203 L3 Flashcards

Tools of molecular pathology

1
Q

Molecular pathology is the study and diagnosis of disease through the examination of ——–within organs, tissues or body fluids

A

Molecular pathology is the study and diagnosis of disease through the examination of molecules within organs, tissues or body fluids

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2
Q

The tools of molecular pathology have played a significant role in:

Understanding genes and gene function

Clinical genetics

  • Improved diagnosis (being able to diagnose faster)
  • Preventative treatment

Advances in treatment of disease

  • Understanding the exact molecular profile of the disorder
  • Targeting treatments specifically to the patients disorder
A

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3
Q

The human genome is

The set of all genes, regulatory sequences and other information contained within an organism’s DNA

Subdivided into a large nuclear genome and a very small mitochondrial genome

5% of the nuclear genome is highly conserved during evolution = functionally important

Protein coding DNA sequences only account for 1.1% of the genome, the rest = non-coding

mRNA codes for the proteins

Non-coding RNA plays a role in both normal and diseased processes. it is functionally important in the regulation of protein coding genes

Protein-coding genes may belong to families - these arise by gene duplication

Sometimes non-functional gene - related sequence is present = pseudogenes

The non-protein-coding portion of the genome is of crucial functional importance: both for normal development and physiology and for disease

A

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4
Q

How can DNA be selectively amplified?

A

PCR and cloning

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5
Q

What is the end result of PCR and cloning?

A

Obtain a suffcient and specific quantity of a DNA sequence to be analysed.

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6
Q

Amplification of DNA using PCR

Need to know the specific ——– that you are interested in

Need to be able to design —— that will bind to the ——–

Heating
———– - DNA strands ——– from each other

Cooling
——— - ——– sequences that complement the template of interest bind to the sequences

Heating
——– - DNA ——— adds the bases on

A

Amplification of DNA using PCR

Need to know the specific region that you are interested in

Need to be able to design primers that will bind to the template

Heating
Denaturation - DNA strands separate from each other

Cooling
Annealing - primer sequences that complement the template of interest bind to the sequences

Heating
Extension - DNA polymerase adds the bases on

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7
Q

Applications of the PCR

A substitute for ——- (chopping up DNA and inserting it into a bacterial plasmid)

Targeted - ——– very specific sequences from small amounts of material

Can selectively detect DNA sequences not normally present in the tissue being tested (e.g. viruses)

Analysis of highly ——— DNA samples

A

A substitute for cloning (chopping up DNA and inserting it into a bacterial plasmid)

Targeted - amplify very specific sequences from small amounts of material

Can selectively detect DNA sequences not normally present in the tissue being tested (e.g. viruses)

Analysis of highly degraded DNA samples

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8
Q

DNA can be separated by Gel Electrophoresis

Electrophoresis allows separation of a population of DNA according to —— and ———.

DNA is ——– charged so when its put in an electric field it will migrate towards the ——- electrode.

You can tell if there are —— or check that the DNA has been ——.

——- DNA migrate further away from the —— electrode.

Polyacrylamide gels: for single stranded DNA molecules less than 500 nucleotides

Agarose gels: more porous gels for molecules 300-20,000 nucleotides

Pulsed-field gel electrophoresis: for long DNA molecules

A

Electrophoresis allows separation of a population of DNA according to size and shape.

DNA is negatively charged so when its put in an electric field it will migrate towards the positive electrode.

You can tell if there are deletions or check that the DNA has been amplified.

Smaller DNA migrate further away from the negative electrode.

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9
Q

DNA sequencing

Allows you to ——– nucleotides.

There is a mixture of ——- and —– —-. Anytime there is an incorporation of the ——– base it causes the product to —–.

Each —— base has a different colour detected by the detector. This allows us to reconstruct the ——- of the ——–.

—————– display the sequence of the ——- gene found in the patient compared to the —— gene sequence. Therefore you can use DNA sequencing to find out what the ——— BP were. You cant do this in —— ———.

A

Allows you to read nucleotides.

There is a mixture of dNTPs and dideoxy dNTP. Anytime there is an incorporation of the dideoxy base it causes the product to stop.

Each dideoxy base has a different colour detected by the detector. This allows us to reconstruct the sequence of the template.

Electropherograms display the sequence of the deleted gene found in the patient compared to the normal gene sequence. Therefore you can use DNA sequencing to find out what the deleted BP were. You cant do this in gel electrophoresis.

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10
Q

Genomic

Uses DNA sequencing and bioinformatics to assemble and understand the structure and function of the genome

First genome was the mitochondrial genome sequenced in 1981

A

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11
Q

Improvements in the rate of sequencing due to the improvements in the methods used to sequences

Gel-based systems
Capillary sequencing
Massively parallel sequencing

A

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12
Q

Next generation sequencing

Massively parallel DNA sequencing

Producing millions of sequences at once

Reduced cost of DNA sequencing

Massive amount of sequencing data produced = BIG DATA (problem - unintentionally find information that is harmful to the patient)

A

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13
Q

RT-PCR (reverse transcriptase-polymerase chain reaction)

examines —— ——-

Often see ————- expression of a specific gene in an ———— place.

