In vitro sensitivity of Plasmodium falciparum to eight antimalarials in China-Myanmar and China-Lao PDR border areas

Southeast Asian J Trop Med Public Health. 1997 Sep;28(3):460-4.

Abstract

In 1991-1995 by using the Rieckmann in vitro micro-method, susceptibilities of Plasmodium falciparum to eight antimalarials in the China-Lao PDR and China-Myanmar border areas were tested. The resistant rates of P. falciparum to chloroquinine were 95.0%-100%; IC50 114-240nmol/l. P. falciparum resistant rates to amodiaquine resistance accounted for 83.5%-100%, IC50 52-72nmol/l. All cases were sensitive to quinine, IC50 470-608nmol/l. P. falciparum isolates from the Lao PDR frontier were highly sensitive to artesunate, dihydroartemisinin, and arteether. Resistant rates from other areas were 0-11%. P. falciparum from China-Myanmar and Lao PDR border areas were also sensitive to mefloquine, IC50 68-88nmol/l. A longitudinal survey of the sensitivity of P. falciparum in vivo on the China-Lao PDR border showed that the average defervescent time of falciparum malaria was treated by pyronaridine increased from 32.7 +/- 16.0 hours during 1984-85 to 56.2 +/- 27.4 hours in 1995; the recrudescence rate rose up from 15.2% to 37.5%. The results monitored in vitro showed that all cases assessed in 1988 for response to pyronaridine were sensitive, but 36.4% of cases had emerging resistance, IC50 increased from 13nmol/l to 40 nmol/l. The above results suggested that P. falciparum in these areas has expressed resistance to chloroquine and amodiaquine. However, the parasites are still sensitive to artemisinin, pyronaridine, mefloquine, quinine, but with a declining sensitivities.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amodiaquine / pharmacology
  • Animals
  • Antimalarials / pharmacology*
  • Artemisinins*
  • Artesunate
  • China
  • Chloroquine / pharmacology
  • Drug Evaluation, Preclinical
  • Drug Resistance
  • Humans
  • Laos
  • Microbial Sensitivity Tests
  • Myanmar
  • Naphthyridines / pharmacology
  • Plasmodium falciparum / drug effects*
  • Quinine / pharmacology
  • Sesquiterpenes / pharmacology

Substances

  • Antimalarials
  • Artemisinins
  • Naphthyridines
  • Sesquiterpenes
  • Amodiaquine
  • Artesunate
  • artenimol
  • Chloroquine
  • Quinine
  • pyronaridine
  • artemotil