Genome sequencing of Plasmodium malariae identifies continental segregation and mutations associated with reduced pyrimethamine susceptibility

Abstract Plasmodium malariae parasites are widely observed across the tropics and sub-tropics. This slow-growing species, known to maintain chronic asymptomatic infections, has been associated with reduced antimalarial susceptibility. We analyse 251 P. malariae genomes from 28 countries, and leverag...

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Main Authors: Amy Ibrahim, Franziska Mohring, Emilia Manko, Donelly A. van Schalkwyk, Jody E. Phelan, Debbie Nolder, Steffen Borrmann, Ayola A. Adegnika, Silvia Maria Di Santi, Mohammad Shafiul Alam, Dinesh Mondal, Francois Nosten, Colin J. Sutherland, Robert W. Moon, Taane G. Clark, Susana Campino
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-024-55102-3
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author Amy Ibrahim
Franziska Mohring
Emilia Manko
Donelly A. van Schalkwyk
Jody E. Phelan
Debbie Nolder
Steffen Borrmann
Ayola A. Adegnika
Silvia Maria Di Santi
Mohammad Shafiul Alam
Dinesh Mondal
Francois Nosten
Colin J. Sutherland
Robert W. Moon
Taane G. Clark
Susana Campino
author_facet Amy Ibrahim
Franziska Mohring
Emilia Manko
Donelly A. van Schalkwyk
Jody E. Phelan
Debbie Nolder
Steffen Borrmann
Ayola A. Adegnika
Silvia Maria Di Santi
Mohammad Shafiul Alam
Dinesh Mondal
Francois Nosten
Colin J. Sutherland
Robert W. Moon
Taane G. Clark
Susana Campino
author_sort Amy Ibrahim
collection DOAJ
description Abstract Plasmodium malariae parasites are widely observed across the tropics and sub-tropics. This slow-growing species, known to maintain chronic asymptomatic infections, has been associated with reduced antimalarial susceptibility. We analyse 251 P. malariae genomes from 28 countries, and leveraging 131,601 high-quality SNPs, demonstrate segregation of African and Asian isolates. Signals of recent evolutionary selection were identified in genes encoding putative surface proteins (pmmsp1) and putative erythrocyte invasion proteins (pmdpap3, pmrbp2, pmnif4). Amino acid substitutions were identified in orthologs of genes associated with antimalarial susceptibility including 2 amino acid substitutions in pmdhfr aligning with pyrimethamine resistance mutations in P. falciparum. Additionally, we characterise pmdhfr mutation F57L and demonstrate its involvement in reduced susceptibility to pyrimethamine in an in vitro parasite assay. We validate CRISPR-Cas9 mediated ortholog replacement in P. knowlesi parasites to determine the function of pmdhfr mutations and demonstrate that circulating pmdhfr genotypes are less susceptible to pyrimethamine.
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spelling doaj-art-76df5cef751540ac9ba3f28eb89a99882025-01-05T12:36:11ZengNature PortfolioNature Communications2041-17232024-12-0115111210.1038/s41467-024-55102-3Genome sequencing of Plasmodium malariae identifies continental segregation and mutations associated with reduced pyrimethamine susceptibilityAmy Ibrahim0Franziska Mohring1Emilia Manko2Donelly A. van Schalkwyk3Jody E. Phelan4Debbie Nolder5Steffen Borrmann6Ayola A. Adegnika7Silvia Maria Di Santi8Mohammad Shafiul Alam9Dinesh Mondal10Francois Nosten11Colin J. Sutherland12Robert W. Moon13Taane G. Clark14Susana Campino15Faculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical MedicineFaculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical MedicineFaculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical MedicineFaculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical MedicineFaculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical MedicineFaculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical MedicineInstitute for Tropical Medicine, Eberhard Karls University of Tübingen, Tübingen, Germany; Centre de Recherches Médicales de Lambaréné, Gabon; and German Center for Infection Research (DZIF)Institute for Tropical Medicine, Eberhard Karls University of Tübingen, Tübingen, Germany; Centre de Recherches Médicales de Lambaréné, Gabon; and German Center for Infection Research (DZIF)School of Medicine, University of São PauloInternational Centre for Diarrhoeal Disease Research BangladeshInternational Centre for Diarrhoeal Disease Research BangladeshShoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol UniversityFaculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical MedicineFaculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical MedicineFaculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical MedicineFaculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical MedicineAbstract Plasmodium malariae parasites are widely observed across the tropics and sub-tropics. This slow-growing species, known to maintain chronic asymptomatic infections, has been associated with reduced antimalarial susceptibility. We analyse 251 P. malariae genomes from 28 countries, and leveraging 131,601 high-quality SNPs, demonstrate segregation of African and Asian isolates. Signals of recent evolutionary selection were identified in genes encoding putative surface proteins (pmmsp1) and putative erythrocyte invasion proteins (pmdpap3, pmrbp2, pmnif4). Amino acid substitutions were identified in orthologs of genes associated with antimalarial susceptibility including 2 amino acid substitutions in pmdhfr aligning with pyrimethamine resistance mutations in P. falciparum. Additionally, we characterise pmdhfr mutation F57L and demonstrate its involvement in reduced susceptibility to pyrimethamine in an in vitro parasite assay. We validate CRISPR-Cas9 mediated ortholog replacement in P. knowlesi parasites to determine the function of pmdhfr mutations and demonstrate that circulating pmdhfr genotypes are less susceptible to pyrimethamine.https://doi.org/10.1038/s41467-024-55102-3
spellingShingle Amy Ibrahim
Franziska Mohring
Emilia Manko
Donelly A. van Schalkwyk
Jody E. Phelan
Debbie Nolder
Steffen Borrmann
Ayola A. Adegnika
Silvia Maria Di Santi
Mohammad Shafiul Alam
Dinesh Mondal
Francois Nosten
Colin J. Sutherland
Robert W. Moon
Taane G. Clark
Susana Campino
Genome sequencing of Plasmodium malariae identifies continental segregation and mutations associated with reduced pyrimethamine susceptibility
Nature Communications
title Genome sequencing of Plasmodium malariae identifies continental segregation and mutations associated with reduced pyrimethamine susceptibility
title_full Genome sequencing of Plasmodium malariae identifies continental segregation and mutations associated with reduced pyrimethamine susceptibility
title_fullStr Genome sequencing of Plasmodium malariae identifies continental segregation and mutations associated with reduced pyrimethamine susceptibility
title_full_unstemmed Genome sequencing of Plasmodium malariae identifies continental segregation and mutations associated with reduced pyrimethamine susceptibility
title_short Genome sequencing of Plasmodium malariae identifies continental segregation and mutations associated with reduced pyrimethamine susceptibility
title_sort genome sequencing of plasmodium malariae identifies continental segregation and mutations associated with reduced pyrimethamine susceptibility
url https://doi.org/10.1038/s41467-024-55102-3
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