Section 8 Flashcards
(213 cards)
1
Q
What is nucleic acid?
A
- DNA and RNA
2
Q
What is deoxyribonucleic acid (DNA)?
A
- nucleic that carries genetic information
- in eukkarocytes, located in chromosomes in nucleus and small amount in mitochondria
- also presents in bacteria and DNA viruses
3
Q
What is dsDNA?
A
- double stranded DNA
4
Q
What is ssDNA?
A
- single-stranded DNA
5
Q
What is genomic DNA?
A
- DNA in chromosome
6
Q
What is mitochondrial DNA?
A
- circular piece of DNA found in mitochondrial of eukarocytes
- code for polypeptides involved in oxidative phosphorylation
- transmitted by maternal inheritance (mitochondria on ova, not sperm)
- used in forensics, lineage, population studies
7
Q
What is a chromosome?
A
- piece of coiled DNA containing many genes
- humans have 23 pairs of chromosomes
- 1 set from mother, 1from father
- 22 pairs of autologous
- 1 pair sex chromosomes (X,Y)
8
Q
What is a gene?
A
- specific sequence of nucleotides (1,000-4,000) at particular location of chromosomes
- starts at 5’ end with promoter region that initiates transcription and ends with terminator sequence that ends transcription
- humans have about 30,000 genes
- DNA sequence in genes is 99.9% the same in all people
9
Q
What are exons?
A
- DNA sequences of chromosome that code for amino acids/proteins
10
Q
What are intron?
A
- noncoding regions between exons
11
Q
What is a genome?
A
- all hereditary information for an individual
12
Q
What is genetic code?
A
- relationship between sequence of bases in DNA or its RNA transcript and sequence of amino acids in proteins
13
Q
What is RNA?
A
- Nucleic acid that converts genetic information from DNA into specific proteins
- some has regulatory or structural function
- present in nucleus and in cytoplasm where it’s associated with ribosomes (free or attached to endoplasmic reticulum)
- source of genetic information in RNA viruses (retroviruses)
14
Q
What is a nucleoside
A
- Penrose sugar with nitrogen base attached
- Dephosphorylated nucleotide
- adenosine, guanosine, cytidine, thymidine
15
Q
What is a nucleotide?
A
- building blocks of DNA and RNA
- a Penrose sugar with nitrogen base attached to 1C and 1-3 phosphate groups attached to 5C
- nucleotide sequences always written in 5’ and 3’ direction
16
Q
What is pentose?
A
- Sugar with 5 carbons (C)
- Cs are numbered 1’-5’ starting with C to right of O2 and going clockwise, superscript (prime) differentiates Cs in sugar from Cs in bases, which are number 1-9
17
Q
What is ribose?
A
- 5-C sugar found in RNA
18
Q
What is deoxyribose?
A
- 5-C sugar found on DNA
- similar to ribose but with one less oxygen
19
Q
578
A
U
20
Q
What is nitrogen bases?
A
- carbon-nitrogen ring structure attached to 1’ carbon of sugar ink DNA and RNA: adenine (A), guanine (G), cytosine (C), thymine (T), and uracil (U)
- A, G, C, T are in DNA
- U replaces T in RNA
- T and U are similar except that U lacks methyl group
21
Q
What are base pairs?
A
- purine from 1 strand of nucleic acid and pyrimidine from another strand joined by hydrogen (H) bonds.
- A forms 2 H bonds with T or U
- G forms 3 H bonds with C
22
Q
What is complementary?
A
- opposite or partner base in pair
23
Q
What is a pyrimidine?
A
- nitrogen bases with single C-N ring (C, T, U)
24
Q
What is a purine?
A
- nitrogen bases with 2 C-N rings (A,G)
25
What is phosphodiester bonds?
- bonds that join nucleotides in nucleic acid
- 5’ phosphate group of 1 sugar attaches to 3’ hydroxyl group of adjacent sugar
- a molecule of H20 splits off
26
What are the characteristics of DNA?
