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High-throughput approach to detection of


knockdown resistance (kdr) mutation in
mosquitoes, Culex quinquefasciatus, based...

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DOI: 10.1002/ps.2044 Source: PubMed

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Research Article
Received: 10 June 2010 Revised: 9 August 2010 Accepted: 24 August 2010 Published online in Wiley Online Library:

(wileyonlinelibrary.com) DOI 10.1002/ps.2044

High-throughput approach to detection


of knockdown resistance (kdr) mutation in
mosquitoes, Culex quinquefasciatus, based on
real-time PCR using single-labelled
hybridisation probe/melting curve analysis
Manas Sarkar,a Indra Baruah,a Ravi B Srivastava,b Aparajita Borkotokic
and Indra Kumar Bhattacharyyad

Abstract
BACKGROUND: Knockdown resistance (kdr) mutation (L1014F) is a well-defined mechanism of resistance to pyrethroids
and DDT in many insect species. Sensitive detection of the mutations associated with resistance is a prerequisite for
resistance management strategies. The authors have developed a new real-time molecular diagnostic assay based on
SimpleProbe /melting curve analysis for large-scale kdr genotyping in the wild population of Culex quinquefasciatus Say, the
principal vector of bancroftian filariasis. Melting curve analysis is based on the thermal stability difference between matched
and mismatched DNA duplexes. The application of SimpleProbe chemistry in insects described here is novel in entomology
research.

RESULTS: The mosquitoes homozygous for knockdown-resistant and knockdown-susceptible allele showed melting peaks at
60.45 C ( 0.25) and 64.09 C ( 0.24) respectively. The heterozygous mosquitoes yielded both peaks at approximately 60.5 C
( 0.2) and 64.20 C ( 0.23). Among the 92 samples genotyped, 16 were found to be homozygous resistant, 44 homozygous
susceptible and 32 heterozygous. Comparative assessments were made of all the reported methods for kdr genotyping.

CONCLUSION: The present method is cheaper, faster, more reliable and versatile than other alternatives proposed in detecting
correct kdr genotypes in mosquitoes. This is the first report using a single-labelled hybridisation probe to detect point mutations
in insect populations.
c 2010 Society of Chemical Industry
Supporting information may be found in the online version of this article.

Keywords: knockdown resistance; genotyping; insecticide resistance; SimpleProbe ; real-time PCR; vector management; India

1 INTRODUCTION This resistance mechanism is termed knockdown resistance (kdr).


Culex quinquefasciatus Say mosquitoes are the main vector of Extensive research has shown that kdr or kdr-like mechanisms
the nematode parasite Wuchereria bancrofti Cobbold, an agent result from a leucine to phenylalanine (L1014F) replacement in
of lymphatic filariasis not only in India but also throughout transmembrane segment 6 of domain II of the sodium channel.7 10
continental Asia.1 The approach to prevent transmission of Insecticide resistance management requires rapid high-
filariasis and other mosquito-borne diseases has extensively relied throughput assays for detection of resistance-associated mu-
on the application of insecticides.2 Intensive exposure to these
insecticides has inevitably resulted in the evolution of insecticide

resistance in the mosquitoes. The emergence of insecticide Correspondence to: Manas Sarkar, National Centre for Disease Control, 22-
Sham Nath Marg, Delhi-54, India. E-mail: manas sarkar54491@yahoo.com
resistance represents a major concern for effective management
of vector-borne diseases.3 a Medical Entomology Division, Defence Research Laboratory (DRDO), Tezpur,
DDT and pyrethroids alter the normal function of the voltage- Assam, India
gated sodium channel, resulting in prolonged channel opening b Directorate of Life Science, Defence Research and Development Organisation,
which causes increased nerve impulse transmission, leading to New Delhi, India
paralysis and death.4,5 Resistance to DDT and pyrethroids is
c Department of Zoology, Gauhati University, Assam, India
often associated with mutations in the sodium channel gene
that cause reduced neuronal sensitivity to these insecticides.6 d Cotton College, Guwahati, Assam, India

