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  1. Article ; Online: Artemisinin-Resistant HRP2-Negative Malaria in Eritrea.

    Bayih, Abebe G / Feleke, Sindew M / Pillai, Dylan R

    The New England journal of medicine

    2023  Volume 389, Issue 26, Page(s) 2497

    MeSH term(s) Humans ; Eritrea/epidemiology ; Prevalence ; Malaria, Falciparum/drug therapy ; Malaria, Falciparum/epidemiology ; Plasmodium falciparum/genetics ; Artemisinins/pharmacology ; Artemisinins/therapeutic use
    Chemical Substances artemisinin (9RMU91N5K2) ; Artemisinins
    Language English
    Publishing date 2023-12-29
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMc2312559
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Role of Hsp90 in Plasmodium falciparum Malaria.

    Shahinas, Dea / Pillai, Dylan R

    Advances in experimental medicine and biology

    2021  Volume 1340, Page(s) 125–139

    Abstract: Studies in mammalian and yeast chaperone systems have significantly advanced our understanding of the biochemistry of heat shock protein 90 (Hsp90), particularly as it pertains to structural details, interaction regulation, and function. Harnessing this ... ...

    Abstract Studies in mammalian and yeast chaperone systems have significantly advanced our understanding of the biochemistry of heat shock protein 90 (Hsp90), particularly as it pertains to structural details, interaction regulation, and function. Harnessing this body of knowledge, parasitologists have made tremendous steps in understanding the role of the Hsp90 chaperone machine in protozoal parasites, especially in malaria. Heat shock proteins are a crucial part of the signaling events involved in malaria parasite acclimatization in the host. Even though studies of the role of Hsp90 in malaria have been thorough and discovered some of the most intricate details of the utility of the Hsp90 interactome for pathogen-host interactions, the full and elaborate extent of the role of Hsp90 homologs in malaria remains to be uncovered. This chapter discusses the current knowledge about the biochemistry and cellular role of Hsp90 in Plasmodium falciparum malaria. In addition, the involvement of both parasitic and host Hsp90s by the parasite in the infected cell is discussed.
    MeSH term(s) Animals ; Antimalarials ; HSP70 Heat-Shock Proteins ; HSP90 Heat-Shock Proteins/genetics ; Malaria/drug therapy ; Malaria, Falciparum/drug therapy ; Plasmodium falciparum/genetics ; Protozoan Proteins/genetics
    Chemical Substances Antimalarials ; HSP70 Heat-Shock Proteins ; HSP90 Heat-Shock Proteins ; Protozoan Proteins
    Language English
    Publishing date 2021-09-27
    Publishing country United States
    Document type Journal Article
    ISSN 2214-8019 ; 0065-2598
    ISSN (online) 2214-8019
    ISSN 0065-2598
    DOI 10.1007/978-3-030-78397-6_5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The impact of the COVID-19 pandemic on malaria in returning travellers in Canada: a retrospective population-based cohort study.

    Lieu, Anthony / Mah, Jordan / Desgagnés, Noémie / Pillai, Dylan R

    Journal of travel medicine

    2022  Volume 29, Issue 4

    MeSH term(s) COVID-19 ; Cohort Studies ; Humans ; Malaria/epidemiology ; Pandemics ; Retrospective Studies ; Travel
    Language English
    Publishing date 2022-05-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 1212504-0
    ISSN 1708-8305 ; 1195-1982
    ISSN (online) 1708-8305
    ISSN 1195-1982
    DOI 10.1093/jtm/taac061
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Clinical validation of loop-mediated isothermal amplification for the detection of

    Peirano, Gisele / Castellanos, L Ricardo / Matsumura, Yasufumi / Chaffee, Ryan / Castañeda-Mogollón, Daniel / Pillai, Dylan R / Pitout, Johann D D

    Journal of clinical microbiology

    2024  Volume 62, Issue 3, Page(s) e0168723

    Abstract: The dissemination of : Importance: We developed an accurate non-culture-based loop-mediated isothermal amplification (LAMP) methodology for the detection of (sequence type) STc131 ... ...

