Sensitive and Inexpensive Molecular Test for Falciparum Malaria: Detecting Plasmodium falciparum DNA Directly from Heat-Treated Blood by Loop-Mediated Isothermal Amplification,
Abstract
Background: Malaria is one of the most important parasitic infections in humans. A sensitive diagnostic test for malaria that could be applied at the community level could be useful in programs to control the disease. The aim of the present work was to develop a simple, inexpensive molecular test for Plasmodium falciparum. Methods: Blood was collected from controls (n = 100) and from patients diagnosed with falciparum malaria infection (n = 102), who were recruited to the study. Heat-treated blood samples were tested by a loop-mediated isothermal amplification (LAMP) assay for P. falciparum. Results were interpreted by a turbidity meter in real time or visually at the end of the assay. To evaluate the assay, DNA from these samples was purified and tested by PCR. Results from the LAMP and PCR assays were compared. Results: The LAMP assay detected P. falciparum directly from heat-treated blood. The quantitative data from the assay correlated to the parasite counts obtained by blood-film microscopic analyses. When we used the PCR assay as the comparison method, the sensitivity and specificity of the LAMP assay were 95% and 99%, respectively. Conclusions: Unlike PCR, the LAMP assay does not require purified DNA for efficient DNA amplification, thereby reducing the cost and turnaround time for P. falciparum diagnosis. The assay requires only basic instruments, and assay positivity can be verified by visual inspection.
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LAMP is a newer alternative to PCR and qPCR that does not require DNA purification, uses simple instrumentation, and can be completed in less than 1 hour.
“Loop-mediated isothermal amplification (LAMP) is a newer alternative to PCR and qPCR. This method does not require DNA purification, utilizes simple instrumentation (water bath or a heat block), and can be completed in less than 1 h [33,34].”
From Diagnosing malaria in pregnancy: An update (2012) · cites this paper as [33]
Cites
Loop-mediated isothermal amplification of DNA
Notomi, T. (2000) · Nucleic Acids Research · doi:10.1093/nar/28.12.e63 · Cited by 8,805 · see citing works
Weltgesundheitsorganisation (2005) · Cited by 3,799 · see citing works
Accelerated reaction by loop-mediated isothermal amplification using loop primers
Nagamine, K., Hase, T., & Notomi, T. (2002) · Molecular and Cellular Probes · doi:10.1006/mcpr.2002.0415 · Cited by 2,049 · see citing works
Mori, Y., Nagamine, K., Tomita, N., & Notomi, T. (2001) · Biochemical and Biophysical Research Communications · doi:10.1006/bbrc.2001.5921 · Cited by 1,715 · see citing works
Rapid Diagnostic Tests for Malaria Parasites
Moody, A. (2002) · Clinical Microbiology Reviews · doi:10.1128/cmr.15.1.66-78.2002 · Cited by 1,418 · see citing works
Purification and Characterization of PCR-Inhibitory Components in Blood Cells
Al‐Soud, W. A., & Rådström, P. (2001) · Journal of Clinical Microbiology · doi:10.1128/jcm.39.2.485-493.2001 · Cited by 947 · see citing works
Real-time turbidimetry of LAMP reaction for quantifying template DNA
Mori, Y., Kitao, M., Tomita, N., & Notomi, T. (2004) · Journal of Biochemical and Biophysical Methods · doi:10.1016/j.jbbm.2003.12.005 · Cited by 627 · see citing works
Greenwood, B. M., Bojang, K., Whitty, C. W. M., & Targett, G. A. T. (2005) · The Lancet · doi:10.1016/s0140-6736(05)66420-3 · Cited by 501 · see citing works
Guérin, P., Olliaro, P., Nosten, F., Druilhe, P., Laxminarayan, R., Binka, F., Kilama, W., Ford, N., & White, N. (2002) · Lancet. Infectious Diseases (Print) · doi:10.1016/s1473-3099(02)00372-9 · Cited by 386 · see citing works
Meta-Analysis: Accuracy of Rapid Tests for Malaria in Travelers Returning from Endemic Areas
Marx, A., Pewsner, D., Egger, M., Nüesch, R., Bucher, H. C., Genton, B., Hatz, C., & Jüni, P. (2005) · Annals of Internal Medicine · doi:10.7326/0003-4819-142-10-200505170-00009 · Cited by 164 · see citing works
Ndao, M., Bandyayera, E., Kokoskin, E., et al. (2004) · Journal of Clinical Microbiology · doi:10.1128/jcm.42.6.2694-2700.2004 · Cited by 137 · see citing works
Iwasaki, M., Yonekawa, T., Otsuka, K., et al. (2003) · Genome Letters · doi:10.1166/gl.2003.028 · Cited by 66 · see citing works
