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PCR-based diagnostics for
dummies
A/Prof David Whiley QPID Laboratory, QCMRI and SASVRC, Children‟s Health Service
District, and The University of Queensland, Brisbane, Australia.
Note:
The absolute basics will be covered.
Why use PCR
for diagnostics?
Polymerase chain reaction (PCR):
Advantages -
• Very sensitive (1 copy – 10 copies of DNA)
• Very specific
• Rapid
• Can detect organisms that cannot be isolated
EG. PCR Diagnosis of Meningococcal Disease
Microscopy Culture PCR
Sensitive X X √
Rapid √ X √
Specific √ √ √
Detects non-viable
organisms √ X √
Low workload √ √ X
Easy to perform √ √ X
Cheap √ √ X
EG. PCR Diagnosis of Meningococcal Disease
Microscopy Culture PCR
Sensitive X X √
Rapid √ X √
Specific √ √ √
Detects non-viable
organisms √ X √
Low workload √ √ X
Easy to perform √ √ X
Cheap √ √ X
EG. PCR Diagnosis of Meningococcal Disease
EG. PCR diagnosis of sexually transmitted infections
- Chlamydia (CT) & gonorrhoea (NG)
Key advantages:
- Improved sensitivity
- Can be used on non-invasive specimens (urine and self-collected specimens)
EG. PCR diagnosis of sexually transmitted infections
- Chlamydia (CT) & gonorrhoea (NG)
Key advantages:
- Improved sensitivity
- Can be used on non-invasive specimens (urine and self-collected specimens)
How?
Polymerase chain reaction (PCR):
The basic principle:
Reaction mix –
• Target DNA (from target organism)
• Oligonucleotide primers (and probes).
• DNA polymerase
• dNTPs: dATP, dCTP dTTP, dGTP
• Buffering solution, including magnesium.
Polymerase chain reaction (PCR):
The basic principle:
Thermocycling - Double-stranded DNA
95oC denaturation
55oC primer annealing
72oC primer extension
Polymerase chain reaction (PCR):
dsDNA
BUG DNA 3' 5'
5' 3'
3'
5'
5'
3'
Polymerase chain reaction (PCR):
Cycle 1; step 1 - 95oC, dsDNA is denatured
Polymerase chain reaction (PCR):
Cycle 1; step 2 - 55oC, primers anneal to each strand
F Primer R Primer
3'
5'
5'
3'
5'
5'
3'
3'
R Primer
3'
5'
5'
3'
Polymerase chain reaction (PCR):
Cycle 1; step 3 - 72oC, primer extension by DNA polymerase
5'
5'
DNA polymerase
Primer extension
R Primer
3'
5'
5'
3'
Polymerase chain reaction (PCR):
Cycle 1; step 3 - 72oC, primer extension by DNA polymerase
5'
5'
DNA polymerase
Primer extension
3'
5'
5'
3'
Polymerase chain reaction (PCR):
End of cycle 1; two copies dsDNA
5'
5' 3'
3'
3'
5'
5'
3'
5'
5' 3'
3'
Polymerase chain reaction (PCR):
Subsequent cycles (up 55 cycles): exponential amplification
3'
5'
5'
3'
5'
5' 3'
3'
Polymerase chain reaction (PCR):
Subsequent cycles (up 55 cycles): exponential amplification
Polymerase chain reaction (PCR):
Subsequent cycles (up 55 cycles): exponential amplification
3'
5'
5'
3'
5'
5' 3'
3'
Real-time PCR
vs
Conventional PCR
Real-time PCR vs conventional PCR
Conventional PCR:
Real-time PCR vs conventional PCR
1. Nucleic acid extraction
Conventional PCR:
Real-time PCR vs conventional PCR
1. Nucleic acid extraction
2. PCR amplification
Conventional PCR:
Real-time PCR vs conventional PCR
1. Nucleic acid extraction
2. PCR amplification
3. PCR product detection
Conventional PCR:
Real-time PCR vs conventional PCR
1. Nucleic acid extraction
2. PCR amplification
3. PCR product detection
agarose gel
plate hybridisation
thermocycler Column extraction
Conventional PCR:
Real-time PCR vs conventional PCR
1. Nucleic acid extraction
2. PCR amplification
3. PCR product detection
Real-time PCR:
Real-time PCR vs conventional PCR
1. Nucleic acid extraction
2. PCR amplification
3. PCR product detection
Combines these two steps
Real-time PCR:
Real-time PCR vs conventional PCR
1. Nucleic acid extraction
2. PCR amplification & detection
Real-time PCR:
Combines these two steps
Real-time PCR vs conventional PCR
1. Nucleic acid extraction
2. PCR amplification & detection
Real-time PCR:
Real-time PCR vs conventional PCR
1. Nucleic acid extraction
2. PCR amplification & detection
ABI7500 instrument
Column extraction
Real-time PCR:
Real-time PCR vs conventional PCR
Advantages
• decreased hands on time
• rapid result turnaround times
• high sample throughput
