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Published in: Malaria Journal 1/2016

Open Access 01-12-2016 | Research

Distribution of FcγR gene polymorphisms among two sympatric populations in Mali: differing allele frequencies, associations with malariometric indices and implications for genetic susceptibility to malaria

Authors: Mariama Cherif, Daniel Amoako-Sakyi, Amagana Dolo, Jan-Olov Pearson, Ben Gyan, Dorcas Obiri-Yeboah, Issa Nebie, Sodiomon B. Sirima, Ogobara Doumbo, Marita Troye-Blomberg, Maiga Bakary

Published in: Malaria Journal | Issue 1/2016

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Abstract

Background

Genetic polymorphisms in the complex gene cluster encoding human Fc-gamma receptors (FcγRs) may influence malaria susceptibility and pathogenesis. Studying genetic susceptibility to malaria is ideal among sympatric populations because the distribution of polymorphic genes among such populations can help in the identification malaria candidate genes. This study determined the distribution of three FcyRs single nucleotide polymorphisms (SNPs) (FcγRIIB-rs1050519, FcγRIIC-rs3933769 and FcγRIIIA-rs396991) among sympatric Fulani and Dogon children with uncomplicated malaria. The association of these SNPs with clinical, malariometric and immunological indices was also tested.

Methods

This study involved 242 Fulani and Dogon volunteers from Mali age under 15 years. All SNPs were genotyped with predesigned TaqMan® SNP Genotyping Assays. Genotypic and allelic distribution of SNPs was compared across ethnic groups using the Fisher exact test. Variations in clinical, malariometric and immunologic indices between groups were tested with Kruskal–Wallis H, Mann–Whitney U test and Fisher exact test where appropriate.

Results

The study confirmed known malariometric and immunologic differences between sympatric Fulani and non-Fulani tribes. Parasite density was lower in the Fulani than the Dogon (p < 0.0001). The mutant allele of FcγRIIC (rs3933769) was found more frequently in the Fulani than the Dogon (p < 0.0001) while that of FcγRIIIA (rs396991) occurred less frequently in the Fulani than Dogon (p = 0.0043). The difference in the mutant allele frequency of FcγRIIB (rs1050519) between the two ethnic groups was however not statistically significant (p = 0.064). The mutant allele of rs396991 was associated with high malaria-specific IgG1 and IgG3 in the entire study population and Dogon tribe, p = 0.023 and 0.015, respectively. Parasite burden was lower in carriers of the FcγRIIC (rs3933769) mutant allele than non-carriers in the entire study population (p < 0.0001). Carriers of this allele harboured less than half the parasites found in non-carriers.

