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Mitochondrial DNA Targets Increase Sensitivity of Malaria Detection Using Loop-Mediated Isothermal Amplification

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Polley, Spencer D., Mori, Yasuyoshi, Watson, Julie, Perkins, Mark D., González, Iveth J., Notomi, Tsugunori, Chiodini, Peter L., Sutherland, Colin J.·2010·Journal of Clinical Microbiology

DOI 10.1128/jcm.00355-10PMC PMC2916605

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Abstract

Loop-mediated isothermal amplification (LAMP) of DNA offers the ability to detect very small quantities of pathogen DNA following minimal tissue sample processing and is thus an attractive methodology for point-of-care diagnostics. Previous attempts to diagnose malaria by the use of blood samples and LAMP have targeted the parasite small-subunit rRNA gene, with a resultant sensitivity for Plasmodium falciparum of around 100 parasites per μl. Here we describe the use of mitochondrial targets for LAMP-based detection of any Plasmodium genus parasite and of P. falciparum specifically. These new targets allow routine amplification from samples containing as few as five parasites per μl of blood. Amplification is complete within 30 to 40 min and is assessed by real-time turbidimetry, thereby offering rapid diagnosis with greater sensitivity than is achieved by the most skilled microscopist or antigen detection using lateral flow immunoassays.

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Authors: Polley, S. D., Mori, Y., Watson, J., Perkins, M. D., González, I. J., Notomi, T., Chiodini, P. L., & Sutherland, C. J.
Affiliations: University College London Hospitals NHS Foundation Trust (GB)
Eiken Chemical (Japan) (JP)
FIND (CH)
Foundation for Innovative New Diagnostics, Avenue de Budé 16, Geneva CH1202, Switzerland
ORCID: Mori, Yasuyoshi
Perkins, Mark D.
Chiodini, Peter L.
Sutherland, Colin J.
Venue: Journal of Clinical Microbiology
Publisher: American Society for Microbiology
Published: 2010-08
Volume: 48
Issue: 8
Pages: 2866-2871
ISSN: 0095-1137 (ISSN-L)
1098-660X
DOI: 10.1128/jcm.00355-10
PMC: PMC2916605
OpenAlex: W2144345536
Cited by: 167
References: 32
Citations by year: 2026: 3 · 2025: 1 · 2024: 5 · 2023: 6 · 2022: 7 · 2021: 18 · 2020: 6 · 2019: 15 · 2018: 15 · 2017: 16 · 2016: 12 · 2015: 16 · 2014: 20 · 2013: 12 · 2012: 10
FWCI: 5.10
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: journals.asm.org/non-commercial-tdm-license (tdm)
Locations: Journal of Clinical Microbiology (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: University College London
Topics: Physical Sciences › Engineering › Biomedical Engineering › Biosensors and Analytical Detection
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 detection and testing
Keywords: loop-mediated isothermal amplification, malaria diagnosis, Plasmodium falciparum, Plasmodium, point-of-care testing, small subunit rRNA gene, rapid molecular diagnostics
MeSH terms: DNA, Mitochondrial, Humans, Malaria, Plasmodium, Sensitivity and Specificity, Temperature, Time Factors, DNA, Protozoan, Nucleic Acid Amplification Techniques

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Mitochondrial DNA Targets Increase Sensitivity of Malaria Detection Using Loop-Mediated Isothermal Amplification

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