Antidogmatic approaches to artemisinin resistance: reappraisal as treatment failure with artemisinin combination therapy

被引：55

作者：

Krishna, Sanjeev ^{[1
,2
]}

Kremsner, Peter Gottfried ^{[2
]}

机构：

[1] Univ London, Div Clin Sci, Ctr Infect & Immun, London SW17 0RE, England

[2] Univ Tubingen, Inst Tropenmed, Tubingen, Germany

来源：

TRENDS IN PARASITOLOGY | 2013年 / 29卷 / 07期

关键词：

PLASMODIUM-FALCIPARUM; 7-DAY COURSES; ARTESUNATE; DORMANCY; MALARIA; DRUGS;

D O I：

10.1016/j.pt.2013.04.001

中图分类号：

R38 [医学寄生虫学]; Q [生物科学];

学科分类号：

090105 [作物生产系统与生态工程]; 100103 [病原生物学];

摘要：

The definition of artemisinin resistance is becoming one of a prolonged parasite clearance phenotype, although this variable is a complex function of both host and parasite characteristics. We discuss some of the limitations of this definition of artemisinin resistance, particularly because of its potential global impact. This opinion article reviews the mechanisms underlying parasite clearance after artemisinin treatment and how these might relate to in vitro methods to assay for resistance. It revisits criteria for defining artemisinin resistance that are not currently being applied and suggests the term 'treatment failure of artemisinin combination therapy' (TFACT) as a more accurate description of most cases of 'artemisinin resistance'.

引用

页码：313 / 317

页数：5

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