2009
DOI: 10.1056/nejmc0900231
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Artemisinin-Resistant Malaria in Asia

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Cited by 238 publications
(184 citation statements)
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“…In recent years, evidence of confirmed emerging resistance to artemisinins has been gathered from clinical studies in western Cambodia as well as the bordering areas between Thailand and Myanmar [27][28][29][30] . Furthermore, the observation of pfmdr1 wild type and increasing of gene copy number may suggest declining of artesunate-mefloquine treatment efficacy in P. falciparum isolates in this border area.…”
Section: Discussionmentioning
confidence: 99%
“…In recent years, evidence of confirmed emerging resistance to artemisinins has been gathered from clinical studies in western Cambodia as well as the bordering areas between Thailand and Myanmar [27][28][29][30] . Furthermore, the observation of pfmdr1 wild type and increasing of gene copy number may suggest declining of artesunate-mefloquine treatment efficacy in P. falciparum isolates in this border area.…”
Section: Discussionmentioning
confidence: 99%
“…However, strains of P. falciparum with reduced sensitivity to ACTs are emerging, especially in the ThaiCambodian border and in Bangladesh. 5,61,62 This is of great concern and highlights the urgent need for next generation antimalarial agents that target different parasite biochemical pathways. While the multistep process of haemoglobin digestion has been a notable target of antimalarial drug development over the last few decades, functional redundancy among enzymes with a similar mechanistic class (falcipains or plasmepsins) and between these classes has reduced the enthusiasm for the development of effective antimalarial agents targeting this system.…”
Section: Resultsmentioning
confidence: 99%
“…Starting artemisinin resistance in Southeast Asia has begun to threaten the use of ACTs [19,20]. Research in optimising the use of these drugs is likely to yield high gains at relatively low costs over the next 5-10 years.…”
Section: New Drugs: Dihydroartemisinin-piperaquine and Fosmidomycinmentioning
confidence: 99%