RT Journal Article SR Electronic T1 Genomic epidemiology of the current wave of artemisinin resistant malaria JF bioRxiv FD Cold Spring Harbor Laboratory SP 019737 DO 10.1101/019737 A1 Roberto Amato A1 Olivo Miotto A1 Charles Woodrow A1 Jacob Almagro-Garcia A1 Ipsita Sinha A1 Susana Campino A1 Daniel Mead A1 Eleanor Drury A1 Mihir Kekre A1 Mandy Sanders A1 Alfred Amambua-Ngwa A1 Chanaki Amaratunga A1 Lucas Amenga-Etego A1 Tim J C Anderson A1 Voahangy Andrianaranjaka A1 Tobias Apinjoh A1 Elizabeth Ashley A1 Sarah Auburn A1 Gordon A Awandare A1 Vito Baraka A1 Alyssa Barry A1 Maciej F Boni A1 Steffen Borrmann A1 Teun Bousema A1 Oralee Branch A1 Peter C Bull A1 Kesinee Chotivanich A1 David J Conway A1 Alister Craig A1 Nicholas P Day A1 Abdoulaye Djimdé A1 Christiane Dolecek A1 Arjen M Dondorp A1 Chris Drakeley A1 Patrick Duffy A1 Diego F Echeverri-Garcia A1 Thomas G Egwang A1 Rick M Fairhurst A1 Abul Faiz, Md. A1 Caterina I Fanello A1 Tran Tinh Hien A1 Abraham Hodgson A1 Mallika Imwong A1 Deus Ishengoma A1 Pharath Lim A1 Chanthap Lon A1 Jutta Marfurt A1 Kevin Marsh A1 Mayfong Mayxay A1 Victor Mobegi A1 Olugbenga Mokuolu A1 Jacqui Montgomery A1 Ivo Mueller A1 Myat Phone Kyaw A1 Paul N Newton A1 Francois Nosten A1 Rintis Noviyanti A1 Alexis Nzila A1 Harold Ocholla A1 Abraham Oduro A1 Marie Onyamboko A1 Jean-Bosco Ouedraogo A1 Aung Pyae Phyo A1 Christopher V Plowe A1 Ric N Price A1 Sasithon Pukrittayakamee A1 Milijaona Randrianarivelojosia A1 Pascal Ringwald A1 Lastenia Ruiz A1 David Saunders A1 Alex Shayo A1 Peter Siba A1 Shannon Takala-Harrison A1 Thuy-Nhien Nguyen Thanh A1 Vandana Thathy A1 Federica Verra A1 Nicholas J White A1 Ye Htut A1 Victoria J Cornelius A1 Rachel Giacomantonio A1 Dawn Muddyman A1 Christa Henrichs A1 Cinzia Malangone A1 Dushyanth Jyothi A1 Richard D Pearson A1 Julian C Rayner A1 Gilean McVean A1 Kirk Rockett A1 Alistair Miles A1 Paul Vauterin A1 Ben Jeffery A1 Magnus Manske A1 Jim Stalker A1 Bronwyn MacInnis A1 Dominic P Kwiatkowski A1 MalariaGEN Plasmodium falciparum Community Project YR 2015 UL http://biorxiv.org/content/early/2015/05/24/019737.abstract AB Artemisinin resistant Plasmodium falciparum is advancing across Southeast Asia in a soft selective sweep involving at least 20 independent kelch13 mutations. In a large global survey, we find that kelch13 mutations which cause resistance in Southeast Asia are present at low frequency in Africa. We show that African kelch13 mutations have originated locally, and that kelch13 shows a normal variation pattern relative to other genes in Africa, whereas in Southeast Asia there is a great excess of non-synonymous mutations, many of which cause radical amino-acid changes. Thus, kelch13 is not currently undergoing strong selection in Africa, despite a deep reservoir of standing variation that could potentially allow resistance to emerge rapidly. The practical implications are that public health surveillance for artemisinin resistance should not rely on kelch13 data alone, and interventions to prevent resistance must account for local evolutionary conditions, shown by genomic epidemiology to differ greatly between geographical regions.