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Dschang, town located in northwestern Cameroon. It is situated on a forested plateau northwest of Yaoundé
Volume 3 - 2024 | https://doi.org/10.3389/fpara.2024.1509261
Background: Resistance to antimalarial drugs remains a major obstacle to malaria elimination
targeted amplicon sequencing is being adopted for surveilling resistance and dissecting the genetics of complex malaria infections
genotyping of parasites and detection of molecular markers drug resistance in resource-limited regions requires open-source protocols for processing samples
and rapid methods for processing numerous samples including pooled sequencing
Methods: Plasmodium falciparum Streamlined Multiplex Antimalarial Resistance and Relatedness Testing (Pf-SMARRT) is a PCR-based amplicon panel consisting of 15 amplicons targeting antimalarial resistance mutations and 9 amplicons targeting hypervariable regions
This assay uses oligonucleotide primers in two pools and a non-proprietary library and barcoding approach
Results: We evaluated Pf-SMARRT using control mocked dried blood spots (DBS) at varying levels of parasitemia and a mixture of 3D7 and Dd2 strains at known frequencies
showing the ability to genotype at low parasite density and recall within-sample allele frequencies
We then piloted Pf-SMARRT to genotype 100 parasite isolates collected from uncomplicated malaria cases at three health facilities in Dschang
Antimalarial resistance genotyping showed high levels of sulfadoxine-pyrimethamine resistance mutations
including 31% prevalence of the DHPS A613S mutation
No K13 candidate or validated artemisinin partial resistance mutations were detected
but one low-level non-synonymous change was observed
used to assess complexity of infections and parasite diversity and relatedness
showed similar levels and patterns compared to molecular inversion probe (MIP) sequencing
While there was strong concordance of antimalarial resistance mutations between individual samples and pools
low-frequency variants in the pooled samples were often missed
Pf-SMARRT is a robust tool for assessing parasite relatedness and antimalarial drug resistance markers from both individual and pooled samples
Control samples support that accurate genotyping as low as 1 parasite per microliter is routinely possible
Multiplex targeted deep sequencing can also help to understand how parasites are related to one another
By targeting single nucleotide polymorphisms (SNPs) or microhaplotypes
multiplex assays can be used to study overall population diversity
or even to track transmission by leveraging metrics like identity-by-descent (IBD)
an assay must be highly sensitive in genotyping low-parasitemia samples
and easily implemented in resource-limited areas
One way to achieve these goals is to design approaches for which materials are easily acquired through multiple commercial sources and detailed protocols are publicly available
Recent reports (published 220-2024) of molecular markers of P
falciparum antimalarial resistance mutations in Cameroon
We also evaluated the performance of the assay in detecting and quantifying parasite genetic variation using pooled samples
By leveraging previously published and validated primer pairs (Protocol 1 in Supplementary Data Sheet 1)
as well as development of specific primers for the assay
we targeted 15 antimalarial resistance polymorphisms
as well as 9 regions of hypervariability that don't contain any length polymorphisms
This resulted in a panel containing 24 target amplicons
The major antimalarial resistance polymorphisms targeted by the assay include:
575-623 and 668-702; covering almost all current validated (F446I
V568G) artemisinin partial resistance mutations
● CRT: amino acids 43-90; including K76T
● DHFR: amino acids 41-81 and 97-123; including
Samples were sequenced with at least 2 replicates allowing for improved de-noising
SeekDeep can examine each replicate individually
limiting erroneous haplotypes with depth and frequency filters
Replicates can be combined into a final sample call
which offers the same depth and frequency filters but requires haplotypes to be in both replicates
thereby minimizing false haplotypes and more accurately estimating within-sample haplotype frequency
DNA from the mocked blood spots at varying levels of parasitemia (parasites per microliter: p/µL) (10,000 p/µL
and 1 p/µL) was amplified and sequenced twelve times using two replicates per sample
a mixture containing 88% 3D7 and 12% Dd2 genomic DNA (MRA-102G and MRA-150G
VA) at a concentration of 1,000 p/µL was sequenced twelve times with two replicates per sample
Final SeekDeep sample filtering was: 1) a minimum of 100 reads per sample; 2) a minimum of 100 reads per replicate; 3) amplicons were restricted to the exact expected length; 4) a minimum frequency within a sample for a haplotype of 1%; and 5) a requirement that haplotypes needed to pass thresholds in both replicates to be counted
informed consent was obtained from a parent or guardian and assent from adolescents
Molecular analysis of de-identified samples and data were deemed non-human subjects research by the University of North Carolina IRB
To create a standard curve and determine estimated parasitemia for each sample
mocked DBS containing whole blood spiked with known densities of cultured 3D7 P
VA) were amplified alongside clinical samples
The resulting Ct values of the standard dilutions were plotted against known parasite densities to form a standard curve
then each sample’s Ct was plotted on the standard curve to calculate each sample’s parasitemia
All runs included non-template control reactions
Samples with low estimated parasitemia on initial real-time PCR runs
were checked for DNA concentration using a Qubit fluorometer (Invitrogen
California) and Qubit 1X HS dsDNA quantification reagent to ensure proper extraction occurred
The workflow of clinical samples is shown in Figure 1
The 100 samples were sequenced with two replicates
To evaluate initial amplification and determine if additional sequencing was needed
we assessed each replicate separately using less stringent filtering criteria
These filters were set to be as permissive as possible and required only a minimum of 25 reads per replicate
