A roadmap for understanding sulfadoxine-pyrimethamine in malaria chemoprevention.

IF 2.5 3区 医学 Q2 PARASITOLOGY Parasitology Pub Date : 2025-02-01 DOI:10.1017/S0031182025000071
Thiery Masserey, Lydia Braunack-Mayer, R Scott Miller, Jörg J Möhrle, Melissa A Penny
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Abstract

Sulfadoxine-pyrimethamine (SP) is the standard of care for Plasmodium falciparum malaria chemoprevention among pregnant women, infants and children. Developing alternative chemoprevention products and other prevention products, such as vaccines and monoclonal antibodies, requires significant investment. However, knowledge gaps surrounding the activity of SP and resistance put these investments at risk. Therefore, we reviewed SP's combined antimalarial action, including the individual antiplasmodial components, other antimicrobial effects, impact on malaria immunity development and continued effectiveness in settings with high SP resistance. We created a roadmap of non-clinical and clinical evidence to better understand the effectiveness of SP for chemoprevention and inform the development of new prevention tools.

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了解磺胺多辛-乙胺嘧啶在疟疾化学预防中的路线图。
磺胺多辛-乙胺嘧啶(SP)是孕妇、婴儿和儿童恶性疟原虫疟疾化学预防的护理标准。开发替代化学预防产品和其他预防产品,如疫苗和单克隆抗体,需要大量投资。然而,围绕SP活动和阻力的知识差距使这些投资面临风险。因此,我们综述了SP的联合抗疟作用,包括单个抗疟原虫成分、其他抗菌作用、对疟疾免疫发展的影响以及在SP高耐药性环境下的持续有效性。我们创建了一个非临床和临床证据的路线图,以更好地了解SP对化学预防的有效性,并为新的预防工具的开发提供信息。
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来源期刊
Parasitology
Parasitology 医学-寄生虫学
CiteScore
4.80
自引率
4.20%
发文量
280
审稿时长
3-8 weeks
期刊介绍: Parasitology is an important specialist journal covering the latest advances in the subject. It publishes original research and review papers on all aspects of parasitology and host-parasite relationships, including the latest discoveries in parasite biochemistry, molecular biology and genetics, ecology and epidemiology in the context of the biological, medical and veterinary sciences. Included in the subscription price are two special issues which contain reviews of current hot topics, one of which is the proceedings of the annual Symposia of the British Society for Parasitology, while the second, covering areas of significant topical interest, is commissioned by the editors and the editorial board.
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