Persistence of P. falciparum HRP-2 antigenaemia post treatment is not associated with gametocytes Article Swipe
Tate Oulton
,
Almahamoudou Mahamar
,
Koualy Sanogo
,
Makonon Diallo
,
Ahamadou Youssouf
,
Sidi M. Niambele
,
Siaka Samaké
,
Sekouba Keita
,
Youssouf Sinaba
,
Adama Sacko
,
Sékou F. Traorè
,
Kjerstin Lanke
,
Katharine A. Collins
,
John Bradley
,
Chris Drakeley
,
William J. Stone
,
Alassane Dicko
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-1920905/v1
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-1920905/v1
Background In some settings, sensitive field diagnostic tools may be needed to achieve elimination of falciparum malaria. To this end, rapid diagnostic tests (RDTs) based on the detection of the Plasmodium falciparum protein HRP-2 are being developed with increasingly lower limits of detection. However, it is currently unclear how parasite stages that are unaffected by standard drug treatments may contribute to HRP-2 detectability and potentially confound RDT results even after clearance of blood stage infection. In this study, we assessed the detectability of HRP-2 in periods of post-treatment residual gametocytaemia. Methods A cohort of 100 Plasmodium falciparum infected, gametocyte positive individuals were treated with or without the gametocytocidal drug primaquine (PQ), alongside standard artemisinin-based combination therapy (ACT), in the context of a randomised clinical trial in Ouelessebougou, Mali. We used a quantitative ELISA to measure levels of HRP-2, and compared time to test negativity using a standard and ultra-sensitive RDT (uRDT) between residual gametocyte positive and negative groups. Findings Time to test negativity was longest by uRDT, followed by ELISA and then standard RDT. No significant difference in time to negativity was found between the treatment groups with and without residual gametocytes: uRDT (HR 0.79 [95% CI 0.52–1.21], p = 0.28), RDT (HR 0.77 [95% CI 0.51–1.15], p = 0.20) or ELISA (HR 0.88 [95% CI 0.59–1.32], p = 0.53). Similarly, no difference was observed when adjusting for baseline asexual parasite density. Quantified levels of HRP-2 over time were similar between groups, with differences attributable to asexual parasite densities. Furthermore, no difference in levels of HRP-2 was found between individuals who were or were not infectious to mosquitoes (OR 1.19 [95% CI 0.98–1.46], p = 0.077). Interpretation Surviving sexual stage parasites after standard ACT treatment do not contribute to the persistence of HRP-2 antigenaemia, and appear to have little impact on RDT results.
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Metadata
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.21203/rs.3.rs-1920905/v1
- https://www.researchsquare.com/article/rs-1920905/latest.pdf
- OA Status
- green
- References
- 25
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4290098800
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4290098800Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.21203/rs.3.rs-1920905/v1Digital Object Identifier
- Title
-
Persistence of P. falciparum HRP-2 antigenaemia post treatment is not associated with gametocytesWork title
- Type
-
preprintOpenAlex work type
- Language
-
enPrimary language
- Publication year
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2022Year of publication
- Publication date
-
2022-08-05Full publication date if available
- Authors
-
Tate Oulton, Almahamoudou Mahamar, Koualy Sanogo, Makonon Diallo, Ahamadou Youssouf, Sidi M. Niambele, Siaka Samaké, Sekouba Keita, Youssouf Sinaba, Adama Sacko, Sékou F. Traorè, Kjerstin Lanke, Katharine A. Collins, John Bradley, Chris Drakeley, William J. Stone, Alassane DickoList of authors in order
- Landing page
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https://doi.org/10.21203/rs.3.rs-1920905/v1Publisher landing page
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https://www.researchsquare.com/article/rs-1920905/latest.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
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https://www.researchsquare.com/article/rs-1920905/latest.pdfDirect OA link when available
- Concepts
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Gametocyte, Malaria, Plasmodium falciparum, Context (archaeology), Artemisinin, Internal medicine, Primaquine, Biology, Persistence (discontinuity), Parasite hosting, Immunology, Medicine, Virology, Chloroquine, Engineering, Geotechnical engineering, Computer science, World Wide Web, PaleontologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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25Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.standard | 56, 113, 147, 173, 283 |
| abstract_inverted_index.Surviving | 278 |
| abstract_inverted_index.adjusting | 227 |
| abstract_inverted_index.alongside | 112 |
| abstract_inverted_index.clearance | 71 |
| abstract_inverted_index.currently | 47 |
| abstract_inverted_index.detection | 28 |
| abstract_inverted_index.developed | 37 |
| abstract_inverted_index.infected, | 98 |
| abstract_inverted_index.parasites | 281 |
| abstract_inverted_index.sensitive | 5 |
| abstract_inverted_index.settings, | 4 |
| abstract_inverted_index.treatment | 186, 285 |
| abstract_inverted_index.Background | 1 |
| abstract_inverted_index.Plasmodium | 31, 96 |
| abstract_inverted_index.Quantified | 233 |
| abstract_inverted_index.Similarly, | 221 |
| abstract_inverted_index.contribute | 60, 288 |
| abstract_inverted_index.densities. | 249 |
| abstract_inverted_index.detection. | 43 |
| abstract_inverted_index.diagnostic | 7, 22 |
| abstract_inverted_index.difference | 177, 223, 252 |
| abstract_inverted_index.falciparum | 16, 32, 97 |
| abstract_inverted_index.gametocyte | 99, 154 |
| abstract_inverted_index.infection. | 75 |
| abstract_inverted_index.infectious | 266 |
| abstract_inverted_index.mosquitoes | 268 |
| abstract_inverted_index.negativity | 144, 163, 181 |
| abstract_inverted_index.primaquine | 110 |
| abstract_inverted_index.randomised | 123 |
| abstract_inverted_index.treatments | 58 |
| abstract_inverted_index.unaffected | 54 |
| abstract_inverted_index.combination | 115 |
| abstract_inverted_index.differences | 244 |
| abstract_inverted_index.elimination | 14 |
| abstract_inverted_index.individuals | 101, 260 |
| abstract_inverted_index.persistence | 291 |
| abstract_inverted_index.potentially | 65 |
| abstract_inverted_index.significant | 176 |
| abstract_inverted_index.Furthermore, | 250 |
| abstract_inverted_index.attributable | 245 |
| abstract_inverted_index.gametocytes: | 192 |
| abstract_inverted_index.increasingly | 39 |
| abstract_inverted_index.quantitative | 132 |
| abstract_inverted_index.0.51–1.15], | 207 |
| abstract_inverted_index.0.52–1.21], | 198 |
| abstract_inverted_index.0.59–1.32], | 217 |
| abstract_inverted_index.0.98–1.46], | 273 |
| abstract_inverted_index.antigenaemia, | 294 |
| abstract_inverted_index.detectability | 63, 82 |
| abstract_inverted_index.Interpretation | 277 |
| abstract_inverted_index.post-treatment | 88 |
| abstract_inverted_index.Ouelessebougou, | 127 |
| abstract_inverted_index.gametocytaemia. | 90 |
| abstract_inverted_index.gametocytocidal | 108 |
| abstract_inverted_index.ultra-sensitive | 149 |
| abstract_inverted_index.artemisinin-based | 114 |
| cited_by_percentile_year | |
| countries_distinct_count | 4 |
| institutions_distinct_count | 17 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8600000143051147 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.1477588 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |