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Published on: May 12, 2022
Malaria: biochemical, physiological, diagnostic, and therapeutic updates.
Enas El Saftawy1,2, Mohamed F Farag3, Hossam H Gebreil4
1Department of Medical Parasitology, Faculty of Medicine, Cairo University, Cairo, Giza, Egypt.
Malaria diagnosis and treatment face challenges. New point-of-care diagnostics leverage biochemical changes, while nanomedicine and combination therapies offer promising advancements against drug resistance and relapse.
Area of Science:
- Medical Parasitology
- Biochemistry
- Nanotechnology
Background:
- Malaria is a severe vector-borne parasitic disease causing significant morbidity and mortality.
- Efficient diagnosis and treatment of malaria are hindered by several challenges.
Purpose of the Study:
- To review current advancements in malaria diagnosis and treatment.
- To highlight novel diagnostic tools and therapeutic strategies.
Main Methods:
- Literature search conducted using Google Scholar, PubMed, Web of Science, and EKB.
- Review of diverse biochemical and physiological indices related to malaria.
- Analysis of recent therapeutic trials, including chemical inhibitors, plant extracts, nanomedicine, and combination therapies.
Main Results:
- Biochemical indices like hypoglycemia, dyslipidemia, and altered renal/hepatic functions are indicative of malaria.
- Emerging point-of-care technologies include biosensors, lab-on-chip, and microdevices.
- Promising therapeutic avenues include antimalaria nanomedicine, drug combinations (e.g., amodiaquine + artemether + lumefantrine), and Tafenoquine for relapse prevention.
Conclusions:
- Understanding malaria's pathophysiology aids diagnosis.
- New point-of-care diagnostics can improve sensitivity and specificity by utilizing biochemical and hematological alterations.
- Nanomedicine shows significant promise, while chemical and plant-based therapies require further research.
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