Nature Communications (Sep 2022)

A G358S mutation in the Plasmodium falciparum Na+ pump PfATP4 confers clinically-relevant resistance to cipargamin

  • Deyun Qiu,
  • Jinxin V. Pei,
  • James E. O. Rosling,
  • Vandana Thathy,
  • Dongdi Li,
  • Yi Xue,
  • John D. Tanner,
  • Jocelyn Sietsma Penington,
  • Yi Tong Vincent Aw,
  • Jessica Yi Han Aw,
  • Guoyue Xu,
  • Abhai K. Tripathi,
  • Nina F. Gnadig,
  • Tomas Yeo,
  • Kate J. Fairhurst,
  • Barbara H. Stokes,
  • James M. Murithi,
  • Krittikorn Kümpornsin,
  • Heath Hasemer,
  • Adelaide S. M. Dennis,
  • Melanie C. Ridgway,
  • Esther K. Schmitt,
  • Judith Straimer,
  • Anthony T. Papenfuss,
  • Marcus C. S. Lee,
  • Ben Corry,
  • Photini Sinnis,
  • David A. Fidock,
  • Giel G. van Dooren,
  • Kiaran Kirk,
  • Adele M. Lehane

DOI
https://doi.org/10.1038/s41467-022-33403-9
Journal volume & issue
Vol. 13, no. 1
pp. 1 – 18

Abstract

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In a recent clinical trial for oral administration of cipargamin in individuals with malaria, there was an emergence of recrudescent parasites with a G358S mutation in PfATP4. In this work, the authors investigate the effect of this mutation on the function of the ATPase, on parasite growth and susceptibility to antimalarial drugs.