Imboumy-Limoukou Roméo Karl, Biteghe-Bi-Essone Jean-Claude, Lendongo Wombo Judicael Boris, Lekana-Douki Sonia Etenna, Rougeron Virginie, Ontoua Steede-Seinnat, Oyegue-Liabagui Lydie Sandrine, Mbani Mpega Ntigui Cherone Nancy, Kouna Lady Charlène, Lekana-Douki Jean-Bernard
Unité Evolution Epidémiologie et Résistance Parasitaire (UNEEREP), Centre International de Recherches Médicales de Franceville (CIRMF), Franceville BP 769, Gabon.
Laboratoire de Biologie Moléculaire et Cellulaire (LABMC), Université des Sciences et Techniques de Masuku, Franceville BP 943, Gabon.
Diagnostics (Basel). 2023 Oct 20;13(20):3271. doi: 10.3390/diagnostics13203271.
Due to the difficulty of obtaining blood samples, which is the invasive method that is currently used for the detection of spp., alternative diagnostic sampling methods that are effective and non-invasive are needed, particularly for long-term studies. Saliva and stool samples from malaria-infected individuals contain trace amounts of DNA and therefore could be used as alternatives. Malaria was screened using rapid diagnosis tests and confirmed via microscopy. Nested PCR tests targeting the -specific gene were performed for blood, saliva and stool samples that were positive for malaria. Three hundred sixty-seven (367) children were enrolled and eighty (22.22%) were confirmed to be positive for malaria. Matched blood, saliva and stool samples were available for 35 children. By using blood smears as the gold standard for the diagnosis of malaria, our study indicates that DNA was more detectable in blood (100%) than in saliva (22.86%) and stools (14.29%). Applying qPCR to the gene to detect DNA in saliva and stool samples cannot be considered as an alternative to the current malaria detection processes using blood specimens.
由于获取血样存在困难,而血样采集是目前用于检测疟原虫物种的侵入性方法,因此需要有效且非侵入性的替代诊断采样方法,特别是对于长期研究而言。疟疾感染个体的唾液和粪便样本中含有微量的疟原虫DNA,因此可用作替代样本。使用快速诊断测试对疟疾进行筛查,并通过显微镜检查加以确认。针对血液、唾液和粪便样本中疟原虫特异性基因进行巢式聚合酶链反应(PCR)检测,这些样本经疟疾筛查呈阳性。共有367名儿童参与研究,其中80名(22.22%)被确诊为疟疾阳性。为35名儿童采集了匹配的血液、唾液和粪便样本。以血涂片作为疟疾诊断的金标准,我们的研究表明,疟原虫DNA在血液中的可检测率(100%)高于唾液(22.86%)和粪便(14.29%)。应用定量PCR检测唾液和粪便样本中的疟原虫DNA不能被视为当前使用血液样本进行疟疾检测流程的替代方法。