Malaria evolution in South Asia: Knowledge for control and elimination

Krishnamoorthy Narayanasamy, Laura Chery, Analabha Basu, Manoj T. Duraisingh, Ananias Escalante, Joseph Fowble, Jennifer L. Guler, Thurston Herricks, Ashwani Kumar, Partha Majumder, Jennifer Maki, Anjali Mascarenhas, Janneth Rodrigues, Bikram Roy, Somdutta Sen, Jayanthi Shastri, Joseph Smith, Neena Valecha, John White, Pradipsinh K. Rathod

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


The study of malaria parasites on the Indian subcontinent should help us understand unexpected disease outbreaks and unpredictable disease presentations from Plasmodium falciparum and Plasmodium vivax infections. The Malaria Evolution in South Asia (MESA) research program is one of ten International Centers of Excellence for Malaria Research (ICEMR) sponsored by the US National Institutes of Health. In this second of two reviews, we describe why population structures of Plasmodia in India will be characterized and how we will determine their consequences on disease presentation, outcome and patterns. Specific projects will determine if genetic diversity, possibly driven by parasites with higher genetic plasticity, plays a role in changing epidemiology, pathogenesis, vector competence of parasite populations and whether innate human genetic traits protect Indians from malaria today. Deep local clinical knowledge of malaria in India will be supplemented by basic scientists who bring new research tools. Such tools will include whole genome sequencing and analysis methods; in vitro assays to measure genome plasticity, RBC cytoadhesion, invasion, and deformability; mosquito infectivity assays to evaluate changing parasite-vector compatibilities; and host genetics to understand protective traits in Indian populations. The MESA-ICEMR study sites span diagonally across India and include a mixture of very urban and rural hospitals, each with very different disease patterns and patient populations. Research partnerships include government-associated research institutes, private medical schools, city and state government hospitals, and hospitals with industry ties. Between 2012 and 2017, in addition to developing clinical research and basic science infrastructure at new clinical sites, our training workshops will engage new scientists and clinicians throughout South Asia in the malaria research field.

Original languageEnglish (US)
Pages (from-to)256-266
Number of pages11
JournalActa Tropica
Issue number3
StatePublished - Mar 2012


  • Drug resistance
  • Epidemiology
  • India
  • Malaria
  • Plasmodium falciparum
  • Plasmodium vivax
  • South Asia

ASJC Scopus subject areas

  • Parasitology
  • veterinary (miscalleneous)
  • Insect Science
  • Infectious Diseases


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