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May 1, 1984American Journal of Tropical Medicine and Hygiene

Synergistic Antimalarial Activity of Pyrimethamine and Sulfadoxine against Plasmodium falciparum In Vitro

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Authors

JCJeffrey D. ChulayUniversity of Maryland, BaltimoreWWWilliam M. WatkinsUniversity of NairobiDSDavid SixsmithKenya Medical Research Institute

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Implication

In vitro experimental study demonstrates synergistic inhibition by sulfadoxine and pyrimethamine against Plasmodium falciparum, indicating parasite utilization of exogenous folic acid.

Key Points

  • To evaluate the in vitro antimalarial activity and synergistic efficacy of pyrimethamine and sulfadoxine against sensitive and resistant strains of Plasmodium falciparum under varying folic acid and PABA conditions.
  • Tested pyrimethamine-sensitive and pyrimethamine-resistant strains of Plasmodium falciparum in vitro.
  • Assessed parasite growth inhibition across varying concentrations of pyrimethamine, sulfadoxine, and combinations in media with or without p-aminobenzoic acid (PABA) and folic acid.
  • Parasites grown in medium devoid of folic acid and PABA were inhibited by 10⁻⁶ M sulfadoxine.
  • Addition of physiological folic acid (0.01 mg/L) reduced sulfadoxine activity 1,000-fold, whereas a 100-fold higher folic acid concentration reduced pyrimethamine activity 10-fold.
  • Sulfadoxine at 10⁻⁷ M potentiated pyrimethamine activity in PABA-free medium both in the absence of folic acid and in the presence of 0.01 mg/L folic acid.

Cite This Study

Chulay et al. (1984) studied this question.

synapsesocial.com/papers/6a72853ffebe604dd70aa61chttps://doi.org/10.4269/ajtmh.1984.33.325
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