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Step-by-Step Guide to Drug Assays in Plasmodium falciparum Cultures

Performing Drug Assays in Plasmodium falciparum Cell Lines

Drug assays are a cornerstone of malaria research, enabling scientists to measure how well antimalarial compounds inhibit Plasmodium falciparum growth. These assays help determine drug potency (e.g., IC₅₀ values), resistance levels, and efficacy of new or existing treatments.

This guide walks through the typical steps for performing a drug assay using cultured P. falciparum parasites.


1. Preparing the Parasite Culture

  • Synchronized parasites (usually ring-stage) are preferred for consistency

  • Start with:

    • 0.5% to 1% parasitemia

    • 1.5% to 2% hematocrit

  • Use a 96-well microplate for high-throughput and replicates

  • Total volume per well is typically 100–200 µL


2. Drug Preparation and Plate Setup

  • Prepare a serial dilution of the test drug across a wide concentration range

  • Add diluted drug to wells (e.g., 10 concentrations, each in duplicate or triplicate)

  • Include:

    • Negative controls (no drug)

    • Positive controls (e.g., known drug like chloroquine or artemisinin)


3. Incubation

  • Incubate plates for 48–72 hours at 37°C

  • Maintain standard gas mixture (5% CO₂, 5% O₂, 90% N₂)

  • Do not disturb plates during incubation


4. Readout Methods: Measuring Parasite Growth

Choose a method to assess how much the parasite grew in each well:

a. SYBR Green I Fluorescence Assay (most common)

  • Add lysis buffer with SYBR Green I dye after incubation

  • Incubate for ~1 hour in the dark

  • Measure fluorescence with a plate reader (excitation: 485 nm, emission: 535 nm)

  • Fluorescence intensity ∼ parasite DNA content

b. [3H]-Hypoxanthine Incorporation

  • Add radioactive hypoxanthine at beginning of incubation

  • Measure uptake into parasite DNA using scintillation counter

  • High sensitivity, but requires radioactivity handling

c. pLDH Assay

  • Measures parasite lactate dehydrogenase enzyme

  • Colorimetric (ELISA-based)

  • Suitable for non-radioactive workflows

d. Microscopy

  • Prepare Giemsa-stained smears

  • Manually count parasitemia (slow, but useful for confirmation)


5. Data Analysis

  • Plot dose-response curves (drug concentration vs. parasite growth)

  • Use curve-fitting software (e.g., GraphPad Prism) to determine:

    • IC₅₀: Concentration that inhibits 50% of parasite growth

    • IC₉₀, EC₅₀ for other applications

  • Compare IC₅₀s to standard reference values to assess resistance


Specialized Assays

  • Ring-stage survival assay (RSA): Detects artemisinin resistance by exposing early rings for 6h then washing off the drug and incubating for 66h

  • Delayed death assay: For drugs targeting apicoplasts (e.g., doxycycline); effect seen in next parasite cycle

  • Checkerboard assay: Assesses drug combinations for synergy or antagonism


 Summary

Step

Description

1. Setup

Synchronized culture in microplate

2. Drug dilution

Serially dilute and dispense in wells

3. Incubation

48–72h with gas mix at 37°C

4. Readout

Fluorescence, radiolabel, ELISA, or microscopy

5. Analysis

Calculate IC₅₀, determine resistance

Need a refresher to deepen the impression? Watch the video here:


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Adwoa Agyapomaa has a BSc from RMIT, Australia and an MPH from Monash University, Australia. Adwoa is the founder of Adwoa Biotech. She is currently a Senior Research Assistant. Enjoyed the tutorial? Connect with me on YouTube [Adwoa Biotech] where we talk biotech techniques, and lab workflows.