samples were either: 1) considered complete (if the same haplotypes were found in both replicates and the difference in haplotype frequency between replicates was never greater than 10%); or 2) were re-amplified and resequenced with two new replicates (different haplotypes detected between replicates and/or >10% variation in haplotype frequency found between replicates for any haplotype)
The replicate PCRs of one sample still showed an increase in the number of haplotypes with >10% variation in haplotype frequency upon resequencing
and the original replicates for that sample were retained
After repeat sequencing for samples requiring new replicates
the final data was called at the sample level using the same filters applied to the controls
One hundred samples from parasitemic participants were used in the study
These samples were PCRed and sequenced with replicates (R1 and R2) and processed in SeekDeep
we examined the replicates for each field sample
Replicates that differed in the haplotypes reported or that showed >10% variation in haplotype frequency between replicates (N=35) were re-amplified and re-sequenced
a subset of 50 samples also underwent MIP sequencing to allow for comparison of relatedness and antimalarial resistance frequency
the 100 samples were used to generate non-overlapping pools of N=10
and N=100 to evaluate the utility of the assays for pooled sequencing
All final sample (and pool) genotyping calls are based upon haplotypes that occurred in both replicates (R1 and R2) and within sample haplotype frequency was averaged between replicates
A subset of 50 isolates were selected for MIP sequencing. Samples were captured and sequenced as previously described using capture probes for genome-wide single nucleotide polymorphisms and probes targeting known antimalarial resistance polymorphisms (Verity et al., 2020). Data was processed using MIP analyzer as previously described (Verity et al., 2020)
A variant required at least 3 unique molecular identifiers to be called and a sample required a depth of 10 UMIs
Pools of samples were generated with a range of pool sizes
The number of pools available at each sample size was a function of the available number of nonoverlapping groups of samples
Each pool was sequenced in triplicate with two replicates informing each pool
The pools were analyzed in SeekDeep with the same clustering parameters as the individual samples
except that in the pooled samples the minimum frequency within a sample for a haplotype was set to 0.5%
on the assumption that more samples should give more power to confidently call low frequency haplotypes
p-value comparisons across groups for categorical variables are based on the chi-square test of homogeneity
whereas p-values for continuous variables are based on the Kruskal-Wallis test for median
The program was run in the categorical method format: heterozygous call as 0.5
homozygous alternative allele as 1 and no call as −1
the probability that two amplicon haplotypes will be different
was determined as 1-(p12+p22….+pn2)
are the population frequencies of each haplotype and n is the total number of haplotypes in the population
in that any of the amplicons would have different haplotypes
was estimated as 1-((1-He1)*(1-He2)*…(1-Hei)) where He1
are the heterozygosities at each amplicon and i is the total number of amplicons
To assess whether parasite populations within Cameroon clustered by their geographic origin
we conducted principal component analysis (PCA) using SNPRelate function in R 4.2.1 software
The results were visualized using ggplot2 or GraphPad Prism (v.10.2.3)
Upon testing the 3D7/Dd2 mixture (ratio 88:12), we observed high concordance between measured and expected allele frequency for the diversity markers and antimalarial SNPs (Supplementary Figure S7; Supplementary Table S2) with one exception
The DHPS 436/437 amplicon consistently underestimated the Dd2 SNP frequency when detected (mean 1.09%
These controls were run separately from the clinical samples
which routinely detected multiple haplotypes in the clinical samples
it is unclear why this amplicon failed in the control reactions
MDR1 SNP frequencies varied from expected due to the copy number variation in Dd2
which contains different point mutations in each copy
There was no single amplicon that was the most reliable indicator of maximum haplotype count
being associated with the maximum haplotype count in 50 samples
while Heome-D was associated with the maximum haplotype count in 46 samples
Estimated complexity of infection for each sample
Red text denotes the mean (as a central dot) and standard deviation (as arms above and below the mean)
Black dots represent COI values for individual samples
(A) Depicts the COI for Pf-SMARRT based on the amplicon that provided the highest number of haplotypes
(B) Shows the estimated COI determined by THE REAL McCOIL for Pf-SMARRT and MIPs
Antimalarial resistance infection genotypes comparing Pf-SMARRT and MIPs
Prevalence of antimalarial resistance polymorphisms by Pf-SMARRT vs MIP
MIPs provided visually more clustered samples than Pf-SMARRT
Principal component analysis of 100 Cameroonian samples collected from three hospitals in Dschang
Samples are color coded by the patient's village/town/city of origin
Diversity markers will have variable information for discerning strains in different populations. In Cameroon, these diversity markers had a range of heterozygosity from 0.32 to 0.95 (Table 4)
AMA1 showed the greatest within-population heterozygosity
There were between 5 and 37 haplotypes in the population depending on the loci
Diversity of amplicon microhaplotypes in the population
when a mutation was between 20% and 40% only 22/27 (81.5%) were detected and for polymorphisms less than 20% only 50/79 (63.3%) were detected
Correlation of antimalarial resistance SNP frequency in pools compared to individual samples
Weighted mean allele frequency for key resistance mutations was estimated across replicates for each pool group and compared with allele frequencies across replicates for the individual samples included in each pool
Allele frequencies in the pool were weighted by parasite density of each individual sample included in the pool
Pearson’s correlation values were high across all pool groups
where ## is the pool size and # is the pool number
We report the development and validation of a highly multiplexed amplicon deep sequencing tool Pf-SMARRT and successful application to field samples from Cameroon
