A Comprehensive Analysis of the Genetic Diversity of Plasmodium falciparum Histidine-Rich Protein 2 (PfHRP2) in the Brazilian Amazon
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/52145 |
Resumo: | Molecular Biology and Malaria Immunology Research Group. René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil. |
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Costa, Gabriel LuízMascarenhas, Maria Eduarda PereiraMartin, Thamires Oliveira GasquezFortini, Laura GuimarãesLouzada, JaimePereira, Dhélio BatistaAguiar, Anna Caroline CamposCarvalho, Luzia HelenaBrito, Cristiana Ferreira Alves deFontes, Cor Jesus FernandesSousa, Tais Nóbrega de2022-04-11T12:54:59Z2022-04-11T12:54:59Z2021COSTA, Gabriel Luíz et al. A Comprehensive Analysis of the Genetic Diversity of Plasmodium falciparum Histidine-Rich Protein 2 (PfHRP2) in the Brazilian Amazon. Front Cell Infect Microbiol., v. 11:742681, 2021. doi: 10.3389/fcimb.2021.742681.2235-2988https://www.arca.fiocruz.br/handle/icict/5214510.3389/fcimb.2021.742681engFrontiers Media ASA Comprehensive Analysis of the Genetic Diversity of Plasmodium falciparum Histidine-Rich Protein 2 (PfHRP2) in the Brazilian Amazoninfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleMolecular Biology and Malaria Immunology Research Group. René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil.Molecular Biology and Malaria Immunology Research Group. René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil.Hospital Universitário Júlio Müller. Federal University of Mato Grosso. Cuiabá, MT. Brazil.Molecular Biology and Malaria Immunology Research Group. René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil.Federal University of Roraima. Boa Vista, RO, Brazil.Center for Research in Tropical Medicine. Porto Velho, RO, Brazil.Bioscience Department. University of São Paulo. Santos, RO, Brazil.Molecular Biology and Malaria Immunology Research Group. René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil.Molecular Biology and Malaria Immunology Research Group. René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil.Hospital Universitário Júlio Müller. Federal University of Mato Grosso. Cuiabá, MT. Brazil.Molecular Biology and Malaria Immunology Research Group. René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil.Early diagnosis and treatment are fundamental to the control and elimination of malaria. In many endemic areas, routine diagnosis is primarily performed microscopically, although rapid diagnostic tests (RDTs) provide a useful point-of-care tool. Most of the commercially available RDTs detect histidine-rich protein 2 (HRP2) of Plasmodium falciparum in the blood of infected individuals. Nonetheless, parasite isolates lacking the pfhrp2 gene are relatively frequent in some endemic regions, thereby hampering the diagnosis of malaria using HRP2-based RDTs. To track the efficacy of RDTs in areas of the Brazilian Amazon, we assessed pfhrp2 deletions in 132 P. falciparum samples collected from four malaria-endemic states in Brazil. Our findings show low to moderate levels of pfhrp2 deletion in different regions of the Brazilian Amazon. Overall, during the period covered by this study (2002-2020), we found that 10% of the P. falciparum isolates were characterized by a pfhrp2 deletion. Notably, however, the presence of pfhrp2-negative isolates has not been translated into a reduction in RDT efficacy, which in part may be explained by the presence of polyclonal infections. A further important finding was the discrepancy in the proportion of pfhrp2 deletions detected using two assessed protocols (conventional PCR versus nested PCR), which reinforces the need to perform a carefully planned laboratory workflow to assess gene deletion. This is the first study to perform a comprehensive analysis of PfHRP2 sequence diversity in Brazilian isolates of P. falciparum. We identified 10 PfHRP2 sequence patterns, which were found to be exclusive of each of the assessed regions. Despite the small number of PfHRP2 sequences available from South America, we found that the PfHRP2 sequences identified in Brazil and neighboring French Guiana show similar sequence patterns. Our findings highlight the importance of continuously monitoring the occurrence and spread of parasites with pfrhp2 deletions, while also taking into account the limitations of PCR-based testing methods associated with accuracy and the complexity of infections.Plasmodium falciparumgenetic diversitymalariapfhrp2 deletionrapid diagnostic test (RDT)info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83082https://www.arca.fiocruz.br/bitstream/icict/52145/1/license.txt9193a7c197bc67acd023525e72a03240MD51ORIGINALA Comprehensive Analysis of the Genetic Diversity.pdfA Comprehensive Analysis of the Genetic Diversity.pdfapplication/pdf5557923https://www.arca.fiocruz.br/bitstream/icict/52145/2/A%20Comprehensive%20Analysis%20of%20the%20Genetic%20Diversity.pdf094741d0c258aaeab0f72a7607652618MD52icict/521452022-04-11 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dc.title.pt_BR.fl_str_mv |
