Clinical Probe of Cyp2C8*2 Mutants in a Malaria Hyperendemic Zone : Evidence from North-Central, Nigeria

BACKGROUND: A tremendous level of success has been achieved since the introduction of chloroquine and the combination of amodiaquine and artemisinin for the treatment of both complicated and uncomplicated malaria infections in sub-Saharan Africa. However, the recent discovery of drug resistant strains of Plasmodium falciparum (P.f.) and the ability of the parasite to ingest CYP2C8 into its digestive vacuole is of great public health concern. This study probes the occurrence of CYP2C8*2 allelic mutant amongst malaria patients in North-Central Nigeria.

METHODS: Three hundred and eighty five (385) unrelated study participants were screened for current malaria episodes using routine microscopy and/or rapid diagnostic test strips (RDTs). Chelex extraction method was used for single nucleotide polymorphisms (SNPs) and identification of CYP2C8*2 (805A > T) variant respectively. Wild-type (A) and the defective allele (T) were differentiated with the use of Polymerase Chain Reaction-Restriction Fragment Length Polymorphism (PCR-RFLP). The results obtained were further validated with Sanger sequencing of a few samples and thereafter, the genotype data were statistically processed. All alleles obtained were in Hardy Weinberg equilibrium.

RESULTS: Out of the 385 participants (45.5% Male and 54.5% Female) genotyped for SNPs, 75 (19.5%) had the autosomal recessive mutant trait. Occurrence of mutant traits was gender and ethnic independent (p > 0.05). Yoruba ethnic group recorded a reduction in proportion of genotypic defective CYP2C8*2 allele (T) (1 in every 8 persons) with a carrier percentage of 13.3% compared with Hausa (26.62%); Igbo (25.37%) and other minority ethnic groups (17.6%).

CONCLUSIONS: A remarkable inter-ethnic differences in autosomal recessive CYP2C8*2 allele was observed. By implication, there is a gradual incursion of genetic drift for poor CQ and AQ-Artemisinin metabolizers among the inhabitants.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:63

Enthalten in:

Acta medica (Hradec Kralove) - 63(2020), 3 vom: 01., Seite 119-123

Sprache:

Englisch

Beteiligte Personen:

Shittu, Olalere [VerfasserIn]
Opeyemi, Olufunke Adenike [VerfasserIn]
Omotesho, Olumuyiwa Babagbemi [VerfasserIn]
Fakayode, Oluwatosin [VerfasserIn]
Asogwa, Nnaemeka [VerfasserIn]
Adeniyi, Opeyemi Margaret [VerfasserIn]
Fatoba, Ifeoluwa Margaret [VerfasserIn]
Salawu, Kayode Muritala [VerfasserIn]
Ajibaye, Olusola [VerfasserIn]
Babamale, Olarewaju Abdulkareem [VerfasserIn]
Iyiola, Oluyinka Ajibola [VerfasserIn]
Aremu, Olusola Isaac [VerfasserIn]

Links:

Volltext

Themen:

220236ED28
886U3H6UFF
9RMU91N5K2
Amodiaquine
Amodiaquine-Artemisinin combination therapy
Antimalarials
Artemisinin
Artemisinins
CYP2C8*2
Chloroquine
Cytochrome P-450 CYP2C8
EC 1.14.14.1
Hausa
Igbo
Journal Article
Nigeria
Plasmodium falciparum
Yoruba

Anmerkungen:

Date Completed 02.08.2021

Date Revised 15.09.2021

published: Print

Citation Status MEDLINE

doi:

10.14712/18059694.2020.29

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM315728345