Our goal was to develop a simple assay that was freely available using standard reagents to characterize key antimalarial drug resistance genes and provide basic information on parasite COI
The assay leverages no custom products and the necessary protocols are available within this publication
Pf-SMARRT provided robust data across a range of parasitemias
with most amplicons successfully genotyped at 1 p/µL
The assay was then used to characterize antimalarial resistance profiles in Dschang
with most samples genotyped at all amplicons successfully
The assay was compared to MIPs in a subset of samples and showed an overall similar pattern of parasite population clustering based on PCA but demonstrated a higher rate of calling minor haplotypes
resulting in higher prevalence for drug resistance molecular markers and higher COI estimates
we evaluated the assay using pooled deep sequencing to characterize how well it would detect antimalarial resistance SNPs in sample pools of different sizes
showing that increased pool size improves the accuracy of frequency calls but can result in missed low-frequency SNPs in the pool
Pf-SMARRT has multiple advantageous characteristics
which make it particularly useful for conducting MMS
the DHFR A613S was found at a prevalence of 31.0% (CI: 21.6-40.1)
When comparing Pf-SMARRT to MIPs, a higher number of mixed infections were found with Pf-SMARRT than with MIPs (Table 2). This resulted in an increased estimated prevalence for most markers (Table 3)
Pf-SMARRT identified mixed genotypes in 12.5% (81/650) of loci
whereas MIPs found mixed genotypes at 6.4% of loci (40/628)
There are likely two reasons for this difference
PCR amplicons may be more efficient than capture-based approaches like MIPs
This is primarily due to the nature of PCR amplification
ensuring that even minor clones within a sample are more likely to be captured and sequenced
The inherent nature of PCR allows for amplification of low-abundance targets
making it easier to detect mixed genotypes and rare variants
The depth of sequencing is another critical aspect that enhances the performance of Pf-SMARRT
Deeper sequencing of a smaller number of loci allows for a more finely articulated view of the genetic diversity within a sample
making it possible to detect low-frequency alleles that may exist in mixed infections
This increased depth is particularly valuable in malaria research
where understanding the prevalence of minor variants can inform public health strategies and resistance monitoring
While MIPs can achieve significant coverage
they often operate at shallower sequencing depths (10X-50X coverage)
This can lead to a loss of sensitivity in detecting low-density infections
limiting their ability to uncover important genetic variants
It is important to note that while MIPs can
achieve similar sensitivity to Pf-SMARRT with increased coverage and depth
the practical implementation of this is often constrained by factors such as cost and technical complexity
Pf-SMARRT stands out as a more effective tool for detecting all clones and resistance mutations identified by MIPs while also capturing more minor clones and rare variants
This enhanced sensitivity is vital in regions where malaria transmission declines and efforts shift toward pre-elimination strategies
The ability to detect low-density infections and subtle genetic variations makes Pf-SMARRT particularly useful for MMS
enabling researchers and public health officials to make informed decisions in the fight against malaria
the ability to detect and determine the relative frequency of alleles occurring at moderate to high frequency was good
especially in pools with higher numbers of samples
the use of a pooling approach may be limited to monitoring known mutations after emergence
Increasing throughput for individual sample sequencing by making the assay protocol straightforward and scalable is necessary for evaluating introduction or emergence of a mutation
this version of the assay is missing coverage for several key drug resistance mutations including P574L in K13
the ligation based library preparation is more complicated and time consuming than a PCR-based library preparation
Modifications to resolve these limitations are underway
Despite sequencing in duplicate and using a relatively conservative minor frequency cut off of 1%
we detected three false positive haplotypes in our control experiments
although all false-positives occurred at the lowest parasitemia
This represented only 3 of 288 loci genotyped in the 1 parasite/µL controls
one amplicon (DHPS 437) failed to detect the Dd2 minor variant consistently
It is unclear what happened during this experiment
as no other indication of problems occurred with this amplicon in the other controls or clinical samples
One of the diversity targets (Heome-H) was consistently under-sequenced relative to other amplicons but had sufficient coverage to allow calls in most samples (76/100)
we did not directly test the assay in low-density infections from Cameroon (a single low density parasitemia of 0.5 p/µL
successfully genotyped at 24/24 amplicons)
thus we do not know how it will perform using such clinical samples
although the mocked blood spots included whole blood spiked with culture grown parasites and
Pf-SMARRT represents a valuable tool for conducting MMS
providing detailed genotyping of 24 amplicons in an open source platform
Control experiments using mocked blood spots and known mixtures of different strains provide support that the assay should accurately report within-sample frequency and reliably detect genotypes in low density infections
The assay had a high success rate in samples with what should be RDT-detectable parasitemia from Dschang
It proved sensitive for minority clones in infections and had a low false positivity rate
which occurred only at very low parasitemia
While pooled sequencing had overall good correlations to individual samples in terms of antimalarial resistance frequency
the lowest frequency alleles were commonly missed in the pools
This suggests that pools may not be appropriate for surveillance of rare alleles in a population but could help monitor the frequency of common alleles
the insights provided by Pf-SMARRT will be useful for understanding and monitoring the transmission dynamics of P
as more labs and control programs gain access to next generation sequencers in Africa
the use of MMS to monitor malaria populations will only increase