Pest Manag Sci (2010) www.soci.org 


c 2010 Society of Chemical Industry
www.soci.org M Sarkar et al.

tations, and there are currently several different methods


available for detecting the genetic changes responsible for
kdr in mosquitoes.6 The most widely used method is allele-
specific PCR (AS-PCR),11 13 but more recently a number of
other assays have been described in insect systems. These
are heated oligonucleotide ligation assay (HOLA),14 sequence-
Figure 1. Principle of SimpleProbe detection. (A) Fluorescence is
specific oligonucleotide probe enzyme-linked immunosorbent quenched by an internal linker non-fluorescent quencher (Q) when the
assay (SSOP-ELISA),15 PCR-Dot Blot,16 fluorescence resonance en- probe is free in solution. (B) Fluorescence emission from reporter dye
ergy transfer (FRET)/melting curve analysis,17 PCR elongation with fluorescein (F) when probe is annealed to its complementary target. This
fluorescence,18 TaqMan and high-resolution melt (HRM),6 the format is the so-called SimpleProbe format.
amplification refractory mutation system (ARMS) and primer-
introduced restriction analysis PCR (PIRA-PCR).19 However, all
a unique code, each code corresponding to a number serially
these methods have some relative advantages and disadvantages
arranged for final interpretation of results.
(safety, cost, speed, simplicity, sensitivity, etc.). For any genotyping
experiment, specificity, sensitivity, simplicity and high throughput
are very important parameters. 2.3 Target sequence, primer and probe designing
The authors have developed a new real-time molecular Two sequences (FJ182226 and FJ970025) of the IIS6 domain
diagnostic assay based on melting curve analysis (MCA) using of the voltage-gated sodium channel (vgsc) isolated from
a single-labelled special type of simplified hybridisation probe Cx. quinquefasciatus population from this part of the world22 were
for detection of kdr mutation in Cx. quinquefasciatus mosquitoes. used to design the probe and primers in this new genotyping
This probe format is the so-called SimpleProbe format. Typically, assay for the detection of this kdr mutation. Previously, the
such a probe is designed to hybridise to a target sequence that authors submitted these sequences, which contain a SNP site
contains the single nucleotide polymorphism (SNP) of interest (TTA/TTT) known as knockdown resistance (kdr) at position 127,
(here, kdr), thereby perfectly matching to a distinct allelic variant. to the GenBank.22 A single-labelled simplified hybridisation probe
Melting curve analysis is based on the thermal stability difference was designed that consists of a single oligonucleotide internally
between matched and mismatched DNA duplexes.20,21 Thus, a labelled with a specific, non-fluorescent quencher and fluorescein
probe/target duplex containing a destabilising mismatch melts through proprietary linker chemistry. Fluorescence signalling is
off at a lower temperature compared with a probe/target duplex dependent on the probes hybridisation status: once hybridised to
containing a perfect match. The application of SimpleProbe its target sequence, the probe emits more fluorescence light than
chemistry in insects has not yet been reported. This is the first it does when it is free floating in solution (Fig. 1).
