Article ; Online: The evolutionary landscape of antifolate resistance in Plasmodium falciparum.
2011 Volume 90, Issue 2, Page(s) 187–190
Abstract: Resistance to antifolates in Plasmodium falciparum is well described and has been observed in clinical settings for decades. At the molecular level, point mutations in the dhfr gene that lead to resistance have been identified, and the crystal structure ... ...
Abstract | Resistance to antifolates in Plasmodium falciparum is well described and has been observed in clinical settings for decades. At the molecular level, point mutations in the dhfr gene that lead to resistance have been identified, and the crystal structure of the wildtype and mutant dihydrofolate reductase enzymes have been solved in complex with native substrate and drugs. However, we are only beginning to understand the complexities of the evolutionary pressures that lead to the evolution of drug resistance in this system. Microbial systems that allow heterologous expression of malarial proteins provide a tractable way to investigate patterns of evolution that can inform our eventual understanding of the more complex factors that influence the evolution of drug resistance in clinical settings. In this paper we will review work in Escherichia coli and Saccharomyces cerevisiae expression systems that explore the fitness landscape of mutations implicated in drug resistance and show that (i) a limited number of evolutionary pathways to resistance are followed with high probability; (ii) fitness costs associated with the maintenance of high levels of resistance are modest; and (iii) different antifolates may exert opposing selective forces. |
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MeSH term(s) | Adaptation, Biological ; Animals ; Drug Resistance/genetics ; Evolution, Molecular ; Folic Acid Antagonists/pharmacology ; Humans ; Malaria, Falciparum/drug therapy ; Mutation ; Plasmodium falciparum/drug effects ; Plasmodium falciparum/genetics ; Protozoan Proteins/genetics ; Tetrahydrofolate Dehydrogenase/genetics |
Chemical Substances | Folic Acid Antagonists ; Protozoan Proteins ; Tetrahydrofolate Dehydrogenase (EC 1.5.1.3) |
Language | English |
Publishing date | 2011-08-25 |
Publishing country | India |
Document type | Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Review |
ZDB-ID | 3039-9 |
ISSN | 0973-7731 ; 0958-8361 ; 0022-1333 |
ISSN (online) | 0973-7731 |
ISSN | 0958-8361 ; 0022-1333 |
DOI | 10.1007/s12041-011-0072-z |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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