CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES >
Phosphorothioate-dNTP assisted RPA coupled with CRISPR/Cas12a for rapid genotyping of Plasmodium
Received date: 2025-07-31
Revised date: 2026-01-15
Online published: 2026-02-25
Supported by
Clinical Research Project of Sichuan Provincial Health Commission(23LCYJ038)
Objective To establish a rapid nucleic acid assay for genotyping for Plasmodium (PRCP) based on phosphorothioate dNTPs (dNTPαS) enhancement of the specificity and sensitivity of recombinase polymerase amplification (RPA), combined with the target nucleic acid recognition and signal amplification capabilities of CRISPR/Cas12a. Methods Universal RPA primers were designed with the software Primer Premier 6, and specific gRNAs targeting different species of Plasmodium were designed within the universal primer region using the software SnapGene 6.0. Then, dNTPαS was added to the reaction system to generate an S-RPA amplification reaction, and CRISPR/Cas12a was employed for typing recognition and signal amplification output of the amplification product. The dNTPαS concentration, RPA primer concentration, gRNA concentration, Cas12a concentration, reaction temperature, reaction time, and final Cas12a cleavage time in the PRCP reaction system were optimized in sequence. PRCP was performed with P. falciparum plasmids at concentrations of 108, 107, 106, 105, 104, 103, 102, 101 copies/µL as templates to evaluate its sensitivity, and hepatitis B virus, Babesia, Trypanosoma brucei, influenza A virus, influenza B virus, Mycoplasma pneumoniae, and Chlamydia pneumoniae served as controls to evaluate the specificity, and was conducted with addition of 2 g/L hemoglobin, 0.1 mmol/L triglyceride, and 1 μmol/L bilirubin to evaluate its anti-interference ability. In addition, mixed plasmid samples were used to detect the ability of the PRCP system to distinguish mixed infections, and the consistency was compared between detection of mixed plasmid samples and clinical samples (10 samples of Plasmodium infections and 10 negative samples) with thick and thin blood smears. Results A dNTPαS-assisted RPA assay was established based on 3F3R screened as the universal Plasmodium nucleic acid RPA primer to construct a PRCP system. The optimized parameters for the PRCP system included the optimal proportion of dNTPαS as 70%, the optimal final concentration of primers as 0.50 μmol/L (Rate10 as 676.36), the final concentration of Cas12a as 0.10 μmol/L (Rate10 as 338.28), and the final concentration of gRNA as 0.10 μmol/L (Rate10 as 718.90), and the RPA reaction conditions included 39 ℃ (grayscale value of 32 570 ± 5 045) and 20 minutes (grayscale value of 22 513 ± 156), with Cas12a cleavage for 15 minutes as the detection endpoint (grayscale value 8 624 ± 359). The detection sensitivity of the PRCP system was 100 copies/μL or below, and no cross-reactivity was found with hepatitis B virus, Babesia, T. brucei, influenza A virus, influenza B virus, M. pneumoniae, or C. pneumoniae. The PRCP system was found to resist interference from hemoglobin, triglyceride, and bilirubin, and was able to detect mixed infections. Compared with thick and thin blood smears, the PRCP system showed a 20/20 consistency for detection. Conclusion A rapid, sensitive and specific PRCP assay has been successfully established for rapid genotyping of Plasmodium genes, which provides a novel protocol for early screening and precise diagnosis and treatment of Plasmodium.