report using a SimpleProbe assay to detect point mutations in The LightCycler Probe Design software 2.0, v.1.0.R.36 (Roche
insect populations. Applied Science, IN), is used to design real-time PCR primers
and the single-labelled probe. Two primers, vgsc F (gATCgAATC
CATgTgggACTg) and vgsc R (CggTATgAACTgTTTgTTTCCAT),
along with the probe SP [A] (gAATACTCACgACTAAATTTCCTX
2 MATERIALS AND METHODS IATCACT-PH), were designed for the genotyping assay. The
2.1 Mosquito population and insecticide susceptibility SimpleProbe for kdr was internally labelled with fluorescein
status and blocked with phosphate at the 3 -end. Primers and probes
Culex quinquefasciatus mosquito samples used in the study were synthesised in TIB MOLBIOL (Berlin, Germany). The melting
were collected from Assam, India. Details on study sites and temperature (Tm ) for the SimpleProbe was determined both
their ecoenvironmental settings were described in a previous through the software (theoretical) and empirically with the
publication.22 Insecticide susceptibility assays were performed appropriate control DNA on the LightCycler. The probe was
from these areas earlier, where the authors reported a significant designed to match the wild-type allele (knockdown susceptible,
level of resistance to DDT and incipient resistance to pyrethroids.23 TTA) (Fig. 2).
After bioassay in the field, dead (susceptible) and alive (resistant)
mosquitoes were collected and stored separately with silica gel,
2.4 Simple-probe genotyping: PCR amplification
and were carried to the laboratory for molecular study. and melting curve analysis
All SimpleProbe PCR reactions were performed in 96-well
2.2 PCR template preparation plates using LightCycler 480 Genotyping Master Mix c
containing
Genomic DNA from 100 individual mosquitoes was extracted using a modified Taq DNA polymerase, reaction buffer, MgCl2 and
High Pure PCR Template Preparation c
kit (Roche Diagnostics, dNTPs (Roche Diagnostics, Mannheim, Germany) with a total
Mannheim, Germany) with modifications for real-time genotyping volume of 20 L per well. The kdr genotyping was performed
of kdr. The protocol of the commercial DNA preparation kit on the LightCycler 480 instrument (Roche Applied Science, IN).
was optimised according to the weight of the starting materials Before starting the PCR run, the microwell plate was sealed and
(mosquito tissue). Individual mosquitoes were homogenised in a centrifuged to avoid air bubbles in the liquid phase and/or prevent
mixture of 50 L tissue lysis buffer (kit content) and incubated with liquid from sticking to the wall of the microwell plate tubes.
10 L proteinase K. DNA was prepared by mixing the homogenates Asymmetric PCR was used to obtain more copies of the strand
with 50 L binding buffer and 150 L inhibitor removal buffer (kit complementary to the probe and reduce competitive binding.24
content). The spin columns were washed with 300 L wash buffer In the present study, asymmetric PCR was performed with a final
(kit content). Finally, the DNA was eluted in 75 L elution buffer concentration of 2.5 M for the forward primer (vgsc F, excess
(kit content). For all other steps, the user manual of the kit was primer) and 0.5 M for the reverse primer (vgsc R, limiting primer).
followed. All 100 mosquito DNA samples were distinguished by SimpleProbe was used at a final concentration of 0.2 M. The

