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PLoS Neglected Tropical DiseasesVolume 5, Issue 6, June 2011, Article number e1192

Duffy negative antigen is no longer a barrier to Plasmodium vivax - molecular evidences from the African West Coast (Angola and Equatorial Guinea)(Article)(Open Access)

  • Mendes, C.,
  • Dias, F.,
  • Figueiredo, J.,
  • Mora, V.G.,
  • Cano, J.,
  • de Sousa, B.,
  • do Rosário, V.E.,
  • Benito, A.,
  • Berzosa, P.,
  • Arez, A.P.
  • View Correspondence (jump link)
  • aCentro de Malária e Outras Doenças Tropicais, Unidade de Parasitologia, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisbon, Portugal
  • bDepartamento de Medicina Interna, Faculdade de Medicina, Universidade Agostinho Neto, Luanda, Angola
  • cCentro Nacional de Medicina Tropical, Instituto de Salud Carlos III, Madrid, Spain
  • dCentro de Malária e Outras Doenças Tropicais, Unidade de Saúde Internacional, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisbon, Portugal

Abstract

Background: Plasmodium vivax shows a small prevalence in West and Central Africa due to the high prevalence of Duffy negative people. However, Duffy negative individuals infected with P. vivax have been reported in areas of high prevalence of Duffy positive people who may serve as supply of P. vivax strains able to invade Duffy negative erythrocytes. We investigated the presence of P. vivax in two West African countries, using blood samples and mosquitoes collected during two on-going studies. Methodology/Findings: Blood samples from a total of 995 individuals were collected in seven villages in Angola and Equatorial Guinea, and 820 Anopheles mosquitoes were collected in Equatorial Guinea. Identification of the Plasmodium species was achieved by nested PCR amplification of the small-subunit rRNA genes; P. vivax was further characterized by csp gene analysis. Positive P. vivax-human isolates were genotyped for the Duffy blood group through the analysis of the DARC gene. Fifteen Duffy-negative individuals, 8 from Equatorial Guinea (out of 97) and 7 from Angola (out of 898), were infected with two different strains of P. vivax (VK210 and VK247). Conclusions: In this study we demonstrated that P. vivax infections were found both in humans and mosquitoes, which means that active transmission is occurring. Given the high prevalence of infection in mosquitoes, we may speculate that this hypnozoite-forming species at liver may not be detected by the peripheral blood samples analysis. Also, this is the first report of Duffy negative individuals infected with two different strains of P. vivax (VK247 and classic strains) in Angola and Equatorial Guinea. This finding reinforces the idea that this parasite is able to use receptors other than Duffy to invade erythrocytes, which may have an enormous impact in P. vivax current distribution. © 2011 Mendes et al.

Indexed keywords

EMTREE drug terms:cell membrane proteinDuffy antigenprotein DARCribosome RNAunclassified drugcell surface receptorDARC protein, humanprotozoal proteinprotozoal RNAribosome RNA
EMTREE medical terms:AngolaAnophelesarticleblood analysisblood group Duffy systemcontrolled studyDuffy antigen receptor for chemokine geneEquatorial Guineagenegenetic analysisgenotypehumanmajor clinical studynonhumanparasite identificationparasite prevalenceparasite transmissionPlasmodium vivaxPlasmodium vivax malariapolymerase chain reactionadolescentadultAngolaanimalAnophelesblood group Duffy systemchildclassificationdisease carrierdisease transmissionfemalegeneticsGuineainfantisolation and purificationmaleparasitologypathogenicityPlasmodium vivaxPlasmodium vivax malariapreschool child
MeSH:AdolescentAdultAngolaAnimalsAnophelesChildChild, PreschoolDisease VectorsDuffy Blood-Group SystemFemaleGuineaHumansInfantMalaria, VivaxMalePlasmodium vivaxPolymerase Chain ReactionProtozoan ProteinsReceptors, Cell SurfaceRNA, ProtozoanRNA, RibosomalYoung Adult

Chemicals and CAS Registry Numbers:

DARC protein, human; Duffy Blood-Group System; Protozoan Proteins; RNA, Protozoan; RNA, Ribosomal; Receptors, Cell Surface

  • ISSN: 19352727
  • Source Type: Journal
  • Original language: English
  • DOI: 10.1371/journal.pntd.0001192
  • PubMed ID: 21713024
  • Document Type: Article

  Arez, A. P.; Centro de Malária e Outras Doenças Tropicais, Unidade de Parasitologia, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Portugal;
© Copyright 2011 Elsevier B.V., All rights reserved.

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