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2022 Fiscal Year Research-status Report

Establishment of novel in vitro assay for evaluation of killing effect of chloroquine against malaria parasite

Research Project

Project/Area Number 20K16238
Research InstitutionJuntendo University

Principal Investigator

バリカガラ ベテイ  順天堂大学, 大学院医学研究科, 博士研究員 (70805895)

Project Period (FY) 2020-04-01 – 2024-03-31
KeywordsPlasmodium / Chloroquine
Outline of Annual Research Achievements

After completing the first step of confirming the chloroquine parasiticidal effect using the laboratory cultured standard strains: chloroquine sensitive (HB3) and resistant parasites: Dd2 (Southeast Asian origin) and 7G8 (South American origin) according to the method of a previous study (Paguio, Mol Biochem Parasitol 2011), the next step was to verify the parasiticidal chloroquine effect using cryopreserved natural parasites recovered from Uganda field site. First by recovering cryopreserved field natural uganda parasites and adapt them to continuous culture in the laboratory. Once successful then perform chloroquine cytocidal drug assay.
Last year, parasite recovery and adaptation into culture failed because the used parasites had been collected in EDTA that hindered parasite growth. We changed the protocol to collect fresh parasite isolates in ACD-A that supports parasite growth.
From Feburary-March 2022 and October-November 2022, two field surveys have been completed in Uganda and 135 fresh parasite isolates (29 in Feb-March 2022 and 106 in Oct-Nov 2022) have been collected. The cryopreserved parasites have been shipped from Uganda to Japan. Parasite recovery and adaptation of these field parasites into continuous culture is ongoing.

Current Status of Research Progress
Current Status of Research Progress

3: Progress in research has been slightly delayed.

Reason

Altough we overcame the problem that could have hindered successful parasite recovery and growth, the study is still slightly delayed. This is because until now assessment of the cytocidal effect of chloroquine on the natural field parasites has not yet been done. However, we have completed obtaining fresh natural parasites from Uganda expected to successfully adapt into into culture. There after perform the cytocidal drug assay.

Strategy for Future Research Activity

Parasite recovery and adaptation into culture of the freshly collected natural Uganda parasites is ongoing. After successful culture adaptation of the parasites, the parasiticidal chloroquine effect will be assessed in two steps.
Step 1: Parasites will be cultured for 6 hours at chloroquine concentrations (0.625-2000 μM) covering the maximum chloroquine concentration in the human body, 10 μM, then the drug will be washed off. Parasites will then be incubated for 48 hours without drug and LD50 (lethal dose concentration) determined from surviving parasites. The conventional in-vitro assay will also be performed. Parasites will be cultured at chloroquine concentrations of 0.025-1.6 μM for 72 hours and IC50 (50% growth inhibitory concentration) evaluated.
Step 2: The method in step 1 will be improved by developing a new in vitro assay that easily evaluates the parasiticidal chloroquine effect. Specifically, optimize the blood volume used, the chloroquine concentration, drug exposure and culture time, simplify the parasite quantification method, and the objectiveness of the LD50 and IC50 determination methods.

Causes of Carryover

Since my research is delayed, I will use the budget in nex year by following to the plans described in my research proposal.

  • Research Products

    (7 results)

All 2022

All Journal Article (3 results) (of which Int'l Joint Research: 3 results,  Peer Reviewed: 3 results) Presentation (4 results) (of which Int'l Joint Research: 2 results,  Invited: 2 results)

  • [Journal Article] The Impact of Sequestration on Artemisinin-Induced Parasite Clearance in Plasmodium falciparum Malaria in Africa2022

    • Author(s)
      Fukuda Naoyuki、Balikagala Betty、Ueno Tsuyoshi、Anywar Denis A、Kimura Eisaku、Palacpac Nirianne Marie Q、Odongo-Aginya Emmanuel I、Ogwang Martin、Horii Toshihiro、Miida Takashi、Mita Toshihiro
    • Journal Title

      Clinical Infectious Diseases

      Volume: 76 Pages: 1585~1593

    • DOI

      10.1093/cid/ciac944

    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Circulation of an Artemisinin-Resistant Malaria Lineage in a Traveler Returning from East Africa to France2022

    • Author(s)
      Coppee Romain、Bailly Justine、Sarrasin Veronique、Vianou Bertin、Zinsou Boris Enock、Mazars Edith、Georges Hugues、Hamane Samia、Lavergne Rose Anne、Dannaoui Eric、Balikagala Betty、Fukuda Naoyuki、Odongo-Aginya Emmanuel I、Mita Toshihiro、Houze Sandrine、Clain Jerome
    • Journal Title

      Clinical Infectious Diseases

      Volume: 75 Pages: 1242~1244

    • DOI

      10.1093/cid/ciac162

    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] African-specific polymorphisms in Plasmodium falciparum serine repeat antigen 5 in Uganda and Burkina Faso clinical samples do not interfere with antibody response to BK-SE36 vaccination2022

    • Author(s)
      Arisue Nobuko、Palacpac Nirianne Marie Q.、Ntege Edward H.、Yeka Adoke、Balikagala Betty、Kanoi Bernard N.、Bougouma Edith Christiane、Tiono Alfred B.、Nebie Issa、Diarra Amidou、Houard Sophie、D’Alessio Flavia、Leroy Odile、Sirima Sodiomon B.、Egwang Thomas G.、Horii Toshihiro
    • Journal Title

      Frontiers in Cellular and Infection Microbiology

      Volume: 12 Pages: 1058081

    • DOI

      10.3389/fcimb.2022.1058081

    • Peer Reviewed / Int'l Joint Research
  • [Presentation] Evidence for artemisinin artemisinin resistance in Gulu, Northern Uganda2022

    • Author(s)
      Balikagala Betty
    • Organizer
      Presented in the American Society of Tropical Medicine and Hygiene Symposium 91
    • Int'l Joint Research / Invited
  • [Presentation] Evidence of artemisinin resistance in Africa.2022

    • Author(s)
      Betty Balikagala
    • Organizer
      Presented in a meeting titled Malaria: Research for impact in the COVID-19 era, in Madrid Spain
    • Int'l Joint Research / Invited
  • [Presentation] Evidence of artemisinin resistantce in Uganda2022

    • Author(s)
      Betty Balikagala
    • Organizer
      PMI-supported Antimalarial Resistance Monitoring in Africa (PARMA) Webinar: Artemisinin Resistance.
  • [Presentation] Efficacy of piperaquine drug in Northern Uganda,a region where artemisinin resistance has emerged2022

    • Author(s)
      Betty Balikagala
    • Organizer
      Japanese society of parasitology

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Published: 2023-12-25  

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