Iwasaki, M., Yonekawa, T., Otsuka, K., et al. (2003) · Genome Letters · doi:10.1166/153730503322595584 · Cited by 46 · see citing works
Thomson, S., Lohmann, R. C., Crawford, L., Dubash, R., & Richardson, H. (2000) · Archives of Pathology & Laboratory Medicine · doi:10.5858/2000-124-0057-eqaite · Cited by 38 · see citing works
Orago, A. S. S., Wattimah, D. N., Aloka, P. L., et al. (2001) · PubMed · Cited by 5 · see citing works
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Point-of-Care Diagnostics for Global Health
Yager, P., Domingo, G. J., & Gerdes, J. (2008) · Annual Review of Biomedical Engineering · doi:10.1146/annurev.bioeng.10.061807.160524 · Cited by 1,076 · see citing works
Real-Time Fluorescence Loop Mediated Isothermal Amplification for the Diagnosis of Malaria
Lucchi, N. W., Demas, A., Narayanan, J., Sumari, D., Kabanywanyi, A., Kachur, S. P., Barnwell, J. W., & Udhayakumar, V. (2010) · PLoS ONE · doi:10.1371/journal.pone.0013733 · Cited by 198 · see citing works
Polley, S. D., Mori, Y., Watson, J., Perkins, M. D., González, I. J., Notomi, T., Chiodini, P. L., & Sutherland, C. J. (2010) · Journal of Clinical Microbiology · doi:10.1128/jcm.00355-10 · Cited by 167 · see citing works
Loop-Mediated Isothermal PCR (LAMP) for the Diagnosis of Falciparum Malaria
Paris, D. H., Imwong, M., Faiz, A. M., Hasan, M., Yunus, E. B., Silamut, K., Lee, S. J., Day, N. P. J., & Dondorp, A. M. (2007) · The American Journal of Tropical Medicine and Hygiene · doi:10.4269/ajtmh.2007.77.972 · Cited by 132 · see citing works
Comparative Diagnosis of Malaria Infections by Microscopy, Nested PCR, and LAMP in Northern Thailand
Pöschl, B., Waneesorn, J., Thekisoe, O., Chutipongvivate, S., & Panagiotis, K. (2010) · The American Society of Tropical Medicine and Hygiene · doi:10.4269/ajtmh.2010.09-0630 · Cited by 94 · see citing works
Diagnosing malaria in pregnancy: An update
Fried, M., Muehlenbachs, A., & Duffy, P. E. (2012) · Expert Review of Anti-infective Therapy · doi:10.1586/eri.12.98 · Cited by 80 · see citing works
Campos, I. M., Uribe, M. L., Cuesta, C., Franco-Gallego, A., Carmona-Fonseca, J., & Maestre, A. (2011) · The American Society of Tropical Medicine and Hygiene · doi:10.4269/ajtmh.2011.10-0507 · Cited by 59 · see citing works
Advances in molecular diagnosis of malaria
(2017) · Advances in Clinical Chemistry · doi:10.1016/bs.acc.2016.11.006 · Cited by 41 · see citing works
- Authors
- Poon, L. L., Wong, B. W., Ma, E. H., Chan, K. H., Chow, L. M., Abeyewickreme, W., Tangpukdee, N., Yuen, K. Y., Guan, Y., Looareesuwan, S., & Peiris, J. M.
- Affiliations
- University of Hong Kong (HK)
- Department of Microbiology, The University of Hong Kong, Hong Kong SAR
- Hong Kong Polytechnic University (HK)
- University of Kelaniya (LK)
- Corresponding author
- Poon, Leo LM
- Venue
- Clinical Chemistry
- Publisher
- Oxford University Press (OUP)
- Published
- 2006-02-01
- Volume
- 52
- Issue
- 2
- Pages
- 303-306
- ISSN
- 0009-9147 (ISSN-L)
- 1530-8561
- OpenAlex
- W2135086664
- Cited by
- 476
- References
- 15
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 22 · 2023: 14 · 2022: 17 · 2021: 25 · 2020: 24 · 2019: 29 · 2018: 24 · 2017: 29 · 2016: 36 · 2015: 41 · 2014: 44 · 2013: 28 · 2012: 31
- FWCI
- 8.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- Clinical Chemistry (publishedVersion)
- PubMed (publishedVersion)
- The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
- PolyU Institutional Research Archive (Hong Kong Polytechnic University) (submittedVersion)
- Funders
- Research Grant Council (HKU 7343/04M)
- University of Hong Kong
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
- Physical Sciences › Engineering › Biomedical Engineering › Biosensors and Analytical Detection
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 detection and testing
- Keywords
- falciparum malaria, Plasmodium falciparum, loop-mediated isothermal amplification, malaria diagnosis, point-of-care testing, low-cost molecular diagnostics, parasite detection, sensitivity and specificity, PCR comparison
- MeSH terms
- Animals, Base Sequence, Calibration, Hot Temperature, Humans, Molecular Sequence Data, Plasmodium falciparum, Sensitivity and Specificity, Specimen Handling, DNA, Protozoan, Polymerase Chain Reaction, Malaria, Falciparum
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