Global sequence variation in the histidine-rich proteins 2 and 3 of Plasmodium falciparum: implications for the performance of malaria rapid ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2010-12

AUTHORS

Joanne Baker, Mei-Fong Ho, Anita Pelecanos, Michelle Gatton, Nanhua Chen, Salim Abdullah, Audrey Albertini, Frederic Ariey, John Barnwell, David Bell, Jane Cunningham, Djibrine Djalle, Diego F Echeverry, Dionicia Gamboa, Jeffery Hii, Myat Phone Kyaw, Jennifer Luchavez, Christopher Membi, Didier Menard, Claribel Murillo, Sina Nhem, Bernhards Ogutu, Pamela Onyor, Wellington Oyibo, Shan Qing Wang, James McCarthy, Qin Cheng

ABSTRACT

BACKGROUND: Accurate diagnosis is essential for prompt and appropriate treatment of malaria. While rapid diagnostic tests (RDTs) offer great potential to improve malaria diagnosis, the sensitivity of RDTs has been reported to be highly variable. One possible factor contributing to variable test performance is the diversity of parasite antigens. This is of particular concern for Plasmodium falciparum histidine-rich protein 2 (PfHRP2)-detecting RDTs since PfHRP2 has been reported to be highly variable in isolates of the Asia-Pacific region. METHODS: The pfhrp2 exon 2 fragment from 458 isolates of P. falciparum collected from 38 countries was amplified and sequenced. For a subset of 80 isolates, the exon 2 fragment of histidine-rich protein 3 (pfhrp3) was also amplified and sequenced. DNA sequence and statistical analysis of the variation observed in these genes was conducted. The potential impact of the pfhrp2 variation on RDT detection rates was examined by analysing the relationship between sequence characteristics of this gene and the results of the WHO product testing of malaria RDTs: Round 1 (2008), for 34 PfHRP2-detecting RDTs. RESULTS: Sequence analysis revealed extensive variations in the number and arrangement of various repeats encoded by the genes in parasite populations world-wide. However, no statistically robust correlation between gene structure and RDT detection rate for P. falciparum parasites at 200 parasites per microlitre was identified. CONCLUSIONS: The results suggest that despite extreme sequence variation, diversity of PfHRP2 does not appear to be a major cause of RDT sensitivity variation. More... »

PAGES

129

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1475-2875-9-129

DOI

http://dx.doi.org/10.1186/1475-2875-9-129

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1000073656

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/20470441


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483 https://www.grid.ac/institutes/grid.437564.7 schema:alternateName Research Institute for Tropical Medicine
484 schema:name Research Institute for Tropical Medicine, Alabang, The Philippines
485 rdf:type schema:Organization
486 https://www.grid.ac/institutes/grid.452485.a schema:alternateName Foundation for Innovative New Diagnostics
487 schema:name Foundation for Innovative and New Diagnostics, Geneva, Switzerland
488 rdf:type schema:Organization
 




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