Conclusion

Differences in the allelic frequencies of rs3933769 and rs396991 among Fulani and Dogon indirectly suggest that these SNPs may influence malaria susceptibility and pathogenesis in the study population. The high frequency of the FcγRIIC (rs3933769) mutant allele in the Fulani and its subsequent association with low parasite burden in the entire study population is noteworthy.
Literature
1.
go back to reference Bautista CT, Chan AST, Ryan JR, Calampa C, Roper MH, Hightower AW, et al. Epidemiology and spatial analysis of malaria in the northern Peruvian Amazon. Am J Trop Med Hyg. 2006;75:1216–22.PubMed Bautista CT, Chan AST, Ryan JR, Calampa C, Roper MH, Hightower AW, et al. Epidemiology and spatial analysis of malaria in the northern Peruvian Amazon. Am J Trop Med Hyg. 2006;75:1216–22.PubMed
2.
3.
go back to reference Hill AVS. Genetic susceptibility to malaria and other infectious diseases: from the MHC to the whole genome. Parasitology. 1996;112(Suppl 1):S75–84.PubMedCrossRef Hill AVS. Genetic susceptibility to malaria and other infectious diseases: from the MHC to the whole genome. Parasitology. 1996;112(Suppl 1):S75–84.PubMedCrossRef
4.
go back to reference Modiano D, Petrarca V, Sirima BS, Nebié I, Diallo D, Esposito F, et al. Different response to Plasmodium falciparum malaria in west African sympatric ethnic groups. Proc Natl Acad Sci USA. 1996;93:13206–11.PubMedPubMedCentralCrossRef Modiano D, Petrarca V, Sirima BS, Nebié I, Diallo D, Esposito F, et al. Different response to Plasmodium falciparum malaria in west African sympatric ethnic groups. Proc Natl Acad Sci USA. 1996;93:13206–11.PubMedPubMedCentralCrossRef
5.
go back to reference Greenwood BM, Groenendaal F, Bradley AK, Greenwood AM, Shenton F, Tulloch S, et al. Ethnic differences in the prevalence of splenomegaly and malaria in The Gambia. Ann Trop Med Parasitol. 1987;81:345–54.PubMed Greenwood BM, Groenendaal F, Bradley AK, Greenwood AM, Shenton F, Tulloch S, et al. Ethnic differences in the prevalence of splenomegaly and malaria in The Gambia. Ann Trop Med Parasitol. 1987;81:345–54.PubMed
6.
go back to reference Modiano D, Chiucchiuini A, Petrarca V, Sirima BS, Luoni G, Roggero MA, et al. Interethnic differences in the humoral response to non-repetitive regions of the Plasmodium falciparum circumsporozoite protein. Am J Trop Med Hyg. 1999;61:663–7.PubMed Modiano D, Chiucchiuini A, Petrarca V, Sirima BS, Luoni G, Roggero MA, et al. Interethnic differences in the humoral response to non-repetitive regions of the Plasmodium falciparum circumsporozoite protein. Am J Trop Med Hyg. 1999;61:663–7.PubMed
7.
go back to reference Dolo A, Modiano D, Maiga B, Daou M, Dolo G, Guindo H, et al. Difference in susceptibility to malaria between two sympatric ethnic groups in Mali. Am J Trop Med Hyg. 2005;72:243–8.PubMed Dolo A, Modiano D, Maiga B, Daou M, Dolo G, Guindo H, et al. Difference in susceptibility to malaria between two sympatric ethnic groups in Mali. Am J Trop Med Hyg. 2005;72:243–8.PubMed
8.
go back to reference Maiga B, Dolo A, Touré O, Dara V, Tapily A, Campino S, et al. Human candidate polymorphisms in sympatric ethnic groups differing in malaria susceptibility in Mali. PLoS One. 2013;8:e75675.PubMedPubMedCentralCrossRef Maiga B, Dolo A, Touré O, Dara V, Tapily A, Campino S, et al. Human candidate polymorphisms in sympatric ethnic groups differing in malaria susceptibility in Mali. PLoS One. 2013;8:e75675.PubMedPubMedCentralCrossRef
9.
go back to reference Bryceson AD, Fleming AF, Edington GM. Splenomegaly in Northern Nigeria. Acta Trop. 1976;33:185–214.PubMed Bryceson AD, Fleming AF, Edington GM. Splenomegaly in Northern Nigeria. Acta Trop. 1976;33:185–214.PubMed
10.
