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. 2025 May 6;14(5):453.
doi: 10.3390/pathogens14050453.

Ex Vivo Drug Susceptibility of Plasmodium malariae Isolates to Antimalarial Drugs in Gabon

Affiliations

Ex Vivo Drug Susceptibility of Plasmodium malariae Isolates to Antimalarial Drugs in Gabon

Yudi T Pinilla et al. Pathogens. .

Abstract

Plasmodium malariae is a neglected human malaria parasite despite its global distribution and propensity for persistent, sub-microscopic infections, which are associated with a mild but significant disease burden. Artemisinin-based therapies appear to be efficacious, but the susceptibility profiles of field isolates are largely unknown. We performed ex vivo assays with isolates collected from asymptomatic volunteers in Gabon. The mean concentrations required to inhibit 50% of growth (IC50) with chloroquine (n = 21), artesunate (n = 20), atovaquone (n = 21), and lumefantrine (n = 14) were 7.2 nM, 2.7 nM, 3.1 nM, and 7.4 nM, respectively. Our study provides novel data on the ex vivo susceptibility of P. malariae to several key antimalarials, including the first dataset for atovaquone.

Keywords: Gabon; P. malariae; drug susceptibility assay; malaria.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Distribution of IC50 values of P. malariae isolates for each drug (CQ, AS, ATQ, and LUM). CQ, chloroquine; AS, artesunate; ATQ, atovaquone; LUM, lumefantrine. Each data point for a particular drug shows mean IC50 values. Error bars indicate medians and 95% confidence intervals.

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