HUANG Xiao , CHEN Ying , WANG Maoquan , CHEN Yating , LUO Guangcheng . Phosphorothioate-dNTP assisted RPA coupled with CRISPR/Cas12a for rapid genotyping of Plasmodium[J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2026 , 44(1) : 64 -71 . DOI: 10.12140/j.issn.1000-7423.2026.01.010
| [1] | Savi MK. An overview of malaria transmission mechanisms, control, and modeling[J]. Med Sci (Basel), 2022, 11(1): 3. |
| [2] | World Health Organization. WHO guidelines for malaria[EB/OL]. Geneva: World Health Organization, 2022 (2022-02-18)[2025-07-23]. |
| [3] | Hadebe MT, Malgwi SA, Okpeku M. Revolutionizing malaria vector control: the importance of accurate species identification through enhanced molecular capacity[J]. Microorganisms, 2023, 12(1): 82. |
| [4] | Mathison BA, Pritt BS. Update on malaria diagnostics and test utilization[J]. J Clin Microbiol, 2017, 55(7): 2009-2017. |
| [5] | Tripathi H, Bhalerao P, Singh S, et al. Malaria therapeutics: are we close enough?[J]. Parasites Vectors, 2023, 16: 130. |
| [6] | Tangpukdee N, Duangdee C, Wilairatana P, et al. Malaria diagnosis: a brief review[J]. Korean J Parasitol, 2009, 47(2): 93-102. |
| [7] | Montero-Gómez A. Diagnosis by isothermal amplification of nucleic acids. Opportunity for community pharmacies[J]. Farm Comunitarios, 2024, 16(2): 46-53. |
| [8] | Liu QQ, Jin XJ, Cheng J, et al. Advances in the application of molecular diagnostic techniques for the detection of infectious disease pathogens (Review)[J]. Mol Med Rep, 2023, 27(5): 104. |
| [9] | Srivastava P, Prasad D. Isothermal nucleic acid amplification and its uses in modern diagnostic technologies[J]. Biotech, 2023, 13(6): 200. |
| [10] | Lobato IM, O’Sullivan CK. Recombinase polymerase amplification: basics, applications and recent advances[J]. Trac Trends Anal Chem, 2018, 98: 19-35. |
| [11] | Liu XQ, Yan QY, Huang JF, et al. Influence of design probe and sequence mismatches on the efficiency of fluorescent RPA[J]. World J Microbiol Biotechnol, 2019, 35(6): 95. |
| [12] | Emery NJ, Majumder S, Liu AP. Synergistic and non-specific nucleic acid production by T7 RNA polymerase and Bsu DNA polymerase catalyzed by single-stranded polynucleotides[J]. Synth Syst Biotechnol, 2018, 3(2): 130-134. |
| [13] | Fang L, Yang X, Li Y, et al. SPECIAL: phosphorothioate dNTP assisted RPA equipped with CRISPR/Cas12a amplifier enables high-specific nucleic acid testing[J]. Biosens Bioelectron, 2025, 279: 117421. |
| [14] | Luo GC, Zhang J, Yang M, et al. Selenium atom on phosphate enhances specificity and sensitivity of DNA polymerization and detection[J]. J Mater Chem B, 2021, 9: 5636-5644. |
| [15] | Ahmed MZ, Badani P, Reddy R, et al. Clustered regularly interspaced short palindromic repeats (CRISPR)/cas advancement in molecular diagnostics and signal readout approaches[J]. J Mol Diagn, 2021, 23(11): 1433-1442. |
| [16] | 张丽, 丰俊, 涂宏, 等. 2020年全国疟疾疫情分析[J]. 中国寄生虫学与寄生虫病杂志, 2021, 39(2): 195-199. |
| Zhang L, Feng J, Tu H, et al. Malaria epidemiology in China in 2020[J]. Chin J Parasitol Parasit Dis, 2021, 39(2): 195-199. (in Chinese) | |
| [17] | 张丽, 易博禹, 夏志贵, 等. 2021年全国疟疾疫情特征分析[J]. 中国寄生虫学与寄生虫病杂志, 2022, 40(2): 135-139. |
| Zhang L, Yi BY, Xia ZG, et al. Epidemiological characteristics of malaria in China, 2021[J]. Chin J Parasitol Parasit Dis, 2022, 40(2): 135-139. (in Chinese) | |