- function = carries genetic information. Serves as template for synthesis for RNA
- location = nucleus (except mitochondrial DNA)
- composition = repeating nucleotides linked by phosphodiester bonds between 5’ phosphate group of 1 sugar and 3 hydroxyl group of next
- sugar = deoxyribose
- pyrimidine = C, T
- purines = A, G
- structure = double stranded. Each strand has 5’ end (phosphate group attached to 5’C) and 3’ end (OH group attached to 3’C). Stranded are antiparallel. 2 strands coil around each other to form double helix with alternating sugar and P groups on exterior and bases on interior. Strands held together by hydrogen (H) bonds between complementary bases
27
What are characteristics of RNA?
- function = Converts genetic information from DNA into proteins. Some has regulatory of structural function
- source of genetic information in RNA viruses
- location = nucleus and cytoplasm
- composition = repeating nucleotides linked by phosphodiester bonds between 5’ phosphate group of 1 sugar and 3’ hydroxyl group of next
- sugar = ribose
- pyrimidine = C, U
- purines = A, G
- structure = single stranded. Shorter than DNA. Irregular 3D structure
28
Describe Adenine Ribose
- phosphate 1 = adenosine monophosphate (AMP)
- phosphate 2 = adenosine diphosphate (ADP)
- phosphate 3= adenosine triphosphate (ATP)
29
Describe Guanine Ribose
- phosphate 1= Guanosine monophosphate (GMP)
- phosphate 2= Guanosine diphosphate (GDP)
- phosphate 3= Guanosine triphosphate (GTP)
30
Describe cytosine Ribose
- phosphate 1= cytidine monophosphate (CMP)
- phosphate 2= cytidine diphosphate (CDP)
- phosphate 3= cytidine triphosphate (CTP)
31
Describe Uracil Ribose
- phosphate 1= uridine monophosphate (UMP)
- phosphate 2= uridine diphosphate (UDP)
- phosphate 3= uridine triphosphate (UTP)
32
Describe Adenine Deoxyribose
- phosphate 1= deoxyadenosine monophosphate (dAMP)
- phosphate 2= deoxtyadenosine diphosphate (dADP)
- phosphate 3= deoxyadenosine triphosphate (dATP)
33
Describe Guanine deoxyribose
- phosphate 1= deoxyguanosine monophosphate (dGMP)
- phosphate 2= deoxyguansoine diphosphate (dGDP)
- phosphate 3= deoxyguanosine triphosphate (dGTP)
34
Describe Cytosine deoxyribose
- phosphate 1= Deoxycytidine monophosphate (dCMP)
- phosphate 2= deoxycytidine diphosphate (dCDP)
- phosphate 3= deoxycytidine triphosphate (cCTP)
35
Describe thyamine deoxyribose
- phosphate 1= deoxythymidine monophosphate (dTMP)
- phosphate 2= dexoythymidine diphosphate (dTDP)
- phosphate 3= deoxythymidine triphosphate (dTTP)
36
What is replication?
- reproduction of DNA during cell division
37
What is semiconservative replication?
- newly synthesized strand of DNA by breaking bases hydrogen bonds to form 2 single-stranded templates is conserved
38
What is helicase?
- enzyme that unwinds suction of DNA by breaking bases hydrogen bonds to form 2-single stranded templates for replication
39
What is a replication fork?
- location where double stranded DNA (dsDNA) separates into single stranded DNA (ssDNA) and synthesis of DNA begins
40
What is a template?
- strand of DNA that serves as pattern for new strand of DNA or RNA
41
What is primase?
- RNA polymerase that synthesizes RNA primers needed to intiate replication
42
What is RNA primer?
- segment of RNA formed on DNA template to start replication
- provides 3’OH needed for phosphodiester bond information with incoming nucleotide
43
What is DNA polymerase?
- enzyme that synthesizes daughter DNA by reading code on DNA template
- can only synthesize DNA from 5’ end to 3’ end because 3’OH need to receive incoming nucleotides and form phosphodiester bonds
- can only extend a nucleotide chains; can’t start one
- needs primer to start
44
What is continuous synthesis?
