World Health Organization, 2023. World Malaria Report. Geneva, Switzerland: WHO.
Ashley EA, Pyae PA, Woodrow CJ, 2018. Malaria. Lancet 391: 1608–1621.
Phillips MA, Burrows JN, Manyando C, van Huijsduijnen RH, Van Voorhis WC, Wells T, 2017. Malaria. Nat Rev Dis Primers 3: 17050.
Higgins M, Manko E, Ward D, Phelan JE, Nolder D, Sutherland CJ, Clark TG, Campino S, 2024. New reference genomes to distinguish the sympatric malaria parasites, Plasmodium ovale curtisi and Plasmodium ovale wallikeri. Sci Rep 14: 3843.
Sutherland CJ et al., 2010. Two nonrecombining sympatric forms of the human malaria parasite Plasmodium ovale occur globally. J Infect Dis 201: 1544–1550.
Burki T, 2021. Triumph in China as it is certified malaria-free by WHO. Lancet Infect Dis 21: 1220–1221.
Zhao T, Xue RD, 2024. Vector biology and integrated management of malaria vectors in China. Annu Rev Entomol 69: 333–354.
Qiao L, Jue L, 2023. Progress in global malaria epidemiology. Public Health in China 39: 509–513.
Li Z, Boyu Y, Jianhai Y, Zhigui X, 2023. Epidemiological characteristics of malaria in China, 2022. Chinese J Parasitol Parasitic Dis 2: 137–141.
Lai S, Sun J, Ruktanonchai NW, Zhou S, Yu J, Routledge I, Wang L, Zheng Y, Tatem AJ, Li Z, 2019. Changing epidemiology and challenges of malaria in China towards elimination. Malar J 18: 107.
Saito T, Kikuchi A, Kaneko A, Isozumi R, Teramoto I, Kimura M, Hirasawa N, Hiratsuka M, 2018. Rapid and sensitive multiplex single-tube nested PCR for the identification of five human Plasmodium species. Parasitol Int 67: 277–283.
Ding XC et al., 2023. Malaria in pregnancy (MiP) studies assessing the clinical performance of highly sensitive rapid diagnostic tests (HS-RDT) for Plasmodium falciparum detection. Malar J 22: 60.
Awosolu OB, Yahaya ZS, Haziqah MTF, Olusi TA, 2022. Performance evaluation of nested polymerase chain reaction (nested PCR), light microscopy, and Plasmodium falciparum histidine-rich protein 2 rapid diagnostic test (PfHRP2 RDT) in the detection of falciparum malaria in a high-transmission setting in southwestern Nigeria. Pathogens 11: 1312.
Grignard L et al., 2020. A novel multiplex qPCR assay for detection of Plasmodium falciparum with histidine-rich protein 2 and 3 (pfhrp2 and pfhrp3) deletions in polyclonal infections. EBioMedicine 55: 102757.
Tayipto Y, Liu Z, Mueller I, Longley RJ, 2022. Serology for Plasmodium vivax surveillance: A novel approach to accelerate towards elimination. Parasitol Int 87: 102492.
Kayode TA, Addo AK, Addison TK, Tweneboah A, Afriyie SO, Abbas DA, Seth A, Badu-Tawiah AK, Badu K, Koepfli C, 2024. Comparison of three rapid diagnostic tests for Plasmodium falciparum diagnosis in Ghana. Malar J 23: 265.
Kavanaugh MJ, Azzam SE, Rockabrand DM, 2021. Malaria rapid diagnostic tests: Literary review and recommendation for a quality assurance, quality control algorithm. Diagnostics 11: 768.
van Bergen K, Stuitje T, Akkers R, Vermeer E, Castel R, Mank T, 2021. Evaluation of a novel real-time PCR assay for the detection, identification and quantification of Plasmodium species causing malaria in humans. Malar J 20: 314.
Roth JM, de Bes L, Sawa P, Omweri G, Osoti V, Oberheitmann B, Schallig H, Mens PF, 2018. Plasmodium detection and differentiation by direct-on-blood PCR nucleic acid lateral flow immunoassay: Development, validation, and evaluation. J Mol Diagn 20: 78–86.
Grabias B, Essuman E, Quakyi IA, Kumar S, 2019. Sensitive real-time PCR detection of Plasmodium falciparum parasites in whole blood by erythrocyte membrane protein 1 gene amplification. Malar J 18: 116.
