A new method for detection of pfmdr1 mutations in Plasmodium falciparum DNA using real-time PCR -: art. no. 9

被引:41
作者
Purfield, A
Nelson, A
Laoboonchai, A
Congpuong, K
McDaniel, P
Miller, RS
Welch, K
Wongsrichanalai, C
Meshnick, SR [1 ]
机构
[1] Univ N Carolina, Sch Med, Dept Microbiol & Immunol, Chapel Hill, NC 27599 USA
[2] Univ N Carolina, Sch Publ Hlth, Dept Epidemiol, Chapel Hill, NC USA
[3] Armed Forces Res Inst Med Sci, Dept Immunol, Bangkok 10400, Thailand
[4] Minist Publ Hlth, Dept Dis Control, Bur Vector Dis, Bangkok, Thailand
[5] Kwai River Christian Hosp, Sangkhlaburi, Kanchanaburi, Thailand
[6] USN, Med Res Unit, Jakarta, Indonesia
关键词
D O I
10.1186/1475-2875-3-9
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Background: Surveillance for drug-resistant Plasmodium falciparum should be a component of malaria control programmes. Real-time PCR methods for the detection of parasite single-nucleotide polymorphisms ( SNPs) and gene amplification could be useful survellance tools. Methods: A real-time PCR assay has been developed that identifies single nucleotide polymorphisms (SNPs) at amino acids 86, 184, 1034 and 1042 in the P. falciparum multi-drug resistant (pfmdr 1) gene that may be associated with anti-malarial drug resistance. Results: This assay has a sensitivity and specificity of 94% and 100% when compared to traditional PCR methods for genotyping. Only 54 of 68 (79%) paired pre- and post-culture DNA samples were concordant at all four loci. Conclusion: Real-time PCR is a sensitive and specific method to detect SNP's in pfmdr 1. Genotypes of parasites after in vitro culture may not reflect that seen in vivo.
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页数:6
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