Advances in Malaria Testing: Screening and Identification of Carriers from Saliva
DOI:
https://doi.org/10.18311/jer/2023/34266Keywords:
Malaria, Plasmodium falciparum, Plasmodium vivax, Plasmodium, Real-Time PCRAbstract
Plasmodium is a parasite that can infect red blood cells and cause flu-like symptoms with malaria infection. Traditional diagnostic methods do not include counting or testing for gametocytes, which can reservoir in the liver for long periods of time and recirculate. These carriers may have no symptoms, but they can transmit infection to others or to mosquitos. Currently, no diagnostic tests have been approved to detect Plasmodium gametocytes in either symptomatic or asymptomatic whole blood samples. Therefore, we developed real-time PCR assays to detect active and carrier states of malaria. The first is a traditional screening test that can detect any of the five Plasmodium species that cause malaria infection. The second is a companion test to differentiate and quantitate Plasmodium falciparum and P. vivax gametocytes in samples of whole blood from patients who may be asymptomatic and present negative results from screening tests. The screening test showed amplification of P. falciparum, P. vivax, P. ovale, P. malariae, and P. knowlesi in saliva with an overall detection limit of 565 copies/μL. The gametocyte test showed no cross-reactivity between P. falciparum and P. vivax with a limit of detection of RNA at 1000 copies/μL.
Downloads
Metrics
Downloads
Published
How to Cite
Issue
Section
References
World Health Organization. World Malaria Report 2022. Geneva: World Health Organization; 2022. Licence: CC BY-NC-SA 3.0 IGO
Oboh MA, Oriero EC, Ndiaye T, Badiane AS, Ndiaye D, Amambua-Ngwa A. Comparative analysis of four malaria diagnostic tools and implications for malaria treatment in Southwestern Nigeria. International Journal of Infectious Diseases. 2021; 108:377-81. https://doi.org/10.1016/j.ijid.2021.05.049. DOI: https://doi.org/10.1016/j.ijid.2021.05.049
Neveu G, Beri D, Kafsack BF. Metabolic regulation of sexual commitment in Plasmodium falciparum. Current Opinion in Microbiology. 2020; 58:93-8. https://doi.org/10.1016/j.mib.2020.09.004. DOI: https://doi.org/10.1016/j.mib.2020.09.004
L’Episcopia M, Perrotti E, Severini F, Picot S, Severini C. An insight on drug resistance in Plasmodium vivax, a still neglected human malaria parasite. Annali dell’Istituto Superiore di Sanità. 2020; 56(4):403-8.
Antwi-Baffour S, Quao E, Kyeremeh R, Mahmood SA. Prolong storage of blood in EDTA has an effect on the morphology and osmotic fragility of erythrocytes. Int J Biomed Sci Eng. 2013; 1(2):20-3. https://doi.org/10.11648/j.ijbse.20130102.11. DOI: https://doi.org/10.11648/j.ijbse.20130102.11
Feachem RG, Chen I, Akbari O, Bertozzi-Villa A, Bhatt S, Binka F, Boni MF, Buckee C, Dieleman J, Dondorp A, Eapen A. Malaria eradication within a generation: ambitious, achievable, and necessary. The Lancet. 2019; 394(10203):1056-112. https://doi.org/10.1016/S01406736(19)31139-0. DOI: https://doi.org/10.1016/S0140-6736(19)31139-0
Poti KE, Sullivan DJ, Dondorp AM, Woodrow CJ. HRP2: transforming malaria diagnosis, but with caveats. Trends in Parasitology. 2020; 36(2):112-26. https://doi.org/10.1016/j.pt.2019.12.004. DOI: https://doi.org/10.1016/j.pt.2019.12.004
Essuman E, Grabias B, Verma N, Chorazeczewski JK, Tripathi AK, Mlambo G, Addison EA, Amoah AG, Quakyi I, Oakley MS, Kumar S. A novel gametocyte biomarker for superior molecular detection of the Plasmodium falciparum infectious reservoirs. The Journal of Infectious Diseases. 2017; 216(10):1264-72. https://doi.org/10.1093/infdis/jix442. DOI: https://doi.org/10.1093/infdis/jix442