- synthesis of daughter strands of DNA from 3’-5’ target strand
- DNA polymerase proceeds in linear fashion, assembling series of joined nucleotides in leading strand
45
What is discontinuous synthesis?
- synthesis of daughter strand of DNA from 5’-3’ target strand
- DNA polymerase must read target in 3’-5’ direction, so must proceed in nonlinear fashion, reading a section, assembling appropriate nucleotides, then moving back upstream to read another section in 3’-5’ direction.
- new strand called lagging strand
- consists of unconnected DNA fragments called Okazaki fragments separated by RNA primers
46
What is leading strand?
- daughter strand synthesized continuously from 3’-5’ template
47
What is lagging strand?
- daughter strand synthesized discontinuously from 5’-3’ template
48
What is Okazaki fragments?
- short fragments of unconnected DNA formed during replication of 5’-3’ template
49
What is RNase H?
- enzyme that removes RNA primers from daughter strands of DNA
50
What is ligase?
- enzyme that joins DNA fragments together
51
Describe strand separation step of DNA replication
- helicase unwinds section of dsDNA to form replication forks
- both original strands of DNA will serves as templates
- replication will proceed simultaneously on both strands, in opposite directions
52
Describe synthesis of primer step of DNA replication?
- primase reads section of code on DNA, attaches complementary nucleotides starting at 3’ OH end needed to grow nucleotide chain
53
Describe extensions of primers step of DNA replication
- DNA polymerase reads template, attaches complementary nucleotides starting at 3’ OH of primer
- code is read in 3’-5’ direction
- synthesis on 3’-5’ templates is continuous, forming leading strand
- synthesis on 5’-3’ template is discontinuous, forming lagging strand of disconnected Okazaki fragments
54
Describe the removal primers step of DNA replication
- RNase H removes RNA primers
55
Describe the replacement of primers step of DNA replication
- DNA polymerase places nucleotides where primers used to be
56
Describe the Okazaki fragments steps of DNA replication
- DNA ligase joins DNA fragments together
57
What are the steps of DNA replication?
- strand separation
- synthesis of primers
- extension of primers
- removal of primers
- replacement of primers
- joining of Okazaki fragments
58
What is gene expression?
- synthesis off specific proteins based on DNA code
59
What is messenger RNA (mRNA)?
- RNA that transcribes DNA code in nucleus and carries it to cytoplasm where its translated into protein
- about 1-2% of total cellular RNA
60
What is transfer RNA (tRNA)?
- RNA that reads code in mRNA and transport amino acids to growing polypeptide chain
61
What is micro RNA (miRNA)?
- tiny regulatory RNAs involved in control of gene expression
62
What is transcription?
- conversion of genetic information from DNA into complementary strand of mRNA
- if DNA sequence is AGCT, mRNA sequence will be UCGA
63
What is translation?
- conversion of genetic information from mRNA into specific sequence of amino acids to form specific protein
- takes place on ribosomes in cytoplasm
- tRNA reads mRNA and assembles amino acids
64
What is sense strand?
- strand of DNA that doesn’t serve as template for synthesis of mRNA
- its sequence is same as mRNA that is translated into protein (except it has T where RNA has U)
65
What is antisense strand?
- strand of DNA that serves as template for synthesis of mRNA
66
What is a promotor?
- region of DNA that binds RNA polymerase, initiating transcription
67
What is a codon?
- 3 nucleotides that code for an amino acid
- 64 codons code for 21 amino acids
- 2-6 codons for each, except methionine and tryptophan which only have 1
68
What is a start codon?
- AUG, codes for methionine
69
What is termination codons? -
- UAA, UAG, and UGA.
- not associated with any amino acids.
- signal to stop protein synthesis
70
What is an anticodon?
- 3-nucleotide sequence on tRNA that attaches to codon on mRNA, bringing with it specified amino acids
71
What is a ribosome?