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High-throughput real-time genotyping of kdr mutation in Cx. quinquefasciatus www.soci.org

Figure 2. The position of primers and probe in the referral sequence (FJ182226). The mutation site is shown as A > T. Boxes represent the palindrome
sequences in the vgsc-IIS6 gene fragment.

final concentration of MgCl2 was adjusted to 3 mM. Thermal control PCR band containing the kdr flanking regions, amplified
cycling for the LightCycler was performed as follows: an initial using Cq1 and Cq2 primers as reported earlier,22 was extracted
denaturation (pre-incubation) at 95 C for 10 min (ramp rate: from the agarose gel using MiniEluteTM Gel Extraction kit (Qiagen,
4.4 C s1 ), followed by 45 cycles of amplification at 95 C for 10 s Cat. No. 28 604) and directly sequenced on both strands using an
(ramp rate: 4.4 C s1 ), 53 C for 20 s (accusation mode: single; ABI automated sequencer.
ramp rate: 2.2 C s1 ) and 72 C for 20 s (ramp rate: 4.4 C s1 ). A
final melting curve cycle was performed by raising the temperature
to 95 C for 10 s (ramp rate: 4.4 C s1 ), followed by a two-step 3 RESULTS
probe annealing, initially at 48 C for 20 s (ramp rate: 1.5 C s1 ) 3.1 Designing the probe for knockdown resistance (kdr)
and a final annealing step at 40 C for 4 min (ramp rate: 1.5 C s1 ); detection
after the final annealing step, the temperature was raised to 75 C One single-labelled probe (SimpleProbe ) has been designed
(ramp rate: 1.5 C s1 ) with continuous fluorescent acquisition, to detect kdr mutation. The SimpleProbe was designed to
followed by a cool down to 40 C for 30 s. A continuous read match exactly the wild-type allele (knockdown susceptible, TTA)
was made in the 530 nm detection channel during the entire (Fig. 2). An in silico analysis of the designed SimpleProbe
fluorescent acquisition period. was performed using the NCBI-BLAST program; it was found
The fluorescence signals (F) in real time were plotted against that the probe used in the present study for detection of
temperature (T) to produce melting curves for each sample. kdr mutation in Cx. quinquefasciatus mosquitoes could also
Melting curves were then converted into negative derivative be used for kdr genotyping in any mosquito species within
curves of fluorescence (465510) with respect to temperature the Culex pipiens complex. The SimpleProbe contains a self-
(dF/dT) by the LightCycler 480 Data Analysis software, v.1.5.0 quenching fluorescent dye, creating a brighter signal when
(Roche Applied Science, IN). Melting curve analysis was performed bound to the complementary sequence. Slowly increasing the
using the Tm calling feature of the software. The software temperature of the reaction (melting curve analysis step) causes
then grouped similar melting curves and automatically called a dissociation of the probe from its target, accompanied with
genotypes based on melting standards for known genotypes in a loss of fluorescence. The dissociation is target specific, where
the experiment. each mismatch due to kdr mutation (TTA to TTT) lowers the
dissociation temperature. Therefore, a single low-temperature
peak indicates the homozygous mutation (RR) state, double
2.5 Allele-specific PCR assay peaks represent a heterozygous condition (RS) and a single
After real-time genotyping assay, from the 100 samples de- high-temperature melting peak is indicative of a homozygous
scribed in Section 2.2, 30 mosquito DNA samples were randomly wild (i.e. knockdown susceptible, SS), fully probe-matched target
selected for allele-specific PCR (AS-PCR) assay to cross-check (supporting information Figure S1).
SimpleProbe genotyping results. Although all the 100 mosquito
DNA samples were numbered serially, for AS-PCR assay the
3.2 SimpleProbe assay for kdr genotyping
samples were selected double blindly to avoid bias in result
After minimal optimisation using DNA templates of known geno-
interpretation. The PCR was performed to detect kdr mutation
type obtained from a previous experiment reported elsewhere,22
in a single mosquito following the protocol described earlier,22
the kdr SimpleProbe assays showed excellent discrimination of
using four primers (Cq1: 5 GTGGAACTTCACCGACGCATTC3 ;
the two alleles. The mosquitoes homozygous for knockdown-
Cq2: 5 GCAAGGCTAAGAAAAGGTTAAG3 ; Cq3: 5 CCACCGTA
resistant (TTT/TTT) allele showed a melting peak at 60.45 C
GTGATAGGAAATTTA3 ; Cq4: 5 CCACCGTAGTGATAGGAAATTTT3 ).
( 0.25), and the mosquitoes homozygous for knockdown-
The DNA fragments were separated by electrophoresis on 2%
susceptible (TTA/TTA) allele showed a melting peak at 64.09 C
agarose gels and were visualised by ethidium bromide staining
( 0.24) (Fig. 3). The SimpleProbe formed a perfect match
under UV light.
with the knockdown-susceptible (TTA) sequence, which re-
sulted in higher Tm of the probe by 4.0 C than a mismatch
2.6 DNA sequencing with the knockdown-resistant (TTT) sequence. The heterozygous
DNA sequencing of the 510 bp internal control PCR products mosquitoes yielded both peaks at approximately 60.5 C ( 0.2)
was conducted, amplified by AS-PCR assay, to cross-check the and 64.20 C ( 0.23) (Fig. 3).
comparative genotyping efficacy of SimpleProbe and AS-PCR After optimisation of the SimpleProbe -based PCR/MCA assay,
assay in detecting correct kdr mutation. This 510 bp internal 92 out of 100 samples (92.0%) were successfully amplified. It was

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c 2010 Society of Chemical Industry wileyonlinelibrary.com/journal/ps
www.soci.org M Sarkar et al.