Pf-SMARRT represents a tool that uses easy to access materials and can easily be implemented across any Illumina platform
to provide robust characterization of antimalarial resistance polymorphisms and parasite relatedness
The original contributions presented in the study are publicly available. This data can be found here: NCBI SRA, accession PRJNA1171111 and https://github.com/bailey-lab/pfsmarrt_cameroon_7-6-24
The studies involving humans were approved by Cameroon Baptist Convention Health Board (FWA00002077)
The studies were conducted in accordance with the local legislation and institutional requirements
Written informed consent for participation in this study was provided by the participants’ legal guardians/next of kin
The author(s) declare financial support was received for the research
This project was funded by the National Institutes for Allergy and Infectious Diseases (R01AI156267 to JB and JJ
This work was partially supported by the Bill & Melinda Gates Foundation (INV-050353 to JP) and the EDCTP2 career development fellowship (TMA2020CDF-3171 to IA)
Under the grant conditions of the Foundation
a Creative Commons Attribution 4.0 Generic License has already been assigned to the Author Accepted Manuscript version that might arise from this submission
This work was also partially supported by the Yang Biomedical Scholars Fund from the University of North Carolina
We thank the laboratory and clinical staff of the Dschang Regional Hospital Annex
Vincent Catholic Hospital and the Catholic Hospital in Batsingla for their assistance in sample collection for this study
The following reagent was obtained through BEI Resources
NIH: Genomic DNA from Plasmodium falciparum
JP reports research support from Gilead Sciences
non-financial support from Abbott Laboratories
The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest
The author(s) declare that no Generative AI was used in the creation of this manuscript
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations
Any product that may be evaluated in this article
or claim that may be made by its manufacturer
is not guaranteed or endorsed by the publisher
The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fpara.2024.1509261/full#supplementary-material
A snapshot of the prevalence of dihydropteroate synthase-431V mutation and other sulfadoxine-pyrimethamine resistance markers in Plasmodium falciparum isolates in Nigeria
Arboviruses as an unappreciated cause of non-malarial acute febrile illness in the Dschang Health District of western Cameroon
Aranda-Díaz A.
Sensitive and modular amplicon sequencing of Plasmodium falciparum diversity and resistance for research and public health
Drug-resistance and population structure of plasmodium falciparum across the Democratic Republic of Congo using high-throughput molecular inversion probes
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THE REAL McCOIL: A method for the concurrent estimation of the complexity of infection and SNP allele frequency for malaria parasites
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Cameroon: emergence of highly resistantpfdhfr/pfdhpsalleles
Effect of sulfadoxine-pyrimethamine chemoprophylaxis in pregnant women on selection of the new P
falciparum dhps quintuple mutant carrying the I431V mutation
Flexible and cost-effective genomic surveillance of P
falciparum malaria with targeted nanopore sequencing
Artemisinin resistance in Plasmodium falciparum malaria
Detection of low-density Plasmodium falciparum infections using amplicon deep sequencing
In vitro evaluations of antimalarial drugs and their relevance to clinical outcomes
Plasmodium falciparum resistant to artemisinin and diagnostics have emerged in Ethiopia
Drug resistance and vaccine target surveillance of Plasmodium falciparum using nanopore sequencing in Ghana
Adapterama I: universal stubs and primers for 384 unique dual-indexed or 147,456 combinatorially-indexed Illumina libraries (iTru & iNext)
Guémas E.
Evolution and spread of Plasmodium falciparum mutations associated with resistance to sulfadoxine-pyrimethamine in central Africa: a cross-sectional study
Strong positive selection biases identity-by-descent-based inferences of recent demography and population structure in Plasmodium falciparum
SeekDeep: single-base resolution de novo clustering for amplicon deep sequencing
Ultra-sensitive detection of Plasmodium falciparum by amplification of multi-copy subtelomeric targets
Multiplexed ddPCR-amplicon sequencing reveals isolated Plasmodium falciparum populations amenable to local elimination in Zanzibar
Prevalence of mutations associated with artemisinin partial resistance and sulfadoxine-pyrimethamine resistance in 13 regions in Tanzania in 2021: a cross-sectional survey
Pooled amplicon deep sequencing of candidate plasmodium falciparum transmission-blocking vaccine antigens
Malaria molecular surveillance in the Peruvian amazon with a novel highly multiplexed plasmodium falciparum ampliSeq assay
Design and implementation of multiplexed amplicon sequencing panels to serve genomic epidemiology of infectious disease: A malaria case study
Sub-microscopic Plasmodium falciparum parasitaemia
dihydropteroate synthase (dhps) resistance mutations to sulfadoxine-pyrimethamine
transmission intensity and risk of malaria infection in pregnancy in Mount Cameroon Region
A deep sequencing tool for partitioning clearance rates following antimalarial treatment in polyclonal infections
Anti-folate quintuple mutations in Plasmodium falciparum asymptomatic infections in Yaoundé
Evolution of Plasmodium falciparum antimalarial drug resistance markers post-adoption of artemisinin-based combination therapies in Yaounde
Artemisinin resistance in Cambodia: A clinical trial designed to address an emerging problem in Southeast Asia
Molecular determinants of sulfadoxine-pyrimethamine resistance in Plasmodium falciparum in Nigeria and the regional emergence of dhps 431V
Mapping sulphadoxine-pyrimethamine-resistant Plasmodium falciparum malaria in infected humans and in parasite populations in Africa
Malaria species positivity rates among symptomatic individuals across regions of differing transmission intensities in mainland Tanzania
Evolutionary ARMS race: Antimalarial resistance molecular surveillance
The emergence of artemisinin partial resistance in Africa: how do we respond
Rovira-Vallbona E.