go back to reference Torcia MG, Santarlasci V, Cosmi L, Clemente A, Maggi L, Mangano VD, et al. Functional deficit of T regulatory cells in Fulani, an ethnic group with low susceptibility to Plasmodium falciparum malaria. Proc Natl Acad Sci. 2008;105:646–51.PubMedPubMedCentralCrossRef Torcia MG, Santarlasci V, Cosmi L, Clemente A, Maggi L, Mangano VD, et al. Functional deficit of T regulatory cells in Fulani, an ethnic group with low susceptibility to Plasmodium falciparum malaria. Proc Natl Acad Sci. 2008;105:646–51.PubMedPubMedCentralCrossRef
11.
go back to reference Arama C, Maiga B, Dolo A, Kouriba B, Traoré B, Crompton PD, et al. Ethnic differences in susceptibility to malaria: what have we learned from immuno-epidemiological studies in West Africa? Acta Trop. 2015;146:152–6.PubMedCrossRef Arama C, Maiga B, Dolo A, Kouriba B, Traoré B, Crompton PD, et al. Ethnic differences in susceptibility to malaria: what have we learned from immuno-epidemiological studies in West Africa? Acta Trop. 2015;146:152–6.PubMedCrossRef
13.
go back to reference Fairhurst RM, Fujioka H, Hayton K, Collins KF, Wellems TE. Aberrant development of Plasmodium falciparum in hemoglobin CC red cells: implications for the malaria protective effect of the homozygous state. Blood. 2003;101:3309–15.PubMedCrossRef Fairhurst RM, Fujioka H, Hayton K, Collins KF, Wellems TE. Aberrant development of Plasmodium falciparum in hemoglobin CC red cells: implications for the malaria protective effect of the homozygous state. Blood. 2003;101:3309–15.PubMedCrossRef
14.
go back to reference Agarwal A, Guindo A, Cissoko Y, Taylor JG, Coulibaly D, Koné A, et al. Hemoglobin C associated with protection from severe malaria in the Dogon of Mali, a West African population with a low prevalence of hemoglobin S. Blood. 2000;96:2358–63.PubMed Agarwal A, Guindo A, Cissoko Y, Taylor JG, Coulibaly D, Koné A, et al. Hemoglobin C associated with protection from severe malaria in the Dogon of Mali, a West African population with a low prevalence of hemoglobin S. Blood. 2000;96:2358–63.PubMed
15.
go back to reference Modiano D, Luoni G, Sirima BS, Simporé J, Verra F, Konaté A, et al. Haemoglobin C protects against clinical Plasmodium falciparum malaria. Nature. 2001;414:305–8.PubMedCrossRef Modiano D, Luoni G, Sirima BS, Simporé J, Verra F, Konaté A, et al. Haemoglobin C protects against clinical Plasmodium falciparum malaria. Nature. 2001;414:305–8.PubMedCrossRef
16.
go back to reference Vafa M, Maiga B, Berzins K, Hayano M, Bereczky S, Dolo A, et al. Associations between the IL-4-590 T allele and Plasmodium falciparum infection prevalence in asymptomatic Fulani of Mali. Microbes Infect. 2007;9:1043–8.PubMedCrossRef Vafa M, Maiga B, Berzins K, Hayano M, Bereczky S, Dolo A, et al. Associations between the IL-4-590 T allele and Plasmodium falciparum infection prevalence in asymptomatic Fulani of Mali. Microbes Infect. 2007;9:1043–8.PubMedCrossRef
17.
go back to reference Luoni G, Verra F, Arcà B, Sirima BS, Troye-Blomberg M, Coluzzi M, et al. Antimalarial antibody levels and IL4 polymorphism in the Fulani of West Africa. Genes Immun. 2001;2:411–4.PubMedCrossRef Luoni G, Verra F, Arcà B, Sirima BS, Troye-Blomberg M, Coluzzi M, et al. Antimalarial antibody levels and IL4 polymorphism in the Fulani of West Africa. Genes Immun. 2001;2:411–4.PubMedCrossRef
18.
go back to reference Perez LG, Costa MR, Todd CA, Haynes BF, Montefiori DC. Utilization of immunoglobulin G Fc receptors by human immunodeficiency virus type 1: a specific role for antibodies against the membrane-proximal external region of gp41. J Virol. 2009;83:7397–410.PubMedPubMedCentralCrossRef Perez LG, Costa MR, Todd CA, Haynes BF, Montefiori DC. Utilization of immunoglobulin G Fc receptors by human immunodeficiency virus type 1: a specific role for antibodies against the membrane-proximal external region of gp41. J Virol. 2009;83:7397–410.PubMedPubMedCentralCrossRef