Figure 3. kdr genotyping by Tm calling. The mosquitoes homozygous for knockdown-resistant (TTT/TTT) allele showed a melting peak at 60.45 C
( 0.25), and the mosquitoes homozygous for knockdown-susceptible (TTA/TTA) allele showed a melting peak at 64.09 C ( 0.24). The heterozygous
mosquitoes yielded both peaks at approximately 60.5 C ( 0.2) and 64.20 C ( 0.23).

did not produce any characteristic band (Table 1). Although the
Table 1. Evaluation of SimpleProbe /MCA assay followed by AS-PCR
and DNA sequencing and comparative performance of SimpleProbe
AS-PCR assays were adapted to give readily interpretable results,
and AS-PCR assay in kdr genotyping little discrepancy was found between the SimpleProbe /MCA and
the AS-PCR results for five Cx. quinquefasciatus samples (Table 1).
AS-PCR DNA sequencing By comparing the SimpleProbe /MCA and the AS-PCR results
based on randomly selected 30 Cx. quinquefasciatus samples,
SimpleProbe kdsb kdrc kds/kdrd kds kdr kds/kdr
genotypes (na ) (SS) (RR) (SR) Negative (SS) (RR) (SR) nine mosquitoes showed the same homozygote genotype for
L1014L (kds). Both assays showed the same heterozygous
kds (SS) (12) 9 0 2 1 12 0 0 genotype (kds/kdr) for seven samples and the same homozygote
kdr (RR) (10) 1 9 0 0 0 10 0 for L1014F (kdr) allele for nine Cx. quinquefasciatus samples
kds/kdr (SR) (8) 0 1 7 0 0 0 8 (Table 1). The two heterozygous (kds/kdr), one homozygous-
a n: number of samples. susceptible (kds) and one homozygous-resistant (kdr) sample in
b kds (SS): homozygous knockdown susceptible (TTA/TTA). AS-PCR assay were actually scored as homozygous susceptible
c kdr (RR): homozygous knockdown resistant (TTT/TTT). (kds), homozygous resistant (kdr) and heterozygous (kds/kdr)
d
kds/kdr (SR): heterozygous for L1014/wild type (TTA/TTT). respectively in SimpleProbe assay (Table 1).
DNA sequencing was performed for the internal control band
of the AS-PCR containing the kdr mutation site and the flanking
found that the real-time SimpleProbe assay is sensitive, with region to sort out the discrepancies between SimpleProbe and
only eight failed reactions. All eight non-amplified and ambiguous AS-PCR genotyping results. Sequence analysis revealed that in
samples were re-run once, but repeated attempts to amplify the all cases the SimpleProbe /MCA method gave the correct result
region of interest were unsuccessful in spite of over 50 cycles of (Table 1).
PCR. It is likely that this DNA was badly degraded or contained
strong inhibitors of PCR. Among the 92 samples successfully
genotyped, 16 were found to be homozygous resistant (kdr, RR), 4 DISCUSSION
44 homozygous susceptible (kds, SS) and 32 heterozygous (kdr/kds, In this study, a method that allows kdr genotyping in a
RS). The observed and expected homozygotes are 44 (obs.) and single step has been developed and evaluated. The method
39.13 (exp.) for kds (SS) and 16 (obs.) and 11.13 (exp.) for kdr (RR) relies on differences in melting temperatures between matched
genotypes, whereas heterozygote frequencies are 32 (obs.) and and mismatched DNA duplexes. SimpleProbe labelled with
41.74 (exp.), which did not differ significantly (p[ 2 ] = 0.0252) fluorescein to detect kdr and kds allele in mosquitoes was
from HardyWeinberg equilibrium. designed and evaluated. This real-time PCR assay using a single-
labelled fluorescence probe gave excellent results for the Leu-Phe
3.3 AS-PCR assay and DNA sequencing substitution characteristic of kdr resistance. This is the first time
After SimpleProbe /MCA, 30 samples were randomly selected that the use of SimpleProbe chemistry has been described in the
from the 100 samples for AS-PCR assay. The experiments were entomology literature.
done doubly blindly, but the entire mosquito DNA samples were This new kdr genotyping assay with SimpleProbe /MCA
numbered serially for final interpretation of results. It proved provides a reliable method for detecting the substitution linked
possible successfully to genotype 29 samples out of the total 30 by to kdr resistance. Successful genotyping scores were achieved
AS-PCR; the remaining one sample yielded a negative score even even with very old, dry and stored samples (data not shown).
after a second run. By AS-PCR assay, ten samples were detected As expected, the homozygous susceptible wild-type samples
as homozygous susceptible (kds), ten samples as homozygous showed the highest melting temperature. The existence of a
resistant (kdr) and nine samples as heterozygous, and one sample nucleotide mismatch (homozygous resistant, kdr) between the

