PCR and it's use in diagnostics Flashcards

1
Q

What is PCR?

A

The polymerase chain reaction; a cyclical process to amplify specific segments of DNA using a thermostable DNA polymerase

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2
Q

What is a chain reaction?

A

A series of events

In which one event is dependent on it’s preceding event to sustain itself in order to occur

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3
Q

What typically happens in a chain reaction?

A

An exponential increase in the number of events that occur in the sequence

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4
Q

What allows for the specificity of amplifying segments of DNA?

A

The complementarity of the primers to the segment and the conditions (must be high stringency i.e. temperature at the Tm of the primer, so that only non-mismatched/ accurate copies form and not those from other parts of the genome)

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5
Q

What would happen if a PCR were performed at sub-optimal conditions?

A

Mismatches would be copied into the new duplex formed, so a non-specific product would be amplified

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6
Q

How many primers are required in PCR and where do they bind?

A

2, with each one binding to either side of the segment to be amplified (and so the primers must be complimentary to the ends of the segment)

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7
Q

How does DNA polymerase recognise where to bind? What forms as a result of binding? What happens as a result?

A

The binding of the primer with a single DNA strand forms a partially double stranded DNA. This is recognised by DNA polymerase where it binds and forms an initiation complex. The DNA polymerase proceeds to extend the double stranded molecule from the 3’ end of the non template strand/ 3’ end of primer

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8
Q

How does annealing occur during a PCR?

A

A DNA molecule is first denatured by heat to form 2 single strands. Then a primer (an oligonucleotide - short no. of nucleotides), complimentary to the start of the segment of DNA to be amplified, hybridizes with the DNA (forms H bonds - stabilizes it). The partially double stranded molecule is now a template for PCR and DNAP to add nucleotides to

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9
Q

Why do the single strands of DNA, following denaturation, bind with primers rather than renaturing?

A

A vast amount of primer is added to the mixture (with a small conc. of the template strand) which shifts the equilibrium to the side of hybridisation with the primer over renaturation to form the duplex. There is therefore competition present between the 2 states.

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10
Q

How would you go about amplifying RNA transcripts?

A

The DNA polymerase can only amplify DNA, so the RNA transcripts must convert to cDNA via reverse transcription before it can be amplified in PCR

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11
Q

What are the conditions required for PCR?

A
  1. A template strand
  2. A complimentary primer (20-30 BPs)
  3. Deoxy nucleotide triphosphates (dATP, dGTP, dCTP, dTTP)
  4. Mg2+ ions
  5. A roughly neutral pH
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12
Q

What are the 6 steps of a PCR reaction?

A
  1. Mix template, primer, enzymes and reactants together
  2. Heat mixture to 95 degrees; template duplex denatures and separates due to breakage of the H bonds
  3. Cool the mixture to the temperature of the primers Tm (for high stringency conditions in hybridisation) e.g. 55 degrees, allowing for the primers (2) to anneal to the template strand
  4. Increase the temperature to 72 degrees, optimal for the DNA polymerase to work
  5. DNA polymerase recognises the partial duplex, binds to form an initiation complex and adds nucleotides from the 3’ end of the primer
  6. Repeat the process again and again
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13
Q

What is a key property of DNA polymerase that allows it to survive the PCR reaction?

A

It is thermostable; it can retain activity upon repeated heating and cooling that would destroy most enzymes

Hence a polymerase from a thermophilic bacterium such as Thermus aquaticus is often used (Taq polymerase)

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14
Q

Why is there an exponential accumulation of product in PCR?

A

Every cycle results in a doubling of the product

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15
Q

What happens to the PCR reactions kinetics as the reaction goes on?

A

The reactants and primers deplete; acidification occurs since hydrogen ions are produced from dNTPs adding to the elongating strand; pyrophosphate is also produced; this results in a plateau of the graph since the env. in which the DNA polymerase works changes (and so no more product is formed)

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16
Q

Give 3 examples as to how PCR can be used diagnostically

A

PCR is used to identify and quantify specific DNA sequences in a sample. For diagnosis it can help follow the response to treatment and drug efficacy.

