A roadmap for understanding sulfadoxine-pyrimethamine in malaria chemoprevention

Sulfadoxine-pyrimethamine (SP) is the standard of care for Plasmodium falciparum malaria chemoprevention among pregnant women, infants and children. Developing alternative chemoprevention products and other prevention products, such as vaccines and monoclonal antibodies, requires significant investm...

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Main Authors: Thiery Masserey, Lydia Braunack-Mayer, R Scott Miller, Jörg J Möhrle, Melissa A Penny
Format: Article
Language:English
Published: Cambridge University Press 2025-02-01
Series:Parasitology
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Online Access:https://www.cambridge.org/core/product/identifier/S0031182025000071/type/journal_article
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author Thiery Masserey
Lydia Braunack-Mayer
R Scott Miller
Jörg J Möhrle
Melissa A Penny
author_facet Thiery Masserey
Lydia Braunack-Mayer
R Scott Miller
Jörg J Möhrle
Melissa A Penny
author_sort Thiery Masserey
collection DOAJ
description Sulfadoxine-pyrimethamine (SP) is the standard of care for Plasmodium falciparum malaria chemoprevention among pregnant women, infants and children. Developing alternative chemoprevention products and other prevention products, such as vaccines and monoclonal antibodies, requires significant investment. However, knowledge gaps surrounding the activity of SP and resistance put these investments at risk. Therefore, we reviewed SP’s combined antimalarial action, including the individual antiplasmodial components, other antimicrobial effects, impact on malaria immunity development and continued effectiveness in settings with high SP resistance. We created a roadmap of non-clinical and clinical evidence to better understand the effectiveness of SP for chemoprevention and inform the development of new prevention tools.
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issn 0031-1820
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publisher Cambridge University Press
record_format Article
series Parasitology
spelling doaj-art-3733fa5960354c1a99f9b42f93d21abe2025-08-20T03:07:05ZengCambridge University PressParasitology0031-18201469-81612025-02-0115213314210.1017/S0031182025000071A roadmap for understanding sulfadoxine-pyrimethamine in malaria chemopreventionThiery Masserey0https://orcid.org/0000-0003-2482-463XLydia Braunack-Mayer1https://orcid.org/0000-0001-5511-0053R Scott Miller2Jörg J Möhrle3Melissa A Penny4Swiss Tropical and Public Health Institute, Allschwil, Switzerland University of Basel, Basel, SwitzerlandSwiss Tropical and Public Health Institute, Allschwil, Switzerland University of Basel, Basel, SwitzerlandGates Medical Research Institute, Cambridge MA, USASwiss Tropical and Public Health Institute, Allschwil, Switzerland University of Basel, Basel, SwitzerlandSwiss Tropical and Public Health Institute, Allschwil, Switzerland University of Basel, Basel, Switzerland The Kids Research Institute Australia, Nedlands, WA, Australia Centre for Child Health Research, University of Western Australia, Crawley, WA, AustraliaSulfadoxine-pyrimethamine (SP) is the standard of care for Plasmodium falciparum malaria chemoprevention among pregnant women, infants and children. Developing alternative chemoprevention products and other prevention products, such as vaccines and monoclonal antibodies, requires significant investment. However, knowledge gaps surrounding the activity of SP and resistance put these investments at risk. Therefore, we reviewed SP’s combined antimalarial action, including the individual antiplasmodial components, other antimicrobial effects, impact on malaria immunity development and continued effectiveness in settings with high SP resistance. We created a roadmap of non-clinical and clinical evidence to better understand the effectiveness of SP for chemoprevention and inform the development of new prevention tools.https://www.cambridge.org/core/product/identifier/S0031182025000071/type/journal_articlemalariamechanisms of actionpreventionresistancesulfadoxine-pyrimethamine
spellingShingle Thiery Masserey
Lydia Braunack-Mayer
R Scott Miller
Jörg J Möhrle
Melissa A Penny
A roadmap for understanding sulfadoxine-pyrimethamine in malaria chemoprevention
Parasitology
malaria
mechanisms of action
prevention
resistance
sulfadoxine-pyrimethamine
title A roadmap for understanding sulfadoxine-pyrimethamine in malaria chemoprevention
title_full A roadmap for understanding sulfadoxine-pyrimethamine in malaria chemoprevention
title_fullStr A roadmap for understanding sulfadoxine-pyrimethamine in malaria chemoprevention
title_full_unstemmed A roadmap for understanding sulfadoxine-pyrimethamine in malaria chemoprevention
title_short A roadmap for understanding sulfadoxine-pyrimethamine in malaria chemoprevention
title_sort roadmap for understanding sulfadoxine pyrimethamine in malaria chemoprevention
topic malaria
mechanisms of action
prevention
resistance
sulfadoxine-pyrimethamine
url https://www.cambridge.org/core/product/identifier/S0031182025000071/type/journal_article
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