A Comprehensive Analysis of the Genetic Diversity of Plasmodium falciparum Histidine-Rich Protein 2 (PfHRP2) in the Brazilian Amazon |
title |
A Comprehensive Analysis of the Genetic Diversity of Plasmodium falciparum Histidine-Rich Protein 2 (PfHRP2) in the Brazilian Amazon |
spellingShingle |
A Comprehensive Analysis of the Genetic Diversity of Plasmodium falciparum Histidine-Rich Protein 2 (PfHRP2) in the Brazilian Amazon Costa, Gabriel Luíz Plasmodium falciparum genetic diversity malaria pfhrp2 deletion rapid diagnostic test (RDT) |
title_short |
A Comprehensive Analysis of the Genetic Diversity of Plasmodium falciparum Histidine-Rich Protein 2 (PfHRP2) in the Brazilian Amazon |
title_full |
A Comprehensive Analysis of the Genetic Diversity of Plasmodium falciparum Histidine-Rich Protein 2 (PfHRP2) in the Brazilian Amazon |
title_fullStr |
A Comprehensive Analysis of the Genetic Diversity of Plasmodium falciparum Histidine-Rich Protein 2 (PfHRP2) in the Brazilian Amazon |
title_full_unstemmed |
A Comprehensive Analysis of the Genetic Diversity of Plasmodium falciparum Histidine-Rich Protein 2 (PfHRP2) in the Brazilian Amazon |
title_sort |
A Comprehensive Analysis of the Genetic Diversity of Plasmodium falciparum Histidine-Rich Protein 2 (PfHRP2) in the Brazilian Amazon |
author |
Costa, Gabriel Luíz |
author_facet |
Costa, Gabriel Luíz Mascarenhas, Maria Eduarda Pereira Martin, Thamires Oliveira Gasquez Fortini, Laura Guimarães Louzada, Jaime Pereira, Dhélio Batista Aguiar, Anna Caroline Campos Carvalho, Luzia Helena Brito, Cristiana Ferreira Alves de Fontes, Cor Jesus Fernandes Sousa, Tais Nóbrega de |
author_role |
author |
author2 |
Mascarenhas, Maria Eduarda Pereira Martin, Thamires Oliveira Gasquez Fortini, Laura Guimarães Louzada, Jaime Pereira, Dhélio Batista Aguiar, Anna Caroline Campos Carvalho, Luzia Helena Brito, Cristiana Ferreira Alves de Fontes, Cor Jesus Fernandes Sousa, Tais Nóbrega de |
author2_role |
author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Costa, Gabriel Luíz Mascarenhas, Maria Eduarda Pereira Martin, Thamires Oliveira Gasquez Fortini, Laura Guimarães Louzada, Jaime Pereira, Dhélio Batista Aguiar, Anna Caroline Campos Carvalho, Luzia Helena Brito, Cristiana Ferreira Alves de Fontes, Cor Jesus Fernandes Sousa, Tais Nóbrega de |
dc.subject.en.pt_BR.fl_str_mv |
Plasmodium falciparum genetic diversity malaria pfhrp2 deletion rapid diagnostic test (RDT) |
topic |
Plasmodium falciparum genetic diversity malaria pfhrp2 deletion rapid diagnostic test (RDT) |
description |
Molecular Biology and Malaria Immunology Research Group. René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil. |
publishDate |
2021 |
dc.date.issued.fl_str_mv |
2021 |
dc.date.accessioned.fl_str_mv |
2022-04-11T12:54:59Z |
dc.date.available.fl_str_mv |
2022-04-11T12:54:59Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
COSTA, Gabriel Luíz et al. A Comprehensive Analysis of the Genetic Diversity of Plasmodium falciparum Histidine-Rich Protein 2 (PfHRP2) in the Brazilian Amazon. Front Cell Infect Microbiol., v. 11:742681, 2021. doi: 10.3389/fcimb.2021.742681. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/52145 |
dc.identifier.issn.pt_BR.fl_str_mv |
2235-2988 |
dc.identifier.doi.none.fl_str_mv |
10.3389/fcimb.2021.742681 |
identifier_str_mv |
COSTA, Gabriel Luíz et al. A Comprehensive Analysis of the Genetic Diversity of Plasmodium falciparum Histidine-Rich Protein 2 (PfHRP2) in the Brazilian Amazon. Front Cell Infect Microbiol., v. 11:742681, 2021. doi: 10.3389/fcimb.2021.742681. 2235-2988 10.3389/fcimb.2021.742681 |
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https://www.arca.fiocruz.br/handle/icict/52145 |
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eng |
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Frontiers Media AS |
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