Low Prevalence of Plasmodium falciparum Histidine-Rich Protein 2 and 3 Gene Deletions-A Multiregional Study in Central and West Africa

Plasmodium falciparum parasites carrying deletions of histidine-rich protein 2 and 3 genes, pfhrp2 and pfhrp3, respectively, are likely to escape detection via HRP2-based rapid diagnostic tests (RDTs) and, consequently, treatment, posing a major risk to both the health of the infected individual and malaria control efforts. This study assessed the frequency of pfhrp2- and pfhrp3-deleted strains at four different study sites in Central Africa (number of samples analyzed: Gabon N = 534 and the Republic of Congo N = 917) and West Africa (number of samples analyzed: Nigeria N = 466 and Benin N = 120) using a highly sensitive multiplex qPCR. We found low prevalences for pfhrp2 (1%, 0%, 0.03% and 0) and pfhrp3 single deletions (0%, 0%, 0.03% and 0%) at all study sites (Gabon, the Republic of Congo, Nigeria and Benin, respectively). Double-deleted P. falciparum were only found in Nigeria in 1.6% of all internally controlled samples. The results of this pilot investigation do not point towards a high risk for false-negative RDT results due to pfhrp2/pfhrp3 deletions in Central and West African regions. However, as this scenario can change rapidly, continuous monitoring is essential to ensure that RDTs remain a suitable tool for the malaria diagnostic strategy.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

Pathogens (Basel, Switzerland) - 12(2023), 3 vom: 14. März

Sprache:

Englisch

Beteiligte Personen:

Krueger, Tina [VerfasserIn]
Ikegbunam, Moses [VerfasserIn]
Lissom, Abel [VerfasserIn]
Sandri, Thaisa Lucas [VerfasserIn]
Ntabi, Jacques Dollon Mbama [VerfasserIn]
Djontu, Jean Claude [VerfasserIn]
Baina, Marcel Tapsou [VerfasserIn]
Lontchi, Roméo Aimé Laclong [VerfasserIn]
Maloum, Moustapha [VerfasserIn]
Ella, Givina Zang [VerfasserIn]
Agonhossou, Romuald [VerfasserIn]
Akoton, Romaric [VerfasserIn]
Djogbenou, Luc [VerfasserIn]
Borrmann, Steffen [VerfasserIn]
Held, Jana [VerfasserIn]
Ntoumi, Francine [VerfasserIn]
Adegnika, Ayola Akim [VerfasserIn]
Kremsner, Peter Gottfried [VerfasserIn]
Kreidenweiss, Andrea [VerfasserIn]

Links:

Volltext

Themen:

Central Africa
Histidine-rich protein 2 and 3
Journal Article
Pfhrp2/pfhrp3 deletions
Plasmodium falciparum
Rapid diagnostic test
West Africa

Anmerkungen:

Date Revised 31.03.2023

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/pathogens12030455

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM354913409