J Arthropod-Borne Dis, December 2018, 12(4): 432–433 PG de Mendonça: Troubleshooting Real-Time … 432 http://jad.tums.ac.ir Published Online: December 25, 2018 Letter to the Editor Troubleshooting Real-Time PCR Screening for Leishmania infantum Philippe Gil de Mendonça Institute of Comparative Tropical Medicine and Parasitology, Ludwig Maximilian University, Munich, Germany (Received 3 Jan 2018; accepted 13 Nov 2018) Dear Editor-in-Chief The parasite Leishmania infantum is a wide- spread cause of concern to both human and vet- erinary medicine (1-3). A simple and quick real- time PCR protocol was proposed for screening samples for L. infantum (4). This protocol was efficiently applied in various studies (4-7). How- ever, during informal discussions at internation- al meetings, colleagues complained of difficul- ties in applying this protocol. Such complaints are common and usually overcome through op- timization, however, the opportunity to use a different type of thermocycler whilst on a visit abroad flagged the seriousness of that complaint. The reason for the difficulties encountered lies in a weakness of this PCR protocol. Indeed, the annealing temperature of the probe is sub- stantially lower than the annealing temperature of the primers, whereas this should be the re- verse. The implication of this is that if using a fast cooling thermocycler with Peltier element, the real-time PCR will work as expected (see Fig. 2 in reference 5), although the curves some- times look somewhat "stretched", which is a symptom of suboptimal PCR conditions. How- ever, if using a slow cooling (e.g. air-cooled) thermocycler, the real-time PCR may look like it failed, as no curves will appear. In such a case, the primers annealed much earlier than the probe, and the Taq polymerase was fast enough to elon- gate the DNA target before the probe had at- tached. This results in no fluorophore release and thus no positive signal detection. How- ever, an agarose gel electrophoresis will reveal that the PCR amplification was successful, while the fluorogenic detection failed. This is an important limitation to be aware of. The implication is that researchers using a slow cooling thermocycler will have no chance to observe a real-time detection signal. They will have no other option than to run an agarose gel electrophoresis, thus losing both the specificity of the TaqMan probe and the sensitivity of the real-time detection. Researchers having a fast cooling thermocycler may continue using this relatively old protocol, whereas laboratories re- lying on air-cooled equipment ought to opt for alternative real-time PCR protocols. Many real- time PCR protocols (including TaqMan proto- cols) have been developed and can be tested and selected to suit the technical requirements and limitations of each laboratory. Air-cooled, i.e. slow cooling thermocyclers, are however a limiting factor in many cases! If real-time de- tection is unsuccessful, then sequencing of am- plicons might be required to confirm specific amplification. Indeed, the added specificity of the TaqMan probe is missing in such cases. Re- searchers in Asia (8) cautiously opted for se- quencing their Leishmania isolates following conventional amplification. A wise example to follow is such cases indeed. Conflict of interest The author declare that there is no conflict of interest. Corresponding author: Dr Philippe Gil de Men- donça, E-mail: pgm@cantab.net J Arthropod-Borne Dis, December 2018, 12(4): 432–433 PG de Mendonça: Troubleshooting Real-Time … 433 http://jad.tums.ac.ir Published Online: December 25, 2018 References 1. 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