Molecular surveillance of Plasmodium falciparum drug-resistance markers in Vietnam using multiplex amplicon sequencing
Genetic diversity of plasmodium falciparum and distribution of antimalarial drug resistance mutations in symptomatic and asymptomatic infections
Pooled deep sequencing of Plasmodium falciparum isolates: an efficient and scalable tool to quantify prevailing malaria drug-resistance genotypes
Absence of putative artemisinin resistance mutations among Plasmodium falciparum in Sub-Saharan Africa: a molecular epidemiologic study
Antimalarial drug resistance in the Central and Adamawa regions of Cameroon: Prevalence of mutations in P
The impact of antimalarial resistance on the genetic structure of Plasmodium falciparum in the DRC
Molecular determinants of sulfadoxine-pyrimethamine resistance in plasmodium falciparum isolates from Central Africa between 2016 and 2021: wide geographic spread of highly mutated pfdhfr and pfdhps alleles
The assessment of antimalarial drug efficacy in vivo
PubMed Abstract | Crossref Full Text | Google Scholar
World Health Organization (2022)
Google Scholar
Molecular markers associated with drug resistance in Plasmodium falciparum parasites in central Africa between 2016 and 2021
High frequency of artemisinin partial resistance mutations in the great lake region revealed through rapid pooled deep sequencing
Bailey JA and Juliano JJ (2025) Application of a new highly multiplexed amplicon sequencing tool to evaluate Plasmodium falciparum antimalarial resistance and relatedness in individual and pooled samples from Dschang
Received: 10 October 2024; Accepted: 30 December 2024;Published: 05 February 2025
Copyright © 2025 Sadler, Simkin, Tchuenkam, Gerdes Gyuricza, Fola, Wamae, Assefa, Niaré, Thwai, White, Moss, Dinglasan, Nsango, Tume, Parr, Ali, Bailey and Juliano. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY)
distribution or reproduction in other forums is permitted
provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited
in accordance with accepted academic practice
distribution or reproduction is permitted which does not comply with these terms
*Correspondence: Jonathan J. Juliano, amp1bGlhbm9AbWVkLnVuYy5lZHU=
†These authors share first authorship
‡These authors share senior authorship
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image: This image illustrates the impact of Ruspolia nitidula (grasshopper) and Clupea harengus (fish) meals on rat health
Rats fed with grasshopper meal showed optimal improvements in libido
whereas those fed with fish meal exhibited moderate enhancements in similar health markers
As the global population grows and traditional livestock production increasingly strains environmental resources
there is a rising interest in alternative protein sources
are abundant in regions like Cameroon and provide essential nutrients
Addressing these challenges calls for in-depth studies on the nutritional benefits of insects such as Ruspolia nitidula
Conducted by the University of Dschang, Cameroon, and published (DOI: 10.26599/FSAP.2024.9240068) in the journal Food Science of Animal Products on August 30
this study examined the effects of substituting traditional Clupea harengus fish meal with Ruspolia nitidula grasshopper meal in rat diets
researchers evaluated how this dietary change impacted libido
assessing the insect meal's potential as a viable alternative protein source
The study demonstrated that replacing fish meal with Ruspolia nitidula grasshopper meal resulted in significant health improvements in rats
Those on the grasshopper diet exhibited enhanced libido
with increased intromissions and ejaculations compared to rats on fish meal or protein-deficient diets
with 94.58% of hairs in optimal condition in the grasshopper-fed group
compared to just 5.55% and 0.27% in the fish meal and protein-deficient groups
the grasshopper-fed rats showed greater body weight gain
indicating overall better health and nutrition
These findings underscore the grasshopper meal's potential as a sustainable and nutritionally superior alternative protein source
"Our findings highlight the significant potential of edible insects like Ruspolia nitidula as alternative protein sources
The grasshopper meal not only meets nutritional needs but also offers substantial health benefits
with far-reaching implications for both animal and human diets."
