Our results demonstrate a feasible, reproducible and efficient approach to enrich blood parasites that infect hosts with nucleated red blood cells. We obtained 1.76 ng/µl of pure DNA post-sorting (PSS1) through three consecutive parasite enrichment steps, providing sufficient parasite DNA for future genomic studies. Of these steps, the sample containing parasites concentrated in layer 2 of the PDG-PW showed the highest enrichment of H. columbae DNA, with a fold enrichment of 7.42 ng/µl. It is noteworthy that the original blood sample from the rock pigeon was only 300µl, and by repeating this process we can further increase the final DNA yield. The results from the standard curve (Table 1) indicate a maximum Ct value of 31. By observing that each 1/10 dilution results in an increase of 4 cycles, we determined that the concentration of H. columbae DNA is 100,000 times higher. In addition, our results show that flow cytometry is optional in this process. However, the flow cytometry samples did yield purer H. columbae DNA compared with PW samples; there around 2.5 times less C. livia DNA after cell sorting. By using exflagellation and PDG alone, we were able to obtain sufficient DNA for genomic studies without the need for flow cytometry.
In previous studies, in vitro exflagellation of haemosporidian parasites was used to obtain partial genomes of Haemoproteus tartakovskyi (Bensch et al., 2016). Using this technique, DNA concentrations of 0.06 to 0.2 ng/µl were obtained from approximately 200 µl of blood from infected European siskins (Spinus spinus). For example, 2% parasitemia yielded 0.13 ng/µl of parasite DNA, while 4% and 5% parasitemia yielded 0.06 and 0.26 ng/µl of pure DNA, respectively (Palinauskas et al., 2013).
In our analysis, the ClpC gene was not detected by qPCR in a sample with 4% parasitemia, proving that we are looking for a needle in a haystack. We chose the ClpC marker because it has fewer copies than other molecular markers of the mitochondrial genome. This allowed us to find a more realistic balance between parasite and host DNA. Genomic copies of ClpC range from 1 to 25 in Apicomplexa parasites such as Plasmodium and Toxoplasma (Cepeda et al., 2021; Matsuzaki et al., 2001). Despite having 4% parasitemia, the amount of DNA present in the erythrocytes of the rock pigeon is still not enough to successfully amplify the target sequence.
Layer 2 of the PDG-PWW sample was not amplified, suggesting that Percoll may interfere with DNA extraction. This interference could be due to the colloidal substance formed by this reagent, which acts as a protein barrier and prevents the DNA solution from penetrating the column.
The use of PDG facilitated the separation and identification of the layer with the highest concentration of parasite forms. This standardized procedure was designed to adapt to the limited volume of blood typically obtained from passerines and small birds. Notably, this approach could also be applied to small lizards or amphibians. Previously, this method had been successfully used in pigeons to obtain H. columbae antigens, but using more blood (Graczyk et al., 1994).
On the other hand, the sample analysed by flow cytometry showed the highest significant decrease in Rock Pigeon DNA, with a concentration of 0.0004 ng/µl. The amount of parasite DNA obtained after sorting according to qPCR quantification was 1.76 ng/µl, which is higher than previous reports using other DNA concentration methods from samples with parasitemia similar to the present study (Palinauskas et al., 2013; Bensch et al., 2016). Flow cytometry has previously been used to separate parasite forms from other haemosporidian parasites, such as Leucocytozoon, without DNA intercalating dyes (Chakarov et al., 2012). However, after exflagellation, the parasitic forms obtained from H. columbae have areas ranging from 20.4 to 48.4 µm (Coral et al., 2015). The difference in size, granularity and density between the Leucocytozoon and Haemoproteus parasites results in an uneven distribution on the two-dimensional scatter plot when identified by flow cytometry. Consequently, the methods for isolation using a PDG reported for Leucocytozoon are not directly applicable to Haemoproteus gametes.
Flow cytometry-based applications have been widely used in human malaria to track parasite biological processes and interactions with host cells, host immune response, diagnosis or parasite isolation (Gallo et al., 2012; Cai et al., 2016; Hopp et al., 2022). Most of these studies require the use of labels to isolate cell populations, which increases the success of sorting (Boissière et al., 2012). For avian haemosporidia, this approximation has only been used for Leucocytozoon caulleryi (Omori et al., 2010). Although the authors did not report the final concentration of the sorted fraction, they also observed that the concentration of host DNA decreased while the parasite genetic material increased.
Strategies involving host DNA depletion using restriction enzymes (Feehery et al., 2013; Leveille et al., 2014) may not be effective for certain parasite species that possess methylated sites (Ponts et al., 2013). In such cases, sequencing platforms such as Nanopore have implemented adaptive sampling, which allows the system to selectively select or reject molecules for sequencing based on reference sequences (Loose et al., 2016; Martin et al., 2022). This approach has been used for genomic surveillance of haemosporidia in human malaria patients with low parasitemia (approximately 0.1%) (Meulenaere et al., 2022).
In addition, parasite enrichment steps should be considered prior to flow cytometry analysis, especially for Haemoproteus sp. as strong gametocyte attachment to the host cell nucleus has been demonstrated (Graczyk et al., 1994). The process of exflagellation and subsequent PDG helps to reduce the amount of ghost erythrocytes attached to the parasite but does not eliminate them. Similar challenges have been observed in parasite isolation using alternative methods such as laser microdissection (Lutz et al., 2016; Palinauskas et al., 2010), where remnants of the host cell nucleus may persist even after the laser procedure. In avian malaria studies, most haemosporidian isolation techniques do not yield sufficient material for direct genome sequencing, requiring further amplification of genomic DNA. However, this process can recover both host and parasite DNA, potentially increasing the depth of sequencing.