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High-throughput real-time genotyping of kdr mutation in Cx. quinquefasciatus www.soci.org

target DNA and the hybridisation probe produced a lower Tm because only a notably different Tm on matched and mismatched
than the Tm of the wild-type sequence. A trial was conducted targets is required.27 The cost per sample for the reagents and
on randomly selected samples to compare the SimpleProbe consumables for melting curve analysis was approximately 60%
method with the commonly used AS-PCR approach followed by less than TaqMan assay in 96- and 384-well plates.28 However,
DNA sequencing. The genotypes were unambiguously determined one potential limitation of the SimpleProbe detection method,
by the SimpleProbe technique, whereas the AS-PCR results were described here, is the lack of ability to multiplex with a single probe,
more difficult to interpret and often required a repeat reaction. and multiple probes are required for simultaneous detection of
The present method offers high-quality outcomes and minimum multiple mutations.
interferences between probe signals and is 100% concordant with In conclusion, the SimpleProbe assay results in clearly
the reference DNA sequences. interpretable melting peaks for the different kdr genotypes.
Many genotyping approaches have been reported for kdr Moreover, homozygotes and heterozygotes can easily and
mutation in insects. Here, the authors present comparative accurately be distinguished using this methodology, which
assessments of all the reported methods for kdr genotyping makes the technique suitable for rapid, simple and large-scale
based on their own data and on information derived from the genotyping of kdr in population screening experiments. In the
literature (supporting information Table S1). Comparison was authors hands, the method is more reliable, specific, speedy
made in terms of simplicity, sensitivity, specificity, speed, cost and sensitive compared with other high-throughput methods,
and safety of the methodology. The first method is the widely it is less ambiguous and it may be more sensitive for the
used AS-PCR assay.11,12 The very low amplification efficiency detection of heterozygotes. Hence, this new high-throughput
of this PCR precludes the analysis of DNA samples of low SimpleProbe /MCA assay will improve the screening of the
concentration or of poor quality. However, a number of recent kdr frequencies in mosquitoes. While this system has been
reports have described AS-PCR as relatively less sensitive and specifically designed to assay kdr resistance allele frequencies
questioned the reliability of this technique in detecting kdr in Cx. quinquefasciatus, it is broadly applicable where single
mutation.14,17,18,22,25 The second approach is PCR-SSOP or SSOP- nucleotide polymorphisms are an important mechanism of
ELISA,15 which requires approximately 5 h 30 min running (17 resistance to insecticides. Finally, this method is cheaper, faster,
steps); an additional hybridisation step is required, along with more reliable and versatile, and may be a good alternative method
two PCR primers and three SSOPs; this may explain why it has for detection of kdr and/or related SNPs.
not been used as extensively as the AS-PCR. A third method
based on a hot ligation oligonucleotide assay (HOLA)14 is more
complex (16 steps) and time consuming (6 h 30 min) than the ACKNOWLEDGEMENTS
other methods, but it is high throughput and has the advantage The authors thank Mr Sirsendu Bhowmik and Mr Krishnendu
of requiring no electrophoresis equipment. Another method, PCR- Chatterjee for their technical assistance during the early stage of