    Abstract The dissemination of
    Importance: We developed an accurate non-culture-based loop-mediated isothermal amplification (LAMP) methodology for the detection of (sequence type) STc131 among
    MeSH term(s) Humans ; Escherichia coli/genetics ; Drug Resistance, Multiple, Bacterial/genetics ; Escherichia coli Infections/epidemiology ; Nucleic Acid Amplification Techniques ; beta-Lactamases/genetics ; Anti-Bacterial Agents/pharmacology ; Molecular Diagnostic Techniques
    Chemical Substances beta-Lactamases (EC 3.5.2.6) ; Anti-Bacterial Agents
    Language English
    Publishing date 2024-02-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 390499-4
    ISSN 1098-660X ; 0095-1137
    ISSN (online) 1098-660X
    ISSN 0095-1137
    DOI 10.1128/jcm.01687-23
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  5. Article ; Online: Amplicon Deep Sequencing Reveals Multiple Genetic Events Lead to Treatment Failure with Atovaquone-Proguanil in Plasmodium falciparum.

    Castañeda-Mogollón, Daniel / Toppings, Noah B / Kamaliddin, Claire / Lang, Raynell / Kuhn, Susan / Pillai, Dylan R

    Antimicrobial agents and chemotherapy

    2023  Volume 67, Issue 6, Page(s) e0170922

    Abstract: Atovaquone-proguanil (AP) is used as treatment for uncomplicated malaria, and as a chemoprophylactic agent against Plasmodium falciparum. Imported malaria remains one of the top causes of fever in Canadian returning travelers. Twelve sequential whole- ... ...

    Abstract Atovaquone-proguanil (AP) is used as treatment for uncomplicated malaria, and as a chemoprophylactic agent against Plasmodium falciparum. Imported malaria remains one of the top causes of fever in Canadian returning travelers. Twelve sequential whole-blood samples before and after AP treatment failure were obtained from a patient diagnosed with P. falciparum malaria upon their return from Uganda and Sudan. Ultradeep sequencing was performed on the
    MeSH term(s) Humans ; Plasmodium falciparum/genetics ; Antimalarials/pharmacology ; Antimalarials/therapeutic use ; Sepharose/therapeutic use ; Canada ; Proguanil/pharmacology ; Proguanil/therapeutic use ; Atovaquone/pharmacology ; Atovaquone/therapeutic use ; Malaria, Falciparum/prevention & control ; Drug Combinations ; Treatment Failure ; Tetrahydrofolate Dehydrogenase ; High-Throughput Nucleotide Sequencing ; Recurrence
    Chemical Substances atovaquone, proguanil drug combination ; Antimalarials ; Sepharose (9012-36-6) ; Proguanil (S61K3P7B2V) ; Atovaquone (Y883P1Z2LT) ; Drug Combinations ; Tetrahydrofolate Dehydrogenase (EC 1.5.1.3)
    Language English
    Publishing date 2023-05-08
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 217602-6
    ISSN 1098-6596 ; 0066-4804
    ISSN (online) 1098-6596
    ISSN 0066-4804
    DOI 10.1128/aac.01709-22
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Ultrasensitive Reverse Transcriptase Loop-Mediated Isothermal Amplification (US-LAMP)-Based Detection of Malaria Infection from Dried Blood Spots.

    Mohon, Abu Naser / Toppings, Noah / Castañeda-Mogollón, Daniel / Kamaliddin, Claire / Pillai, Dylan R

    Methods in molecular biology (Clifton, N.J.)

    2023  Volume 2621, Page(s) 325–337

    Abstract: Submicroscopic malaria diagnosis requires highly sensitive tools instead of the conventional microscopy and rapid diagnostic tests (RDTs). While polymerase chain reaction (PCR) is more sensitive than RDTs and microscopy, the required capital cost and ... ...

