The Role of Ultrasensitive Molecular Methods for Detecting Malaria—The Broader Perspective

Author:

Kamaliddin Claire1,Sutherland Colin J2,Houze Sandrine34,Cottrell Gilles3,Briand Valerie5,Castaneda Mogollon Daniel1,Pillai Dylan R167

Affiliation:

1. Department of Microbiology, Immunology, and Infectious Disease, Cumming School of Medicine, University of Calgary, Alberta, Canada

2. Department of Infection Biology, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom

3. Faculté de Pharmacie, Université de Paris, Paris, Île-de-France, France

4. Centre National de Référence pour le Paludisme, Bichat-Claude Bernard Hospital, Paris, France

5. Institut de Recherche pour le Développement, Inserm, University of Bordeaux, Bordeaux, France

6. Department of Medicine, Cumming School of Medicine, University of Calgary, Alberta, Canada

7. Department of Pathology and Laboratory Medicine, Cumming School of Medicine, University of Calgary, Alberta, Canada

Abstract

Abstract Ultrasensitive molecular diagnostics are lowering the limit of detection for malaria parasites in the blood and providing insights not captured by conventional tools such as microscopy and rapid antigen tests. Low-level malaria infections identified by molecular tools may influence clinical outcomes, transmission events, and elimination efforts. While many ultrasensitive molecular methods require well-equipped laboratories, technologies such as loop-mediated isothermal amplification and recombinase polymerase amplification provide more portable and analytically sensitive solutions. These tools may benefit asymptomatic patient screening, antenatal care, and elimination campaigns. We review the recent evidence, offer our perspective on the impact of these new tests, and identify future research priorities.

Funder

Public Health England

Grand Challenges Canada

University Paris Descartes

Assistance Publique des Hopitaux de Paris

French Institut de Recherche pour le Developpement

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

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