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Falciparum Malaria - Science topic

Malaria caused by PLASMODIUM FALCIPARUM. This is the severest form of malaria and is associated with the highest levels of parasites in the blood. This disease is characterized by irregularly recurring febrile paroxysms that in extreme cases occur with acute cerebral, renal, or gastrointestinal manifestations.
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There are incidences of Falciparum malaria cases in my working place who have been de-inducted recently from South Sudan. According to the patients they were using Mefloquine prophylaxis weekly , However discontinued after de-induction(ideally should be consumed for 4 weeks after de-induction). What is the effectiveness of chemoprophylaxis and its mechanism
What should be an ideal way ahead? , besides active fever surveillance and health education about continuing prophylaxis and other personal protective measures like barrier clothing , use of repellents and mosquito nets
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Drug chemoprophylaxis has proved to be an effective preventive strategy in travelers to malaria- endemic areas, both for P. falciparum and non-falciparum malaria, although it does not usually prevent the later relapses that can occur with P. vivax and P. ovale.
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How long does it last? Can it prevent attacks altogether?
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Yes! Please go through the following RG links.
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I am working on a research to determine the endemicity classes of different regions in a country which means that each region has to have one endemicity class. I am looking for ways of using different classes for each region to come up with my results
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Thanks for all the tips! This was extremely helpful
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Hi there!! I want to do quality check some Sanger sequence reads and realized that the reads contain some odd letters (N, K, Y, B etc) different from the normal 4 DNA base letters (ATGC). What can i do to edit away these strange nucleotides represented by the strange letters?
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These are not strange nucleotides, but they represent ambiguous peaks at those positions, and polymorphism. Each of these letter specific combinations of signals and are defined in the IUPAC list of ambiguous nucleotides. You need to check these positions in your sequence electrpherograms and confirm. If you have peaks of comparable intensity, you may retain these letters while submitting your sequences to the GenBank. GenBank accept sequences with IUPAC codes. Fllow the link while revising your sequences:
SD
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I work in a non endemic region of India. I have diagnosed many patients of malaria presenting with fever after travel to endemic regions using these kits.
Malaria antigen test kits had become a reliable tool for ruling out falciparum malaria among tourists with pyrexia and seizures.
An expert committee recommended banning the kits to curb increasing malaria cases in endemic regions.
Govt of India has now banned entire production and sale of these kits in India. People in non endemic regions are not now well trained in slide and microscopy methods. Sudden ban of kits can also be counterproductive.
Do you think that this was a wise step?
What was your experience with these kits?
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Dear Vivek.....there are two types of kits available in the market one that detect malaria antigen in the blood and another detecting malaria antibodies in the blood. Please check...I think Govt of India has banned malaria antibodies detecting kits (due to problem of large number of false positives) and not the antigen detecting test kit. Kits that detect malaria antigen in the human blood will continue to be be available as usual. Hence, don't worry unduly and be happy
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Definitive host allows the parasite to reproduce sexually. Plasmodium sexually reproduce in the mosquito, then why it's an intermediate host?
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Many people talk about the mosquito as being a "vector" and avoid calling in an "intermediate host", considering that sexual reproduction occurs in the mosquito. Other people refer to mosquitoes as definitive hosts of Plasmodium.
The late Norman D. Levine did not like the description "final host" in relation to Toxoplasma and Sarcocystis. He said there is nothing "final" about the carnivore host, transmission being ongoing. He preferred "definitive host".
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how can i isolate plasmodium spp. from whole blood?
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For parasite culture Marias answer should be sufficient. If you want to perform down stream analysis such proteomics or transcriptional analysis you may  need to mature the parasites ex vivo in order to capture all the stages (rings, trophs and schizonts). They have unique profiles which you need to be aware of.
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Case 1: When treating a P.falciaprum patient, we consider that treatment failure is due to recrudescence or new infections. The new infection may already be present in the patient in a hepatic form.
Case 2: When malaria control efforts reach the stage that elimination is being thought of, major mass drug campaigns may be considered. Mass campaigns conducted with drugs killing the blood stage will, unfortunately, not eliminate the hepatic stages. Even with several campaigns with virtually 100% coverage, there may still be 'one man' (P.falciparum) somewhere in the liver.
(I ignored the mosquito stages for simplicity)
I have some other reasonings but I think the question is clear.
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The situation is not entirely straightforward. This makes definitive study design difficult. There are some additional drug-related and parasite source possibilities that have mostly not been considered hitherto. See the discussion in various places in my article (despite its title) in the June 2015 issue of Trends in Parasitology (Vol. 31, No. 6, Pages 239 to 245): http://dx.doi.org/10.1016/j.pt.2015.02.003
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24 year pregnant lady presented with high grade fever with altered sensorium, diagnosed to be a case of complicated falcipaum malaria, but with very high level of uric acid (17.4 mg/dl), she responded to Inj Artisunate plus Clindamycin and her uric acid level also gradually becoming normal without any hypouricemic drugs. A second patient with long standing history of gouty arthritis with multiple tophi presented with acute severe pain and high grade fever, malarial test was positive and he responded to antimalarial and there also respond to his arthritis (he was also on colchicine)....now, my question is whether antimalarial has any effect on hyperuricemia?
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Dear ,referring to added link.Thanks
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Hello All, 
I am trying/order to find Plamion, Plasmagel, or Gelofusine (modified fluid gelatins or plasma substitutes) for a Plasmodium synchronization experiment. Anyone have any ideas as to vendors of this item here in the U.S.A.?
