2006
DOI: 10.4269/ajtmh.2006.74.413
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Diagnosing Infection Levels of Four Human Malaria Parasite Species by a Polymerase Chain Reaction/Ligase Detection Reaction Fluorescent Microsphere-Based Assay

Abstract: Improving strategies for diagnosing infection by the four human Plasmodium species parasites is important as field-based epidemiologic and clinical studies focused on malaria become more ambitious. Expectations for malaria diagnostic assays include rapid processing with minimal expertise, very high specificity and sensitivity, and quantitative evaluation of parasitemia to be delivered at a very low cost. Toward fulfilling many of these expectations, we have developed a post-polymerase chain reaction (PCR)/liga… Show more

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Cited by 122 publications
(169 citation statements)
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“…These assays enable detection of the four Plasmodium parasite species that infect humans at densities ~100 times lower than the limit of LM detection [47] and have evolved from simple species-specific amplification strategies to multiplex approaches that incorporate semiquantitative assessments [31,[49][50][51][52][53][54][55][56]. We have greatly extended the potential use of PCR diagnosis for a wide range of epidemiological studies through our recent efforts to develop a ligase detection reaction fluorescent microsphere assay (LDR-FMA) [52,57] to evaluate all four malaria parasites of humans in a single-well multiplex format.…”
Section: Improved Diagnosis Of P Malariae and P Ovale Infections Bymentioning
confidence: 99%
See 1 more Smart Citation
“…These assays enable detection of the four Plasmodium parasite species that infect humans at densities ~100 times lower than the limit of LM detection [47] and have evolved from simple species-specific amplification strategies to multiplex approaches that incorporate semiquantitative assessments [31,[49][50][51][52][53][54][55][56]. We have greatly extended the potential use of PCR diagnosis for a wide range of epidemiological studies through our recent efforts to develop a ligase detection reaction fluorescent microsphere assay (LDR-FMA) [52,57] to evaluate all four malaria parasites of humans in a single-well multiplex format.…”
Section: Improved Diagnosis Of P Malariae and P Ovale Infections Bymentioning
confidence: 99%
“…These assays enable detection of the four Plasmodium parasite species that infect humans at densities ~100 times lower than the limit of LM detection [47] and have evolved from simple species-specific amplification strategies to multiplex approaches that incorporate semiquantitative assessments [31,[49][50][51][52][53][54][55][56]. We have greatly extended the potential use of PCR diagnosis for a wide range of epidemiological studies through our recent efforts to develop a ligase detection reaction fluorescent microsphere assay (LDR-FMA) [52,57] to evaluate all four malaria parasites of humans in a single-well multiplex format.In a series of studies from PNG that have combined LM and molecular diagnostics [29,31,32], we have found that molecular methods consistently detected significantly increased prevalence of all four malaria species of humans, with the largest increases in P. malariae and P. ovale. In these studies from three different PNG populations, the prevalence of P. falciparum and P. vivax increased between 1.6 and 3.0-fold and 2.1 and 3.4-fold, respectively, and a 2.6 to 10.9-fold increase in P. malariae prevalence was observed (LM:…”
mentioning
confidence: 99%
“…Light microscopy (LM) and ligase detection reaction-fluorescent microsphere assay (LDR-FMA) were performed to identify samples infected with P. vivax as described. 21 The proportion of samples that was LMor LDR-FMA-positive for P. vivax infection was used to determine the infection prevalence for both provinces and each catchment. To increase the available template volume for analysis, whole-genome amplification (WGA) was performed using the Illustra GenomiPhi V2 DNA Amplification Kit as per the manufacturer's instructions (GE Healthcare, Rydalmere, New South Wales, Australia).…”
Section: Methodsmentioning
confidence: 99%
“…malaria species (13,20). The parasite density of P. vivax was determined by real-time quantitative PCR (14,21), and P. vivax-positive samples were genotyped for the highly polymorphic PvDBPII alleles (22).…”
mentioning
confidence: 99%