2007
DOI: 10.4269/ajtmh.2007.77.1043
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Plasmodium falciparum Genetic Diversity in Western Kenya Highlands

Abstract: The present study examined the genetic diversity and population structure of Plasmodium falciparum in western Kenya by analyzing the polymorphism of 12 microsatellite loci and two antigen loci. Malaria in highland areas is unstable and epidemic whereas malaria in lowland areas is endemic. Transmission intensity and malaria prevalence are substantially lower in the highlands than in the lowlands. Despite that the highland parasite populations exhibited reduced number of alleles, lower expected heterozygosity, a… Show more

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Cited by 51 publications
(75 citation statements)
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References 53 publications
(78 reference statements)
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“…46 Moreover, additional factors such as resistance to antimalaria drugs and migration (movement of older persons from one locality to another) have been shown to increase the diversity of parasite population through introduction of foreign polymorphisms. 10,14,45,47 This finding could explain the relatively high complexity found in Bonakanda (1,197 meters above sea level), which in our study was characterized by an EIR close to zero. Mosquito vectors at this altitude are rare because the steepness of the slope, and the absence of streams at this altitude prevent formation of breeding sites.…”
Section: Discussionsupporting
confidence: 55%
“…46 Moreover, additional factors such as resistance to antimalaria drugs and migration (movement of older persons from one locality to another) have been shown to increase the diversity of parasite population through introduction of foreign polymorphisms. 10,14,45,47 This finding could explain the relatively high complexity found in Bonakanda (1,197 meters above sea level), which in our study was characterized by an EIR close to zero. Mosquito vectors at this altitude are rare because the steepness of the slope, and the absence of streams at this altitude prevent formation of breeding sites.…”
Section: Discussionsupporting
confidence: 55%
“…Although there have been previous reports on the spectrum of population structures of P. falciparum in some parts of sub-Saharan Africa [12][13][14], the parasite's genetic profile has not been comprehensively documented in Nigeria. In order to derive a reference database for malaria interventions, it is important to obtain the existing genetic structure of P. falciparum in the country.…”
Section: Introductionmentioning
confidence: 99%
“…Besides, knowledge of the genetic structure of malaria parasites is also essential to predict how important phenotypes such as novel antigenic variants or drug resistance strains originate and spread in the population [11,12].…”
Section: Introductionmentioning
confidence: 99%
“…Despite enormous efforts for malaria control and prevention, multiple factors, including insecticide resistance in the mosquito vectors, the lack of effective vaccines, and the emergence and rapid spread of drug-resistant strains, are contributing to the global worsening of the malaria situation (Mwingira et al, 2011). Understanding the genetic structure of malaria parasite is essential to predict how fast phenotypes of interest, such as novel antigenic variants or drug resistance, originate and spread in populations (Zhong et al, 2007). Further elucidating the mechanisms generating variation in malaria surface antigens is essential for designing immunization strategies to circumvent the emergence of novel polymorphisms (Hartl et al, 2002).…”
Section: Introductionmentioning
confidence: 99%