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Mechanisms of Resistance

Mutations in Plasmodium falciparumCytochrome b That Are Associated with Atovaquone Resistance Are Located at a Putative Drug-Binding Site

Michael Korsinczky, Nanhua Chen, Barbara Kotecka, Allan Saul, Karl Rieckmann, Qin Cheng
Michael Korsinczky
Parasitology and Arbovirology Department, Australian Army Malaria Institute,
Institute for Molecular Bioscience, University of Queensland, St. Lucia, and
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Nanhua Chen
Parasitology and Arbovirology Department, Australian Army Malaria Institute,
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Barbara Kotecka
Parasitology and Arbovirology Department, Australian Army Malaria Institute,
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Allan Saul
Malaria and Arbovirus Unit, The Queensland Institute of Medical Research, Brisbane, Australia
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Karl Rieckmann
Parasitology and Arbovirology Department, Australian Army Malaria Institute,
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Qin Cheng
Parasitology and Arbovirology Department, Australian Army Malaria Institute,
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DOI: 10.1128/AAC.44.8.2100-2108.2000
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    Fig. 1.

    Illustration of the procedures involved in the in vitro selection of atovaquone-resistant mutants.

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    Fig. 2.

    Amino acid sequence alignment of chicken, bovine, andP. falciparum CYT b with their SCR elements represented by bars on the top, second top, and bottom, respectively. Putative residues involved in atovaquone binding are shown in boldface type. Residues associated with atovaquone resistance are marked as:P. falciparum (●), P. yoelii (□), P. carinii (○), and P. berghei (■). The putative Qo sites are labeled.

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    Fig. 3.

    (A) Putative P. falciparum CYT bcontact residues involved in atovaquone binding and the residues that were mutated in the atovaquone-resistant parasites. Atovaquone is represented in green stick form, with its lone electron pairs shown in light blue. The electron densities of all the atovaquone atoms are represented by thin lines. All amino acid residues shown as thick or thin sticks in this figure, except for T142, K272, P275, and G280, are predicted contact residues. The thin sticks represent the contact residues, and the thick sticks represent the contact residues that were mutated in the resistant parasite lines. Residues that were mutated inP. falciparum are shown in purple, those in P. yoelii are shown in yellow, and those in P. carinii are shown in orange. The red sticks represent residues that were predicted to be involved in differential atovaquone binding between P. falciparum and chicken CYT b. (B) Putative P. falciparum CYT b contact residues involved in atovaquone binding with the mutated residues from P. falciparum (purple), P. yoelii (yellow), and P. carinii (orange) that are associated with atovaquone resistance. (C) Putative chicken CYT b contact residues involved in atovaquone binding.

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  • Table 1.

    Susceptibilities of parasites to various drugs

    ParasiteAtovaquone concn in cultureMutation(s) in CYTbAtovaquoneStigmatellinMyxothiazoleChloroquone
    IC50 ± SE (nM)IndexIC50 ± SE (nM)IndexIC50 ± SE (nM)IndexIC50 ± SE (nM)Index
    Parent0None3.13 ± 0.6111,661.61 ± 109.431208.38 ± 10.631153.09 ± 0.711
    ATV-M120M133I78.62 ± 2.74a25.124,513.67 ± 374.32a2.72534.38 ± 40.07a2.56188.12 ± 8.68a1.12
    ATV-M2150M1331, P275T689.48 ± 52.89a220.282,954.81 ± 88.38a1.78153.41 ± 6.16a0.74176.78 ± 5.71a1.12
    ATV-M3150M1331, K272R1,680.83 ± 211.18a537.012,087.04 ± 64.41b1.26288.97 ± 15.37a1.39183.42 ± 11.32a1.18
    ATV-M41,500M1331, G280D2,808.82 ± 360.92a897.392,175.36 ± 56.83a1.3176.36 ± 2.05a0.37184.69 ± 9.81a1.16
    ATV-M5150L2831, V284K240.17 ± 33.12a76.732.56 ± 0.31a0.00153.47 ± 0.64a0.17199.73 ± 6.92a1.39
    TM93-C1088NDcY268S29,276.78 ± 2457.11a9,353.601,635.05 ± 77.850.982,202.15 ± 66.92a10.56329.18 ± 17.19a2.10
    • ↵a Significantly different from the parent (P < 0.0001).

    • ↵b Significantly different from the parent (P < 0.005).

    • ↵c ND, not determined.

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Mutations in Plasmodium falciparumCytochrome b That Are Associated with Atovaquone Resistance Are Located at a Putative Drug-Binding Site
Michael Korsinczky, Nanhua Chen, Barbara Kotecka, Allan Saul, Karl Rieckmann, Qin Cheng
Antimicrobial Agents and Chemotherapy Aug 2000, 44 (8) 2100-2108; DOI: 10.1128/AAC.44.8.2100-2108.2000

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Mutations in Plasmodium falciparumCytochrome b That Are Associated with Atovaquone Resistance Are Located at a Putative Drug-Binding Site
Michael Korsinczky, Nanhua Chen, Barbara Kotecka, Allan Saul, Karl Rieckmann, Qin Cheng
Antimicrobial Agents and Chemotherapy Aug 2000, 44 (8) 2100-2108; DOI: 10.1128/AAC.44.8.2100-2108.2000
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KEYWORDS

antimalarials
Cytochrome b Group
Naphthoquinones
Plasmodium falciparum

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