Point-of-Care Diagnosis of Malaria Using a Simple, Purification-Free DNA Extraction Method Coupled with Loop-Mediated Isothermal Amplification-Lateral Flow

We propose a protocol suitable for point-of-care diagnosis of malaria utilizing a simple and purification-free DNA extraction method with the combination of loop-mediated isothermal amplification assay and lateral flow (LAMP-LF). The multiplex LAMP-LF platform developed here can simultaneously detec...

Full description

Bibliographic Details
Main Authors: Meng Yee Lai, Lee Phone Youth Zen, Mohd Hafizi Abdul Hamid, Jenarun Jelip, Rose Nani Mudin, Vun Jan Shui Ivan, Lee Ngie Ping Francis, Izreena Saihidi, Yee Ling Lau
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Tropical Medicine and Infectious Disease
Subjects:
Online Access:https://www.mdpi.com/2414-6366/8/4/199
_version_ 1797603308282576896
author Meng Yee Lai
Lee Phone Youth Zen
Mohd Hafizi Abdul Hamid
Jenarun Jelip
Rose Nani Mudin
Vun Jan Shui Ivan
Lee Ngie Ping Francis
Izreena Saihidi
Yee Ling Lau
author_facet Meng Yee Lai
Lee Phone Youth Zen
Mohd Hafizi Abdul Hamid
Jenarun Jelip
Rose Nani Mudin
Vun Jan Shui Ivan
Lee Ngie Ping Francis
Izreena Saihidi
Yee Ling Lau
author_sort Meng Yee Lai
collection DOAJ
description We propose a protocol suitable for point-of-care diagnosis of malaria utilizing a simple and purification-free DNA extraction method with the combination of loop-mediated isothermal amplification assay and lateral flow (LAMP-LF). The multiplex LAMP-LF platform developed here can simultaneously detect <i>Plasmodium knowlesi, P. vivax, P. falciparum,</i> and <i>Plasmodium</i> genus (for <i>P. malariae</i> and <i>P. ovale</i>). Through the capillary effect, the results can be observed by the red band signal on the test and control lines within 5 min. The developed multiplex LAMP-LF was tested with 86 clinical blood samples on-site at Hospital Kapit, Sarawak, Malaysia. By using microscopy as the reference method, the multiplex LAMP-LF showed 100% sensitivity (95% confidence interval (CI): 91.4 to 100.00%) and 97.8% specificity (95% CI: 88.2% to 99.9%). The high sensitivity and specificity of multiplex LAMP-LF make it ideal for use as a point-of-care diagnostic tool. The simple and purification-free DNA extraction protocol can be employed as an alternative DNA extraction method for malaria diagnosis in resource-limited settings. By combining the simple DNA extraction protocol and multiplex LAMP-LF approach, we aim to develop a simple-to-handle and easy-to-read molecular diagnostic tool for malaria in both laboratory and on-site settings.
first_indexed 2024-03-11T04:28:20Z
format Article
id doaj.art-aaa664de86f24d9698932147fd0701f0
institution Directory Open Access Journal
issn 2414-6366
language English
last_indexed 2024-03-11T04:28:20Z
publishDate 2023-03-01
publisher MDPI AG
record_format Article
series Tropical Medicine and Infectious Disease
spelling doaj.art-aaa664de86f24d9698932147fd0701f02023-11-17T21:39:30ZengMDPI AGTropical Medicine and Infectious Disease2414-63662023-03-018419910.3390/tropicalmed8040199Point-of-Care Diagnosis of Malaria Using a Simple, Purification-Free DNA Extraction Method Coupled with Loop-Mediated Isothermal Amplification-Lateral FlowMeng Yee Lai0Lee Phone Youth Zen1Mohd Hafizi Abdul Hamid2Jenarun Jelip3Rose Nani Mudin4Vun Jan Shui Ivan5Lee Ngie Ping Francis6Izreena Saihidi7Yee Ling Lau8Department of Parasitology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur 50603, MalaysiaDepartment of Parasitology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur 50603, MalaysiaVector Borne Disease Sector, Ministry of Health, Putrajaya 62590, MalaysiaVector Borne Disease Sector, Ministry of Health, Putrajaya 62590, MalaysiaVector Borne Disease Sector, Ministry of Health, Putrajaya 62590, MalaysiaHospital Kapit, Pathology Unit, Jalan Mamora, Kapit 96800, MalaysiaHospital Kapit, Pathology Unit, Jalan Mamora, Kapit 96800, MalaysiaHospital Kapit, Pathology Unit, Jalan Mamora, Kapit 96800, MalaysiaDepartment of Parasitology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur 50603, MalaysiaWe propose a protocol suitable for point-of-care diagnosis of malaria utilizing a simple and purification-free DNA extraction method with the combination of