Rational use of drugs against Plasmodium falciparum

被引:13
作者
Warhurst, DC [1 ]
Duraisingh, MT [1 ]
机构
[1] Univ London London Sch Hyg & Trop Med, Dept Infect & Trop Med, London WC1E 7HT, England
关键词
malaria; Plasmodium falciparum; chemotherapy; drug choice; drug combinations; drug resistance; artemisinin; arylaminoalcohols; Africa;
D O I
10.1016/S0035-9203(01)90177-4
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Recent studies on resistance to blood schizontocides in Plasmodium falciparum give a rational basis for the use of artemisinins combined with arylaminoalcohols for the treatment of uncomplicated chloroquine-resistant malaria in Africa. In areas where such combinations are introduced, there is reason to believe that the continued use of chloroquine in the community will help protect the new drugs from resistance. In view of several laboratory studies, combinations of artemisinins with antifolates or chloroquine pose a risk of antagonistic interaction. This can be avoided by use of the artemisinin and the companion drug sequentially.
引用
收藏
页码:345 / 346
页数:2
相关论文
共 18 条
[1]   Synergism of benflumetol and artemether in Plasmodium falciparum [J].
Alin, MH ;
Björkman, A ;
Wernsdorfer, WH .
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 1999, 61 (03) :439-445
[2]   THE EFFECT OF COMBINATIONS OF QINGHAOSU (ARTEMISININ) WITH STANDARD ANTIMALARIAL-DRUGS IN THE SUPPRESSIVE TREATMENT OF MALARIA IN MICE [J].
CHAWIRA, AN ;
WARHURST, DC ;
ROBINSON, BL ;
PETERS, W .
TRANSACTIONS OF THE ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE, 1987, 81 (04) :554-558
[3]   Increased sensitivity to the antimalarials mefloquine and artemisinin is conferred by mutations in the pfmdr1 gene of Plasmodium falciparum [J].
Duraisingh, MT ;
Roper, C ;
Walliker, D ;
Warhurst, DC .
MOLECULAR MICROBIOLOGY, 2000, 36 (04) :955-961
[4]   Evidence for selection for the tyrosine-86 allele of the pfmdr 1 gene of Plasmodium falciparum by chloroquine and amodiaquine [J].
Duraisingh, MT ;
Drakeley, CJ ;
Muller, O ;
Bailey, R ;
Snounou, G ;
Targett, GAT ;
Greenwood, BM ;
Warhurst, DC .
PARASITOLOGY, 1997, 114 :205-211
[5]  
DURAISINGH MT, 1999, THESIS U LONDON UK
[6]  
Fidock DA, 2000, MOL CELL, V6, P861, DOI 10.1016/S1097-2765(05)00077-8
[7]  
FISCHHOFF DA, 1996, BIOTECHNOLOGY INTEGR, pCH12
[8]   The effect of artesunate combined with standard antimalarials against chloroquine-sensitive and chloroquine-resistant strains of Plasmodium faiciparum in vitro [J].
Fivelman, QL ;
Walden, JC ;
Smith, PJ ;
Folb, PI ;
Barnes, KI .
TRANSACTIONS OF THE ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE, 1999, 93 (04) :429-432
[9]   In vitro activity of artemether against African isolates (Senegal) of Plasmodium falciparum in comparison with standard antimalarial drugs [J].
Pradines, B ;
Rogier, C ;
Fusai, T ;
Tall, A ;
Trape, JF ;
Doury, JC .
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 1998, 58 (03) :354-357
[10]   The pfmdr1 gene is associated with a multidrug-resistant phenotype in Plasmodium falciparum from the western border of Thailand [J].
Price, RN ;
Cassar, C ;
Brockman, A ;
Duraisingh, M ;
van Vugt, M ;
White, NJ ;
Nosten, F ;
Krishna, S .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1999, 43 (12) :2943-2949