- organelles in cytoplasm and on surface of rough endoplasmic reticulum
- made of rRNA and protein
- site of proteins synthesis
72
What are the steps of transcription?
- RNA polymerase binds to promotor region of gene
- DNA separates into 2 single strands
- RNA polymerase adds complementary nucleotides to produce strand of mRNA. if DNA sequence is 3’ ATTCGA 5’. MRNA will be 5’ UAAGCU 3’
- mRNA is released from DNA
- DNA strands reanneal
73
What are the steps of translation?
- mRNA associates with ribosomes in cytoplasm
- ribosome moves along mRNA, reading genetic code. Always begins with codon AUG
- tRNA with complementary 3-nucleotide sequence (anticodon) attaches to codon to on mRNA, bringing with it amino acid specified by codon. E.g. anticodon UAC on tRNA attaches to codon AUG on mRNA, bringing with it amino acid methionine
- as ribosomes moves along mRNA, other tRNAs bring in other amino acids
- peptide bonds to form between amino acids
- process continues until ribosome reaches stop codon
- protein is released
74
What is molecular diagnostics (MDx)?
- analysis of DNA and RNA; nucleic acid testing (NAT)
75
What is extraction?
- isolation of DNA/RNA from other cellular components
76
What is RNase?
- enzyme that degrades RNA
- ubiquitous in environment
77
What is DNase?
- enzyme that degrades DNA
78
What is target?
- specific section of DNA under investigation
79
What is hybridization?
- pairing of complementary strands of nucleic acid, 1 from sample and 1 a reagent
- resulting hybrids can be DNA:DNA, DNA:RNA or RNA:RNA
80
What is a hybrid?
- product of hybridization
81
What is stringency?
- stablility of bonding during hybridization
- based on degreee of match and base composition
- influenced by temp, pH, and salt concentration
- increased temp, decrease salt ensure only most perfectly matched strands will remain paired
82
What is nucleic acid probe?
- short stand of DNA or RNA with known base sequence
- isolated from organisms, cloned in bacteria, or synthesized
- labeled with fluorescent or chemiluminescent dyes, enzymes, or radioisotopes to produce visible sign of hybridization, restriction fragment length polymorphism, conventional and real-time PCR
- if complementary base sequence is present, probe, attaches to target
83
What is homologous?
- matching d
- used in reference to chromosome pairs
84
Describe lavender top tube for MDx
- EDTA
- isolation of DNA and detection of viruses
- 1 of preferred anticoagulants for blood and bone marrow
85
Describe white top tubes for MDx
- K2EDTA and gel barrier
- used for isolation of plasma
- gel forms barrier between plasma and cells
86
Describe blue/black top tube for MDx
- sodium citrate, gel, density, gradient fluid
- used for isolation of mononuclear cells
- gel forms barrier between mononuclear in plasma and RBCs/granulocytes
87
Describe the yellow top tube for MDx
- acid citrate dextrose (ACD)
- used for enhanced recovery of WBCs for several days after collection
- 1 of preferred anticoagulants for blood and bone marrow
88
Describe green top tube of MDx
- heparin
- generally not recommended
- heparin inhibits polymerase; unacceptable for testing that involves PCR
89
Describe whole blood/plasma specimen for MDx
- nucleated cells are source of DNA
- some recent techniques can detect nonnuclear DNA in plasma
- Nucleic acid of infectious agents often detected in plasma, sometimes in host DNA
- hemolysis can interfere with amplificaton.
