Site-based study on polymorphism of Plasmodium falciparum MSP-1 and MSP-2 genes in isolates from two villages in Central Africa.

We investigated Plasmodium falciparum genetic diversity in isolates collected from school-going residents aged from 5 to 15 years in the village of Pouma (Cameroon, Central Africa). Seventy-six children were grouped according to the clinical status. Asymptomatic status was defined as parasite carriage in the absence of any clinical symptom and malaria symptomatic status with patent parasitemia over 5000 parasites/microliter of blood and an axillary temperature > 37.5 degrees C. Parasite DNA was analysed prior to malaria treatment. Genotyping of the P. falciparum merozoite surface proteins (MSP) 1 and 2 was performed by polymerase chain reaction using allele-specific primers. K1, MAD20, Ro33 and 3D7/CAMP, FC27 allelic families were attributed to MSP-1 and MSP-2 genes, respectively. No association was found between P. falciparum MSP-1 and MSP-2 genotypes and the clinical status of children. Mixed P. falciparum infections were detected in 78% of overall samples and all isolates from symptomatic children contained more than 1 clone. The results obtained in the village of Pouma were compared to those of the village of Dienga in Gabon where a similar study, using the same genotyping methods, had been carried out in the same age group of schoolchildren. Data are interpreted in the context of malaria epidemiology in both settings.

[Allelic polymorphism of Plasmodium falciparum MSP-2 gene in blood samples from Gabonese children]. / Polymorphisme allélique du gène MSP-2 de Plasmodium falciparum analysé a partir d'échantillons sanguins d'enfants gabonais.

In this study we have undertaken the molecular analysis of the MSP-2 gene of R falciparum isolates collected from schoolchildren living in the village of Dienga (Gabon). Using conventional microscopy and the polymerase chain reaction, 61% of these children harboured parasites without any symptom of malaria (asymptomatic status). Children with a malaria episode were those with an axillary temperature > or = 37.5 degrees C and a parasitaemia > or =800 parasites/microl of blood. Comparisons of the allelic diversity and distribution of MSP-2 gene were carried out according to the clinical status at the time of sampling. Polymorphism of the MSP-2 gene was large in both clinical groups, both asymptomatic and symptomatic (11 identified alleles). The allele FC27/560bp (base pairs) was found significantly in clinical isolates. Prevalence of the 3D7 family was 68% and 44% in asymptomatic infections and clinical infections, respectively. Multiple P. falciparum genotypes were more predominant in clinical cases (2.96 clones/child with a malaria attack vs 2.01 clones/child with asymptomatic infections). We observed also a reduction of the complexity of infection beyond the age of 10 years. These results are discussed in regard to studies conducted in other areas in Africa.