Table. 1. Anti-malarial drugs and their mechanisms of resistance.
Name of anti-malarial drug | Mechanism of resistance |
---|---|
Chloroquinine | Mutations in a gene encoding a transporter, PfCRT and mutations on the Pfmdr-1 [13, 17] |
Atovaquone | Point mutations in the gene of cytochrome b [7] |
Mefloquine | Duplications in Pfmdr, which encodes the Pgh [14] |
Arylaminoalcohols | Duplications in Pfmdr, which encodes the Pgh [8] |
Pyrimethamine | Sequential acquisition of mutations in the DHFR gene [16] |
Cycloguanil | Sequential acquisition of mutations in the DHFR gene [7, 9] |
Artemisinin | Not clearly understood; probably by mutation in C580y or point mutations and copy number variations in Pfmdr-1 [17, 18, 19] |
PfCRT, Plasmodium falciparum chloroquine resistance transporter; Pfmdr-1, Plasmodium falciparum multidrug resistance gene-1; Pgh, p-glycoprotein pump , DHFR, dihydrofolate reductase.