| [18] | 张丽, 易博禹, 尹建海, 等. 2022年全国疟疾疫情特征分析[J]. 中国寄生虫学与寄生虫病杂志, 2023, 41(2): 137-141. |
| Zhang L, Yi BY, Yin JH, et al. Epidemiological characteristics of malaria in China, 2022[J]. Chin J Parasitol Parasit Dis, 2023, 41(2): 137-141. (in Chinese) | |
| [19] | 张丽, 夏志贵. 2023年全国疟疾疫情特征分析[J]. 中国寄生虫学与寄生虫病杂志, 2024, 42(2): 135-139. |
| Zhang L, Xia ZG. Epidemiological characteristics of malaria in China, 2023[J]. Chin J Parasitol Parasit Dis, 2024, 42(2): 135-139. (in Chinese) | |
| [20] | 张丽, 夏志贵, 李石柱. 2024年全国疟疾疫情特征分析[J]. 中国寄生虫学与寄生虫病杂志, 2025, 43(2): 162-166. |
| Zhang L, Xia ZG, Li SZ. Epidemiological characteristics of malaria in China, 2024[J]. Chin J Parasitol Parasit Dis, 2025, 43(2): 162-166. (in Chinese) | |
| [21] | 周耀武, 张丽, 夏志贵. 疟疾跨境输入与继发传播的风险及对策[J]. 中国血吸虫病防治杂志(中英文), 2025, 37(1): 14-18. |
| Zhou YW, Zhang L, Xia ZG. Risk of and response to cross-border importation and secondary transmission of malaria[J]. Chin J Schisto Control, 2025, 37(1): 14-18. (in Chinese) | |
| [22] | Chahar M, Anvikar A, Valecha N. Development and evaluation of a novel HNB based isothermal amplification assay for fast detection of pyrimethamine resistance (S108N) in Plasmodium falciparum[J]. Int J Environ Res Public Health, 2019, 16(9): 1635. |
| [23] | Hu B, Wang YT, Sun SC, et al. Specificity enhancement of deoxyribonucleic acid polymerization for sensitive nucleic acid detection[J]. Anal Chem, 2020, 92(24): 15872-15879. |
| [24] | Kellner S, DeMott MS, Cheng CP, et al. Oxidation of phosphorothioate DNA modifications leads to lethal genomic instability[J]. Nat Chem Biol, 2017, 13(8): 888-894. |
| [25] | Hatoum-Aslan A. CRISPR methods for nucleic acid detection herald the future of molecular diagnostics[J]. Clin Chem, 2018, 64(12): 1681-1683. |
| [26] | Bonini A, Poma N, Vivaldi F, et al. Advances in biosensing: the CRISPR/Cas system as a new powerful tool for the detection of nucleic acids[J]. J Pharm Biomed Anal, 2021, 192: 113645. |
| [27] | 冯薇, 肖航, 袁爱姣, 等. CRISPR单管等温扩增技术高灵敏检测核酸: 以检测新型冠状病毒(SARS-CoV-2)RNA为例[J]. 中国科学(化学), 2022(9): 1685-1698. |
| Feng W, Xiao H, Yuan AJ, et al. Integrating CRISPR and isothermal amplification reactions in single-tubes for ultrasensitive detection of nucleic acids: the SARS-CoV-2 RNA example[J]. SCIENTIA SINICA Chim, 2022(9): 1685-1698. (in Chinese) | |
| [28] | 李剑勇, 何彪, 李美林, 等. 基于CRISPR/Cas12a系统快速检测蚊种属及其携带的病原体[J]. 中国寄生虫学与寄生虫病杂志, 2025, 43(4): 518-525. |
| Li JY, He B, Li ML, et al. Rapid detection of mosquito species and their transmitted pathogens based on the CRISPR/Cas12a system[J]. Chin J Parasitol Parasit Dis, 2025, 43(4): 518-525. (in Chinese) | |
| [29] | 闫书宁, 杨硕, 杨汉银, 等. CRISPR/Cas系统在寄生虫基因编辑与核酸检测中的应用进展[J]. 中国血吸虫病防治杂志, 2024, 36(3): 314-320. |
| Yan SN, Yang S, Yang HY, et al. Application of the CRISPR/Cas system in gene editing and nucleic acid detection of parasitic diseases: a review[J]. Chin J Schisto Control, 2024, 36(3): 314-320. (in Chinese) | |
| [30] | 徐蛟, 王英丽, 王莹, 等. 基于RAA-CRISPR/Cas12a快速检测尼帕病毒方法的建立[J]. 中国动物检疫, 2023, 40(10): 95-99, 111. |
| Xu J, Wang YL, Wang Y, et al. Establishment of a method for rapid detection of NiV based on RAA-CRISPR/Cas12a[J]. China Anim Health Insp, 2023, 40(10): 95-99, 111. (in Chinese) | |
| [31] | Chen L, Hu ML, Zhou XM. Trends in developing one-pot CRISPR diagnostics strategies[J]. Trends Biotechnol, 2025, 43(1): 98-110. |
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