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Diagnostic performance of loop-mediated isothermal amplification (LAMP) and Ultra-sensitive PCR in diagnosis of malaria in western Saudi Arabia

Publication date: 23.06.2023

Acta Protozoologica, 2023, Volume 62, pp. 15 - 23

https://doi.org/10.4467/16890027AP.23.002.17903

Authors

,
Rasha H. Solimam
Department of Microbiology, College of Medicine, Taif University, P.O. Box 11099, Taif 21944, Saudi Arabia
https://orcid.org/0000-0002-3447-6512 Orcid
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,
Alexandra Martin-Ramirez
Malaria & Emerging Parasitic Diseases Laboratory. National Microbiology Center. Instituto de Salud Carlos III, Madrid, Spain
All publications →
,
Jose M. Rubio
Centro de Investigación Biomédica en Red de Enfermedades Infecciosas, CIBERINFEC, Madrid, Spain
Malaria & Emerging Parasitic Diseases Laboratory. National Microbiology Center. Instituto de Salud Carlos III, Madrid, Spain
All publications →
,
Eman A. Khalifa
Department of Microbiology, College of Medicine, Taif University, P.O. Box 11099, Taif 21944, Saudi Arabia
All publications →
,
Bushra E. Hussein
Department of Tropical Medicine and Infectious Diseases, Faculty of Medicine, University of Tanta, Egypt
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,
Maha M. Wahab
Microbiology and Parasitology Department, KFMC Taif, KSA
All publications →
,
Marta Lanza
Malaria & Emerging Parasitic Diseases Laboratory. National Microbiology Center. Instituto de Salud Carlos III, Madrid, Spain
All publications →
Yousry A. Hawash
Department of Microbiology, College of Medicine, Taif University, P.O. Box 11099, Taif 21944, Saudi Arabia
All publications →

Titles

Diagnostic performance of loop-mediated isothermal amplification (LAMP) and Ultra-sensitive PCR in diagnosis of malaria in western Saudi Arabia

Abstract

Malaria diagnosis continues to be one of the most important steps in the cycle of control specially in endemic countries with low parasitic load infections. Loop-mediated isothermal amplification (LAMP) and ultrasensitive PCR (Us-PCR) are two promising candidates for malaria diagnosis. A cross sectional study performed at King Faisal Hospital, Taif KSA involved patients suffering from signs and symptoms suggesting of malaria, 35 blood samples diagnosed by Nested Multiplex PCR as a reference method (13 P. falciparum, 17 P. vivax, 3 mixed P. falciparum and P. vivax) plus two negative controls were selected to be included in this study to analyse the performance of two LAMP methods (LAMP OptiGene® and LAMP WarmStart®) and two ultrasensitive PCRs (Us-PCR TARE-2 and Us-PCR Var-ATS). LAMP OptiGene® and LAMP WarmStart® performances were identical and better than the performance of Us PCR TARE 2 and Us-PCR var-ATS for P. falciparum, achieving 93.75% sensitivity, 100% specificity and 97.17% accuracy versus 87.5% sensitivity, 100% specificity and 94.29% accuracy for the Us PCR TARE 2 and 81.25% sensitivity, 94.74% specificity and 88.57% accuracy for the Us PCR var-ATS respectively. In P. vivax diagnosis LAMP OptiGene® performed excellently with 100% sensitivity, specificity, and accuracy while LAMP WarmStart® and Us-PCR Cox1 achieved 100% sensitivity, specificity 93.33% and 97.14% accuracy. The study results highlighted the benefits of using LAMP techniques for field diagnosis of malaria in different settings where the need for a more sensitive and reliable molecular tool is mandatory but at the same time removing the high cost, long turnaround time and the need of highly specialized trained technicians to perform more sophisticated molecular techniques.