19.
go back to reference Israelsson E, Vafa M, Maiga B, Lysén A, Iriemenam NC, Dolo A, et al. Differences in Fcgamma receptor IIa genotypes and IgG subclass pattern of anti-malarial antibodies between sympatric ethnic groups in Mali. Malar J. 2008;7:175.PubMedPubMedCentralCrossRef Israelsson E, Vafa M, Maiga B, Lysén A, Iriemenam NC, Dolo A, et al. Differences in Fcgamma receptor IIa genotypes and IgG subclass pattern of anti-malarial antibodies between sympatric ethnic groups in Mali. Malar J. 2008;7:175.PubMedPubMedCentralCrossRef
20.
go back to reference Nasr A, Iriemenam NC, Giha HA, Balogun HA, Anders RF, Troye-Blomberg M, et al. FcgammaRIIa (CD32) polymorphism and anti-malarial IgG subclass pattern among Fulani and sympatric ethnic groups living in eastern Sudan. Malar J. 2009;8:43.PubMedPubMedCentralCrossRef Nasr A, Iriemenam NC, Giha HA, Balogun HA, Anders RF, Troye-Blomberg M, et al. FcgammaRIIa (CD32) polymorphism and anti-malarial IgG subclass pattern among Fulani and sympatric ethnic groups living in eastern Sudan. Malar J. 2009;8:43.PubMedPubMedCentralCrossRef
21.
go back to reference Cherif MK, Sanou GS, Maiga B, Israelsson E, Ouédraogo AL, Bougouma EC, et al. FcγRIIa polymorphism and anti-malaria-specific IgG and IgG subclass responses in populations differing in susceptibility to malaria in Burkina Faso. Scand J Immunol. 2012;75:606–13.PubMedCrossRef Cherif MK, Sanou GS, Maiga B, Israelsson E, Ouédraogo AL, Bougouma EC, et al. FcγRIIa polymorphism and anti-malaria-specific IgG and IgG subclass responses in populations differing in susceptibility to malaria in Burkina Faso. Scand J Immunol. 2012;75:606–13.PubMedCrossRef
22.
go back to reference Willcocks LC, Carr EJ, Niederer HA, Rayner TF, Williams TN, Yang W, et al. A defunctioning polymorphism in FCGR2B is associated with protection against malaria but susceptibility to systemic lupus erythematosus. Proc Natl Acad Sci USA. 2010;107:7881–5.PubMedPubMedCentralCrossRef Willcocks LC, Carr EJ, Niederer HA, Rayner TF, Williams TN, Yang W, et al. A defunctioning polymorphism in FCGR2B is associated with protection against malaria but susceptibility to systemic lupus erythematosus. Proc Natl Acad Sci USA. 2010;107:7881–5.PubMedPubMedCentralCrossRef
23.
go back to reference Clatworthy MR, Willcocks L, Urban B, Langhorne J, Williams TN, Peshu N, et al. Systemic lupus erythematosus-associated defects in the inhibitory receptor FcgammaRIIb reduce susceptibility to malaria. Proc Natl Acad Sci USA. 2007;104:7169–74.PubMedPubMedCentralCrossRef Clatworthy MR, Willcocks L, Urban B, Langhorne J, Williams TN, Peshu N, et al. Systemic lupus erythematosus-associated defects in the inhibitory receptor FcgammaRIIb reduce susceptibility to malaria. Proc Natl Acad Sci USA. 2007;104:7169–74.PubMedPubMedCentralCrossRef
24.
go back to reference Omi K, Ohashi J, Patarapotikul J, Hananantachai H, Naka I, Looareesuwan S, et al. Fcgamma receptor IIA and IIIB polymorphisms are associated with susceptibility to cerebral malaria. Parasitol Int. 2002;51:361–6.PubMedCrossRef Omi K, Ohashi J, Patarapotikul J, Hananantachai H, Naka I, Looareesuwan S, et al. Fcgamma receptor IIA and IIIB polymorphisms are associated with susceptibility to cerebral malaria. Parasitol Int. 2002;51:361–6.PubMedCrossRef
25.
go back to reference Adu B, Dodoo D, Adukpo S, Hedley PL, Arthur FKN, Gerds TA, et al. Fc gamma receptor IIIB (FcγRIIIB) polymorphisms are associated with clinical malaria in Ghanaian children. PLoS One. 2012;7:e46197.PubMedPubMedCentralCrossRef Adu B, Dodoo D, Adukpo S, Hedley PL, Arthur FKN, Gerds TA, et al. Fc gamma receptor IIIB (FcγRIIIB) polymorphisms are associated with clinical malaria in Ghanaian children. PLoS One. 2012;7:e46197.PubMedPubMedCentralCrossRef