Wampfler R, Mwingira F, Javati S, Robinson L, Betuela I, Siba P, Beck HP, Mueller I, Felger I. Strategies for detection of Plasmodium species gametocytes. PloS one. 2013; 8(9):e76316. https://doi.org/10.1371/journal.pone.0076316. DOI: https://doi.org/10.1371/journal.pone.0076316
Lima NF, Bastos MS, Ferreira MU. Plasmodium vivax: reverse transcriptase real-time PCR for gametocyte detection and quantitation in clinical samples. Experimental Parasitology. 2012; 132(3):348-54. https://doi.org/10.1016/j.exppara.2012.08.010. DOI: https://doi.org/10.1016/j.exppara.2012.08.010
Obaldía N, Barahona I, Lasso J, Avila M, Quijada M, Nuñez M, Marti M. Comparison of PvLAP5 and Pvs25 qRT-PCR assays for the detection of Plasmodium vivax gametocytes in field samples preserved at ambient temperature from remote malaria endemic regions of Panama. PLoS Neglected Tropical Diseases. 2022; 16(4):e0010327. https://doi.org/10.1371/journal.pntd.0010327. DOI: https://doi.org/10.1371/journal.pntd.0010327
Kosasih A, Koepfli C, Dahlan MS, Hawley WA, Baird JK, Mueller I, Lobo NF, Sutanto I. Gametocyte carriage of Plasmodium falciparum (pfs25) and Plasmodium vivax (pvs25) during mass screening and treatment in West Timor, Indonesia: a longitudinal prospective study. Malaria Journal. 2021; 20:1-1. https://doi.org/10.1186/s12936-021-03709-y. DOI: https://doi.org/10.1186/s12936-021-03709-y
Centers for Disease Control and Prevention. Malaria. Atlanta: Centers for Disease Control and Prevention, Global Health, Division of Parasitic Diseases and Malaria. 2023 Jan 12.
Amir A, Cheong FW, De Silva JR, Lau YL. Diagnostic tools in childhood Malaria. Parasit Vectors. 2018; 11(1):53. PMID: 29361963; PMCID: PMC5781272. https://doi.org/10.1186/s13071-018-2617-y. DOI: https://doi.org/10.1186/s13071-018-2617-y
Mfuh, K.O., Tassi Yunga, S., Esemu, L.F. et al. Detection of Plasmodium falciparum DNA in saliva samples stored at room temperature: potential for a non-invasive salivabased diagnostic test for malaria. Malar J. 2017; 16:434. https://doi.org/10.1186/s12936-017-2084-5. DOI: https://doi.org/10.1186/s12936-017-2084-5
Barry A, Bradley J, Stone W, Guelbeogo MW, Lanke K, Ouedraogo A, Soulama I, Nébié I, Serme SS, Grignard L, Patterson C. Higher gametocyte production and mosquito infectivity in chronic compared to incident Plasmodium falciparum infections. Nature communications. 2021; 12(1):2443. https://doi.org/10.1038/s41467-021-22573-7. DOI: https://doi.org/10.1038/s41467-021-22573-7
Ahmad A, Soumare HM, Camara MM, Jadama L, Gaye PM, Bittaye H, Bradley J, Achan J, Bousema T, D’Alessandro U, Drakeley C. Infectivity of patent Plasmodium falciparum gametocyte carriers to mosquitoes: establishing capacity to investigate the infectious reservoir of malaria in a low-transmission setting in The Gambia. Transactions of The Royal Society of Tropical Medicine and Hygiene. 2021; 115(12):1462-7. https://doi.org/10.1093/trstmh/trab087. DOI: https://doi.org/10.1093/trstmh/trab087
Lloyd YM, Esemu LF, Antallan J, Thomas B, Tassi Yunga S, Obase B, Christine N, Leke RGF, Culleton R, Mfuh KO, Nerurkar VR, Taylor DW. PCR-based detection of Plasmodium falciparum in saliva using mitochondrial cox3 and varATS primers. Trop Med Health. 2018; 46:22. PMID: 29977122; PMCID:PMC6013985. https://doi.org/10.1186/s41182-018-0100-2. DOI: https://doi.org/10.1186/s41182-018-0100-2