Table 2. DHODH genotype and corresponding dose-response phenotype for representative in vitro selection of DHODH C276Y parent with TCMDC-125334.
|
Clone ID |
DHODH mutation(s)* | DHODH CNV | TCMDC-125334 EC50 (nM) | DSM265EC50 (nM) | IDI-6273 EC50 (nM) | Genz669178 EC50 (nM) |
|---|---|---|---|---|---|---|
| 3D7 A10 | WT | 1 | 140±42.6 | 4.5±1.6 | 502±209 | 6.9±2.2 |
| C276Y Parent | C276Y | 1 | 12.40±3.089**** | 63.9±19.84 | 41.7±12.7**** | 22.0±6.68 |
| D-T-F1-C1 | C276Y | 3–4 | 50.3±10.4*** | 439.3±115.96* | 185±36.1 | >106 |
| D-T-F1-C2 | C276Y | 4 | 73.0±14.7 | 611±159* | 345±64.1 | >106 |
| D-T-F2-C1 | C276Y | 2 | 31.1±6.89**** | 196±56.6 | 138±44.0* | 117±30.0 |
| D-T-F2-C2 | C276Y | 4 | 77.2±25.1 | 801±270 | 326±155 | ND |
| D-T-F3-C1 | C276Y/F227Y | 1 | 65.6±22.9* | 9042±2985**** | 163±36.3** | 69.7±14.5 |
| D-T-F3-C2 | C276Y/F227Y | 1 | 76.3±27.7 | 9960±3923**** | 183±84.3 | 97±54.5 |
| Overall p-value (approximate) | <0.0001 | <0.0001 | <0.0001 | <0.0001 | ||
| Kruskall-Wallis statistic | 38.12 | 47.36 | 45.55 | 54.32 | ||
The parasite lines are each designated with a unique identifier; for example, D-T-F1-C1 was selected first with DSM265 (D), then from TCMDC-125334 (T), came from flask 1 (F1), and is designated as ‘C1’ for ‘Clone 1’. Data is shown as mean EC50 ± standard deviation. Statistical significance was determined by a Kruskal-Wallis test, with post hoc multiple comparisons (Dunn’s) of each clone to 3D7 A10. *p≤0.05; **p≤0.01; ***p≤0.001; ****p≤0.0001. Overall statistics are reported for each comparison group. Each dose-response assay was performed with triplicate technical replicates, and average EC50’s were obtained from 3 to 8 independent biological replicates. WT = wildtype. ND indicates that the EC50 could not be determined; parasites were resistant to the range of doses tested as indicated by lack of complete kill at the highest dose of 500 nM. A representative set of clones were tested at higher concentrations.
Variants identified by whole-genome sequencing.