I'm working on malaria DNA extraction.

In my lab, we have DNA sampled extracted from patient's whole blood 3 years ago. This sample can be amplified by our primers (designed to be specific to 18s rRNA gene and other gene), so I use it as a positive control.

Recently, I used QIAamp DNA Blood kit (Qiagen) to extract malarial DNA from malaria-infected patients who had high % parasitemia, also including the previously PCR-positive sample. I followed manufacturer's protocol with 200 µl of heparinized whole blood (acute phase within 14 days after admission to clinic). Yield of DNA appears to be good 30-40 ng/ul per each 100 ul elution. My positive control always gave positive PCR results. Unfortunately, extracted DNA from new 13 samples and a previously PCR-positive sample gave negative PCR results.

Possible causes that I am considering are:

- incomplete malarial cell lysis during DNA extraction

- the presence of inhibitor(s)

- low malaria DNA compared to human DNA

What I have tried:

- adding more DNA template for PCR reaction

- using prolonged lysis time and increased temperature

I would like to know what factor I have to adjust?

Thank you for your kind response.

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