Molecular Diagnostics Flashcards

1
Q

southern blotting

A

both probe and target nucleic acid are DNA

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2
Q

northern blotting

A

probe is single stranded DNA and target is mRNA

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3
Q

western blotting

A

target is protein or antibody

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4
Q

how does PCR work

A

dsDNA obtained from patient/individual/pathogen is denatured with heat and separated to ssDNA

primers flank each end of DNA and are allowed to anneal in cooler temps

deoxynucleotide triphosphates (dNTPS) are added

Taq polymerase synthesizes copy of DNA

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5
Q

Taq polymerase

A

synthesizes copy of DNA by extending the primers on both ends; DNA doubles in each cycle and becomes greatly amplified

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6
Q

advantages of PCR

A

very small amount of DNA is needed for the template; 10^9 fold increase from original DNA

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7
Q

disadvantages of PCR

A

you need to know the sequence of the flanking DNA for primer design

it’s error prone

you could amplify contaminated DNA

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8
Q

quantitative PCR (qPCR)

A

used to quantify copy number of a specific gene in two or more samples in real time

in addition to primers, it uses a probe which fluoresces only in presence of the PCR product

used for: detecting levels of an infectious agent and determining levels of gene expression

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9
Q

restriction fragment length polymorphism (RFLP) steps (5)

A

DNA fingerprinting; results is bands of DNA on nylon membrane

  1. DNA is cleaved by restriction endonucleases
  2. resolve DNA fragments on agarose gel
  3. transfer DNA to nylon membrane
  4. add radioactive DNA probe; wash off excess probe
  5. expose x-ray film to nylon membrane
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10
Q

how is sickle cell anemia shown on an RFLP

A

patients with sickle cell only have two restriction sites in their DNA, so their RFLP will only show one fragment on the membrane

normal beta globulin allele has 3 Ddel restriction sites and will show two fragments

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11
Q

variable number of tandem repeats (VNTR)

A

short tandem repeats (STR) occurs in normal genome and varies in individuals

VNTR repeat regions are isolated from genomic samples by flanking restriction sites or through PCR

useful in identification and severity of inherited diseases

ex: huntington disease, fragile X syndrome, frederich ataxia

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12
Q

how huntington’s is diagnosed

A

uses VNTR

PCR is done on healthy individual and patient with huntington’s; alpha-32 probe is attached to dCTP

resolve DNA fragments on urea-polyacrylamide gel

expose x-ray film to dried gel

huntingon’s will show much higher CAG segments

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13
Q

recombinant proteins

A

engineered to allow high levels of replication, transcription, and translation to occur in a host; cDNA of the protein is inserted into expression vectors

large scale production and purification

used to make insulin, growth hormones, erythropoietin, clotting factors, vaccines

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14
Q

how human insulin production works

A

insulin producing gene is isolated from pancreas cells

plasmid DNA is extracted from a bacterium and cut with restriction enzymes, forming plasmid vector

human insulin producing gene is inserted into the bacterial plasmid vector to form the recombinant DNA

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15
Q

how does Lispro improve insulin use

A

reverses the position of proline at position 28 with lysine at position 29 at C terminus of B chain

works in 2-4 hours instead of 6-8 hours

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16
Q

how does insulin aspart improve insulin use

A

the proline at 28 is replaced with aspartic acid

works in 2-4 hours instead of 6-8 hours

17
Q

monoclonal antibody

A

specific for a single epitope on antigen

used to treat many cancers

18
Q

how antibodies are generated

A

mouse is immunized with immunogen peptide protein

antibody secreting cells are harvested from the spleen

mouse spleen cells are fused with myeloma cells to form hybridomas

the cells are grown in culture in HAT medium

cells divide infinitely because they are cancer cells, which causes infinite production of the monoclonal antibody

19
Q

abciximab

A

chimeric monoclonal antibody

inhibits platelet aggregation

20
Q

baciliximab

A

chimeric monoclonal antibody

prevents rejections of transplanted kidney

21
Q

cetuximab

A

chimeric monoclonal antibody

treats metastatic and colorectal cancers

22
Q

infliximab

A

chimeric monoclonal antibody

treats autoimmune disease

23
Q

retuximab

A

chimeric monoclonal antibody

treats lymphomas, leukemias

24
Q

ELISA

A

immunological tests which tests for the levels of specific antigen or antibody concentrations in biological samples using a corresponding antibody or antigen; quantitative

uses fluorescence to determine quantitative results

25
Q

indirect ELISA

A

measures the amount of an antibody in a sample

26
Q

sandwich ELISA

A

measures the amount of an antigen in a sample

27
Q

how ELISA works

A

microplate is pre-coated with antibody

target protein will be captured (bound) to the antibody when added to the well

second antibody conjugated with horseradish peroxidase (HRP) is added and binds to captured protein

unbound second antibody is washed away and the HRP substrate TMB is added which develops blue color

28
Q

how ELISA diagnoses HIV

A

specific antibodies to HIV are produced 4-6 weeks after infection

uses indirect ELISA to search for the antibodies in the body

29
Q

how ELISA can detect MI

A

troponin is the antigen in this case

uses sandwich ELISA to find the antigen

30
Q

how ELISA works for a pregnancy test

A

looking for HCG (the antigen)

uses sandwich ELISA to look for HCG

the test stick has immobilized hCG antibody complex, which will bind to hCG in urine to complete the sandwich which produces the colored line

31
Q

western blotting (immunoblotting)

A

used to detect the levels of a target protein in a biological sample

32
Q

mechanism of western blotting

A

protein samples are placed in SDS polyacrylamide gel

proteins are transferred to nitrocellulose membrane where they are exposed

primary antibody is added which binds to the target protein

tagged secondary antibody is added which binds to primary antibody

visualization agents/chemicals are used to detect secondary antibody signal

33
Q

what antigen of HIV does western blotting detect

A

detects HIV p24 surface antigen

other antigens include:

  • gp160
  • gp120
  • p66
  • p66