Loop-Mediated Isothermal Amplification Test for Trypanosoma gambiense Group 1 with Stem Primers: A Molecular Xenomonitoring Test for Sleeping Sickness

The World Health Organization has targeted Human African Trypanosomiasis (HAT) for elimination by 2020 with zero incidence by 2030. To achieve and sustain this goal, accurate and easy-to-deploy diagnostic tests for Gambian trypanosomiasis which accounts for over 98% of reported cases will play a cru...

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Main Authors: Zablon K. Njiru, Cecilia K. Mbae, Gitonga N. Mburugu
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Tropical Medicine
Online Access:http://dx.doi.org/10.1155/2017/8630708
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author Zablon K. Njiru
Cecilia K. Mbae
Gitonga N. Mburugu
author_facet Zablon K. Njiru
Cecilia K. Mbae
Gitonga N. Mburugu
author_sort Zablon K. Njiru
collection DOAJ
description The World Health Organization has targeted Human African Trypanosomiasis (HAT) for elimination by 2020 with zero incidence by 2030. To achieve and sustain this goal, accurate and easy-to-deploy diagnostic tests for Gambian trypanosomiasis which accounts for over 98% of reported cases will play a crucial role. Most needed will be tools for surveillance of pathogen in vectors (xenomonitoring) since population screening tests are readily available. The development of new tests is expensive and takes a long time while incremental improvement of existing technologies that have potential for xenomonitoring may offer a shorter pathway to tools for HAT surveillance. We have investigated the effect of including a second set of reaction accelerating primers (stem primers) to the standard T. brucei gambiense LAMP test format. The new test format was analyzed with and without outer primers. Amplification was carried out using Rotorgene 6000 and the portable ESE Quant amplification unit capable of real-time data output. The stem LAMP formats indicated shorter time to results (~8 min), were 10–100-fold more sensitive, and indicated higher diagnostic sensitivity and accuracy compared to the standard LAMP test. It was possible to confirm the predicted product using ESE melt curves demonstrating the potential of combining LAMP and real-time technologies as possible tool for HAT molecular xenomonitoring.
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language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series Journal of Tropical Medicine
spelling doaj-art-ec7af4b9a91e4fda982acbb09f916a992025-08-20T03:21:24ZengWileyJournal of Tropical Medicine1687-96861687-96942017-01-01201710.1155/2017/86307088630708Loop-Mediated Isothermal Amplification Test for Trypanosoma gambiense Group 1 with Stem Primers: A Molecular Xenomonitoring Test for Sleeping SicknessZablon K. Njiru0Cecilia K. Mbae1Gitonga N. Mburugu2School of Health Sciences, Meru University of Science and Technology, P.O. Box 972-60200, Meru, KenyaKenya Medical Research Institute, Centre for Microbiology Research, P.O. Box 19464-00202, Nairobi, KenyaSchool of Health Sciences, Meru University of Science and Technology, P.O. Box 972-60200, Meru, KenyaThe World Health Organization has targeted Human African Trypanosomiasis (HAT) for elimination by 2020 with zero incidence by 2030. To achieve and sustain this goal, accurate and easy-to-deploy diagnostic tests for Gambian trypanosomiasis which accounts for over 98% of reported cases will play a crucial role. Most needed will be tools for surveillance of pathogen in vectors (xenomonitoring) since population screening tests are readily available. The development of new tests is expensive and takes a long time while incremental improvement of existing technologies that have potential for xenomonitoring may offer a shorter pathway to tools for HAT surveillance. We have investigated the effect of including a second set of reaction accelerating primers (stem primers) to the standard T. brucei gambiense LAMP test format. The new test format was analyzed with and without outer primers. Amplification was carried out using Rotorgene 6000 and the portable ESE Quant amplification unit capable of real-time data output. The stem LAMP formats indicated shorter time to results (~8 min), were 10–100-fold more sensitive, and indicated higher diagnostic sensitivity and accuracy compared to the standard LAMP test. It was possible to confirm the predicted product using ESE melt curves demonstrating the potential of combining LAMP and real-time technologies as possible tool for HAT molecular xenomonitoring.http://dx.doi.org/10.1155/2017/8630708
spellingShingle Zablon K. Njiru
Cecilia K. Mbae
Gitonga N. Mburugu
Loop-Mediated Isothermal Amplification Test for Trypanosoma gambiense Group 1 with Stem Primers: A Molecular Xenomonitoring Test for Sleeping Sickness
Journal of Tropical Medicine
title Loop-Mediated Isothermal Amplification Test for Trypanosoma gambiense Group 1 with Stem Primers: A Molecular Xenomonitoring Test for Sleeping Sickness
title_full Loop-Mediated Isothermal Amplification Test for Trypanosoma gambiense Group 1 with Stem Primers: A Molecular Xenomonitoring Test for Sleeping Sickness
title_fullStr Loop-Mediated Isothermal Amplification Test for Trypanosoma gambiense Group 1 with Stem Primers: A Molecular Xenomonitoring Test for Sleeping Sickness
title_full_unstemmed Loop-Mediated Isothermal Amplification Test for Trypanosoma gambiense Group 1 with Stem Primers: A Molecular Xenomonitoring Test for Sleeping Sickness
title_short Loop-Mediated Isothermal Amplification Test for Trypanosoma gambiense Group 1 with Stem Primers: A Molecular Xenomonitoring Test for Sleeping Sickness
title_sort loop mediated isothermal amplification test for trypanosoma gambiense group 1 with stem primers a molecular xenomonitoring test for sleeping sickness
url http://dx.doi.org/10.1155/2017/8630708
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