Specific, sensitive and rapid detection of human plasmodium knowlesi infection by loop-mediated isothermal amplification (LAMP) in blood samples

Lau, Y.L.; Fong, M.Y.; Mahmud, R.; Chang, P.Y.; Palaeya, V.; Cheong, F.W.; Chin, L.C.; Anthony, C.N.; Al-Mekhlafi, A.M.; Chen, Y. (2011) Specific, sensitive and rapid detection of human plasmodium knowlesi infection by loop-mediated isothermal amplification (LAMP) in blood samples. Malaria Journal, 10. p. 197. ISSN 1475-2875

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    Background: The emergence of Plasmodium knowlesi in humans, which is in many cases misdiagnosed by microscopy as Plasmodium malariae due to the morphological similarity has contributed to the needs of detection and differentiation of malaria parasites. At present, nested PCR targeted on Plasmodium ssrRNA genes has been described as the most sensitive and specific method for Plasmodium detection. However, this method is costly and requires trained personnel for its implementation. Loop-mediated isothermal amplification (LAMP), a novel nucleic acid amplification method was developed for the clinical detection of P. knowlesi. The sensitivity and specificity of LAMP was evaluated in comparison to the results obtained via microscopic examination and nested PCR. Methods: LAMP assay was developed based on P. knowlesi genetic material targeting the apical membrane antigen-1 (AMA-1) gene. The method uses six primers that recognize eight regions of the target DNA and it amplifies DNA within an hour under isothermal conditions (65 degrees C) in a water-bath. Results: LAMP is highly sensitive with the detection limit as low as ten copies for AMA-1. LAMP detected malaria parasites in all confirm cases (n = 13) of P. knowlesi infection (sensitivity, 100) and none of the negative samples (specificity, 100) within an hour. LAMP demonstrated higher sensitivity compared to nested PCR by successfully detecting a sample with very low parasitaemia (< 0.01). Conclusion: With continuous efforts in the optimization of this assay, LAMP may provide a simple and reliable test for detecting P. knowlesi malaria parasites in areas where malaria is prevalent.

    Item Type: Article
    1. Lau, Y.L.
    2. Fong, M.Y.(Department of Parasitology, Faculty of Medicine Building, University of Malaya, 50603 Kuala Lumpur, MALAYSIA)
    3. Mahmud, R.
    4. Chang, P.Y.
    5. Palaeya, V.
    6. Cheong, F.W.
    7. Chin, L.C.
    8. Anthony, C.N.
    9. Al-Mekhlafi, A.M.
    10. Chen, Y.
    Journal or Publication Title: Malaria Journal
    Additional Information: Lau, Yee-Ling Fong, Mun-Yik Mahmud, Rohela Chang, Phooi-Yee Palaeya, Vanitha Cheong, Fei-Wen Chin, Lit-Chein Anthony, Claudia N. Al-Mekhlafi, Abdulsalam M. Chen, Yeng
    Uncontrolled Keywords: Parasitology(Medical Parasitology),Diagnostics(Molecular Diagnosis and Recombinant Antigens),Virology(Molecular Characterisation and Epidemiology)
    Subjects: R Medicine
    Divisions: Faculty of Medicine
    Depositing User: Prof. Dr. Mun Yik Fong
    Date Deposited: 22 Feb 2012 15:47
    Last Modified: 12 Nov 2013 07:59
    URI: http://eprints.um.edu.my/id/eprint/2729

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