Process

Reverse transcriptase phase
—— undergoes a —— synthesis stage to get the —– that can be ———- using the PRC method

Heating
———– - DNA strands ——– from each other

Cooling
——— - ——– sequences that complement the template of interest bind to the sequences

Heating
——– - DNA ——— adds the bases on

A

examines gene expression

Often see inappropriate expression of a specific gene in an inappropriate place.

Process

Reverse transcriptase phase
RNA undergoes a cdna synthesis stage to get the cdna that can be amplified using the PRC method

Heating
Denaturation - DNA strands separate from each other

Cooling
Annealing - primer sequences that complement the template of interest bind to the sequences

Heating
Extension - DNA polymerase adds the bases on

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14
Q

Real time RT-PCR

Used to assess the gene ———– or ———- of individual RNAs in a sample

Accumulation of amplified —— is monitored continuously during ——– cycling, via changes in ———– signal

Single step amplification and detection

Two ways

Cyber green

Binds to any ——– stranded —- so anytime you get an increase in that product you will get an ——— in this signal.

Sometimes you will get two or more products for example primers binding against each other forming double stranded DNA. Therefore you won’t be able to tell the difference between that double stranded DNA and the double stranded DNA of interest.

TaqMan probes

The Taqman probe binds to gene target in a sequence specific manner.

When the primer pair is elongated by PCR the fluorophore on the probe is cleaved by the Taq polymerase using exonuclease activity.

Displacement away from the Quencher allows the Fluorophore to glow when excited by a laser in the real time PCR machine.

When the probe and the quencher are held close together you don’t end up getting a signal so the fluorescence signal will not release

When the PCR works and there is amplification it causes probe displacement (fluorophore and quencher become separated) causing the release of the fluorescence signal which is detected

So if you have a lot of starting material the fluorescent signal would be amplified compared to if you had less starting material

A

Used to assess the gene expression or abundance of individual RNAs in a sample

Accumulation of amplified DNA is monitored continuously during PCR cycling, via changes in fluorescence signal

Single step amplification and detection

Two ways

Cyber green

Binds to any double stranded DNA so anytime you get an increase in that product you will get an increase in this signal.

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15
Q

Principal of quantitative real time PCR

In real time PCR we are measuring the ——— ——– which is a specific level of ———- above which you will get an ——— of the product.

Greater the quantity of target ——- (or copy ——-) in the —– material, the ——— a significant ———- in fluorescent signal will appear, yielding a ——— Ct

Ct values can be compared between your samples to determine the gene ——– difference between them

A

In real time PCR we are measuring the threshold cycle which is a specific level of florescence above which you will get an accumulation of the product.

Greater the quantity of target DNA (or copy DNA) in the starting material, the faster a significant increase in fluorescent signal will appear, yielding a lower Ct

Ct values can be compared between your samples to determine the gene expression difference between them.

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16
Q

Hybridisation

The formation of a ——– stranded ——– between two single strands with complementary sequences.

Involves mixing —— from two ——— that have been denatured by heat or alkali

If one of the DNA sources has been ———-, it allows identification of specific DNA sequences in the other source.

A

The formation of a double stranded DNA between two single strands with complementary sequences.

Involves mixing DNA from two sources that have been denatured by heat or alkali

If one of the DNA sources has been labelled, it allows identification of specific DNA sequences in the other source.

17
Q

Hybridization methods

Dot blot

Southern blot

Fluorescence in situ hybridisation (FISH)

Single Nucleotide Polymorphism (SNP) arrays

Microarray

Array comparative Genomic Hybridisation (aCGH)

A

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18
Q

Microarray analysis of gene expression (RNA abundance)

Enables ———- analysis of the expression of thousands of genes. (RT-PCR test one gene at a time)

The ———- of each cluster of ——- in each dot is known

——— from your sample is labelled with a ———- dye and washed over the ——-.

——— from the sample bind to their matched ——- and this is then ——– with a —— and scanned.

The brighter the spot the more ——- is present in the your sample and the higher its —— ——–.

A

Enables simultaneous analysis of the expression of thousands of genes. (RT-PCR test one gene at a time)

The location of each cluster of cdna in each dot is known
cDNA from your sample is labelled with a fluorecent dye and washed over the array.

Cdnas in the sample bind to their matched probe and this is then excited with a laser and scanned.

The brighter the spot the more cDNA is present in the your sample and the higher its gene expression.

19
Q

Assessment of DNA methods

Cloning
PCR
Hybridisation
Next generation sequencing

What can be detected?

Sequence variation (SNPs and mutations)

changes in amount of DNA

A

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20
Q

Assessment of RNA methods

RT-PCR and real time RT-PCR
Next generation sequencing
Hybridisation

What can be detected?

Gene expression (RNA abundance)

A

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21
Q

Assessment of proteins methods

Immunohistochemistry

Western blotting

Immunoassay

What can be detected?

Protein abundance/expression
Protein size
Protein cellular location

A

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