types of PCR Flashcards

lecture 4

1
Q

What are the key components needed in a PCR reaction tube?

A

DNA Template – Sequence to be amplified.
Primers – Forward and reverse to start new DNA synthesis.
Nucleotides – Building blocks (dATP, dCTP, dGTP, dTTP).
Taq Polymerase – Catalyzes DNA synthesis.
Buffer (Tris-HCl, pH 8.0) – Maintains optimal pH.
MgCl₂ – Essential for Taq activity and primer binding stringency.

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2
Q

Why is PCR valuable in clinical settings?

A

Sensitivity – Can amplify as little as one DNA molecule.
Specificity – Amplifies unique target sequences.
Cost-Effective – Relatively inexpensive.
Rapid – Results in a few hours.
Robust – Works with degraded or old DNA samples.

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3
Q

What are common clinical uses of PCR?

A

Diagnosing genetic traits.
Detecting carriers of genetic disorders.
Tissue matching (HLA typing).
Pharmacogenetics (predicting drug responses).
Measuring disease progression/severity.
Identifying species/strains of pathogens.

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4
Q

What are two PCR-based genotyping techniques?

A

PCR-RFLP – Detects allelic variants by restriction site presence/absence.
**ARMS-PCR **– Uses allele-specific primers to detect specific alleles.

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5
Q

How does PCR-RFLP work?

A

Amplify DNA sequence with primers.
Use restriction enzymes to cut DNA at specific sites.
Analyze fragments using gel electrophoresis.
Identify alleles based on fragment pattern:
- Homozygous Healthy: No cut site.
- Homozygous Diseased: Two fragments.
- Heterozygous: Mixed fragments.

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6
Q

Clinical example of PCR-RFLP: Diagnosis of Sorsby’s Fundus Dystrophy.

A

Disease: Degenerative eye disease caused by a TIMP3 mutation.
Mutation introduces premature stop codon.
PCR amplifies region, SpeI restriction enzyme identifies mutation.
Gel shows distinct fragment patterns for wild-type and mutated alleles.

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7
Q

What is ARMS-PCR, and how does it differ from PCR-RFLP?

A

ARMS-PCR: Uses allele-specific primers to detect point mutations.
Differences:
Does not rely on restriction sites.
Relies on primer specificity for alleles.

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8
Q

Clinical example of ARMS-PCR: Diagnosis of Cystic Fibrosis.

A

Mutation: F508 deletion in the CFTR gene.

Primers are designed for:
Wild-type allele.
Mutant allele.

Gel electrophoresis distinguishes healthy, carrier, or diseased states.

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9
Q

What are the advantages of PCR for pathogen genotyping?

A

Sensitive – Detects single DNA/RNA copies.
Specific – Identifies species and strains.
Rapid – Results in hours, no culture needed.

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10
Q

Clinical example: PCR for Tuberculosis diagnosis.

A

Detects Mycobacterium tuberculosis DNA in sputum samples.
PCR produces a 439 bp product specific to the pathogen.
Same-day diagnosis possible, unlike slower traditional methods.

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11
Q

What is phenotyping in PCR, and how is it performed?

A

Measures disease status at a specific time.
Quantitative PCR (qPCR) is used to:
Measure pathogen levels (viral load).
Assess gene expression (mRNA to cDNA with RT-PCR).

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12
Q

How does quantitative PCR (qPCR) measure DNA?

A

Uses fluorescent dyes like SYBR Green.
Tracks DNA amplification cycle-by-cycle.
Fluorescence indicates DNA product accumulation.

Cycle Threshold (Ct):
The cycle when fluorescence surpasses a detectable threshold.
Lower Ct = Higher starting DNA concentration.

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13
Q

Clinical example: Measuring HIV viral load using qPCR.

A

RNA is converted to cDNA using RT-PCR.
qPCR quantifies HIV RNA levels.
Useful for monitoring disease progression and drug therapy response.

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14
Q

Summary of PCR applications in clinical labs.

A

Diagnosis: Genetic disorders, infectious diseases.
Prognosis: Disease monitoring, progression, and severity.
Techniques:
PCR-RFLP.
ARMS-PCR.
RT-PCR (from RNA).
qPCR (quantitative).

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15
Q

PCR-RFLP pros and cons

A

Advantages: Simple, cost-effective, reliable for small-scale analyses.
Disadvantages: Limited to sites with restriction enzyme recognition; labor-intensive.

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16
Q

ARMS-PCR pros and cons

A

Advantages: High specificity using allele-specific primers.
Disadvantages: Requires stringent conditions; less suitable for large-scale studies.

17
Q

genotyping the patient

A

Identifies patient-specific genetic traits.
Diagnoses carrier status or susceptibility to genetic diseases.
Methods: PCR-RFLP and ARMS-PCR.

18
Q

Genotyping the Pathogen:

A

Identifies species and strain of infectious pathogens.
Guides treatment decisions and infection control.
Pathogens include bacteria, viruses, and parasites.
DNA sources: Blood, sputum, urine, feces, skin swabs, biopsies.

19
Q

Phenotyping the Disease:

A

Captures a “snapshot” of disease severity and progression.
Quantitative PCR (qPCR) measures DNA/RNA abundance.
Reverse Transcriptase PCR (RT-PCR) converts RNA to cDNA for analysis.

20
Q

Post-PCR, products are often

A

Detected using gel electrophoresis and intercalating dyes.
Purified, sequenced, or quantified for further analysis.

21
Q

Pharmacogenetics:

A

Predicts patient response to drugs (e.g., based on genetic markers).

22
Q

Tissue Typing:

A

PCR for HLA typing in organ transplantation.