This research emphasizes the potential of Ruspolia nitidula as a sustainable
the findings suggest that grasshopper meal could play a role in addressing human malnutrition
With ecological advantages and health benefits
edible insects present a compelling solution for future food security and dietary enhancement
The North Cameroon Association for Ecological and Food Transition (ABC-ECOLO) for funding this study
About Food Science of Animal Products
Food Science of Animal Products, sponsored by Beijing Academy of Food Sciences, published by Tsinghua University Press and exclusively available via SciOpen, is a peer-reviewed
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10.26599/FSAP.2024.9240068
Nutritional and health benefits of Cameroonian grasshopper (Ruspolia nitidula) meal: effects on libido
are not responsible for the accuracy of news releases posted to EurekAlert
by contributing institutions or for the use of any information through the EurekAlert system
Copyright © 2025 by the American Association for the Advancement of Science (AAAS)
(Business in Cameroon) - Dschang cliff collapse halted traffic between West and Littoral regions
CFA3 billion allocated in 2025 public investment budget for repairs
Chinese company CFHEC to complete reconstruction in four months
Cameroon’s Ministry of Public Works has set aside over CFA3 billion to rebuild the collapsed road along the Dschang cliff in the West region
The project is listed in the 2025 public investment budget and will be carried out by China First Highway Engineering Corporation (CFHEC)
Work is expected to last around four months
killing at least five people and causing major property damage
traffic between the West and Littoral regions has been cut off
engineers recommended a new 367-meter route to bypass the collapsed section
Although the final contract has not yet been signed
Public Works Minister Emmanuel Nganou Djoumessi officially launched the project on March 15
CFHEC has started setting up at the site and moving in equipment
An alternative route is currently being used to maintain limited traffic flow
including clearing and grading the future road
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Rescue workers have found 12 bodies after landslides buried a road in western Cameroon
stating that there is no expectation of locating any survivors
State television CRTV relayed the statement made by Augustine Awa Fonka
“In our opinion there is no longer any possibility of finding survivors,” he told the station
“Only 12 bodies had been recovered from the site of the disaster
“Dozens more people are still missing
and the search for bodies is still continuing”
Two landslides occured at the Dschang cliff road on Tuesday
the second struck as emergency workers used heavy machines to clear the road
vehichles hit by the landslides include three 20-seater coaches
five six-seater vehicles and several motorbikes
According to the latest data from the World Health Organisation(WHO)
Cameroon’s roads are notoriously dangerous with almost 3,000 deaths each year in accidents
or more than ten deaths per 100,000 people
a tractor-trailer carrying passengers plunged off a cliff road into a ravine near the town of Dschang
killing eight people and injuring 62 others
Chinomso Sunday is a Digital Content Writer at News Central
contributing her combined skills to her professional endeavours
a former close associate of Senator Rabiu Musa Kwankwaso and a notable…
Home › Wellness
By StudyFinds Staff
Reviewed by Steve Fink
Cameroon — Forget kale and quinoa – the next superfood might be crawling around in your backyard
Researchers in Cameroon have uncovered the surprising health benefits of a grasshopper-based diet
suggesting these insects could be the key to better sleep
The study published in the journal Food Science of Animal Products reveals that rats fed a diet of Ruspolia nitidula
a type of edible grasshopper common in Cameroon
experienced significant improvements in several health markers compared to rats on other diets
As the world grapples with food security issues and a growing population, scientists are increasingly turning to unconventional protein sources. Insects
with their high nutritional value and low environmental impact
led by researchers at the University of Dschang in Cameroon
adds weight to the argument that insects could be more than just a sustainable food source – they might also offer unique health benefits
compared the effects of three different diets on rats: one based on Ruspolia nitidula meal (made from ground-up grasshoppers)
another using traditional fishmeal from herring
and a third diet lacking in animal protein
they monitored various health indicators in 216 rats
The results were striking. Rats on the grasshopper diet showed marked improvements across several health measures. Perhaps most notably, these rats experienced a significant boost in libido, with an increased frequency of sexual behaviors compared to rats on other diets
The grasshopper-fed rats also enjoyed better sleep
gaining nearly 12 hours of extra sleep per week compared to rats on the protein-deficient diet
The study found that an astonishing 94.58% of hairs examined from grasshopper-fed rats were in excellent condition – lying flat and flexible to the touch
only 5.55% of hairs from fishmeal-fed rats and a mere 0.27% from protein-deficient rats showed similar quality
with grasshopper-fed rats maintaining a healthy average weight of 180.10 grams
slightly higher than the fishmeal group at 172.76 grams
Rats on the protein-deficient diet lagged significantly behind at 146.15 grams
“Our findings highlight the significant potential of edible insects like Ruspolia nitidula as alternative protein sources,” Abdoul says in statement
“The grasshopper meal not only meets nutritional needs but also offers substantial health benefits
with far-reaching implications for both animal and human diets.”
