Lecture 10 Flashcards

1
Q

in what situation do we use a cytogenic approaches instead of molecular approaches?

A

if we have very big alterations, insertions or deletions of different mega bases at the chromosomal level

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2
Q

what do we used of there are only small insertions or deletions of a few megabases or if there is the lacking of one entire exon?

A

classical PCR

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3
Q

what can the intrinsic bias of classical PCR cause?

A

allele dropout → during the amplification exploiting the classical PCR, there is the design two different primers (forward and reverse), and after the annealing there is
the elongation and the copy of the target of interest: if there is an alteration, for example a heterozygous deletion, there will be the annealing of only one primer and not the complete amplification, resulting in the amplification of only one allele, while the other one will be not amplified → we are not able to detect that lack of amplification

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4
Q

what are the three approaches used for the identification of insertions or deletions at the gene level?

A
  1. multiplex PCR of short fluorescent fragments (MPSF)
  2. multiplex amplification and probe hybridization (MAPH)
  3. multiplex ligation-dependent probe amplification (MLPA)
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5
Q

what has MPSF been developed to detect?

A

large insertions and deletions on two genes (MLH1 and MLH2) which are mismatch reaping genes associated with hereditary non-polyposis colorectal cancer

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6
Q

describe MPSF:

A

a quantitative method based on the multiplex amplification of all exons composing the specific gene exploiting probes labelled with fluorescence → we amplify different regions of the gene in the same run or analysis exploiting the use of fluorescent fragments

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7
Q

how many primers are used for MPSF?

A

two, in order to reduce the difference occurring during the amplification and to have the same amplification for all regions the gene in the same run

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8
Q

what is mandatory in MPSF analysis?

A

to have a wild type as a control analyzed in the same run and at the same time as out samples

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9
Q

what does it mean if the peak of the sample is higher than the wild type?

A

there’s a duplication

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10
Q

what does it mean if the peak of the sample is lower than the peak of the wild type?

A

there is a deletion

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11
Q

what type of deletion occurs if the reduction of the peak area is 0.5?

A

a heterozygous deletion

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12
Q

what does it mean if the increase in peak area is 1.5?

A

there is a heterozygous duplication

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13
Q

STUDY EXAMPLE FOR MPSF

A

pg 2-3 sbobine

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14
Q

in order to exploit the MPSF approach, with is required?

A

a large amount of starting DNA → also important to extract all that DNA in the exact same way to avid contamination due to different approaches of extraction

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15
Q

what type of approach is MPSF and what is the main idea?

A

quantitative → comparison of the sample with the control based on multiplex amplification of different regions of interest

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16
Q

what was QMPSF created for?

A

modified version of MPSF for the analysis of particular kinds of genes:
- genes characterized by the presence of GC regions (difficult to amplify)
- for pseudogenes (regions of he genome with high homology with the genes

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17
Q

how id QMPSF modified in order to find certain genes?

A

modified primer → the primer for the amplification presents an extension of 6 nucleotides in the 5’, a TAG, which is not complementary to the target region, but is only useful to have similar sizes of the amplicon, to have the same amplification at the same time of all the exons.
It is similar to the previous approach because the primers are labelled with fluorescence and there is
also the amplification of the wild type together with the sample. After the analysis on the sequencer, we obtain different peaks with different colours in the wild type and in the mutated sample, and it is possible to compare the area of each peak

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18
Q

REVIEW QMPFS

A

pg 4-5

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19
Q

with QMPFS, can we confirm the result, because with a a deletion we are sure that the primers were designed very far away, so are you able to create a fragment?

A

yes : you know where the deletion is so you can design the primers in the adjacent region

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20
Q

in QMPFS, is there a specific reason why the exons are not in order in the graphical representation?

A

it depends on the feature of the region and on the amplification condition of different exons - in this case you don’t have one single multiplex, but it is necessary to have four different multiplexes for the BRCA1 because it is a difficult gene to amplify using PCR

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21
Q

what are the main features of MAPH?

A

it allows us to analyzed up to 40 loci at the same time, or to analyze a big gene entirely in the same analysis

22
Q

how does MAPH work?

