Introduction: Drug resistance remains a major challenge in malaria treatment, especially after the emergence of resistance to artemisinin-based combined therapies. gene mutations are implicated in conferring artemisinin resistance. Thus, this study was aimed at determining the occurrence of () propeller resistance gene polymorphism mutations in Bushenyi district, Uganda.

Methods: Participants suspected to have malaria were recruited. was confirmed using antigen histidine-rich protein 2 (HRP2) (Pf) (Access Bio, Inc, USA) and microscopy. Malaria-positive patients were treated with artemeter-lumefantrine (AL). Blood was withdrawn from participants who tested positive for parasites after day 3 and kept in blood filter papers (ET31CHR; Whatman Limited, Kent, UK). DNA was extracted using chelex-suspension method. Nested polymerase chain reaction (PCR) was conducted and the second-round products sequenced using Sanger's method. Sequenced products were analyzed using DNAsp 5.10.01 software and then blasted on to the NCBI for -propeller gene sequence identity using the Basic Local Alignment Search Tool (BLAST).

Results: Out of 283 enrolled participants, 194 completed the follow-up schedule. A total of 134 (69%) had no parasites on day 3, while 60 (31%) had parasites on that day. Out of the 60 samples, 40 (62%) were positively amplified as , with polymorphisms in the -propeller gene detected in 3 (7.5%) out of the 40 amplicons. Polymorphisms at codon 1929, 1788 and 1801 were detected separately in one sample each. Sequences have been deposited in NCBI with accession numbers PRJNA720348 and PRJNA720800.

Conclusion: Polymorphisms in the -propeller gene previously reported to be associated with artemisinin resistance were not detected in the isolates from Bushenyi district, Uganda. More studies need to be conducted on the new mutations detected so as to understand their association, if any, with ACT resistance.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8665267PMC
http://dx.doi.org/10.2147/IDR.S341357DOI Listing

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