• closed system - reduced potential for carry-over contamination
• ideal for quantitative PCR
(Broad dynamic range; 101 - 1010 copies)
• additional information eg. melting curve analysis
Real-time PCR:
ASM News: Feb 2002
LightCycler Roche
iCycler BioRad
7700 Applied Biosystems
5700 Applied Biosystems
FluorTracker Stratagene
FluorImager Molecular Dynamics
7500 Applied Biosystems
Rotorgene Corbette
Real-time PCR instrumentation
Real-time PCR instrumentation:
LightCycler 1 (Roche)
• Uses glass capillaries (10-20l)
• Fan forced air heating and cooling
• Maximum 32 samples per run
• Approx. 60 minutes per run
• light emitting diode (LED)
LightCycler 1 Roche
Real-time PCR instrumentation:
LightCycler 1 (Roche)
• Uses glass capillaries (10-20l)
• Fan forced air heating and cooling
• Maximum 32 samples per run
• Approx. 60 minutes per run
• light emitting diode (LED)
ABI7500 (Applied Biosystems)
• Uses plastic tubes (25-100l)
• Heated block
• Maximum 96 – 384 samples per run
• Approx. 2½ hours per run
• laser
LightCycler 1 Roche
ABI7500 Applied Biosystems
Real-time PCR instrumentation:
LightCycler 1 (Roche)
• Uses glass capillaries (10-20l)
• Fan forced air heating and cooling
• Maximum 32 samples per run
• Approx. 60 minutes per run
• light emitting diode (LED)
ABI7500 (Applied Biosystems)
• Uses plastic tubes (25-100l)
• Heated block
• Maximum 96 – 384 samples per run
• Approx. 2½ hours per run
• laser
LightCycler 1 Roche
ABI7500 Applied Biosystems
Fully automated nucleic acid amplification systems…
BD Viper Gen-probe Tigris
GeneXpert
Real-time PCR
Detection chemistries
Real-time PCR: detection chemistries
Two basic types:
1. “Non-specific” intercalating compounds
eg. SYBR green I & II, LCgreen
Real-time PCR: detection chemistries
Two basic types:
1. “Non-specific” intercalating compounds
eg. SYBR green I & II, LCgreen
2. Specific probe-based chemistries
eg. Nuclease (TaqMan) Probes,
Adjacent Hybridisation Probes (HybProbes)
• Binds to double-stranded DNA
• Fluoresces „only‟ when bound to DNA
SYBR green:
Light source
SYBR green:
No PCR Product
FAM
CY5 Detection channels (ABI7500)
JOE
Light source
No PCR Product
No emission
FAM
CY5 Detection channels (ABI7500)
JOE
SYBR green:
Light source
PCR Amplification has occurred
Attaches only to double stranded
DNA
FAM
CY5 Detection channels (ABI7500)
JOE
SYBR green:
Light source
PCR Amplification has occurred
521nm
FAM
CY5 Detection channels (ABI7500)
JOE
SYBR green:
Advantages:
• No oligonucleotide-probes required
Simple
Cheap
• Post PCR analyses. Eg. Melting curve analysis / HRM
Disadvantages
• Non-specific amplification products produce signal eg. Primer dimer
SYBR green:
Probe-based chemistries…
• Single probe system
• Donor fluorophore on 5‟ end and acceptor (or “quencher”) fluorophore on 3‟ end
of probe.
3’ 5’
TaqMan probes :
TaqMan probes :
Light source
FAM
CY5 Detection channels (ABI7500)
3’ 5’
BHQ1 (quencher) FAM (reporter)
JOE
TaqMan probes :
Light source
FAM
CY5 Detection channels (ABI7500)
3’ 5’
BHQ1 (quencher) FAM (reporter)
JOE
No PCR Product
TaqMan probes :
Light source
FAM
CY5 Detection channels (ABI7500)
BHQ1 (quencher) FAM (reporter)
JOE
3’ 5’
PCR product
TaqMan probes :
Light source
FAM
CY5 Detection channels (ABI7500)
BHQ1 (quencher) FAM (reporter)
JOE
3’ 5’
PCR product
Primer
TaqMan probes :
Light source
FAM
CY5 Detection channels (ABI7500)
BHQ1 (quencher) FAM (reporter)
JOE
3’ 5’
PCR product
DNA polymerase
Primer extension
TaqMan probes :
Light source
FAM
CY5 Detection channels (ABI7500)
BHQ1 (quencher) FAM (reporter)
JOE
PCR product
DNA polymerase
Primer extension
3’
TaqMan probes :
Light source
FAM
CY5 Detection channels (ABI7500)
BHQ1 (quencher) FAM (reporter)
JOE
PCR product
DNA polymerase
Primer extension
3’
TaqMan probes :
Light source
FAM
CY5 Detection channels (ABI7500)
BHQ1 (quencher)
JOE
PCR product
DNA polymerase
Primer extension
3’
JOE (reporter)
TaqMan probes :
Light source
FAM
CY5 Detection channels (ABI7500)
BHQ1 (quencher)
JOE
PCR product
DNA polymerase
Primer extension
3’
CY5 (reporter)
Advantages:
• Probes are more specific than SYBR green-based protocols.
