Following a previously established protocol, targeting the conserved REPL repeats specific for L. donovani and L. infantum, qPCR was performed with extracted template DNA from whole blood and DBS (S1 Table) [2 (link),17 (link)]. In brief, to prepare a 20 μL reaction mix, 9 μL template DNA, 10 μL of TaqMan Gene Expression Master Mix (Applied Biosystems) and 1 μL pre-ordered Taqman primer-probe mix (Applied Biosystems) were combined. For amplification, Bio-Rad CFX96 iCycler system was utilized. The following were the amplification conditions: 10 min at 95°C, followed by 15 seconds at 95°C and 1 min at 60°C for 45 cycles. In each run, a standard curve was created with 10 ng—1 fg of parasite DNA isolated from in vitro cultured promastigotes (L. donovani MHOM/IN/80/DD8) corresponding to 10,000–0.1 parasites per reaction. One reaction with nuclease-free water was also included in each run as a negative control. A sample was considered as negative with a cycle threshold (Ct) > 40. Each sample was evaluated in duplicate, and an additional run was made in case of an inconclusive result.
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