Lateral Flow Recombinase Polymerase Amplification Assays for the Detection of Human Plasmodium Species

Author:

Lai Meng Yee1,Abdul Hamid Mohd2,Jelip Jenarun2,Mudin Rose Nani2,Lau Yee Ling1

Affiliation:

1. Department of Parasitology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia;

2. Vector Borne Disease Sector, Ministry of Health, Putrajaya, Malaysia

Abstract

ABSTRACT. This study highlights the development of two lateral flow recombinase polymerase amplification assays for the diagnosis of human malaria. The lateral flow cassettes contained test lines that captured biotin-, 6-carboxyfluorescein, digoxigenin-, cyanine 5-, and dinitrophenyl-labeled amplicons. The overall process can be completed in 30 minutes. Recombinase polymerase amplification coupled with lateral flow had a detection limit of 1 copy/µL for Plasmodium knowlesi, Plasmodium vivax, and Plasmodium falciparum. No cross-reactivity was observed among nonhuman malaria parasites such as Plasmodium coatneyi, Plasmodium cynomolgi, Plasmodium brasilanium, Plasmodium inui, Plasmodium fragile, Toxoplasma gondii, Sarcocystis spp., Brugia spp., and 20 healthy donors. It is rapid, highly sensitive, robust, and easy to use. The result can be read without the need for special equipment and thus has the potential to serve as an effective alternative to polymerase chain reaction methods for the diagnosis of malaria.

Publisher

American Society of Tropical Medicine and Hygiene

Subject

Virology,Infectious Diseases,Parasitology

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