• TaqMan probes can be reasonably short - only require sufficient conserved
sequence for one probe (approx 25 base pairs). even smaller target sequence using modified TaqMan probes (approx 15 bp).
• LNA bases, BHQplus, minor groove binder etc.
Disadvantages
• Probes can be expensive.
• Design of probes may be technically difficult.
• TaqMan probes cannot be used for post-PCR analyses (eg. melting curve) to
characterise PCR product.
TaqMan probes :
• Two probe system
• Donor fluorophore on 3‟ end of probe 1.
• Acceptor fluorophore on 5‟ end of probe 2.
3’ 5’ 5’ 3’
Adjacent Hybridisation Probes:
Adjacent Hybridisation Probes:
3’
5’
5’
3’
Probe 2
Probe 1
LCRed-640 (acceptor) fluorescein (donor)
Light source F1 F2
F3
Detection channels (LightCycler)
3’
5’
5’
3’
Probe 2
Probe 1
LCRed-640 (acceptor) fluorescein (donor)
Adjacent Hybridisation Probes:
Light source F1 F2
F3
Detection channels (LightCycler)
PCR product
3’ 5’ 5’ 3’
Probe 2 Probe 1
fluorescein (donor) LCRed-640 (acceptor)
Adjacent Hybridisation Probes:
Light source F1 F2
F3
Detection channels (LightCycler)
FRET
PCR product
3’ 5’ 5’ 3’
Probe 2 Probe 1
fluorescein (donor) LCRed-640 (acceptor)
F1 F2
F3
Adjacent Hybridisation Probes:
Light source
Detection channels (LightCycler)
Light source
FRET
PCR product
3’ 5’ 5’ 3’
Probe 2 Probe 1
fluorescein (donor) LCRed-705 (acceptor)
F1 F3
Adjacent Hybridisation Probes:
Detection channels (LightCycler)
F2
Advantages:
• Can use melting curve analysis to characterise PCR product.
Disadvantages
• Requires large conserved sequence (approx 50 base pairs) to accommodate both
probes.
Adjacent Hybridisation Probes:
Characteristics of amplification curves:
Background fluorescence:
The fluorescent “noise” produced by
negative samples.
Cycle threhold (Ct) value:
Cycle number where the
amplification curves of positive
samples cross above the background
fluorescence
Sample Ct value = 20
Background fluorescence
Characteristics of amplification curves:
Log-linear phase:
Cycles during which there is
exponential production of PCR product.
Ct value
Background fluorescence
Characteristics of amplification curves:
Log-linear phase
Ct value
Background fluorescence
Plateau phase:
PCR reagents are exhausted and
amplification of PCR product
„stops‟.
Characteristics of amplification curves:
What can go wrong?
Potential PCR problems:
Sensitivity can be affected by:
Potential PCR problems:
Sensitivity can be affected by: Nucleic acid extraction -
• inefficient/failed extraction
• inhibitory substances from sample
Reaction mix failure - •Poor quality reagents, including primers & probes.
Cycling problems - •Detection channel failure.
•Failure to reach temperature.
Human error
Sequence variation •primers & probes
Competitive inhibition •Multiplex PCR
•Non-specific amplification
Potential PCR problems:
Sensitivity can be affected by: Nucleic acid extraction -
• inefficient/failed extraction
• inhibitory substances from sample
Reaction mix failure - •Poor quality reagents, including primers & probes.
Cycling problems - •Detection channel failure.
•Failure to reach temperature.
Human error
Sequence variation •primers & probes
Competitive inhibition •Multiplex PCR
•Non-specific amplification
May lead to:
- complete failure
- differences in Ct values (delayed amplification)
- differences in overall fluorescent signal.
Potential PCR problems:
Sensitivity can be affected by: Nucleic acid extraction -
• inefficient/failed extraction
• inhibitory substances from sample
Reaction mix failure - •Poor quality reagents, including primers & probes.
Cycling problems - •Detection channel failure.
•Failure to reach temperature.
Human error
Sequence variation •primers & probes
Competitive inhibition •Multiplex PCR
•Non-specific amplification
Specificity can be affected by; Contamination
•Carry-over of PCR products
•Sample to sample
Human error
Sequence sharing (eg. genetic exchange)
Potential PCR problems:
Sensitivity can be affected by: Nucleic acid extraction -
• inefficient/failed extraction
• inhibitory substances from sample
Reaction mix failure - •Poor quality reagents, including primers & probes.
Cycling problems - •Detection channel failure.
•Failure to reach temperature.
Human error
Sequence variation •primers & probes
Competitive inhibition •Multiplex PCR
•Non-specific amplification
Specificity can be affected by; Contamination
•Carry-over of PCR products
•Sample to sample
Human error
Sequence sharing (eg. genetic exchange)
Highlights the importance of
appropriate: - quality control & assurance
- assay design & validation
Thank you!