Notomi T, Okayama H, Masubuchi H, Yonekawa T, Watanabe K, Amino N, Hase T, 2000. Loop-mediated isothermal amplification of DNA. Nucleic Acids Res 28: E63.
Mohon AN, Getie S, Jahan N, Alam MS, Pillai DR, 2019. Ultrasensitive loop mediated isothermal amplification (US-LAMP) to detect malaria for elimination. Malar J 18: 350.
Kudyba HM, Louzada J, Ljolje D, Kudyba KA, Muralidharan V, Oliveira-Ferreira J, Lucchi NW, 2019. Field evaluation of malaria malachite green loop-mediated isothermal amplification in health posts in Roraima state, Brazil. Malar J 18: 98.
Febrer-Sendra B et al., 2023. First field and laboratory evaluation of LAMP assay for malaria diagnosis in Cubal, Angola. Parasit Vectors 16: 343.
Aninagyei E, Boakye AA, Tettey CO, Ntiri KA, Ofori SO, Tetteh CD, Aphour TT, Rufai T, 2022. Utilization of 18s ribosomal RNA LAMP for detecting Plasmodium falciparum in microscopy and rapid diagnostic test negative patients. PLoS One 17: e0275052.
Ogunmolasuyi AM, Adewoyin MA, 2024. Microfluidic device: A versatile biosensor platform to multiplex aptamer-based detection of malaria biomarkers. Cell Biochem Funct 42: e4104.
Nolasco O, Montoya J, Rosales RA, Barrientos S, Rosanas-Urgell A, Gamboa D, 2021. Multicopy targets for Plasmodium vivax and Plasmodium falciparum detection by colorimetric LAMP. Malar J 20: 225.
Mangold KA, Manson RU, Koay ES, Stephens L, Regner M, Thomson RJ, Peterson LR, Kaul KL, 2005. Real-time PCR for detection and identification of Plasmodium spp. J Clin Microbiol 43: 2435–2440.
Liu B, Zhang T, Wang D, Xia S, Li W, Zhang X, Wang S, Guo XK, Zhou XN, Li S, 2024. Profile and determinants for complications of imported malaria in 5 Chinese provinces from 2014 to 2021: Retrospective analysis. JMIR Public Health Surveill 10: e52089.
Zoller T, 2024. Imported malaria in China. J Travel Med 31: taae124.
Parida M, Sannarangaiah S, Dash PK, Rao PV, Morita K, 2008. Loop mediated isothermal amplification (LAMP): A new generation of innovative gene amplification technique; perspectives in clinical diagnosis of infectious diseases. Rev Med Virol 18: 407–421.
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Rapidly identifying Anopheles-carrying malaria parasites is crucial for imported malaria prevention. However, suitable methods still lack quick detection in limited-resource situations. In this study, disc microfluidic isothermal amplification integrating loop-mediated isothermal amplification (LAMP) and microfluidic chip technology were applied to develop rapid and precise detection with low resource requirements. Primer set EMP1G2, which is specific to Plasmodium falciparum (P. falciparum) erythrocyte membrane protein 1, and primer set 18sG2, which is specific to ribosomal 18s subunit RNA, were screened for optimal LAMP-specific primer sets. The minimum detection limits were 125 copies/µL for the EMP1G2 and 6,562 copies/µL for the 18sG2. Subsequently, optimal primer sets were evaluated for specificity with nucleic acid from other mosquito-borne pathogens and arthropod vectors. No nonspecific amplification was observed in optimal amplification-specific primer sets with the DNA of Anopheles mosquitoes and morphologically similar arthropods or with the copy DNA of Zika virus, yellow fever virus, or dengue virus 1. The detection method was evaluated in a simulated scenario and demonstrated a robust capacity for rapid on-site detection. Additionally, polymerase chain reaction (PCR) and quantitative real-time PCR methods were compared using this method. In this study, a rapid detection method based on disc microfluidic isothermal amplification was developed that could be used to detect P. falciparum carried by mosquitoes in a field setting under limited resource conditions.
Financial support: This work was supported by the sixth round of the
Disclosures: The nucleic acids of pathogen and mosquito samples involved in this study do not raise any ethical concerns; therefore, ethics approval for this study was not required.