90
Describe Bone marrow specimens for MDx
- DNA obtained from nucleated cells
91
Describe urine specimen for MDx
- detection of chlamydia, cytomegalovirus (CMV), and BK virus (associated with rejection of transplanted kidney)
92
Describe feces specimen for MDx
- detection of intestinal pathogens
- analysis of stool DNA proposed for detection of colorectal cancer
93
Describe CSF, synovial, pleural, pericardial, ascetic fluids specimens of MDx
- detection of infectious agents and cancer cells
94
Describe amniotic fluid, chorionic villus sampling (CVS) specimen for MDx
- diagnosis of sickle cell anemia, Tay-Sachs disease, thalassemia, other chromosomal abnormalities and inherited disorders
- usually grown in tissue culture to increase # of cells for DNA extraction
95
Describe Buccal cells specimens for MDx
- good source of DNA, especially for genotyping bone marrow recipients and patients who have been recently transfused
- avoid use of mouthwash with phenol or ethanol
- use sterile Dacron or rayon swabs with plastic shafts
- calcium alginate swabs and wooden shafts may contain substances hat inhibit PCR
96
Describe tissue specimens for MDx
- formalin-fixed, paraffin embedded tissue: DNA degraded top low molecular weight (MW) fragments
- can usually be amplified but southern blot can’t be used (requires high MW DNA)
- fresh tissue, snap-frozen tissue, or tissue frozen at -80C in optimal cutting temperature compound (OCT): yields higher MW DNA, OCT must be completely removed before DNA extraction
97
Describe Hair/nails specimens for MDx
- forensic analysis
98
What is the preparation for blood or bone marrow?
- whole blood can be stored at 2-25C for 24-48 hours after collection
- separate WBCs by:
— differential lysis in hypotonic buffer or water (RBCs lysed, WBCs precipitated by centrifugation)
OR
—density gradient centrifugation in Ficoll isolate mononuclear
- WBCs can be stored at -70C for up to a year
99
What is the preparation of plasma specimen?
- remove from RBCs promptly and hold at -20C or below
100
What is the preparation for tissue specimens?
- fresh or frozen; grind, homogenize or mince
- embedded: deparaffinize in xylene, rehydrate in decreased concentrations of ethanol
101
What is the preparation of bacteria/fungi specimens?
- break cell walls (enzymes, detergents, NaOH, boiling, or glass beads)
- Enzyme treatment — less damage to chromosomal DNA
- NaOH and boiling yield ssDNA
- not suitable for restriction enzyme analysis
- OK for amplification
102
Describe the isolation of nucleated cells step (if necessary) of DNA isolation
- centrifugation of whole blood to obtain buffy coat, differential lysis with water or hypotonic solution to separate WBCs from RBCs, density gradient, centrifugation in Ficoll to obtain mononuclear cells (settle below plasma, about polys/RBCs)
103
Describe the release of DNA from cells step of DNA isolation
- cells ruptured by mechanical or chemical methods
104
Describe the separation of DNA from cellular debris, protein, lipids step of DNA isolation
- liquid-phase extraction: use of solvents
— mulitple manual steps
— limited sample throughout phenol and chloroform are hazardous
- solid-phase extraction: DNA absorption onto silica on membrane filters or magnetic particles
— most commonly used method
— easier
— can be automated
105
Describe the concentration steps of DNA isolation
- precipitation in ethanol or isopropanol in high salt concentration
- resuspension in H20 or Tris- EDTA (TE) buffer
- handle with care to avoid breaking DNA
106
Describe storage of DNA isolation
- extracted DNA can be stored at RT for several months, refrigerated for 1 year, or frozen at-20C to -70C for up to 10 years
107
Compare DNA and RNA isolation method used
- similar
- lysis of cells, isolation by phenol-choloform extraction or binding to silica, precipitation in alcohol
108
Compare stability of DNA and RNA
- RNA less stable
- process specimens promptly
- can be stored suspended in ethanol for several months at -20C or long term at -70C
109
Compare DNA and RNA contamination -
- RNA more susceptible to degradation
- use RNase decontamination solution to clean gloves, benchtops, equipment; RNase-free reagents and plastic ware; nucleated-free water; DNase I to digest DNA
110
What is amplification?
- technique to increased (amplify) amount of nucleic acid in sample, probe, or signal so that very small amounts of nucleic acid can be detected
111
What is target amplification?
Technique to increase amount nucleic acid in sample through in vitro replication, e.g. PCR, transcription mediated amplification (TMA)
112
What is probe amplification?
