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Development of single- and multiplex immunoassays for rapid detection and quantitation of amodiaquine in ACT drugs and rat serum

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Abstract

Amodiaquine (AQ) is a commonly used antimalarial drug, and N-desethyl-AQ (N-DEAQ) is an active metabolite of AQ. Given the significance of drug quality in the management of malaria cases, this study aims to develop antibody-based assays for the detection and quantitation of AQ without the need for sophisticated equipment. Two monoclonal antibodies (mAbs) against AQ, designated as JUN7 and TE7, were selected, which showed 72.7% and 9.5% cross-reactivity to N-DEAQ, respectively. These mAbs showed <0.1% cross-reactivity to other commonly used antimalarial drugs. An indirect competitive enzyme-linked immunosorbent assay (icELISA) based on JUN7 showed a 50% inhibitory concentration (IC50) of 0.16 ng/mL and a working range of 0.06–0.46 ng/mL. A lateral flow immunoassay (LFIA) based on JUN7 was also developed with a working range of 2.58–30.86 ng/mL. The icELISA and LFIA were applied for the quantification of AQ in commercial drugs, and the results were comparable to those determined using high-performance liquid chromatography. In addition, a combination dipstick for simultaneous, qualitative analysis of AQ and artesunate was developed. All immunoassays based on JUN7 can be applied for quality control of AQ-containing artemisinin-based combination therapies. As TE7 showed low cross-reactivity to N-DEAQ, an icELISA based on TE7 was developed with an IC50 of 0.38 ng/mL and a working range of 0.14–1.67 ng/mL. The TE7 icELISA was applied for the study of pharmacokinetics of AQ in rat serum after intragastric administration, and the results were consistent with those of previous studies.

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References

  1. World Health Organization. World Malaria Report 2020. 2020; https://www.who.int/teams/global-malaria-programme/reports/world-malaria-report-2020. Accessed 15 Jan.

  2. Tivura M, Asante I, van Wyk A, Gyaase S, Malik N, Mahama E, et al. Quality of artemisinin-based combination therapy for malaria found in Ghanaian markets and public health implications of their use. BMC Pharmacol Toxicol. 2016;17(1):48. https://doi.org/10.1186/s40360-016-0089-2.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Amin AA, Snow RW, Kokwaro GO. The quality of sulphadoxine-pyrimethamine and amodiaquine products in the Kenyan retail sector. J Clin Pharm Ther. 2005;30(6):559–65. https://doi.org/10.1111/j.1365-2710.2005.00685.x.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Packard RM. The origins of antimalarial-drug resistance. N Engl J Med. 2014;371(5):397–9. https://doi.org/10.1056/NEJMp1403340.

    Article  CAS  PubMed  Google Scholar 

  5. Blasco B, Leroy D, Fidock DA. Antimalarial drug resistance: linking plasmodium falciparum parasite biology to the clinic. Nat Med. 2017;23(8):917–28. https://doi.org/10.1038/nm.4381.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Gallay J, Prod'hom S, Mercier T, Bardinet C, Spaggiari D, Pothin E, et al. LC-MS/MS method for the simultaneous analysis of seven antimalarials and two active metabolites in dried blood spots for applications in field trials: analytical and clinical validation. J Pharm Biomed Anal. 2018;154:263–77. https://doi.org/10.1016/j.jpba.2018.01.017.

    Article  CAS  PubMed  Google Scholar 

  7. Chen X, Deng P, Dai X, Zhong D. Simultaneous determination of amodiaquine and its active metabolite in human blood by ion-pair liquid chromatography-tandem mass spectrometry. J Chromatogr B Analyt Technol Biomed Life Sci. 2007;860(1):18–25. https://doi.org/10.1016/j.jchromb.2007.09.040.

    Article  CAS  PubMed  Google Scholar 

  8. Khuluza F, Kigera S, Heide L. Low prevalence of substandard and falsified antimalarial and antibiotic medicines in public and faith-based health facilities of southern Malawi. Am J Trop Med Hyg. 2017;96(5):1124–35. https://doi.org/10.4269/ajtmh.16-1008.

    Article  PubMed  PubMed Central  Google Scholar 

  9. World Health Organization. World Malaria Report 2010. 2010; https://www.who.int/malaria/publications/atoz/9789241564106. Accessed 15 Jan.

