18 research outputs found

    Artemisinin resistance phenotypes and K13 inheritance in a Plasmodium falciparum cross and Aotus model

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    Concerns about malaria parasite resistance to treatment with artemisinin drugs (ARTs) have grown with findings of prolonged parasite clearance t1/2s (>5 h) and their association with mutations in Plasmodium falciparum Kelch-propeller protein K13. Here, we describe a P. falciparum laboratory cross of K13 C580Y mutant with C580 wild-type parasites to investigate ART response phenotypes in vitro and in vivo. After genotyping >400 isolated progeny, we evaluated 20 recombinants in vitro: IC50 measurements of dihydroartemisinin were at similar low nanomolar levels for C580Y- and C580-type progeny (mean ratio, 1.00; 95% CI, 0.62–1.61), whereas, in a ring-stage survival assay, the C580Y-type progeny had 19.6-fold (95% CI, 9.76–39.2) higher average counts. In splenectomized Aotus monkeys treated with three daily doses of i.v. artesunate, t1/2 calculations by three different methods yielded mean differences of 0.01 h (95% CI, −3.66 to 3.67), 0.80 h (95% CI, −0.92 to 2.53), and 2.07 h (95% CI, 0.77–3.36) between C580Y and C580 infections. Incidences of recrudescence were 57% in C580Y (4 of 7) versus 70% in C580 (7 of 10) infections (−13% difference; 95% CI, −58% to 35%). Allelic substitution of C580 in a C580Y-containing progeny clone (76H10) yielded a transformant (76H10C580Rev) that, in an infected monkey, recrudesced regularly 13 times over 500 d. Frequent recrudescences of ART-treated P. falciparum infections occur with or without K13 mutations and emphasize the need for improved partner drugs to effectively eliminate the parasites that persist through the ART component of combination therapy

    Pride of place in a religious context: an environmental psychology and sociology perspective

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    Pride of Place (PoP) is the positive emotion that people can have for the place they identify or associate themselves with. It is linked to one’s own place identity and attachment to one’s own place, whether at a local or broader geographical scale. Positive pride of where one comes from can elicit a series of behaviours that are of prosocial and caring character, a pride that is too extreme, however, can result in nationalism and antisocial behaviours (at least towards what is outside one’s own place). In this book chapter, the literature around the emotion of pride is reviewed, being it historically and religiously regarded as a vice, specifically in relationship to places within a religious context. Pride of Place and religion are discussed in relation to the affective, cognitive and conative aspect of people–place bonds
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