title: Plasmodium vivax in Africa: hidden in plain sight?
abstract: People who live in tropical Africa, south of the Sahara, are predominantly negative for the Duffy blood-group antigen, which mediates invasion of reticulocytes by Plasmodium vivax. Recent reports of a parasite that was molecularly diagnosed as P. vivax from populations who are suspected, or known, to be Duffy negative confound a large body of evidence that states that invasion of P. vivax requires the Duffy antigen. If confirmed, one of several possible explanations is that P. vivax, which originated in Asia, is now evolving to exploit alternate invasion receptors in Africa.
authors.affiliation: Division of Vector Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, CO 80535, USA. rrosenberg@cdc.gov
authors.forename: Ronald
authors.initials: R
authors.lastname: Rosenberg
mesh_terms: D000349:Africa / Q000453:epidemiology; D000818:Animals; D004375:Duffy Blood-Group System / Q000276:immunology; D004912:Erythrocytes / Q000469:parasitology*; D006801:Humans; D016780:Malaria, Vivax / Q000453:epidemiology*; D010966:Plasmodium vivax / Q000472:pathogenicity*
chemical_list: D004375:Duffy Blood-Group System