Abstract

BackgroundChina has made progress in malaria control and aims to eliminate malaria nationwide, but implementing effective interventions along the border regions remain a huge task. The Plasmodium falciparum cases imported from Southeast Asia has frequently reported especially in the China-Myanmar border (CMB) area. Though, information is scant on P. falciparum genetic variability in this area.MethodsThis study reported P. falciparum isolates genome sequence of six clinical isolates in the CMB area. Furthermore, we estimated the nucleotide diversity, Watterson’s estimator and Tajima’s D value for the whole genome mutation rate in slide window.ResultsOur data were aligned onto 96.05–98.61% of the reference 3D7 genome in high fold coverages. Principal component analysis result showed that P. falciparum clustered generally according to their geographic origin. A total of 91 genes were identified as positive selection with Ka/Ks ratio significantly higher than 1, and most of them were multigene families encoding variant surface antigens (VSAs) such as var, rif and stevor. The enrichment of the positive selection on VSA genes implied that the environment complexity subjected CMB’s P. falciparum to more pressure for survival.ConclusionsOur research suggests that greater genetic diversity in CMB area and the positive selection signals in VSA genes, which allow P. falciparum to fit the host immune system well and aggravate the difficulty of treatment. Meanwhile, results obtained from this study will provide the fundamental basis for P. falciparum population genomic research in CMB area.

Highlights

  • China has made progress in malaria control and aims to eliminate malaria nationwide, but implementing effective interventions along the border regions remain a huge task

  • Our study assessed the genome sequences of six clinical isolates of P. falciparum in the China-Myanmar border (CMB) area

  • Our result showed that the genetic diversity estimated from CMB P. falciparum isolates is higher than the global samples

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Summary

Introduction

China has made progress in malaria control and aims to eliminate malaria nationwide, but implementing effective interventions along the border regions remain a huge task. The Plasmodium falciparum cases imported from Southeast Asia has frequently reported especially in the China-Myanmar border (CMB) area. Decades of control efforts have reduced malaria burden in China from 2961/100 000 population in 1970 to zero indigenous case in 2017 [2, 3], while the goal of nation-wide malaria elimination is rigorously pursued [4]. The situation is different on the other side of the border, because Myanmar is ranked among countries with the highest burden of malaria globally. Previous study conducted passive surveillance for malaria at health facilities along the China-Myanmar border (CMB) area in Yunnan Province

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