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Table 1 Potential role of targeted next generation sequencing in addressing malaria research of public health importance in Africa

From: Targeted Next Generation Sequencing for malaria research in Africa: current status and outlook

Scientific objective

Application

Determination of the frequency and geographic distribution of genetic markers of antimalarial drug resistance

Early detection of drug resistance emergence and surveillance of the geospatial changes of antimalarial drug resistance

Diversity, frequency and geographic distribution of genetic differences in potential vaccine antigens among malaria parasites,

Support for antigen diversity studies in vaccine development and prediction of vaccine efficacy

Distribution and quantitative level of parasite DNA in human populations

Estimation of prevalence of submicroscopic infection

Determination of efficacy of diagnostic tools

Surveillance for geospatial distribution of parasites carrying hrp2/3 deletion

Determination of RDT level of sensitivity

Detection of full range of parasite genotypes in a patient isolate

Increased sensitivity to determine whether parasites recurring after drug treatment are new infections or recrudescence/relapse of initial infections

Detection of very low levels of parasite DNA in patient samples

Improved detection of parasite prevalence even at low parasitaemia

Improved quantitation of delayed parasite clearance