    Abstract Submicroscopic malaria diagnosis requires highly sensitive tools instead of the conventional microscopy and rapid diagnostic tests (RDTs). While polymerase chain reaction (PCR) is more sensitive than RDTs and microscopy, the required capital cost and technical expertise hinder implementation of PCR in low- and middle-income countries. This chapter describes an ultrasensitive reverse transcriptase loop-mediated isothermal amplification (US-LAMP) test for malaria with a high sensitivity and specificity, while also being practical to implement in low-complexity laboratory settings. The workflow combines a silica spin column-based total nucleic extraction from dried blood spots (DBS) with US-LAMP amplifying the Plasmodium (Pan-LAMP) target and subsequent identification Plasmodium falciparum (Pf-LAMP).
    MeSH term(s) Humans ; Malaria, Falciparum ; Sensitivity and Specificity ; Malaria/diagnosis ; Plasmodium falciparum
    Language English
    Publishing date 2023-04-06
    Publishing country United States
    Document type Journal Article
    ISSN 1940-6029
    ISSN (online) 1940-6029
    DOI 10.1007/978-1-0716-2950-5_19
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Digital Droplet PCR to Track SARS-CoV-2 Outbreak in a Hospital Transitional Care Unit.

    Linton, Kathryn / Oberding, Lisa K / Ward, Linda / Kim, Joseph / Pillai, Dylan R

    American journal of infection control

    2022  Volume 51, Issue 2, Page(s) 231–233

    Abstract: We describe an outbreak of SARS-CoV-2 on a transition unit composed of elderly patients awaiting placement. Environmental and patient sample analyses using digital droplet PCR (ddPCR) suggested possible fomite transmission and a high viral burden source ... ...

    Abstract We describe an outbreak of SARS-CoV-2 on a transition unit composed of elderly patients awaiting placement. Environmental and patient sample analyses using digital droplet PCR (ddPCR) suggested possible fomite transmission and a high viral burden source from a few individual patients. This outbreak illustrates challenges inherent to this specific patient population.
    MeSH term(s) Humans ; Aged ; SARS-CoV-2/genetics ; COVID-19 ; Transitional Care ; Polymerase Chain Reaction ; Disease Outbreaks ; Hospitals ; RNA, Viral/analysis ; COVID-19 Testing
    Chemical Substances RNA, Viral
    Language English
    Publishing date 2022-06-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 392362-9
    ISSN 1527-3296 ; 0196-6553
    ISSN (online) 1527-3296
    ISSN 0196-6553
    DOI 10.1016/j.ajic.2022.06.010
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  8. Article ; Online: The Role of Subgenomic RNA in Discordant Results From Reverse Transcription-Polymerase Chain Reaction Tests for COVID-19.

    Toppings, Noah B / Oberding, Lisa K / Lin, Yi-Chan / Evans, David / Pillai, Dylan R

    Archives of pathology & laboratory medicine

    2022  Volume 146, Issue 7, Page(s) 805–813

    Abstract: Context.—: Reverse transcription-polymerase chain reaction (RT-PCR) is the standard method of diagnosing COVID-19. An inconclusive test result occurs when 1 RT-PCR target is positive for SARS-CoV-2 and 1 RT-PCR target is negative for SARS-CoV-2 within ... ...

    Abstract Context.—: Reverse transcription-polymerase chain reaction (RT-PCR) is the standard method of diagnosing COVID-19. An inconclusive test result occurs when 1 RT-PCR target is positive for SARS-CoV-2 and 1 RT-PCR target is negative for SARS-CoV-2 within the same sample. An inconclusive result generally requires retesting. One reason why a sample may yield an inconclusive result is that one target is at a higher concentration than another target.
    Objective.—: To understand the role of subgenomic RNA transcripts in discordant results from RT-PCR tests for COVID-19.
    Design.—: A panel of 6 droplet digital PCR assays was designed to quantify the ORF1, E-gene, and N-gene of SARS-CoV-2. This panel was used to quantify viral cultures of SARS-CoV-2 that were harvested during the eclipse phase and at peak infectivity. Eleven clinical nasopharyngeal swabs were also tested with this panel.
    Results.—: In culture, infected cells showed higher N-gene/ORF1 copy ratios than culture supernatants. The same trends in the relative abundance of copies across different targets observed in infected cells were observed in clinical samples, although trends were more pronounced in infected cells.
    Conclusions.—: This study showed that a greater copy number of N-gene relative to E-gene and ORF1 transcripts could potentially explain inconclusive results for some RT-PCR tests on low viral load samples. The use of N-gene RT-PCR target(s) as opposed to ORF1 targets for routine testing is supported by these data.
    MeSH term(s) COVID-19/diagnosis ; Humans ; RNA ; RNA, Viral/genetics ; Reverse Transcriptase Polymerase Chain Reaction ; Reverse Transcription ; SARS-CoV-2/genetics
    Chemical Substances RNA, Viral ; RNA (63231-63-0)
    Language English
    Publishing date 2022-04-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 194119-7
    ISSN 1543-2165 ; 0363-0153 ; 0096-8528 ; 0003-9985
    ISSN (online) 1543-2165
    ISSN 0363-0153 ; 0096-8528 ; 0003-9985
    DOI 10.5858/arpa.2021-0630-SA
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  9. Article ; Online: Clostridioides difficile Near-Patient Testing Versus Centralized Testing: A Pragmatic Cluster Randomized Crossover Trial.

