Cited by 43Malaria Research and ControlHemoglobinopathies and Related DisordersPhytochemical compounds biological activities

Qualitative And Semiquantitative Polymerase Chain Reaction To Predict Plasmodium falciparum Treatment Failure

Kain, K. C., Kyle, D. E., Wongsrichanalai, C., Brown, A. E., Webster, H. K., Vanijanonta, S., Looareesuwan, S.·1994·Journal of Infectious Diseases

Abstract

Multidrug-resistant falciparum malaria is increasing in most malaria-endemic areas. Rapid methods for predicting treatment failure would aid management and control of drug-resistant infections. In this study, Plasmodium falciparum DNA clearance was examined by qualitative and semiquantitative polymerase chain reaction (PCR). Thai patients with acute falciparum malaria were prospectively followed by light microscopy and by PCR of P. falciparum DNA eluted from filter paper blood samples. A 206-bp P. falciparum sequence was amplified and detected radiometrically and by high-performance liquid chromatography. Clearance of P. falciparum DNA was significantly delayed in treatment failures compared with that in successfully treated patients (P = .02). Semiquantitative PCR levels did not drop to < 50% of pretreatment levels until day 3 or later in treatment failures compared with day 1 or earlier for successfully treated parasitemia-matched controls (P = .005). These results suggest that qualitative and semiquantitative PCR may be useful as a method for monitoring response to therapy.

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Registry

Crossref · 10.1093/infdis/170.6.1626

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6 of 6 references verified0 citation errors · 0 not checkable

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  • The DNA detected by PCR may be from a viable asexual parasite, a gametocyte, or represent nonviable DNA from past infections following treatment.

    “The DNA detected by PCR may be from a viable asexual parasite, a gametocyte, or represent nonviable DNA from past infections following treatment. 35”

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Authors
Kain, K. C., Kyle, D. E., Wongsrichanalai, C., Brown, A. E., Webster, H. K., Vanijanonta, S., & Looareesuwan, S.
Affiliations
University of Toronto (CA)
Venue
Journal of Infectious Diseases
Published
1994-12-01
Volume
170
Issue
6
Pages
1626-1630
ISSN
  • 0022-1899 (ISSN-L)
  • 1537-6613
OpenAlex
W2111340611
Cited by
43
References
6
Citations by year
2021: 1 · 2020: 1 · 2019: 1 · 2015: 5 · 2014: 1
FWCI
1.54
Type
journal article
Language
en
Open access
closed
Locations
  • The Journal of Infectious Diseases (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
  • Health Sciences › Medicine › Genetics › Hemoglobinopathies and Related Disorders
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Phytochemical compounds biological activities
Keywords
Plasmodium falciparum, falciparum malaria, multidrug resistance, treatment failure prediction, semi-quantitative PCR, qualitative PCR, filter paper blood samples, radiometric detection, HPLC
MeSH terms
Adolescent, Adult, Animals, Antimalarials, Base Sequence, Chromatography, High Pressure Liquid, Drug Resistance, Female, Humans, Male, Molecular Sequence Data, Plasmodium falciparum, Prospective Studies, Recurrence, Sensitivity and Specificity, Thailand, DNA, Protozoan, Polymerase Chain Reaction, Malaria, Falciparum, Treatment Failure, Parasitemia

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