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Examples of results from PCR assays for mosquito DNA extract quality (Figure 1), Anopheles arabiensis molecular identification (Figure 2) and P. falciparum detection (Figure 3) show that the simplified Chelex method yields similar results to the standard salting out protocol10, despite much fewer steps (Table 1). With comparable DNA quality in the respective extracts it is not surprising that sample positivity rates with respect to An. gambiae sibling species as well as parasite infection rates were not statistically different based on McNemar's chi-square test (Figure 3).
Sensitivity (%) was calculated as TP/(TP+FN)*100, where TP denotes true positives and FN denotes false negatives. Specificity (%) was determined as TN/(TN+FP)*100, where TN denotes true negatives and FP denotes false positives. The DNA quality (ND4) PCR showed 93% sensitivity and 82% specificity for the Chelex approach compared to the established salting out protocol as gold standard. Corresponding values of sensitivity and specificity were 100% and 78%, respectively, using sibling species identification PCR and 92% and 80%, respectively for P. falciparum detection PCR.
The addition of BSA to reaction mixtures resulted in a general increase of PCR positives (Figure 3) due to relief of PCR inhibitors14, for both the simplified Chelex and regular salting out protocol. However, this increase was not statistically significant except for DNA quality (ND4 PCR) on Chelex extracts (p = 0.039). Allele-specific restriction enzyme digestion on P. falciparum DHFR (or other target gene) amplicon enables the genotyping of mid-gut and salivary gland malaria infections for drug resistance alleles (Figure 4; salivary gland data not shown).
| Simple Chelex Procedure | Standard Salting out Procedure |
| Steps | Reagents | Steps | Reagents |
- Add specimen to 1.5 ml microfuge tube and homogenize in 100 μl of 1X PBS/1% Saponin solution (2 min).
- Leave at room temperature for 20 min.
- Spin at 20,000 x g for 2 min and discard supernatant.
- Add 100 μl of 1X PBS and mix gently by momentarily vortexing (3 sec).
- Spin at 20,000 x g for 2 min and discard supernatant.
- Add 25 μl of 20% w/v Chelex in deionized water and 75 μl sterile deionized water.
- Pierce hole in lid of sample tube using hot, sterile 23G hypodermic needle and boil tube contents for 10 min.
- Spin microfuge tube at 20,000 x g for 1 min.
- Transfer supernatant into sterile prelabeled vial and store DNA solution at -20 °C until use (2.5 μl in 25 μl PCR reaction).
|
PBS
Saponin
Chelex-100 beads
|
- Add specimen to 1.5 ml microfuge tube and homogenize in 100 μl Bender buffer* with 1% DEPC (2 min).
- Incubate at 65 °C for 1 hr.
- Add 15 μl cold 8 M potassium acetate. Mix gently and incubate on ice for 45 min.
- Spin sample in microfuge tubes at 20,000 x g for 10 min and transfer supernatant to a new 1.5 ml tube.
- Add 250 μl of 100% ethanol and mix well by inverting the tube.
- Incubate sample at RT for 5 min.
- Spin samples at 20,000 x g for 15 min.
- Aspirate and discard supernatant, leaving the pellet to dry completely in the tube (30 min).
- Resuspend pellet in 20 μl of 0.1X SSC + RNAse (10 μg/ml) overnight at 4 °C.
- Add 80 μl DEPC water and store at -20 °C until use.
|
Diethylpyrocarbonate (DEPC)
*Bender Buffer:
0.1 M NaCl
0.2 M Sucrose
0.1 M Tris-HCL
0.05 M EDTA, pH 9.1
0.5% SDS in DEPC water
8 M Potassium acetate
Ethanol
0.1X Saline sodium citrate (SSC) buffer
RNAse (10 μg/ml) |
| TOTAL TIME: 37 min | TOTAL TIME: 2 hr 47 min, plus overnight |
Table 1. Step by step comparison of the reagents and time requirements for simple Chelex protocol and standard salting out method for DNA extraction from mosquito specimens.

Figure 1. ND4 mitochondrial PCR comparison of DNA quality from simplified Chelex "C" and standard salting out "M" extracts on Anopheles arabiensis field samples. NC, negative control; M1 and C1, M2 and C2, M3 and C3, and M4 and C4 are paired salting out and Chelex extracts from same An. arabiensis mosquito specimens. L, 100 bp DNA ladder.

Figure 2. Molecular identification PCR for Anopheles arabiensis. C1 and M1, C2 and M2, C3 and M3, C4 and M4 denote respective amplicon from salting out "M" and simplified Chelex "C" DNA extracts for same mosquito specimens; AR, Anopheles arabiensis positive control; L, 100 bp DNA ladder.

Figure 3. Detection of positives on Chelex and salting out DNA extracts for mosquito field samples, with PCR assays for molecular identification of Anopheles arabiensis (AR)10, arthropod NADH dehydrogenase gene 4 (ND4) DNA quality test11, and antifolate drug resistance P. falciparum DHFR genotyping12 (F-M4). Results shown for assays run with or without BSA in the reaction mix. McNemar's chi-square test was used to determine if the differences between percent of positive PCRs from DNA extracted from the simplified Chelex and the standard salting out protocols were statistically significant.

Figure 4. Application of simplified Chelex protocol in genotyping P. falciparum infections in mosquitoes (mid-gut data shown) for drug resistance alleles. BstN I digestion on amplicon flanking codon 108 of the P. falciparum DHFR gene12 shows cycloguanil-resistant S108T mutants in mosquito samples (M1-M5; mid-gut data shown). U, undigested 522 bp amplicon; FCR3, laboratory standard P. falciparum positive control clone carrying S108T; K1, P. falciparum laboratory standard clone negative control carrying cycloguanil-sensitive S108N; L, 100 bp DNA ladder.