Evidence map›Paper›PMID 42608703›Full record

ArticleParasites & vectors2026

A recombinase polymerase amplification lateral flow assay (RPA-LF) for detection of Babesia divergens-like parasites.

Ernest Chin Jia Bin, Keir Hughes, Cheryl Whitehorn, Mia White, Kayleigh Hansford, Jolyon Medlock, Ellen Knuepfer, Taane G Clark, Mojca Kristan, Susana Campino

Abstract read
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Article in Parasites & vectors, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Ernest Chin Jia BinFaculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine (LSHTM), Keppel Street, London, WC1E 7HT, UK.
Keir HughesTeaching and Diagnostic Unit, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine (LSHTM), Keppel Street, London, WC1E 7HT, UK.
Cheryl WhitehornTeaching and Diagnostic Unit, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine (LSHTM), Keppel Street, London, WC1E 7HT, UK.
Mia WhiteDiagnostics & Pathogen Characterisation, UKHSA, Porton Down, Salisbury, SP4 0JG, UK.
Kayleigh HansfordMedical Entomology and Zoonoses Ecology, UKHSA, Porton Down, Salisbury, SP4 0JG, UK.
Jolyon MedlockMedical Entomology and Zoonoses Ecology, UKHSA, Porton Down, Salisbury, SP4 0JG, UK.
Ellen KnuepferThe Royal Veterinary College, Hawkshead Lane, Hatfield, AL9 7TA, UK.
Taane G ClarkFaculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine (LSHTM), Keppel Street, London, WC1E 7HT, UK.
Mojca Kristan *Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine (LSHTM), Keppel Street, London, WC1E 7HT, UK.
Susana Campino *Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine (LSHTM), Keppel Street, London, WC1E 7HT, UK. Susana.campino@lshtm.ac.uk.

Funding

Cancer Research UK FC001003UK Research and Innovation FC001003UK Research and Innovation IAA2143UK Research and Innovation MR/X005895/1Wellcome Trust FC001003
6 · The paper itself

Abstract

backgroundBabesia divergens is a tick-borne apicomplexan parasite found predominantly in Europe, causing babesiosis in livestock and occasionally in humans, with severe disease reported in immunosuppressed or asplenic individuals. As populations of Ixodes ricinus, the principal vector, expand geographically, including into urban environments, there is a growing need for rapid, sensitive, and field-deployable surveillance tools. In this study, we aim to developed a Recombinase Polymerase Amplification Lateral Flow (RPA-LF) assay for the detection of B. divergens.

methodsRPA assays targeting B. divergens hsp70, cox1, and 18S rRNA genes were designed and evaluated for sensitivity and specificity using serial dilutions and control samples, including other apicomplexan parasites and tick samples spiked with B. divergens DNA. To assess field performance, 279 I. ricinus ticks were collected from urban parks in Greater London and screened by qPCR and a subset also tested using the new RPA-LF assays. Anaplasma phagocytophilum was screened by qPCR but not detected.

resultsThe cox1 and 18S rRNA RPA-LF assays demonstrated high specificity, with detection limits of at least 10

conclusionsWe report the first successful development of an RPA-LF assay for the detection in ticks of B. divergens or the closely related species B. capreoli. The assay demonstrates high sensitivity and specificity under isothermal conditions and provides a portable and reliable tool for field-based molecular surveillance of emerging tick-borne pathogens. Field validation revealed B. divergens/B. capreoli in questing ticks from urban green spaces in London, underscoring the importance of this tool for early detection and ongoing surveillance of tick-borne parasites in expanding urban ecosystems.

Indexed as

BabesiaBabesiosisIxodesNucleic Acid Amplification TechniquesAnimalsDNA, ProtozoanRapid Diagnostic TestsRecombinasesRNA, Ribosomal, 18SSensitivity and SpecificityDNA, ProtozoanRecombinasesRNA, Ribosomal, 18SBabesia divergensBabesiosisLateral flowRecombinase polymerase amplificationRPA-LFUrban Green space

Identifiers

PMID42608703
PMCPMC13479736

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