PMID- 23020971 OWN - NLM STAT- MEDLINE DCOM- 20130118 LR - 20211021 IS - 1471-5007 (Electronic) IS - 1471-4922 (Print) IS - 1471-4922 (Linking) VI - 28 IP - 11 DP - 2012 Nov TI - PfCRT and its role in antimalarial drug resistance. PG - 504-14 LID - S1471-4922(12)00142-0 [pii] LID - 10.1016/j.pt.2012.08.002 [doi] AB - Plasmodium falciparum resistance to chloroquine, the former gold standard antimalarial drug, is mediated primarily by mutant forms of the chloroquine resistance transporter (PfCRT). These mutations impart upon PfCRT the ability to efflux chloroquine from the intracellular digestive vacuole, the site of drug action. Recent studies reveal that PfCRT variants can also affect parasite fitness, protect immature gametocytes against chloroquine action, and alter P. falciparum susceptibility to current first-line therapies. These results highlight the need to be vigilant in screening for the appearance of novel pfcrt alleles that could contribute to new multi-drug resistance phenotypes. CI - Copyright (c) 2012 Elsevier Ltd. All rights reserved. FAU - Ecker, Andrea AU - Ecker A AD - Department of Microbiology and Immunology, College of Physicians and Surgeons, Columbia University, New York, NY 10032, USA. FAU - Lehane, Adele M AU - Lehane AM FAU - Clain, Jerome AU - Clain J FAU - Fidock, David A AU - Fidock DA LA - eng GR - R01 AI050234/AI/NIAID NIH HHS/United States GR - R37 AI050234/AI/NIAID NIH HHS/United States GR - R01 AI50234/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20120925 PL - England TA - Trends Parasitol JT - Trends in parasitology JID - 100966034 RN - 0 (Antimalarials) RN - 0 (Membrane Transport Proteins) RN - 0 (PfCRT protein, Plasmodium falciparum) RN - 0 (Protozoan Proteins) SB - IM MH - Antimalarials/pharmacology/therapeutic use MH - Drug Resistance/*genetics MH - Humans MH - Malaria, Falciparum/drug therapy/parasitology MH - Membrane Transport Proteins/*genetics/*metabolism MH - Mutation MH - Plasmodium falciparum/drug effects/*genetics/*metabolism MH - Protozoan Proteins/*genetics/*metabolism PMC - PMC3478492 MID - NIHMS401880 EDAT- 2012/10/02 06:00 MHDA- 2013/01/19 06:00 PMCR- 2013/11/01 CRDT- 2012/10/02 06:00 PHST- 2012/07/18 00:00 [received] PHST- 2012/08/09 00:00 [revised] PHST- 2012/08/13 00:00 [accepted] PHST- 2012/10/02 06:00 [entrez] PHST- 2012/10/02 06:00 [pubmed] PHST- 2013/01/19 06:00 [medline] PHST- 2013/11/01 00:00 [pmc-release] AID - S1471-4922(12)00142-0 [pii] AID - 10.1016/j.pt.2012.08.002 [doi] PST - ppublish SO - Trends Parasitol. 2012 Nov;28(11):504-14. doi: 10.1016/j.pt.2012.08.002. Epub 2012 Sep 25.