References

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Abdelmenan S., Teka H., Hwang J., Girma S., Chibsa S., Tongren E., Murphy M., Haile M., Dillu D., Kassim J., Behaksra S., Tadesse F. G., Yukich J., Berhane Y., Worku A., Keating J., Zewde A., Gadisa E. (2022) Evaluation of the effect of targeted Mass Drug Administration and Reactive Case Detection on malaria transmission and elimination in Eastern Hararghe zone, Oromia, Ethiopia: A cluster randomized control trial. Trials 23: 267-278

Antinori S., Ridolfo A. L., Grande R., Galimberti L., Casalini G., Giacomelli A., Milazzo L. (2021) Loop-mediated isothermal amplification (LAMP) assay for the diagnosis of imported malaria: A narrative review. Infez. Med29: 355-365

Charpentier E., Benichou E., Pagès A., Chauvin P., Fillaux J., Valentin A., Guegan H., Guemas E., Salabert A.-S., Armengol C., Menard S., Cassaing S., Berry A., Iriart X. (2020) Performance evaluation of different strategies based on microscopy techniques, rapid diagnostic test and molecular loop-mediated isothermal amplification assay for the diagnosis of imported malaria. Clin. Microbiol. Infect. 26: 115-121

Dharmaratne A. D. V. T. T., Dini S., O’Flaherty K., Price D. J., Beeson J., McGready R., Nosten F., Fowkes F. J. I., Simpson J. A., Zaloumis S.G. (2022) Quantification of the dynamics of antibody response to malaria to inform sero-surveillance in pregnant women. Malar. J21: 75-87

Gardner M. J., Hall N., Fung E., White O., Berriman M., Hyman R. W., Carlton J. M., Pain A., Nelson K. E., Bowman S., Paulsen I. T., James K., Eisen J. A., Rutherford K., Salzberg S. L., Craig A., Kyes S., Chan M.-S., Nene V., Shallom S.J., Suh B., Peterson J., Angiuoli S., Pertea M., Allen J., Selengut J., Haft D., Mather M. W., Vaidya A. B., Martin D. M. A., Fairlamb A. H., Fraunholz M. J., Roos D. S., Ralph S. A., McFadden G. I., Cummings L. M., Subramanian G. M., Mungall C., Venter J. C., Carucci D. J., Hoffman S. L., Newbold C., Davis R. W., Fraser C. M., Barrell B. (2002) Genome sequence of the human malaria parasite Plasmodium falciparum. Nature 419: 14-48

Gruenberg M., Moniz C. A., Hofmann N. E., Koepfli C., Robinson L. J., Nate E., Monteiro W. M., de Melo G. C., Kuehn A., Siqueira A. M., Nguitragool W., Bassat Q., Lacerda M., Sattabongkot J., Mueller I., Felger I. (2020) Utility of ultra+sensitive qPCR to detect Plasmodium falciparum and Plasmodium vivax infections under different transmission intensities. Malar. J. 19: 319-328

Gruenberg M., Moniz C. A., Hofmann N. E., Wampfler R., Koepfli C., Mueller I., Monteiro W. M., Lacerda M., de Melo G. C., Kuehn A., Siqueira A. M., Felger I. (2018) Plasmodium vivax molecular diagnostics in community surveys: Pitfalls and solutions. Malar. J. 17: 55-64

Han E.-T., Watanabe R., Sattabongkot J., Khuntirat B., Sirichaisinthop J., Iriko H., Jin L., Takeo S., Tsuboi T. (2007) Detection of four Plasmodium species by genus- and species-specific loop-mediated isothermal amplification for clinical diagnosis. J. Clin. Microbiol45: 2521-2528

Hofmann N., Mwingira F., Shekalaghe S., Robinson L. J., Mueller I., Felger I. (2015) Ultra-sensitive detection of Plasmodium falciparum by amplification of multi-copy subtelomeric targets. PLOS Med12: e1001788

Hofmann N. E., Gruenberg M., Nate E., Ura A., Rodriguez-Rodriguez D., Salib M., Mueller I., Smith T. A., Laman M., Robinson L. J., Felger I. (2018) Assessment of ultra-sensitive malaria diagnosis versus standard molecular diagnostics for malaria elimination: An in+depth molecular community cross-sectional study. Lancet Infect. Dis18: 1108-1116

Kourtis A. P., Read J. S., Jamieson D. J. (2014) Pregnancy and infection. N. Engl. J. Med. 370: 2211-2218

Lai M. Y., Ooi C. H., Jaimin J. J., Lau Y. L. (2020) Evaluation of WarmStart colorimetric loop-mediated isothermal amplification assay for diagnosis of malaria. Am. J. Trop. Med. Hyg. 102: 1370-1372

Lucchi N. W., Ljolje D., Silva-Flannery L., Udhayakumar V. (2016) Use of malachite green-loop mediated isothermal amplification for detection of Plasmodium spp. parasites. PLOS ONE 11: e0151437