A

the DNA is hybridized with the specific probes in the target region, however it is not amplified, there willl only be an indirect amplification of the probes hybridized to the target region

23
Q

what do the probes in MAPH correspond to?

A

a specific region - it is necessary to consider the height of the peaks → if there is a reduction we have a deletion, and if there is a higher peak then we have a duplication

24
Q

what is one of the limitations of MAPH?

A

there is a possibility for a heterogenous condition for the hybridization of DNA on the nylon, on the solid support, and therefor the loss of the hybridized probes during washes → results in the detection of non-existent deletions

25
Q

what is MAPH characterized by?

A

indirect amplification

26
Q

what is the main advantage of MAPH?

A

we can analyze different loci and very big genes

27
Q

how is MLPA different than MAPH?

A

we still have the amplification of the probes and not the DNA, but we have the hybridization and amplification in solution

28
Q

describe the primers in MLPA:

A

a couple of primers: the primer is complementary to the target region, and in the flanking region we gave tw universal primers that are necessary for the amplification; we also have the “stuffer region”: characterized by a variable length of several base pairs and is composed of nucleotides

29
Q

what are the amplicons generated by MLPA characterized by?

A

characterized by different sizes depending on the stuffer region that is incorporated / amplified

30
Q

what occurs in MLPA if there is a homozygous deletion?

A

no amplification

31
Q

what occurs in MLPA if we have a heterozygous deletion?

A

amplification of one allele and we will have different peaks for different regions

32
Q

what do we use as a control of MLPA?

A

deleted sample as well as a WT → NOT an absolute quantification because we need a control for comparison

33
Q

what does MLPA allow us to do?

A

analyze several loci simultaneously at the chromosomic or genic level

34
Q

what must we keep in mind when creating / analyzing controls?

A

the female has 2X chromosomes so there will be a higher peak

35
Q

how do we analyze MLPA at the gene level?

A

we analyze the heights of each peak

36
Q

what are MLPA and MLPH based on?

A

indirect amplification (probes)

37
Q

what is an important difference between MLPA and MLPH?

A

the amount of DNA needed for analysis:
- for MLPH we need 1µg (very large and not always possible to obtain)
- for MLPA we need 100-200 ng

we also have commercial kits for MLPA that have been validated and commercialized

38
Q

which is more commonly used, MLPA or MLPH?

A

MLPA: it is widely used and overcomes the limitations of MLPH → it allows us to identify low-level somatic DNA mutations and minority alleles

39
Q

what is PNA?

A

peptide nucleic acids → one of the first approaches developed for minority allele identification

40
Q

what is PNA characterized by?

A

a good ability to hybridize DNA and RNA - also chemical structure that has a very high stability and it mimics DNA (entire backbone is sugar phosphate is replaced with a neutral backbone consisting of repeated units of N-glycine)

41
Q

how does the PNA interact with DNA?

A

it is able to hybridize a DNA strand if there is the same complementary criteria between bases

42
Q

describe PNA stability:

A

stability between PNA and DNA is higher than DNA-DNA

43
Q

what happens if we have the PNA structure hybridized on the DNA strand?

A

amplification is NOT possible

44
Q

what can we design a PNA complementary to?

A

a WT sequence → we have to set the PNA concentration required to reduce the number of WT molecules that are amplified

45
Q

when dealing with PNA and WT sequences, what is the goal?

A

we must find the best PNA concentration that allows for the reduction of the amplification of the WT molecule k

45
Q

what was developed through PNA?

A

the first non-invasive prenatal diagnostic tool

46
Q

when dealing with an autosomal mutation in a baby, how can we design the PNA?

A

for the specific region in which the mutation is located → we can focus our analysis not specifically on that mutation, but on a polymorphism close to the mutation that is different in the mother and the father → we can have an indirect analysis focusing on the polymorphism and not on the direct mutation

47
Q

what is the great advantage of PNA?

A

after the amplification the amplicon we obtain can be analyzed using different approaches

48
Q

what are the two main limitations of PNA?

A
  1. we have to know exactly where the mutation is
  2. every time we have to establish the best concentrations needed to be sure that we can detect the allele
49
Q

besides prenatal testing, what can PNA be used for?

A

detection of KRAS mutation

50
Q

what has PNA been superseded by?

A

droplet digital PCR