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Table 1 Codon mutations distribution and function based on literature in north, central, and south Ghana. C580Y is the most prevalent non-synonymous mutation in Southeast Asia that mediates ART resistance both in vitro and in vivo. Y493H has also been validated in vitro and confers to ART resistance

From: Distribution of Plasmodium falciparum K13 gene polymorphisms across transmission settings in Ghana

Region

Codon mutation

Validation for ART resistance

Occurrence in other malaria endemic areas

North

I418M

No

Yes

S423G

No

No

P475L

No

No

R471C

No

No

S477F

No

Yes

Y493H

Yes

Yes

V494P

No

No

N499Y

No

No

Y500F

No

Yes

D501N

No

No

Central

G449A

No

No

N458K

No

No

A481T

No

No

I543L

No

No

N548I

No

No

C580Y

Yes

No

South

N408D

No

No

M460T

No

No

M472T

No

No

P475L

No

No

Y482F

No

No

D501G

No

Yes