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Table 3 Prevalence of polymorphisms in pfmdr1 and pfcrt before and after introduction of AL in Pakistan

From: Surveillance of genetic markers associated with Plasmodium falciparum resistance to artemisinin-based combination therapy in Pakistan, 2018–2019

 

2005–2007 (N = 240) [43]

2007 (N = 28) [44]

2011 (N = 171) [45]

2018–2019 (N = 179) [current study]

Pfmdr1 N86Y

 N86

43%

67%

80%

77%

 86Y

45%

33%a

4%

16%

 N86Y (mixed)

12%

Not stateda

16%

7%

Pfmdr1 Y184F

 Y184

ND

ND

75%

83%

 184F

ND

ND

0%

11%

 Y184F (mixed)

ND

ND

25%

6%

Pfmdr1 D1246Y

 D1246

ND

100%

100%

100%

 1246Y

ND

0%

0%

0%

 D1246Y (mixed)

ND

0%

0%

0%

Pfmdr1 CNV

 Single copy

99.6% (231/232)b

ND

100%

ND

 Multiple copy

0.4% (1/232)b

ND

0%

ND

Pfcrt K76T

 K76

7%

0%

0%

2%

 76T

93%

100%

100%

91%

 K76T (mixed)

0%

0%

0%

7%

  1. a Proportion of infections containing pfmdr1 86Y, proportion of which were mixed infections not stated
  2. b (n/number of samples successfully analysed)
  3. ND, not determined; CNV, copy number variation