Thank you!!!
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Hello Marina,
We bought it to B.Braun (http://www.bbraun.fr/documents/Produits/Products_and_Services_B._Braun_OEM_Division_small.pdf gelofusin 4%, ref page 21) but I think you can only order if your laboratory is related to a hospital. It's a volume replacement therapy so pharmaceutical companies sell it.
Hope it can help you,
Best regards,
Flore.
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I am presently undertaking a study on markers of resistance to antimalarials in my locality. I want to exchange some ideas with any researcher who is presently doing or has done work on this. Thanks
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Dear Tafteng, I'm just finishing my PhD work based on P. falciparum molecular markers related to drug resistance. 
I think that you work on P. falciparum too (or on another plasmodium species??). 
I have experience in these genes: Pfcrt, ¨Pfdhps, Pfdhfr, K13 and Pfmdr1.
I will be happy to help you, If necessary.
Good luck,
Didi
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Hello, I am planning to carry out an experiment involving Plasmodium falciparum infected Anopheles mosquito. For this, I have to artificially infect the mosquito with human blood containing gametocytes, after collecting the blood in to heparinized tube. So, in what condition should i keep the sample to prevent exflagellation of the microgametes for successful infection of the mosquitoes and for how long can I keep it before carrying out the experimental infection? 
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I like both answer and are right.
Thanks you both
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I am carrying out a research project to investigate the dominant circulating variants of the pfAMA1 gene in a population. I have already extracted the plasmodium falciparum gene but need to carry out PCR and sequencing to identify frequency of the different variants. I however need to know the region which exhibits the 3 variants and the length in base pairs so as to perform nested PCR and also determine the cost of sequencing according to the number of base pairs thus preventing wastage
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Dear  Shillah
may I ask why you are only interested in these haplotypes?
For a suitable paper listing a sequencing strategegy for ama1 you could try
Polley and Conway Genetics. 2001 Aug;158(4):1505-12.
although as this paper shows it's been a while since I worked on population genetics of ama1
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I am isolating Plasmodium falciparum merozoite from 3D7 culture, I am doing sorbitol synchronisation and enrichment through MACS column, followed by maturation of parasite in mature schizont, Than I am passing mature schizont through 1.2 um syringe filter. Every steps are going fine, I am able to get merozoite at the end but it is in ~1 ml volume which is higher enough I want to concentrate in 50-100 ul volume. I tried multiple time to do this by spinning at different speed (up to 10000 rpm) but not successful and I lost larger proportion of merozoite by this process. Can any one share their protocols, even if it is different method. Or if there is optimised protocol that can be used to concentrate merozoite.
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Hi,
Our merozoite purification protocol is published in the open access publication "Methods in Malaria Research'  at MR4
We also published a detail protocol here:
There is a protocol in the supplementary material
We generally avoid high speed centrifugation
I hope these help
Cheers
James
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In RPMI 1640 medium for Plasmodium falciparum, we add Albumax II as a serum replacement.
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Instead of either Albumax preparation, I recommend NZ MICROBIOLOGICAL BSA (Cat# 180620 from MP Biomedicals) as it is equally effective for P. falciparum culture and significantly less expensive.   You can email JOHN EUSTON at John.Euston@mpbio.com
CELL: 559-259-7798 and tell him I recommended it.  He has helped my colleagues in various countries by giving good price.
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This information is important to time when to synchronize my culture.
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Here are two papers (from careful lab) with some precise numbers and genetic factors that determine growth rate, including the HB3 line.
BMC Genomics. 2010 Oct 18;11:577. doi: 10.1186/1471-2164-11-577.
Quantitative trait loci mapping reveals candidate pathways regulating cell cycle duration in Plasmodium falciparum.
Reilly Ayala HB1, Wacker MA, Siwo G, Ferdig MT.
PMID:20955606
Int J Parasitol. 2007 Dec;37(14):1599-607. Epub 2007 May 18.
Quantitative dissection of clone-specific growth rates in cultured malaria parasites.
Reilly HB1, Wang H, Steuter JA, Marx AM, Ferdig MT.
PMID:17585919
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I read so many reports where it is mentioned that sometimes it happen that plasmodium is left in the liver without being affected by the drug regimen and then suddenly it reappears.
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Chronic malaria results due to prolong liver involvement and splenic index is used as a predictor
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I was wondering whether it is feasible to segregate live micro-and-macro-gametocytes of Plasmodium falciparum.
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Hi Anil,
Your best bet would be to create a new line where male and female gametocytes express different coloured proteins (e.g. GFP and RFP) under male and female specific promotors integrated in a part of genome which doesn't affect the parasite. something similar to what has been done in P.berghei (RMgm-164) (http://www.pberghei.eu/index.php?rmgm=164 ) . You can then do FACS sorting to seperate them while they are still viable. It does involve a lot of molecular work but once you have got this line, the possibilities for useful experiments are endless!
I hope that helps.
Anubhav
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I am working on Plasmodium falciparum, I cannot get the media - RPMI 1640. How can I prepare it locally?
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Dear Alade
RPMI can be supplied in powdered form, which can then be dissolved in water and filter sterilised (e.g. R6504 from Sigma). Supplements are then added to make it suitable for growth of parasites. These include glucose, gentamicin, glutamine etc. Alternatively, the basic recipe (highly complicated ) is found at
We have various protocols on the website