  1. It can be used to identify sequences associated with Tb and thus identify the disease - this is via sputum samples (saliva and mucus that is coughed up).
  2. It can help differentiate between closely related organisms e.g. swine flu vs human influenza, since they are both the H1N1 subtype
  3. Helps decide when to start treatment for HIV (by measuring if the HIV viral load has gone beyond a certain level); helps find any resistances to treatment too.
17
Q

Can the number of end copies of a PCR reaction be used to calculate the starting number of copies?

A

No - the number of end copies are always the same as the amplification is always rate limited when you start with the same amount of starting material - instead you can use quantitative PCR/ real-time PCR

18
Q

What is qPCR?

A

An adaptation of PCR that uses fluorescent detection of amplification. It monitors the time it takes to accumulate products for different dilutions (from when the product becomes detectable i.e. early), then compares it to the sample.

19
Q

What is an SNP and what has qPCR got to do with it?

A

An SNP is a single nucleotide (i.e. a single base) variant (change); their presence, absence can be detected by 2 methods of qPCR, high resolution melting and allelic discrimination

20
Q

What are the applications of SNP detection via qPCR?

A
  1. Antibiotic resistance testing e.g. for Tb (detect presence/ absence of a SNP due to Tb that may cause resistance)
  2. CYP2CP and VKORC1 are genes that code for enzymes that are for warfarin breakdown (catabolism). Mutations in them result in the slow catabolism of warfarin. When the presence/ absence of the variants are confirmed using PCR, you can alter the treatment accordingly
21
Q

What is high resolution melting and how does it work?

A

An adaptation of qPCR that is used for SNP detection.

Heating denatures double stranded DNA. When it goes from double to single stranded fluorescence dims. When a DNA sequence has a SNP, the time when the fluorescence dims changes - so the curves shift for sequences with SNPs since they have a different Tm

22
Q

What is allelic discrimination and how does it work?

A

An adaptation of qPCR that is used for SNP detection.

AmpliTaq Gold DNA polymerase cleaves probes that have hybridized to target DNA. Cleavage causes fluorescence. Mismatches in DNA (SNPs) do not hybridize so are not cleaved and do not fluoresce. This means they can be identified.

23
Q

What is the region of DNA that is amplified called?

A

The amplicon

24
Q

How can PCR be used for forensics and law enforcement?

A
  1. Identification of parents/ relatives (kin) in cases of inheritance/ immigration
  2. Identification of individuals in military casualties, who are missing or are in env. disasters
  3. Can be used to amplify minute samples at a crime scene and so match 2 sources (e.g. with a database)
  4. Can be used to authenticate that a cell line is what we think it is/ foods (e.g. meat) have not become contaminated (e.g. meat with non approved meat sources)
25
Q

What type of DNA sequence is used in PCRs to identify individuals?

A

STRs - short tandem repeats; sequences of bases (2-5 or more bases in length) repeated many times at specific locations in the genome
They help provide a unique pattern for each individuals genome - gives everyone a DNA barcode/ fingerprint

26
Q

What is a feature of STRs?

A

They are highly polymorphic - repeat numbers vary a lot between individuals

27
Q

How is the UK DNA database used in cohesion with STRs?

A

The database has 10 STRs. Since each STR is on 2 different chromosomes that gives 20 different number of repeats per person, which give a matching probability of 1 in 1 billion when identifying

28
Q

Is the amplicon of the PCR derived from next to every STR?

A

No, it can be taken from upstream/ downstream but still includes the specific STR at the loci.

29
Q

What does the amplicon include in terms of STRs?

A

Total amount of nucleotides in the repeat units of the STRs + the primers either side of the amplicon + any nucleotides in between the STRs and the primers

30
Q

How is PCR used in next generation sequencing and cloning?

A

NGS - amplification of DNA segments occurs before they are sequenced

Cloning - DNA segments are isolated through PCR before cloning/ sequencing

31
Q

How can PCR be used to manipulate/ modify DNA?

A

It can be used to introduce mutations into a sequence of DNA/ modify the ends of a sequence to make them contain restriction sites compatible with cloning vectors

32
Q

How can PCR be used in recombinant DNA technology?

A

Helps develop recombinant vaccines, pharmaceuticals (e.g. interferons, clotting factors, Tissue plasminogen Activator)