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Table 1.

First reported resistance to antimalarial drugs and molecular markers for drug resistance.

Antimalarial drug Introduction date First reported resistance Molecular marker References
Quinine 1632 1910 pfnhe: microsatellite ms4670 [40, 53, 87, 91]
Chloroquine 1945 1957 crt: C72S, M74I, N75D/E, K76T, A220S, Q271E mdr1: N86Y, Y184F, S1034C, N1042D, D1246Y [19, 29, 33, 128]
Proguanil 1948 1949 dhfr: A16V, S108T or N51I, C59R, S108N, I164L [49, 54, 91]
Sulfadoxine + Pyrimethamine 1967 1967 dhps: S436A/F, A437G, K540E, A581G, A613S/T dhfr: N51I, C59R, S108N, I164L or C50R, N51I, S108N, I164L [16, 91]
Mefloquine 1977 1982 Deamplification of Pfmdr1 copy [55, 88]
Halofantrine 1988 1993 Changes in Pfmdr1 copy number [18, 123, 129]
Atovaquone 1996 1996 cyt b: Y268S/N [60, 70, 135]
Artemisinin 1971 1980 Amplification of Pfmdr1 copy numbers, Mutation of PfATPase6 and Pfubp-1. Recently, mutation in K13-Propeller Domain has been confirmed. [35, 75, 103, 113, 133]
Artesunate 1975 2008 NA [86]
Artesunate + Mefloquine 2000 2009 Deamplification of Pfmdr1 copy [31, 73, 103]

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