Authors’ contributions: Conceptualization, P. Li and H. Peng; methodology, N. Jiang and J. Bai; validation, W. Shan; formal analysis, N. Jiang, Q. Zhou, and H. Dong; investigation, X. Li; resources, Y. Ma and H. Peng; data curation, N. Jiang and H. Yuan; writing—original draft preparation, N. Jiang; writing—review and editing, P. Li and H. Peng; visualization, N. Jiang and W. Zhong; supervision, Y. Ma and W. Zhong; project administration, H. Peng and Y. Ma; funding acquisition, H. Peng and Y. Ma. All authors have read and agreed to the published version of the manuscript.
Data availability: The data are available from the corresponding author on reasonable request.
Current contact information: Ning Jiang, Clinical Laboratory, Naval Medical Centre, Naval Medical University, Shanghai, China, E-mail: jiangning990921@163.com. Jie Bai, Haowei Dong, Xiangyu Li, and Heng Peng, Department of Pathogenic Biology, Basic Medical College, Naval Medical University, Shanghai, China, E-mails: 13761503780@163.com, wsnd19951031@163.com, jack_lee@smmu.edu.cn, and pengheng0923@126.com. Wenqi Shan, Qiuming Zhou, Hao Yuan, and Yajun Ma, Department of Naval Medicine, Naval Medical University, Shanghai, China, E-mails: wenqi_shan@163.com, zhouqm0201@163.com, yhao07@126.com, and yajun_ma@163.com. Wenbing Zhong and Ping Li, Haikou Center for Disease Control and Prevention, Hainan, China, E-mails: zhongwenbing66@163.com and 15109827722@163.com.
World Health Organization, 2023. World Malaria Report. Geneva, Switzerland: WHO.
Ashley EA, Pyae PA, Woodrow CJ, 2018. Malaria. Lancet 391: 1608–1621.
Phillips MA, Burrows JN, Manyando C, van Huijsduijnen RH, Van Voorhis WC, Wells T, 2017. Malaria. Nat Rev Dis Primers 3: 17050.
Higgins M, Manko E, Ward D, Phelan JE, Nolder D, Sutherland CJ, Clark TG, Campino S, 2024. New reference genomes to distinguish the sympatric malaria parasites, Plasmodium ovale curtisi and Plasmodium ovale wallikeri. Sci Rep 14: 3843.
Sutherland CJ et al., 2010. Two nonrecombining sympatric forms of the human malaria parasite Plasmodium ovale occur globally. J Infect Dis 201: 1544–1550.
Burki T, 2021. Triumph in China as it is certified malaria-free by WHO. Lancet Infect Dis 21: 1220–1221.
Zhao T, Xue RD, 2024. Vector biology and integrated management of malaria vectors in China. Annu Rev Entomol 69: 333–354.
Qiao L, Jue L, 2023. Progress in global malaria epidemiology. Public Health in China 39: 509–513.
Li Z, Boyu Y, Jianhai Y, Zhigui X, 2023. Epidemiological characteristics of malaria in China, 2022. Chinese J Parasitol Parasitic Dis 2: 137–141.
Lai S, Sun J, Ruktanonchai NW, Zhou S, Yu J, Routledge I, Wang L, Zheng Y, Tatem AJ, Li Z, 2019. Changing epidemiology and challenges of malaria in China towards elimination. Malar J 18: 107.
Saito T, Kikuchi A, Kaneko A, Isozumi R, Teramoto I, Kimura M, Hirasawa N, Hiratsuka M, 2018. Rapid and sensitive multiplex single-tube nested PCR for the identification of five human Plasmodium species. Parasitol Int 67: 277–283.
Ding XC et al., 2023. Malaria in pregnancy (MiP) studies assessing the clinical performance of highly sensitive rapid diagnostic tests (HS-RDT) for Plasmodium falciparum detection. Malar J 22: 60.
Awosolu OB, Yahaya ZS, Haziqah MTF, Olusi TA, 2022. Performance evaluation of nested polymerase chain reaction (nested PCR), light microscopy, and Plasmodium falciparum histidine-rich protein 2 rapid diagnostic test (PfHRP2 RDT) in the detection of falciparum malaria in a high-transmission setting in southwestern Nigeria. Pathogens 11: 1312.
Grignard L et al., 2020. A novel multiplex qPCR assay for detection of Plasmodium falciparum with histidine-rich protein 2 and 3 (pfhrp2 and pfhrp3) deletions in polyclonal infections. EBioMedicine 55: 102757.