Dot Blot,16 is very time consuming (approximately 1618 h; 16 the experiment set-up. They wish also to thank Dr Shibnarayan
steps) and is not much used for kdr genotyping. In contrast, a few Dutta for his comments and suggestions on the manuscript. The
recently developed high-throughput assays for kdr detection, such Defence Research and Development Organisation, Government
as FRET/MCA,17 PCR elongation with fluorescence,18 TaqMan of India, financially supported the study.
assay and HRM,6 are more sensitive and take relatively less
time. However, FRET/MCA requires two rounds of PCR; PCR
elongation with fluorescence requires PCR followed by capillary SUPPORTING INFORMATION
electrophoresis. HRM uses standard oligonucleotide primers and Supporting information may be found in the online version of this
has no requirement for fluorescently labelled oligonucleotides, article.
and the running costs are very low. In addition, HRM is generally
used to identify or categorise the unknown mutations in the region
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wileyonlinelibrary.com/journal/ps 
c 2010 Society of Chemical Industry Pest Manag Sci (2010)
Table S1. Comparison of eight assays for kdr genotyping along with the present method described here. Comparisons were based on the specialist equipment required and its cost and
safety, the simplicity of the protocol and the speed of the method
Hazardous
Specialist chemicals Protocol run time Number of Number of wells/tubes/ Running cost
Assays equipment required involved (approx.) steps Primers, probes required membranes required per sample (approx.) ($) Reference
SimpleProbe Real-time PCR Nil 1 h 35 min 1 Two PCR primers and one 1 0.9 Present study
machine fluorescently labelled
AS-PCR PCR thermocycler, Ethidium 4 h 30 min 2 Four PCR primers 2 0.92 Bass et al. (2007);
gel electrophoresis bromide Sarkar et al. (2009)
and imaging
equipment
HOLA PCR thermocycler, SDS 6 h 30 min 16 Two PCR primers, two 4 1.74 Lynd et al. (2005);
multichannel reporter primers (5 Bass et al. (2007)
pipette, (optional) phosphorylation and 3
ELISA plate reader fluorescein labelled), four
detector primers (biotin
labelled)
SSOP-ELISA PCR thermocycler, TMAC, H2SO4, 5 h 30 min 17 Two PCR primers (one 3 1.00 Kulkarni et al.
shaking incubator, SDS biotin labelled), three (2006);
multichannel SSOPs (digoxigenin Bass et al., (2007)
pipette, labelled)
(optional) ELISA
plate reader
PCR-Dot Blot PCR thermocycler, SDS 1618 h 16 Two PCR primers, three 3 1.6 Kolaczinski et al.
shaking incubator, SSOPs (digoxigenin (2000);
multichannel pipette labelled) Bass et al. (2007)
FRET/MCA PCR thermocycler, Nil 34 h 2 Four PCR primers (one 2 Not Verhaeghen et al.
high-spec real-time ROX-labelled primer), one determined (2006)
PCR machine probe (FAM labelled)
TaqMan Real-time PCR Nil 1 h 45 min 1 Two PCR primers, three 2 1.72 Bass et al. (2007)
machine fluorescently labelled
probes
HRM High-spec real-time Nil 1 h 35 min 1 Two PCR primers 1 0.62 Bass et al. (2007)
PCR machine
Comparative data were either obtained from the original report of the method or based on Bass et al. (2007).
Chap/Art #: PM-10-0224 Ed.doc F O N T C H E C K E D - O K 9/17/2010 10:48:40 PM
Project:

Supporting information Figure S1. Description of melting peaks. A single low-


temperature peak (green) indicates the homozygous mutation (RR) state, double peaks
(red) represent a heterozygous condition (RS) and a single high-temperature melting
peak (blue) is indicative of a homozygous susceptible (SS) condition.

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