The evolution of drug resistance to many antimalarial
drugs in
the lethal strain of malaria (Plasmodium falciparum) has been a great concern over the past 50 years. Among these drugs,
artemisinin has become less effective for treating malaria. Indeed,
several P. falciparum variants have
become resistant to this drug, as elucidated by specific mutations
in the pfK13 gene. This study presents the development of a diagnostic
kit for the detection of a common point mutation in the pfK13 gene
of P. falciparum, namely, the C580Y
point mutation. FIT-PNAs (forced-intercalation peptide nucleic acid)
are DNA mimics that serve as RNA sensors that fluoresce upon hybridization
to their complementary RNA. Herein, FIT-PNAs were designed to sense
the C580Y single nucleotide polymorphism (SNP) and were conjugated
to biotin in order to bind these molecules to streptavidin-coated
plates. Initial studies with synthetic RNA were conducted to optimize
the sensing system. In addition, cyclopentane-modified PNA monomers
(cpPNAs) were introduced to improve FIT-PNA sensing. Lastly, total
RNA was isolated from red blood cells infected with P. falciparum (WT strain – NF54-WT or mutant
strain – NF54-C580Y). Streptavidin plates loaded with either
FIT-PNA or cpFIT-PNA were incubated with the total RNA. A significant
difference in fluorescence for mutant vs WT total RNA was found only
for the cpFIT-PNA probe. In summary, this study paves the way for
a simple diagnostic kit for monitoring artemisinin drug resistance
that may be easily adapted to malaria endemic regions.