2010
DOI: 10.1016/j.tracli.2010.06.005
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Plasmodium vivax and the Duffy antigen: A paradigm revisited

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Cited by 32 publications
(25 citation statements)
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“…A body of empirical evidence is growing, however that P. vivax can infect and cause disease in Duffy negative individuals, as reported in Madagascar [76] and mainland sub-Saharan Africa [77][80] as well as outside Africa [81], [82]. Whether the invasion of erythrocytes via Duffy antigen-independent pathways is a newly evolved mechanism, or whether this capacity has been overlooked by the misdiagnosis of P. vivax in Africa as P. ovale remains unresolved [9], [42], [59]. Whilst this accumulated evidence stands contrary to our simplifying assumption of complete protection in Duffy negative individuals, there is currently no evidence to suggest that such infections are anything but rare and thus are unlikely to have any substantive influence on the epidemiology or infection prevalence of P. vivax at the population scale throughout most of Africa.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…A body of empirical evidence is growing, however that P. vivax can infect and cause disease in Duffy negative individuals, as reported in Madagascar [76] and mainland sub-Saharan Africa [77][80] as well as outside Africa [81], [82]. Whether the invasion of erythrocytes via Duffy antigen-independent pathways is a newly evolved mechanism, or whether this capacity has been overlooked by the misdiagnosis of P. vivax in Africa as P. ovale remains unresolved [9], [42], [59]. Whilst this accumulated evidence stands contrary to our simplifying assumption of complete protection in Duffy negative individuals, there is currently no evidence to suggest that such infections are anything but rare and thus are unlikely to have any substantive influence on the epidemiology or infection prevalence of P. vivax at the population scale throughout most of Africa.…”
Section: Discussionmentioning
confidence: 99%
“…The parasitemia of P. vivax typically occurs at much lower densities compared to those of falciparum malaria, and successful detection by any given means of survey is much less likely. Another major driver of the global P. vivax landscape is the influence of the Duffy negativity phenotype [42]. This inherited blood condition confers a high degree of protection against P. vivax infection and is present at very high frequencies in the majority of African populations, although is rare elsewhere [43].…”
Section: Introductionmentioning
confidence: 99%
“…For example, there are two antigens A and B produced by alleles FY*A and FY*B at the Duffy blood group locus [46,47]. Many African-Americans and Africans do not have either allele and have another allele, known generally as a Duffy null allele.…”
Section: Strength Of Selectionmentioning
confidence: 99%
“…Some authors suggested that despite high frequencies of Duffy negativity, the frequency of Duffy positive blood groups (∼1%-5%) may be high enough to maintain a certain level of transmission of P. vivax in these areas (13,14). Alternatively, it has been proposed that P. vivax could use other pathways to enter human red blood cells and that Duffy negativity might no longer be a barrier to infection and transmission (12,15,16). Furthermore, Plasmodium ovale may have been misdiagnosed as P. vivax, given that the microscopic distinction of these two species is difficult (17).…”
mentioning
confidence: 99%