Tayipto Y, Liu Z, Mueller I, Longley RJ, 2022. Serology for Plasmodium vivax surveillance: A novel approach to accelerate towards elimination. Parasitol Int 87: 102492.
Kayode TA, Addo AK, Addison TK, Tweneboah A, Afriyie SO, Abbas DA, Seth A, Badu-Tawiah AK, Badu K, Koepfli C, 2024. Comparison of three rapid diagnostic tests for Plasmodium falciparum diagnosis in Ghana. Malar J 23: 265.
Kavanaugh MJ, Azzam SE, Rockabrand DM, 2021. Malaria rapid diagnostic tests: Literary review and recommendation for a quality assurance, quality control algorithm. Diagnostics 11: 768.
van Bergen K, Stuitje T, Akkers R, Vermeer E, Castel R, Mank T, 2021. Evaluation of a novel real-time PCR assay for the detection, identification and quantification of Plasmodium species causing malaria in humans. Malar J 20: 314.
Roth JM, de Bes L, Sawa P, Omweri G, Osoti V, Oberheitmann B, Schallig H, Mens PF, 2018. Plasmodium detection and differentiation by direct-on-blood PCR nucleic acid lateral flow immunoassay: Development, validation, and evaluation. J Mol Diagn 20: 78–86.
Grabias B, Essuman E, Quakyi IA, Kumar S, 2019. Sensitive real-time PCR detection of Plasmodium falciparum parasites in whole blood by erythrocyte membrane protein 1 gene amplification. Malar J 18: 116.
Notomi T, Okayama H, Masubuchi H, Yonekawa T, Watanabe K, Amino N, Hase T, 2000. Loop-mediated isothermal amplification of DNA. Nucleic Acids Res 28: E63.
Mohon AN, Getie S, Jahan N, Alam MS, Pillai DR, 2019. Ultrasensitive loop mediated isothermal amplification (US-LAMP) to detect malaria for elimination. Malar J 18: 350.
Kudyba HM, Louzada J, Ljolje D, Kudyba KA, Muralidharan V, Oliveira-Ferreira J, Lucchi NW, 2019. Field evaluation of malaria malachite green loop-mediated isothermal amplification in health posts in Roraima state, Brazil. Malar J 18: 98.
Febrer-Sendra B et al., 2023. First field and laboratory evaluation of LAMP assay for malaria diagnosis in Cubal, Angola. Parasit Vectors 16: 343.
Aninagyei E, Boakye AA, Tettey CO, Ntiri KA, Ofori SO, Tetteh CD, Aphour TT, Rufai T, 2022. Utilization of 18s ribosomal RNA LAMP for detecting Plasmodium falciparum in microscopy and rapid diagnostic test negative patients. PLoS One 17: e0275052.
Ogunmolasuyi AM, Adewoyin MA, 2024. Microfluidic device: A versatile biosensor platform to multiplex aptamer-based detection of malaria biomarkers. Cell Biochem Funct 42: e4104.
Nolasco O, Montoya J, Rosales RA, Barrientos S, Rosanas-Urgell A, Gamboa D, 2021. Multicopy targets for Plasmodium vivax and Plasmodium falciparum detection by colorimetric LAMP. Malar J 20: 225.
Mangold KA, Manson RU, Koay ES, Stephens L, Regner M, Thomson RJ, Peterson LR, Kaul KL, 2005. Real-time PCR for detection and identification of Plasmodium spp. J Clin Microbiol 43: 2435–2440.
Liu B, Zhang T, Wang D, Xia S, Li W, Zhang X, Wang S, Guo XK, Zhou XN, Li S, 2024. Profile and determinants for complications of imported malaria in 5 Chinese provinces from 2014 to 2021: Retrospective analysis. JMIR Public Health Surveill 10: e52089.
Zoller T, 2024. Imported malaria in China. J Travel Med 31: taae124.
Parida M, Sannarangaiah S, Dash PK, Rao PV, Morita K, 2008. Loop mediated isothermal amplification (LAMP): A new generation of innovative gene amplification technique; perspectives in clinical diagnosis of infectious diseases. Rev Med Virol 18: 407–421.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 1440 | 1440 | 84 |
Full Text Views | 74 | 74 | 18 |
PDF Downloads | 78 | 78 | 26 |