The PreQuine Platform: A novel diagnostic tool for measuring glucose-6-phosphate dehydrogenase (G6PD) activity and hemoglobin concentration

PLoS One. 2024 May 10;19(5):e0297918. doi: 10.1371/journal.pone.0297918. eCollection 2024.

Abstract

Quantitative diagnosis of glucose-6-phosphate dehydrogenase (G6PD) deficiency is essential for the safe administration of 8-aminoquinoline based radical cure for the treatment of Plasmodium vivax infections. Here, we present the PreQuine Platform (IVDS, USA), a quantitative biosensor that uses a dual-analyte assay for the simultaneous measurement of Hemoglobin (Hgb) levels and G6PD enzyme activity within the same sample. The platform relies on a downloadable mobile application. The device requires 10μl of whole blood and works with a reflectance-based meter. Comparing the G6PD measurement normalized by Hgb of 12 samples from the PreQuine Platform with reference measurements methods (spectrophotometry, Pointe Scientific, USA and hemoglobin meter, HemoCue, Sweden) showed a positive and significant agreement with a slope of 1.0091 and an intercept of -0.0379 under laboratory conditions. Next steps will be to conduct field trials in Bangladesh, Cambodia, and the USA to assess diagnostic performance, user friendliness and acceptance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aminoquinolines
  • Biosensing Techniques / methods
  • Glucosephosphate Dehydrogenase Deficiency* / blood
  • Glucosephosphate Dehydrogenase Deficiency* / diagnosis
  • Glucosephosphate Dehydrogenase* / blood
  • Glucosephosphate Dehydrogenase* / metabolism
  • Hemoglobins* / analysis
  • Hemoglobins* / metabolism
  • Humans
  • Malaria, Vivax / blood
  • Malaria, Vivax / diagnosis

Substances

  • Glucosephosphate Dehydrogenase
  • Hemoglobins
  • 8-aminoquinoline
  • Aminoquinolines

Grants and funding

This project was supported by NIH SBIR Phase I award # 1R43AI129057-01A1, Phase II 2R44AI129057-02A1 & 5R44AI129057-03, and 2SB1AI129057-04. The funder had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.