Technical / New paper-based test kit for malaria detection

The Hindu : Jun 11, 2019, 10:21 AM

With over one million reported cases in 2017, malaria still continues to be a burden for India and most countries of southeast Asia. Now, a group of researchers from IIT Guwahati has developed a simple detection method that uses an instrument when in the lab or a piece of chromatographic paper when in the field.

The kit can be used to detect Plasmodium parasite, which causes malaria and also specifically detect Plasmodium falciparum, a notorious species.

Simple instruments

Using an ordinary syringe fitted with a small magnet, magnetic beads and few chemicals inside, the researchers were able to specifically capture the antigen released by the parasites in the blood of malaria patients.

“As the blood has many interfering agents, we used magnetic bead–tethered aptamers (two small DNA molecules), which capture only the specific antigens and separate these from the blood serum to perform the reaction. The magnetic bead helps in holding the aptamers,” explains Naveen Kumar Singh, Ph.D. scholar at the institute and first author of the paper published in Analytical Chemistry. “This kit also has high stability in hot and humid conditions. When mass produced, the kit can be cheaper than the existing rapid detection test kit available in the market.”

One of the aptamers selectively captures the antigen (P. falciparum glutamate dehydrogenase - PfGDH) from the P. falciparum strains, while the other captures another antigen ( Plasmodium lactate dehydrogenase - PLDH ) that is common to all the Plasmodium species.

The team used PfGDH instead of the currently used HRP-2 as there have been several reports of HRP-2 gene deletions in P. falciparum. This absence of gene allows the parasite to evade HRP-2-based detection tests, resulting in a false-negative test result.

When the captured antigens interact with specific substrates inside the syringe, the blue dye turns pink. The dye is then adsorbed over a modified chromatographic paper. The formation of pink colour on the paper is a direct indication of the presence of parasites in the blood serum. The intensity of the colour increases when the concentration of antigen is high.

“The paper-based method offers the result rapidly and the aptamer-tethered magnetic beads can be reused too.” adds Naveen.

Sensitivity

In the instrument-based method the intensity of the colour change is measured using a spectrophotometer. This gives a quantitative measurement and can detect very low level of the antigen in blood.

The team has already filed patent applications for one of the aptamers as well as for the detection strategy used to develop the kit. “The next phase of the work involves validation of the kit through field trial for point of care applications,” says Prof. Pranab Goswami from the Department of Biosciences and Bioengineering at IIT Guwahati and the corresponding author.