  10. Kobayashi T, Gamboa D, Ndiaye D, Cui L, Sutton PL, Vinetz JM. Malaria diagnosis across the international centers of excellence for malaria research: platforms, performance, and standardization. Am J Trop Med Hyg. 2015;93(3 Suppl):99–109. https://doi.org/10.4269/ajtmh.15-0004.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Guo S, He L, Tisch DJ, Kazura J, Mharakurwa S, Mahanta J, et al. Pilot testing of dipsticks as point-of-care assays for rapid diagnosis of poor-quality artemisinin drugs in endemic settings. Trop Med Health. 2016;44:15. https://doi.org/10.1186/s41182-016-0015-8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Guo S, Zhang W, He L, Tan G, Min M, Kyaw MP, et al. Rapid evaluation of artesunate quality with a specific monoclonal antibody-based lateral flow dipstick. Anal Bioanal Chem. 2016;408(22):6003–8. https://doi.org/10.1007/s00216-016-9363-9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Ning X, Li W, Wang M, Guo S, Tan G, Wang B, et al. Development of monoclonal antibody-based immunoassays for quantification and rapid assessment of dihydroartemisinin contents in antimalarial drugs. J Pharm Biomed Anal. 2018;159:66–72. https://doi.org/10.1016/j.jpba.2018.06.051.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Qian J, He Q, Liu L, Wang M, Wang B, Cui L. Rapid quantification of artemisinin derivatives in antimalarial drugs with dipstick immunoassays. J Pharm Biomed Anal. 2020;191:113605. https://doi.org/10.1016/j.jpba.2020.113605.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Ning X, Tan G, Chen X, Wang M, Wang B, Cui L. Development of a lateral flow dipstick for simultaneous and semi-quantitative analysis of dihydroartemisinin and piperaquine in an artemisinin combination therapy. Drug Test Anal. 2019;11(9):1444–52. https://doi.org/10.1002/dta.2656.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Stepniewska K, Taylor W, Sirima SB, Ouedraogo EB, Ouedraogo A, Gansané A, et al. Population pharmacokinetics of artesunate and amodiaquine in African children. Malar J. 2009;8:200. https://doi.org/10.1186/1475-2875-8-200.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Rijken MJ, McGready R, Jullien V, Tarning J, Lindegardh N, Phyo AP, et al. Pharmacokinetics of amodiaquine and desethylamodiaquine in pregnant and postpartum women with plasmodium vivax malaria. Antimicrob Agents Chemother. 2011;55(9):4338–42. https://doi.org/10.1128/aac.00154-11.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Ali AM, Penny MA, Smith TA, Workman L, Sasi P, Adjei GO, et al. Population Pharmacokinetics of the Antimalarial Amodiaquine: a Pooled Analysis To Optimize Dosing. Antimicrob Agents Chemother. 2018; 62 (10). https://doi.org/10.1128/aac.02193-17

  19. Mwesigwa J, Parikh S, McGee B, German P, Drysdale T, Kalyango JN, et al. Pharmacokinetics of artemether-lumefantrine and artesunate-amodiaquine in children in Kampala. Uganda. Antimicrob Agents Chemother. 2010;54(1):52–9. https://doi.org/10.1128/aac.00679-09.

    Article  CAS  PubMed  Google Scholar 

  20. Orrell C, Little F, Smith P, Folb P, Taylor W, Olliaro P, et al. Pharmacokinetics and tolerability of artesunate and amodiaquine alone and in combination in healthy volunteers. Eur J Clin Pharmacol. 2008;64(7):683–90. https://doi.org/10.1007/s00228-007-0452-8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. He L, Nan T, Cui Y, Guo S, Zhang W, Zhang R, et al. Development of a colloidal gold-based lateral flow dipstick immunoassay for rapid qualitative and semi-quantitative analysis of artesunate and dihydroartemisinin. Malar J. 2014;13:127. https://doi.org/10.1186/1475-2875-13-127.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Guo S, Cui Y, Wang K, Zhang W, Tan G, Wang B, et al. Development of a specific monoclonal antibody for the quantification of artemisinin in Artemisia annua and rat serum. Anal Chem. 2016;88(5):2701–6. https://doi.org/10.1021/acs.analchem.5b04058.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Chen X, He J, Tan G, Liang J, Hou Y, Wang M, et al. Development of an enzyme-linked immunosorbent assay and a dipstick assay for the rapid analysis of trans-resveratrol in grape berries. Food Chem. 2019;291:132–8. https://doi.org/10.1016/j.foodchem.2019.04.023.

    Article  CAS  PubMed  Google Scholar 

  24. Hoellein L, Holzgrabe U. Development of simplified HPLC methods for the detection of counterfeit antimalarials in resource-restraint environments. J Pharm Biomed Anal. 2014;98:434–45. https://doi.org/10.1016/j.jpba.2014.06.013.

    Article  CAS  PubMed  Google Scholar 

  25. World Health Organization. World Malaria Report 2020. 2020; https://www.who.int/teams/global-malaria-programme/reports/world-malaria-report-2020. Accessed January 15.

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Acknowledgments

This work was supported by the National Institute of Allergy and Infectious Diseases, National Institutes of Health (U19AI089672).

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Correspondence to Baomin Wang or Liwang Cui.

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The animal experiments were performed in compliance with the Animal Welfare Act of the U.S. Department of Agriculture. All the animal treatment procedures were approved by the Animal Care Committee of China Agricultural University.

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The authors declare that they have no competing interests.

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Qian, J., Wang, M., Wang, Z. et al. Development of single- and multiplex immunoassays for rapid detection and quantitation of amodiaquine in ACT drugs and rat serum. Anal Bioanal Chem 414, 1631–1640 (2022). https://doi.org/10.1007/s00216-021-03787-6

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