loop-mediated isothermal amplification assay and lateral flow (LAMP-LF). The multiplex LAMP-LF platform developed here can simultaneously detect <i>Plasmodium knowlesi, P. vivax, P. falciparum,</i> and <i>Plasmodium</i> genus (for <i>P. malariae</i> and <i>P. ovale</i>). Through the capillary effect, the results can be observed by the red band signal on the test and control lines within 5 min. The developed multiplex LAMP-LF was tested with 86 clinical blood samples on-site at Hospital Kapit, Sarawak, Malaysia. By using microscopy as the reference method, the multiplex LAMP-LF showed 100% sensitivity (95% confidence interval (CI): 91.4 to 100.00%) and 97.8% specificity (95% CI: 88.2% to 99.9%). The high sensitivity and specificity of multiplex LAMP-LF make it ideal for use as a point-of-care diagnostic tool. The simple and purification-free DNA extraction protocol can be employed as an alternative DNA extraction method for malaria diagnosis in resource-limited settings. By combining the simple DNA extraction protocol and multiplex LAMP-LF approach, we aim to develop a simple-to-handle and easy-to-read molecular diagnostic tool for malaria in both laboratory and on-site settings.https://www.mdpi.com/2414-6366/8/4/199malariaDNA extractionLAMPmolecular diagnosisfilter paper-basedlateral flow
spellingShingle Meng Yee Lai
Lee Phone Youth Zen
Mohd Hafizi Abdul Hamid
Jenarun Jelip
Rose Nani Mudin
Vun Jan Shui Ivan
Lee Ngie Ping Francis
Izreena Saihidi
Yee Ling Lau
Point-of-Care Diagnosis of Malaria Using a Simple, Purification-Free DNA Extraction Method Coupled with Loop-Mediated Isothermal Amplification-Lateral Flow
Tropical Medicine and Infectious Disease
malaria
DNA extraction
LAMP
molecular diagnosis
filter paper-based
lateral flow
title Point-of-Care Diagnosis of Malaria Using a Simple, Purification-Free DNA Extraction Method Coupled with Loop-Mediated Isothermal Amplification-Lateral Flow
title_full Point-of-Care Diagnosis of Malaria Using a Simple, Purification-Free DNA Extraction Method Coupled with Loop-Mediated Isothermal Amplification-Lateral Flow
title_fullStr Point-of-Care Diagnosis of Malaria Using a Simple, Purification-Free DNA Extraction Method Coupled with Loop-Mediated Isothermal Amplification-Lateral Flow
title_full_unstemmed Point-of-Care Diagnosis of Malaria Using a Simple, Purification-Free DNA Extraction Method Coupled with Loop-Mediated Isothermal Amplification-Lateral Flow
title_short Point-of-Care Diagnosis of Malaria Using a Simple, Purification-Free DNA Extraction Method Coupled with Loop-Mediated Isothermal Amplification-Lateral Flow
title_sort point of care diagnosis of malaria using a simple purification free dna extraction method coupled with loop mediated isothermal amplification lateral flow
topic malaria
DNA extraction
LAMP
molecular diagnosis
filter paper-based
lateral flow
url https://www.mdpi.com/2414-6366/8/4/199
work_keys_str_mv AT mengyeelai pointofcarediagnosisofmalariausingasimplepurificationfreednaextractionmethodcoupledwithloopmediatedisothermalamplificationlateralflow
AT leephoneyouthzen pointofcarediagnosisofmalariausingasimplepurificationfreednaextractionmethodcoupledwithloopmediatedisothermalamplificationlateralflow
AT mohdhafiziabdulhamid pointofcarediagnosisofmalariausingasimplepurificationfreednaextractionmethodcoupledwithloopmediatedisothermalamplificationlateralflow
AT jenarunjelip pointofcarediagnosisofmalariausingasimplepurificationfreednaextractionmethodcoupledwithloopmediatedisothermalamplificationlateralflow
AT rosenanimudin pointofcarediagnosisofmalariausingasimplepurificationfreednaextractionmethodcoupledwithloopmediatedisothermalamplificationlateralflow
AT vunjanshuiivan pointofcarediagnosisofmalariausingasimplepurificationfreednaextractionmethodcoupledwithloopmediatedisothermalamplificationlateralflow
AT leengiepingfrancis pointofcarediagnosisofmalariausingasimplepurificationfreednaextractionmethodcoupledwithloopmediatedisothermalamplificationlateralflow
AT izreenasaihidi pointofcarediagnosisofmalariausingasimplepurificationfreednaextractionmethodcoupledwithloopmediatedisothermalamplificationlateralflow
AT yeelinglau pointofcarediagnosisofmalariausingasimplepurificationfreednaextractionmethodcoupledwithloopmediatedisothermalamplificationlateralflow