    Doolan, Cody P / Sahragard, Babak / Leal, Jenine / Sharma, Anuj / Kim, Joseph / Spackman, Eldon / Hollis, Aidan / Pillai, Dylan R

    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

    2023  Volume 76, Issue 11, Page(s) 1911–1918

    Abstract: Background: Management of suspected Clostridioides difficile infection (CDI) in the hospital setting typically results in patient isolation, laboratory testing, infection control, and presumptive treatment. We investigated whether implementation of ... ...

    Abstract Background: Management of suspected Clostridioides difficile infection (CDI) in the hospital setting typically results in patient isolation, laboratory testing, infection control, and presumptive treatment. We investigated whether implementation of rapid near-patient testing (NPT) reduced patient isolation time, hospital length of stay (LOS), antibiotic usage, and cost.
    Methods: A 2-period pragmatic cluster randomized crossover trial was conducted. Thirty-nine wards were randomized into 2 study arms. The primary outcome measure was effect of NPT on patient isolation time using a mixed-effects generalized linear regression model. Secondary outcomes examined were hospital LOS and antibiotic therapy based on a negative binomial regression model. Natural experiment (NE), intention-to-treat (ITT), and per-protocol (PP) analyses were conducted.
    Results: During the entire study period, a total of 656 patients received NPT for CDI and 1667 received standard-of-care testing. For the primary outcome, a significant decrease of patient isolation time with NPT was observed (NE, 9.4 hours [P < .01]; ITT, 2.3 hours [P < .05]; PP, 6.7 hours [P < .1]). A significant reduction in hospital LOS was observed with NPT for short stay (NE, 47.4% [P < .01]; ITT, 18.4% [P < .01]; PP, 34.2% [P < .01]). Each additional hour delay for a negative result increased metronidazole use (24 defined daily doses per 1000 patients; P < .05) and non-CDI-treating antibiotics by 70.13 mg (P < .01). NPT was found to save 25.48 US dollars per patient when including test cost to the laboratory and patient isolation in the hospital.
    Conclusions: This pragmatic cluster randomized crossover trial demonstrated that implementation of CDI NPT can contribute to significant reductions in isolation time, hospital LOS, antibiotic usage, and healthcare cost. Clinical Trials Registration. NCT03857464.
    MeSH term(s) Humans ; Clostridioides difficile ; Clostridioides ; Cross-Over Studies ; Anti-Bacterial Agents/therapeutic use ; Metronidazole/therapeutic use ; Clostridium Infections/diagnosis ; Clostridium Infections/drug therapy
    Chemical Substances Anti-Bacterial Agents ; Metronidazole (140QMO216E)
    Language English
    Publishing date 2023-01-13
    Publishing country United States
    Document type Randomized Controlled Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1099781-7
    ISSN 1537-6591 ; 1058-4838
    ISSN (online) 1537-6591
    ISSN 1058-4838
    DOI 10.1093/cid/ciad046
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  10. Article ; Online: Reply to Awandu et al.

    Golassa, Lemu / Cheaveau, James / Mohon, Abu Naser / Pillai, Dylan R

    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

    2019  Volume 69, Issue 8, Page(s) 1464–1465

    MeSH term(s) Cross-Sectional Studies ; Humans ; Malaria ; Prevalence
    Language English
    Publishing date 2019-02-08
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 1099781-7
    ISSN 1537-6591 ; 1058-4838
    ISSN (online) 1537-6591
    ISSN 1058-4838
    DOI 10.1093/cid/ciz148
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