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Molecular Detection of Schistosome Infections with a Disposable Microfluidic Cassette
Journal article   Open access   Peer reviewed

Molecular Detection of Schistosome Infections with a Disposable Microfluidic Cassette

Jinzhao Song, Changchun Liu, Swarna Bais, Michael G Mauk, Haim H Bau and Robert M Greenberg
PLoS neglected tropical diseases, v 9(12), pp e0004318-e0004318
01 Dec 2015
PMID: 26720725
url
https://doi.org/10.1371/journal.pntd.0004318View
Published, Version of Record (VoR) Open

Abstract

Animals DNA, Helminth - chemistry DNA, Helminth - genetics Female Humans Mice Microfluidics - methods Nucleic Acid Amplification Techniques - methods Point-of-Care Systems Schistosoma mansoni - genetics Schistosoma mansoni - isolation & purification Schistosomiasis mansoni - diagnosis Schistosomiasis mansoni - parasitology Time Factors
Parasitic helminths such as schistosomes, as well as filarial and soil-transmitted nematodes, are estimated to infect at least a billion people worldwide, with devastating impacts on human health and economic development. Diagnosis and monitoring of infection dynamics and efficacy of treatment depend almost entirely on methods that are inaccurate, labor-intensive, and unreliable. These shortcomings are amplified and take on added significance in mass drug administration programs, where measures of effectiveness depend on accurate monitoring of treatment success (or failure), changes in disease transmission rates, and emergence of possible drug resistance. Here, we adapt isothermal molecular assays such as loop-mediated isothermal amplification (LAMP) to a simple, hand-held, custom-made field-ready microfluidic device that allows sensitive and specific detection of schistosome cell-free nucleic acids in serum and plasma (separated with a point-of-care plasma separator) from Schistosoma mansoni-infected mice. Cell-free S. mansoni DNA was detected with our device without prior extraction from blood. Our chip exhibits high sensitivity (~2 x 10(-17) g/μL), with a positive signal for S. mansoni DNA detectable as early as one week post infection, several weeks before parasite egg production commences. These results indicate that incorporation of isothermal amplification strategies with our chips could represent a strategy for rapid, simple, low-cost diagnosis of both pre-patent and chronic schistosome infections as well as potential monitoring of treatment efficacy.

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Web of Science research areas
Infectious Diseases
Parasitology
Tropical Medicine
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