26.
go back to reference Zhang ZD, Frankish A, Hunt T, Harrow J, Gerstein M. Identification and analysis of unitary pseudogenes: historic and contemporary gene losses in humans and other primates. Genome Biol. 2010;11:R26.PubMedPubMedCentralCrossRef Zhang ZD, Frankish A, Hunt T, Harrow J, Gerstein M. Identification and analysis of unitary pseudogenes: historic and contemporary gene losses in humans and other primates. Genome Biol. 2010;11:R26.PubMedPubMedCentralCrossRef
27.
go back to reference van der Heijden J, Breunis WB, Geissler J, de Boer M, van den Berg TK, et al. Phenotypic variation in IgG receptors by nonclassical FCGR2C alleles. J Immunol. 2012;188:1318–24.PubMedCrossRef van der Heijden J, Breunis WB, Geissler J, de Boer M, van den Berg TK, et al. Phenotypic variation in IgG receptors by nonclassical FCGR2C alleles. J Immunol. 2012;188:1318–24.PubMedCrossRef
28.
go back to reference Cleves MA. Exploratory analysis of single nucleotide polymorphism (SNP) for quantitative traits. Stata J. 2005;5:141–53. Cleves MA. Exploratory analysis of single nucleotide polymorphism (SNP) for quantitative traits. Stata J. 2005;5:141–53.
29.
go back to reference Wu J, Edberg JC, Redecha PB, Bansal V, Guyre PM, Coleman K, et al. A novel polymorphism of FcgammaRIIIa (CD16) alters receptor function and predisposes to autoimmune disease. J Clin Invest. 1997;100:1059–70.PubMedPubMedCentralCrossRef Wu J, Edberg JC, Redecha PB, Bansal V, Guyre PM, Coleman K, et al. A novel polymorphism of FcgammaRIIIa (CD16) alters receptor function and predisposes to autoimmune disease. J Clin Invest. 1997;100:1059–70.PubMedPubMedCentralCrossRef
30.
go back to reference Koene HR, Kleijer M, Algra J, Roos D, von dem Borne AE, de Haas M. Fc gammaRIIIa-158V/F polymorphism influences the binding of IgG by natural killer cell Fc gammaRIIIa, independently of the Fc gammaRIIIa-48L/R/H phenotype. Blood. 1997;90:1109–14.PubMed Koene HR, Kleijer M, Algra J, Roos D, von dem Borne AE, de Haas M. Fc gammaRIIIa-158V/F polymorphism influences the binding of IgG by natural killer cell Fc gammaRIIIa, independently of the Fc gammaRIIIa-48L/R/H phenotype. Blood. 1997;90:1109–14.PubMed
31.
go back to reference Lehrnbecher TL, Foster CB, Zhu S, Venzon D, Steinberg SM, Wyvill K, et al. Variant genotypes of FcgammaRIIIA influence the development of Kaposi’s sarcoma in HIV-infected men. Blood. 2000;95:2386–90.PubMed Lehrnbecher TL, Foster CB, Zhu S, Venzon D, Steinberg SM, Wyvill K, et al. Variant genotypes of FcgammaRIIIA influence the development of Kaposi’s sarcoma in HIV-infected men. Blood. 2000;95:2386–90.PubMed
32.
go back to reference Latiano A, Palmieri O, Valvano MR, Bossa F, Latiano T, Corritore G, et al. Evaluating the role of the genetic variations of PTPN22, NFKB1, and FcGRIIIA genes in inflammatory bowel disease: a meta-analysis. Inflamm Bowel Dis. 2007;13:1212–9.PubMedCrossRef Latiano A, Palmieri O, Valvano MR, Bossa F, Latiano T, Corritore G, et al. Evaluating the role of the genetic variations of PTPN22, NFKB1, and FcGRIIIA genes in inflammatory bowel disease: a meta-analysis. Inflamm Bowel Dis. 2007;13:1212–9.PubMedCrossRef
33.
go back to reference Lee YH, Ji JD, Song GG. Associations between FCGR3A polymorphisms and susceptibility to rheumatoid arthritis: a metaanalysis. J Rheumatol. 2008;35:2129–35.PubMedCrossRef Lee YH, Ji JD, Song GG. Associations between FCGR3A polymorphisms and susceptibility to rheumatoid arthritis: a metaanalysis. J Rheumatol. 2008;35:2129–35.PubMedCrossRef
34.
go back to reference Radstake TRDJ, Petit E, Pierlot C, van de Putte LBA, Cornelis F, Barrera P. Role of Fcgamma receptors IIA, IIIA, and IIIB in susceptibility to rheumatoid arthritis. J Rheumatol. 2003;30:926–33.PubMed Radstake TRDJ, Petit E, Pierlot C, van de Putte LBA, Cornelis F, Barrera P. Role of Fcgamma receptors IIA, IIIA, and IIIB in susceptibility to rheumatoid arthritis. J Rheumatol. 2003;30:926–33.PubMed
