Comparison of two DNA obtainment methods as alternative protocols for the detection of human malaria parasites by nested PCR

The correct and precise laboratory diagnosis of human malaria is still a challenge because the reference method, the Giemsa-stained thick blood smear (TS), has limitations that present problems for malaria control. Because of these problems, several studies have attempted to develop alternative meth...

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Detalles Bibliográficos
Autores: Rachid Viana, Giselle Maria, Lima Barbosa, Danielle Regina, Lima do Carmo, Ediclei, Veloso Peres, José Mário, Souza Nascimento, José Maria, Marins Póvoa, Marinete
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2010
País:Brasil
Institución:Instituto Evandro Chagas (IEC)
Repositorio:Revista Pan-Amazônica de Saúde (RPAS)
Idioma:inglés
OAI Identifier:oai:revista.iec.gov.br:article/1520
Acceso en línea:https://ojs.iec.gov.br/rpas/article/view/1520
Access Level:acceso abierto
Palabra clave:Malaria
ADN
Reacción en Cadena de la Polimerasa
Malária
DNA
Reação em Cadeia da Polimerase
Polymerase Chain Reaction
Descripción
Sumario:The correct and precise laboratory diagnosis of human malaria is still a challenge because the reference method, the Giemsa-stained thick blood smear (TS), has limitations that present problems for malaria control. Because of these problems, several studies have attempted to develop alternative methods for malaria diagnosis. Many of these studies focus on molecular diagnosis methods and have led to the development of some alternatives to TS. However, their limitations include high cost, protocol complexity and variable quality of DNA sources and reagents. Nested PCR has been shown to be a good method in this respect and it can be improved by using a high-quality source of DNA. In this study we evaluated two methods for the obtainment of DNA from dried blood samples on filter paper: 1) washing and 2) saponin/chelex-100. The second method showed higher sensitivity and specificity compared to the first, as it detected more infections, whether single or mixed, as well as Plasmodium malariae infections. Based on these results, we present this method as the protocol of choice for DNA obtainment. Nested PCR using saponin/chelex-100 for DNA extraction could be an alternative or complementary diagnosis method for human malaria parasites, but it is not appropriate for routine use.