4.8 Article

Modeling malaria genomics reveals transmission decline and rebound in Senegal

出版社

NATL ACAD SCIENCES
DOI: 10.1073/pnas.1505691112

关键词

malaria; genomics; epidemiology

资金

  1. Global Good Fund
  2. Bill and Melinda Gates Foundation
  3. National Institutes of Health (NIH) [AI099105, AI106734]
  4. Fogarty International Center [5D43TW001503]
  5. International Centers of Excellence for Malaria Research [U19AI089696]
  6. NIH [K23AI072033, AI034969, U54GM088558]

向作者/读者索取更多资源

To study the effects of malaria-control interventions on parasite population genomics, we examined a set of 1,007 samples of the malaria parasite Plasmodium falciparum collected in Thies, Senegal between 2006 and 2013. The parasite samples were genotyped using a molecular barcode of 24 SNPs. About 35% of the samples grouped into subsets with identical barcodes, varying in size by year and sometimes persisting across years. The barcodes also formed networks of related groups. Analysis of 164 completely sequenced parasites revealed extensive sharing of genomic regions. In at least two cases we found first-generation recombinant offspring of parents whose genomes are similar or identical to genomes also present in the sample. An epidemiological model that tracks parasite genotypes can reproduce the observed pattern of barcode subsets. Quantification of likelihoods in the model strongly suggests a reduction of transmission from 2006-2010 with a significant rebound in 2012-2013. The reduced transmission and rebound were confirmed directly by incidence data from Thies. These findings imply that intensive intervention to control malaria results in rapid and dramatic changes in parasite population genomics. The results also suggest that genomics combined with epidemiological modeling may afford prompt, continuous, and cost-effective tracking of progress toward malaria elimination.

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