Over the past 15 years, there has been a dramatic evolution in molecular ap
proaches to study parasites and parasitic diseases. Many of these advanceme
nts have been brought about through the development of new applications of
the polymerase chain reaction (PCR). Enhancements in sensitivity that can b
e achieved using PCR now permit scientists to investigate changes at the le
vel of a single cell, far below what is often needed for parasite-derived a
pplications. PCR has had a substantial impact on advances made in the areas
of parasite systematics and epidemiology, immunology and host-parasite int
eractions, recombinant DNA vaccine development and most recently, the analy
sis of whole genomes either through directly sequencing the DNA, the analys
is of expressed sequence tags (ESTs) or through the rapidly growing field o
f functional genomics. This paper, however, focuses on the application of P
CR methodology to parasite detection and differentiation, and the diagnosis
of disease. Specific attention is given to advances provided by multiplex
PCR, fluorescence-based "real-time" PCR, and the utilization of PCR as a qu
antitative technique. Published by Elsevier Science B.V.