A new single-step PCR assay for the detection of the zoonotic malaria parasite Plasmodium knowlesi.

Recent studies in Southeast Asia have demonstrated substantial zoonotic transmission of Plasmodium knowlesi to humans. Microscopically, P. knowlesi exhibits several stage-dependent morphological similarities to P. malariae and P. falciparum. These similarities often lead to misdiagnosis of P. knowle...

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Main Authors: Naomi W Lucchi, Mitra Poorak, Jenna Oberstaller, Jeremy DeBarry, Ganesh Srinivasamoorthy, Ira Goldman, Maniphet Xayavong, Alexandre J da Silva, David S Peterson, John W Barnwell, Jessica Kissinger, Venkatachalam Udhayakumar
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2012-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3282782?pdf=render
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author Naomi W Lucchi
Mitra Poorak
Jenna Oberstaller
Jeremy DeBarry
Ganesh Srinivasamoorthy
Ira Goldman
Maniphet Xayavong
Alexandre J da Silva
David S Peterson
John W Barnwell
Jessica Kissinger
Venkatachalam Udhayakumar
author_facet Naomi W Lucchi
Mitra Poorak
Jenna Oberstaller
Jeremy DeBarry
Ganesh Srinivasamoorthy
Ira Goldman
Maniphet Xayavong
Alexandre J da Silva
David S Peterson
John W Barnwell
Jessica Kissinger
Venkatachalam Udhayakumar
author_sort Naomi W Lucchi
collection DOAJ
description Recent studies in Southeast Asia have demonstrated substantial zoonotic transmission of Plasmodium knowlesi to humans. Microscopically, P. knowlesi exhibits several stage-dependent morphological similarities to P. malariae and P. falciparum. These similarities often lead to misdiagnosis of P. knowlesi as either P. malariae or P. falciparum and PCR-based molecular diagnostic tests are required to accurately detect P. knowlesi in humans. The most commonly used PCR test has been found to give false positive results, especially with a proportion of P. vivax isolates. To address the need for more sensitive and specific diagnostic tests for the accurate diagnosis of P. knowlesi, we report development of a new single-step PCR assay that uses novel genomic targets to accurately detect this infection.We have developed a bioinformatics approach to search the available malaria parasite genome database for the identification of suitable DNA sequences relevant for molecular diagnostic tests. Using this approach, we have identified multi-copy DNA sequences distributed in the P. knowlesi genome. We designed and tested several novel primers specific to new target sequences in a single-tube, non-nested PCR assay and identified one set of primers that accurately detects P. knowlesi. We show that this primer set has 100% specificity for the detection of P. knowlesi using three different strains (Nuri, H, and Hackeri), and one human case of malaria caused by P. knowlesi. This test did not show cross reactivity with any of the four human malaria parasite species including 11 different strains of P. vivax as well as 5 additional species of simian malaria parasites.The new PCR assay based on novel P. knowlesi genomic sequence targets was able to accurately detect P. knowlesi. Additional laboratory and field-based testing of this assay will be necessary to further validate its utility for clinical diagnosis of P. knowlesi.
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spelling doaj.art-a0d1f2f6904d44a3ae573ffad0a352692022-12-22T00:52:23ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-0172e3184810.1371/journal.pone.0031848A new single-step PCR assay for the detection of the zoonotic malaria parasite Plasmodium knowlesi.Naomi W LucchiMitra PoorakJenna OberstallerJeremy DeBarryGanesh SrinivasamoorthyIra GoldmanManiphet XayavongAlexandre J da SilvaDavid S PetersonJohn W BarnwellJessica KissingerVenkatachalam UdhayakumarRecent studies in Southeast Asia have demonstrated substantial zoonotic transmission of Plasmodium knowlesi to humans. Microscopically, P. knowlesi exhibits several stage-dependent morphological similarities to P. malariae and P. falciparum. These similarities often lead to misdiagnosis of P. knowlesi as either P. malariae or P. falciparum and PCR-based molecular diagnostic tests are required to accurately detect P. knowlesi in humans. The most commonly used PCR test has been found to give false positive results, especially with a proportion of P. vivax isolates. To address the need for more sensitive and specific diagnostic tests for the accurate diagnosis of P. knowlesi, we report development of a new single-step PCR assay that uses novel genomic targets to accurately detect this infection.We have developed a bioinformatics approach to search the available malaria parasite genome database for the identification of suitable DNA sequences relevant for molecular diagnostic tests. Using this approach, we have identified multi-copy DNA sequences distributed in the P. knowlesi genome. We designed and tested several novel primers specific to new target sequences in a single-tube, non-nested PCR assay and identified one set of primers that accurately detects P. knowlesi. We show that this primer set has 100% specificity for the detection of P. knowlesi using three different strains (Nuri, H, and Hackeri), and one human case of malaria caused by P. knowlesi. This test did not show cross reactivity with any of the four human malaria parasite species including 11 different strains of P. vivax as well as 5 additional species of simian malaria parasites.The new PCR assay based on novel P. knowlesi genomic sequence targets was able to accurately detect P. knowlesi. Additional laboratory and field-based testing of this assay will be necessary to further validate its utility for clinical diagnosis of P. knowlesi.http://europepmc.org/articles/PMC3282782?pdf=render
spellingShingle Naomi W Lucchi
Mitra Poorak
Jenna Oberstaller
Jeremy DeBarry
Ganesh Srinivasamoorthy
Ira Goldman
Maniphet Xayavong
Alexandre J da Silva
David S Peterson
John W Barnwell
Jessica Kissinger
Venkatachalam Udhayakumar
A new single-step PCR assay for the detection of the zoonotic malaria parasite Plasmodium knowlesi.
PLoS ONE
title A new single-step PCR assay for the detection of the zoonotic malaria parasite Plasmodium knowlesi.
title_full A new single-step PCR assay for the detection of the zoonotic malaria parasite Plasmodium knowlesi.
title_fullStr A new single-step PCR assay for the detection of the zoonotic malaria parasite Plasmodium knowlesi.
title_full_unstemmed A new single-step PCR assay for the detection of the zoonotic malaria parasite Plasmodium knowlesi.
title_short A new single-step PCR assay for the detection of the zoonotic malaria parasite Plasmodium knowlesi.
title_sort new single step pcr assay for the detection of the zoonotic malaria parasite plasmodium knowlesi
url http://europepmc.org/articles/PMC3282782?pdf=render
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