Morris U., Aydin-Schmidt B. (2021) Performance and application of commercially available loop-mediated isothermal amplification (LAMP) kits in malaria endemic and non-endemic settings. Diagnostics 11: 336-353

Nijhuis R. H. T., van Lieshout L., Verweij J. J., Claas E. C. J., Wessels E. (2018) Multiplex real-time PCR for diagnosing malaria in a non-endemic setting: A prospective comparison to conventional methods. Eur. J. Clin. Microbiol. Infect. Dis37: 2323-2329

Okell L. C., Bousema T., Griffin J. T., Ouédraogo A. L., Ghani A. C., Drakeley C. J. (2012) Factors determining the occurrence of submicroscopic malaria infections and their relevance for control. Nat. Commun3: 1237-1245

Orish V. N., De-Gaulle V. F., Sanyaolu A. O. (2018) Interpreting rapid diagnostic test (RDT) for Plasmodium falciparumBMC Res. Notes 11: 850-855

Picot S., Cucherat M., Bienvenu A.-L. (2020) Systematic review and meta-analysis of diagnostic accuracy of loop-mediated isothermal amplification (LAMP) methods compared with microscopy, polymerase chain reaction and rapid diagnostic tests for malaria diagnosis. Int. J. Infect. Dis. 98: 408-419

Selvarajah D., Naing C., Htet N. H., Mak J. W. (2020) Loop-mediated isothermal amplification (LAMP) test for diagnosis of uncomplicated malaria in endemic areas: A meta-analysis of diagnostic test accuracy. Malar. J. 19: 211-220

Soliman R. H., Garcia-Aranda P., Elzagawy S. M., Hussein B. E.-S., Mayah W. W., Martin Ramirez A., Ta-Tang T.-H., Rubio J. M. (2018) Imported and autochthonous malaria in West Saudi Arabia: Results from a reference hospital. Malar. J. 17: 286-292

Vernelen K., Barbé B., Gillet P., Van Esbroeck M., China B., Jacobs J. (2018) Photo-based External Quality Assessment of Malaria rapid diagnostic tests in a non-endemic setting. PLOS ONE 13: e0201622

WHO (2021) Malaria report

Information

Information: Acta Protozoologica, 2023, Volume 62, pp. 15 - 23

Article type: Original article

Authors

https://orcid.org/0000-0002-3447-6512

Rasha H. Solimam
Department of Microbiology, College of Medicine, Taif University, P.O. Box 11099, Taif 21944, Saudi Arabia
https://orcid.org/0000-0002-3447-6512 Orcid
All publications →

Department of Microbiology, College of Medicine, Taif University, P.O. Box 11099, Taif 21944, Saudi Arabia

Malaria & Emerging Parasitic Diseases Laboratory. National Microbiology Center. Instituto de Salud Carlos III, Madrid, Spain

Centro de Investigación Biomédica en Red de Enfermedades Infecciosas, CIBERINFEC, Madrid, Spain

Malaria & Emerging Parasitic Diseases Laboratory. National Microbiology Center. Instituto de Salud Carlos III, Madrid, Spain

Department of Microbiology, College of Medicine, Taif University, P.O. Box 11099, Taif 21944, Saudi Arabia

Department of Tropical Medicine and Infectious Diseases, Faculty of Medicine, University of Tanta, Egypt

Microbiology and Parasitology Department, KFMC Taif, KSA

Malaria & Emerging Parasitic Diseases Laboratory. National Microbiology Center. Instituto de Salud Carlos III, Madrid, Spain

Department of Microbiology, College of Medicine, Taif University, P.O. Box 11099, Taif 21944, Saudi Arabia

Published at: 23.06.2023

Received at: 20.09.2022

Accepted at: 14.03.2023

Article status: Open

Licence: CC BY  licence icon

Percentage share of authors:

Rasha H. Solimam (Author) - 12.5%
Alexandra Martin-Ramirez (Author) - 12.5%
Jose M. Rubio (Author) - 12.5%
Eman A. Khalifa (Author) - 12.5%
Bushra E. Hussein (Author) - 12.5%
Maha M. Wahab (Author) - 12.5%
Marta Lanza (Author) - 12.5%
Yousry A. Hawash (Author) - 12.5%

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