While the idea of chomping on grasshoppers might not appeal to everyone
this research opens up exciting possibilities for nutrition and health
As we face global challenges in food production and seek ways to improve human health
unconventional solutions like insect-based diets could play a crucial role
The researchers divided 216 rats (108 males and 108 females) into three groups of 72 each
Each group received a different diet: grasshopper meal
the team measured various health indicators
monitored sleep patterns using special sensors
and observed sexual behaviors through video recordings
They also tested urine and fecal pH to assess digestive health
The grasshopper diet led to significant improvements across multiple health measures
Rats on this diet showed increased sexual activity
with more frequent mounting and intromission behaviors
gaining about 12 extra hours of sleep per week compared to the protein-deficient group
with over 94% of hairs examined showing ideal characteristics
and digestive health indicators were more balanced
It’s important to note that this study was conducted on rats
and results may not directly translate to humans
The study duration of 12 weeks provides insight into short-term effects
the study focused on a single species of grasshopper
and effects may vary with other insect species
The researchers suggest that the unique nutritional profile of Ruspolia nitidula
contributes to the observed health benefits
They highlight the potential of insect-based diets as a sustainable and nutritious food source
especially in regions where these insects are already part of traditional diets
The study opens up new avenues for research into insect-based nutrition and its potential health applications
from improving sexual health to addressing hair loss and sleep issues
The study was funded by the North Cameroon Association for Ecological and Food Transition (ABC-ECOLO)
The researchers declared no conflicts of interest
It’s worth noting that while this funding source suggests local interest in sustainable food solutions
readers should always consider potential biases in research funding
StudyFinds sets out to find new research that speaks to mass audiences — without all the scientific jargon
summarized versions of research that are intended to inform the reader as well as stir civil
but always thoroughly reviewed and edited by a Study Finds staff member
transparent research summaries that are intended to inform the reader as well as stir civil
educated debate. We do not agree nor disagree with any of the studies we post
we encourage our readers to debate the veracity of the findings themselves. All articles published on StudyFinds are vetted by our editors prior to publication and include links back to the source or corresponding journal article
become bald and remember the good sex from the past and dismiss the future of such fun
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Unveiling Tomorrow's Cameroon Through Today's News
that disrupted traffic along the Dschang-Santchou route
the governor confirmed that the second landslide resulted in four fatalities
and three heavy machines that were clearing the initial landslide
“Rescue operations are ongoing to recover the bodies of other potential victims,” said Governor Augustine Awa Fonka
The Dschang cliffside has long been recognized as a high-risk zone
is one of the first to result in such severe casualties and damage
Dschang cliff, an area prone to landslides and the site of many fatal accidents
This landslide buried a section of the regional road
leading to the deaths of over 12 people and disrupting traffic between Dschang and Santchou
has announced the reconstruction of the road
The information in contained in a release issued on 18th February
According to the release a new design will be incorporated which includes a drainage system and a hydraulic structure which will manage rainwater and prevent future landslides
travelers are recommended toq continue using the Molong-Kekem-Bafang-Bandja-Bandjoun section of National Road No
The minister has urged residents to help preserve hydraulic structures
he equally assured the public that the selected company’s expertise will confirm quality work
full reconstruction will commence after the validation of execution studies conducted by the company in charge
restoring safe and faster travel between Dschang and Santchou
les actualités camerounaises et la revue de presse Lebledparle.com à ne pas manquer
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Actualité du Cameroun ce matinDschang cliff
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Two landslides claimed the lives of at least four people and trapped others in their cars in western Cameroon on Tuesday
according to a statement from the local governor
“The provisional death toll stands at four” and “searches are continuing on the ground to find the bodies of other victims of this natural disaster”
said West regional governor Augustine Awa Fonka
Awa Fonka reported that the first landslide occurred around mid-morning on the Dschang cliff road
a section known for accidents that run through a mountainous region of the central African country
The governor said this incident briefly disrupted traffic
and emergency responders used heavy construction equipment to clear the road
A second “large-scale” landslide that occurred during the work buried “three heavy machines involved in the clearing”
Authorities halted traffic and advised local residents to avoid the area
Cameroon’s highways are known to be dangerous with nearly 3,000 fatalities reported annually due to accidents, equating to over ten deaths for every 100,000 residents, based on the most recent data from the World Health Organisation
a tractor-trailer filled with passengers fell off a cliff road into a ravine close to the town of Dschang
resulting in the deaths of eight people and injuring 62 others
Geology and geography experts from the University of Dschang have issued a warning of a possible third landslide following two deadly collapses on November 5
These landslides have already claimed five lives
academic researchers conducted a field study to assess the area
Their analysis suggests that the two previous landslides were part of a large-scale collapse in two phases
they have cautioned that a third landslide could still occur
the experts have recommended expanding the safety perimeter to keep residents away and prevent further casualties
The geography team emphasized the need to protect the local population by securing the area and implementing a sustainable management plan to reduce the risk of similar incidents in the future
researchers are urging authorities to restrict public access
and temporarily ban traffic along the route
These recommendations align with the government’s response
as Western Regional Governor Awa Fonka Augustine has enforced a temporary closure of the Dschang-Santchou road and restricted access to the danger zone
Minister of Transport Emmanuel Nganou Djoumessi has announced the identification of alternative routes
declaring that the Dschang-Santchou road is no longer viable
These actions aim to safeguard lives and prevent future tragedies in this increasingly unstable area
Rescue workers have recovered 12 bodies after landslides devastated a road in western Cameroon
with officials indicating there is little chance of finding survivors
“There is no longer any possibility of finding survivors,” according to broadcaster CRTV
The landslides struck the Dschang cliff road on Tuesday
with a second landslide hitting as emergency teams used heavy equipment to clear debris
Vehicles affected included three passenger coaches
The last body was recovered on Saturday morning
though the search continues for dozens still unaccounted for
