatment for malaria. Retrospective analysis through five years of direct and continuous selection from use of sulfadoxine-pyrimethamine as first- line malaria treatment on a Plasmodium falciparum population in KwaZulu Natal, South Africa, has revealed how recombination significantly narrowed the margins of the selective sweep over time. A deterministic model incorporating selection coefficients measured during the same interval indicates that the transition was towards a state of recombination-selection equilibrium. We compared loss of diversity around the same resistance allele in two populations at either extreme of the range of entomological inoculation rates (EIR), namely under one infective bite per year in Mpumalanga, South Africa, and more than one per day in southern Tanzania. Entomological inoculation rates determine effective recombination rates and are expected to profoundly influence the dimensions of the selective sweep. Surprisingly the dimensions were broadly consistent across both populations. We conclude that despite different recombination rates and contrasting drug selection histories in neighboring countries, the region-wide movement of resistant parasites has played a key role in the establishment of resistance in these populations and the dimensions of the selective sweep are dominated by the influence of high initial starting frequencies.

Keywords: Plasmodium falciparum; selective sweeps; pyrimethamine resistance.
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