35.
go back to reference Maiga B, Dolo A, Touré O, Dara V, Tapily A, Campino S, et al. Fc gamma receptor IIa-H131R polymorphism and malaria susceptibility in sympatric ethnic groups, Fulani and Dogon of Mali. Scand J Immunol. 2014;79:43–50.PubMedPubMedCentralCrossRef Maiga B, Dolo A, Touré O, Dara V, Tapily A, Campino S, et al. Fc gamma receptor IIa-H131R polymorphism and malaria susceptibility in sympatric ethnic groups, Fulani and Dogon of Mali. Scand J Immunol. 2014;79:43–50.PubMedPubMedCentralCrossRef
36.
go back to reference Nishio M, Endo T, Fujimoto K, Yamamoto S, Obara M, Yamaguchi K, et al. FCGR3A-158V/F polymorphism may correlate with the levels of immunoglobulin in patients with non-Hodgkin’s lymphoma after rituximab treatment as an adjuvant to autologous stem cell transplantation. Eur J Haematol. 2009;82:143–7.PubMedCrossRef Nishio M, Endo T, Fujimoto K, Yamamoto S, Obara M, Yamaguchi K, et al. FCGR3A-158V/F polymorphism may correlate with the levels of immunoglobulin in patients with non-Hodgkin’s lymphoma after rituximab treatment as an adjuvant to autologous stem cell transplantation. Eur J Haematol. 2009;82:143–7.PubMedCrossRef
37.
go back to reference Modiano D, Petrarca V, Sirima BS, Bosman A, Nebié I, Diallo D, et al. Plasmodium falciparum malaria in sympatric ethnic groups of Burkina Faso, west Africa. Parassitologia. 1995;37:255–9.PubMed Modiano D, Petrarca V, Sirima BS, Bosman A, Nebié I, Diallo D, et al. Plasmodium falciparum malaria in sympatric ethnic groups of Burkina Faso, west Africa. Parassitologia. 1995;37:255–9.PubMed
38.
go back to reference Pierre A, Buffet IS. The pathogenesis of Plasmodium falciparum malaria in humans: insights from splenic physiology. Blood. 2011;117:381–92.CrossRef Pierre A, Buffet IS. The pathogenesis of Plasmodium falciparum malaria in humans: insights from splenic physiology. Blood. 2011;117:381–92.CrossRef
39.
go back to reference Ouma C, Davenport GC, Garcia S, Kempaiah P, Chaudhary A, Were T, et al. Functional Haplotypes of Fc gamma (Fcγ) receptor (FcγRIIA and FcγRIIIB) predict risk to repeated episodes of severe malarial anemia and mortality in Kenyan children. Hum Genet. 2012;131:289–99.PubMedPubMedCentralCrossRef Ouma C, Davenport GC, Garcia S, Kempaiah P, Chaudhary A, Were T, et al. Functional Haplotypes of Fc gamma (Fcγ) receptor (FcγRIIA and FcγRIIIB) predict risk to repeated episodes of severe malarial anemia and mortality in Kenyan children. Hum Genet. 2012;131:289–99.PubMedPubMedCentralCrossRef
42.
go back to reference Breunis WB, van Mirre E, Bruin M, Geissler J, de Boer M, Peters M, et al. Copy number variation of the activating FCGR2C gene predisposes to idiopathic thrombocytopenic purpura. Blood. 2008;111:1029–38.PubMedCrossRef Breunis WB, van Mirre E, Bruin M, Geissler J, de Boer M, Peters M, et al. Copy number variation of the activating FCGR2C gene predisposes to idiopathic thrombocytopenic purpura. Blood. 2008;111:1029–38.PubMedCrossRef
Metadata
Title
Distribution of FcγR gene polymorphisms among two sympatric populations in Mali: differing allele frequencies, associations with malariometric indices and implications for genetic susceptibility to malaria
Authors
Mariama Cherif
Daniel Amoako-Sakyi
Amagana Dolo
Jan-Olov Pearson
Ben Gyan
Dorcas Obiri-Yeboah
Issa Nebie
Sodiomon B. Sirima
Ogobara Doumbo
Marita Troye-Blomberg
Maiga Bakary
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Malaria Journal / Issue 1/2016
Electronic ISSN: 1475-2875
DOI
https://doi.org/10.1186/s12936-015-1082-8

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