Cameroon’s roads are known to be treacherous, with an estimated 3,000 traffic-related deaths annually. The latest landslide disaster follows a tragic accident in early September when a tractor-trailer carrying passengers plunged into a ravine near Dschang, resulting in eight deaths and dozens of injuries
A tragic road accident in western Cameroon has resulted in the deaths of eight people
The accident occurred overnight on the outskirts of Dschang
along a notorious stretch of road known as “the cliff,” which has a grim reputation for fatal crashes
The large vehicle involved was traveling toward Douala
when it reportedly malfunctioned and veered into a ravine
Dschang regional hospital received the injured and confirmed the fatalities
according to hospital director Michel Noubom
though local public health official Daouda Chimoun stated that their conditions are no longer life-threatening
This accident follows a pattern of deadly incidents on this road
four people lost their lives in a similar accident at the Dschang “cliff,” and in January 2018
21 people were killed in another crash on the same stretch
Cameroon’s roads are among the most dangerous in Africa, with over 6,000 people dying annually in traffic accidents
according to the World Bank and the World Health Organization
This translates to a rate of more than 30 deaths per 100,000 people
placing Cameroon among the continent’s deadliest countries to drive in
Cameroonian government figures are significantly lower
with a transport ministry report indicating 963 road deaths in 2021
secretariat@globalinitiative.net
Avenue de France 23 – Geneva, CH-1202 – Switzerland
Nguiffeu Tajouo is a lecturer and researcher at the University of Dschang in Cameroon and a consultant to international and regional organizations such as UNODC
He works on issues related to organized crime
money laundering and the financing of terrorism
After participating in expert workshops for the approval of the E4J University Modules
he assisted the UNODC and ERSUMA (The Higher Regional School of Magistracy) in organizing the first summer university session on organized crime in French-speaking Africa in 2019
Nguiffeu Tajouo also wrote a report for the working group responsible for studying money laundering in the real estate sector in Central Africa with GABAC
He has been working with SHERLOC/UNODC and CSU/UNODC for two years and is the author of several scientific publications
National Research Institute of World Economy & International Relations (IMEMO)
Programme Directior of Latin America and the Carribean
secretariat@globalinitiative.net
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Emergency Information for American Citizens
Keynote Speech by Ambassador Christopher J
Members of the University Board of Directors
in this beautiful amphitheater of the University of Dschang
Thank you to Vice Chancellor Tsafack for the invitation
It’s always so energizing for me to engage with students and faculty
I’ve been fortunate to have visited the Universities of Buea and Maroua
and the Cameroonian International Relations Institute (IRIC)
but being here at the University of Dschang is particularly special given the close relationship between this institution and the U.S
The University of Dschang has a long tradition of academic excellence
and we are proud to have contributed to the creation of this remarkable institution through a decade-long partnership between USAID and the Government of the Republic of Cameroon
USAID strove to more closely link university instruction with the real-world needs of Cameroonian farmers
continue to play a critical role in today’s complex and rapidly changing environment
and prepare members of the community to tackle local
are the result of ingenious ideas and research born from these very classrooms and laboratories
because we believe this is the best way to invest in the future
where together our partnership is helping to build a deeper mutual understanding and saving lives
I look forward to an interactive question-and-answer session afterwards
The United States is a longtime friend and partner of Cameroon
We continue to cooperate with Cameroon on a broad range of issues
including health; trade and business growth; fighting piracy
We help foster collaboration and strengthen linkages between U.S
We provide access to free digital library resources to assist students and faculty to get the information they need
We support projects to empower youth and develop their leadership skills across Cameroon
every year close to 100 Cameroonian students
and young professionals travel to the United States for educational and professional exchanges sponsored by the U.S
who are giving back to their communities upon their return
sharing what they learned in the United States
and exemplifying the enduring partnership between our two countries
We’re pleased that the University of Dschang has also taken advantage of these exchanges by welcoming American scholars and envoys in return
Andrea Drager worked with Professor Marie Louise Avana
and University of Dschang students on cutting-edge research in agroforestry
American film director and producer Mark Warshaw visited the university’s Fine Arts Institute in Foumban and had a rewarding exchange with the students and faculty
I’m particularly pleased to learn that the University of Dschang has partnerships with several U.S
academic institutions including the University at Buffalo and the Kentucky Institute for International Studies
It’s my hope that these partnerships continue to grow for the mutual benefit of Cameroonian and American students and scholars
These exchanges and partnerships embody the U.S
commitment and long-term work to invest in Africa’s tremendous human capital and in its institutions
As President Biden said at the U.S.- Africa Leaders Summit last year: “African voices
African innovation all are critical to addressing the most pressing global challenges.”
Important breakthroughs in medicine and climate change… Amazing innovations in information technology and other 21st Century industries… Tremendous entrepreneurship among women and young people… These are already occurring across the continent and here in Cameroon
and everyday citizens to facilitate this in countless ways
Turning now to health… Helping to improve health outcomes is a top priority for the United States
and civil society spans all 10 regions of Cameroon
this year we’re celebrating the 20th anniversary of PEPFAR—the United States President’s Emergency Plan for AIDS Relief
the United States has invested more than 385 billion Francs CFA through PEPFAR
making tremendous progress in the fight against HIV/AIDS and strengthening Cameroon’s health system
This longstanding partnership also laid a critical foundation that helped Cameroon prepare and respond to other pandemics
we support the Dschang Regional Hospital Annex to provide HIV testing
the United States has invested more than 80 billion Francs CFA in Cameroon since 2017
helping to decrease child mortality by more than 35 percent
a powerful example of the longstanding friendship and partnership between our two countries—Peace Corps
Last September marked the 60th anniversary of Peace Corps Cameroon
has seen more than 3,900 volunteers come here
Many Cameroonians have told me about remarkable Peace Corps Volunteers who touched their lives and many remarkable Cameroonian communities have shaped the lives of Volunteers in return
everything I’ve been talking about this morning is really about people
Government might be — and has been — a positive actor and catalyst for that
I would like to thank the university community for your commitment to excellence in your respective fields
You can find more information here
You can find more information here
Information about our exchange programs is posted here
You can check for job opportunities at the embassy by visiting https://cm.usembassy.gov/jobs/
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