A Polymerase Chain Reaction/Ligase Detection Reaction–Fluorescent Microsphere Assay to Determine Plasmodium falciparum MSP-119 Haplotypes

Arlene E. Dent Center for Global Health and Diseases, Case Western Reserve University School of Medicine, Cleveland, Ohio; Kenya Medical Research Institute, Center for Vector Control and Biology Research, Kisumu, Kenya

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Christopher T. Yohn Center for Global Health and Diseases, Case Western Reserve University School of Medicine, Cleveland, Ohio; Kenya Medical Research Institute, Center for Vector Control and Biology Research, Kisumu, Kenya

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Peter A. Zimmerman Center for Global Health and Diseases, Case Western Reserve University School of Medicine, Cleveland, Ohio; Kenya Medical Research Institute, Center for Vector Control and Biology Research, Kisumu, Kenya

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John Vulule Center for Global Health and Diseases, Case Western Reserve University School of Medicine, Cleveland, Ohio; Kenya Medical Research Institute, Center for Vector Control and Biology Research, Kisumu, Kenya

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James W. Kazura Center for Global Health and Diseases, Case Western Reserve University School of Medicine, Cleveland, Ohio; Kenya Medical Research Institute, Center for Vector Control and Biology Research, Kisumu, Kenya

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Ann M. Moormann Center for Global Health and Diseases, Case Western Reserve University School of Medicine, Cleveland, Ohio; Kenya Medical Research Institute, Center for Vector Control and Biology Research, Kisumu, Kenya

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The merozoite surface protein-1 (MSP-1) is a blood stage antigen currently being tested as a vaccine against Plasmodium falciparum malaria. Determining the MSP-119 haplotype(s) present during infection is essential for assessments of MSP-1 vaccine efficacy and studies of protective immunity in human populations. The C-terminal fragment (MSP-119) has four predominant haplotypes based on point mutations resulting in non-synonymous amino acid changes: E-TSR (PNG-MAD20 type), E-KNG (Uganda-PA type), Q-KNG (Wellcome type), and Q-TSR (Indo type). Current techniques using direct DNA sequencing are laborious and expensive. We present an MSP-119 allele-specific polymerase chain reaction (PCR)/ligase detection reaction–fluorescent microsphere assay (LDR-FMA) that allows simultaneous detection of the four predominant MSP-119 haplotypes with a sensitivity and specificity comparable with other molecular methods and a semi-quantitative determination of haplotype contribution in mixed infections. Application of this method is an inexpensive, accurate, and high-throughput alternative to distinguish the predominant MSP-119 haplotypes in epidemiologic studies.

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