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A Selective Sweep Driven by Pyrimethamine Treatment in Southeast Asian Malaria Parasites

TLDR
Scanning the malaria parasite genome for evidence of recent selection may prove an extremely effective way to locate genes underlying recently evolved traits such as drug resistance, as well as providing an opportunity to study the dynamics of selective events that have occurred recently or are currently in progress.
Abstract
Malaria parasites (Plasmodium falciparum) provide an excellent system in which to study the genomic effects of strong selection in a recombining eukaryote because the rapid spread of resistance to multiple drugs during the last the past 50 years has been well documented, the full genome sequence and a microsatellite map are now available, and haplotype data can be easily generated. We examined microsatellite variation around the dihydrofolate reductase (dhfr) gene on chromosome 4 of P. falciparum. Point mutations in dhfr are known to be responsible for resistance to the antimalarial drug pyrimethamine, and resistance to this drug has spread rapidly in Southeast (SE) Asia after its introduction in 1970s. We genotyped 33 microsatellite markers distributed across chromosome 4 in 61 parasites from a location on the Thailand/Myanmar border. We observed minimal microsatellite length variation in a 12-kb (0.7-cM) region flanking the dhfr gene and diminished variation for approximately 100 kb (6 cM), indicative of a single origin of resistant alleles. Furthermore, we found the same or similar microsatellite haplotypes flanked resistant dhfr alleles sampled from 11 parasite populations in five SE Asian countries indicating recent invasion of a single lineage of resistant dhfr alleles in locations 2000 km apart. Three features of these data are of especially interest. (1). Pyrimethamine resistance is generally assumed to have evolved multiple times because the genetic basis is simple and resistance can be selected easily in the laboratory. Yet our data clearly indicate a single origin of resistant dhfr alleles sampled over a large region of SE Asia. (2). The wide valley ( approximately 6 cM) of reduced variation around dhfr provides "proof-of-principle" that genome-wide association may be an effective way to locate genes under strong recent selection. (3). The width of the selective valley is consistent with predictions based on independent measures of recombination, mutation, and selection intensity, suggesting that we have reasonable estimates of these parameters. We conclude that scanning the malaria parasite genome for evidence of recent selection may prove an extremely effective way to locate genes underlying recently evolved traits such as drug resistance, as well as providing an opportunity to study the dynamics of selective events that have occurred recently or are currently in progress.

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Journal ArticleDOI

Antimalarial drug resistance.

TL;DR: Widespread use of these drugs could roll back malaria and Artemisinin-derivative combinations are particularly effective, since they act rapidly and are well tolerated and highly effective.
Journal ArticleDOI

Balancing Selection and Its Effects on Sequences in Nearby Genome Regions

TL;DR: New sequence data being gathered from genes in which polymorphisms are known to be maintained by selection can be interpreted in conjunction with results from population genetics models that include recombination between selected sites and nearby neutral marker variants.
Journal ArticleDOI

Using genome scans of DNA polymorphism to infer adaptive population divergence.

TL;DR: A review of different approaches to identify loci involved in adaptive population divergence can be found in this article, where the relative merits of model-based approaches that rely on assumptions about population structure vs. model-free approaches are discussed.
Journal ArticleDOI

Intercontinental Spread of Pyrimethamine-Resistant Malaria

TL;DR: Molecular evidence is presented demonstrating that malaria parasites bearing high-level pyrimethamine resistance originally arrived in Africa from southeast Asia, signaling the end of affordable malaria treatment and presenting sub-Saharan Africa with a public health crisis.
Journal ArticleDOI

Mechanisms of Resistance of Malaria Parasites to Antifolates

TL;DR: Molecular epidemiological techniques for monitoring parasite drug resistance may contribute to development of strategies for prolonging the useful therapeutic life of this important class of drugs.
References
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