- technique to increase amount of probe bound to target to so very small amounts of nucleic acid can be detected e.g. ligase chain reaction
113
What is signal amplification?
- technique to increase signal generated so that very small amounts of nucleic acid can be detected, e.g. branched chain signal amplification (bDNA), e.g. hybrid capture assay (HCA)
114
What is nucleic acid amplification testing (NAT)?
- term used to describe tests that detect pathogens by presence of nucleic acids rather than antibodies
- provides earlier detection.
- frequently used for viral detection and in microbiology for bacteria
115
What is PCR?
- 1st AMD most widely used amplification method
- specific primers and thermos table DNA polymerase makes copies of target DNA by repeated cycles of denaturation, annealing and extension
- can produce a million copies in less than an hour
116
What is melting?
- use of heat to separate strands of DNA
117
What is cycle threshold (Ct)?
- in real-time PCR, Ct equals the number of cycles needed to produce a fluorescent signal that exceeds the background fluorescence
- with some viruses, the Ct value can inversely related to viral load
118
What is denaturation?
- separation of ds DNA into 2 strands using heat or alkali
119
What is meting temperature (Tm)?
- temp required to denature 50% of dsDNA
- depends in part on GC content
- G-C pair harder to break than A-T pair because 3 H-bonds instead of 2
120
What is anneal?
- binding to complementary strand of nucleic acid
121
What is polymerase?
- enzyme that assembles nucleotides to produce new strand of nucleic acid
122
What is DNA polymerase?
- enzyme that synthesizes DNA using existing strand of DNA as template
- can only ass to existing piece of DNA so needs primer to start
123
What is Taq polymerase?
- heat-stable DNA polymerase used to catalyze synthesis of DNA in PCR
- originally isolated from bacterium Thermus aquatics in hot springs of Yellowstone National Park
- can withstand high temp required for denaturation
124
What are primers of amplification?
- short segements of DNA designed to anneal to DNA target in PCR
- provide free 3’-OH group to which DNA polymerase can add dNTP
125
What is Olidonucleotide
- short fragments of ssDNA that are synthesized for specific purpose
126
What is deoxynucleotide triphosphates (dNTPs)?
- building blocks from which DNA polymerase synthesizes new strands of DNA, dATP, dGTP, dCTP
127
What is a thermocycler?
- instrument that rapidly changes temp during amplification cycle
128
What is a amplicon?
- product of amplification
129
What is melting curve analysis?
- PCR amplicons are slowly heated in presence of dyes specific for dsDNA
- at low temp, signals is high
- as temp increase, DNA strands separate and signal decrease
- fluorescent signal patterns vary depending on nucelotide sequence
130
What is reverse transcriptase?
- enzyme used in vitro to make DNA from RNA
- isolated from retroviruses
131
What is copy or complementary DNA (cDNA)?
- DNA copied from RNA by reverse transcriptase
132
What is ligate?
- to join together by chemical process
133
What is DNA ligase?
- enzyme that links DNA strands by joining 5’ end of one to 3’ end of another
134
What is a template of PCR?
- DNA region to be amplified
- from patients genomic or mitochondrial DNA or from microorganisms
135
Describe 2 oligonucleotide primers of PCR
- shot segments of ssDNA designed to hybridize to template strands and provide starting point for synthesis of daughter strand
- 1 designed to hybridize adjacent to region of interest on 3’ end of 1 strand, other designed to hybridize adjacent to region of interest on 3’ end of other strand
- segment to ab amplified falls between 2 primers
136
What are dNTPs?
- building blocks form which DNA polymerase synthesizes a new stand of DNA: dATP, dGTP, dTTP, dCTP
137
Describe thermostable DNA polymerase
- e.g. Tag polymerase
- extends primers on each template strand of dNTPs and catalyzing formation of phosphodiester bonds
138
What are the steps of PCR?
- denaturation (melting)
- Annealing (hybridization)
- extension (polymerzation)
139
Describe denaturation of PCR
- “melting”
- temp = 90-96C/20-60 seconds
- dsDNA separated into 2 strands by heat
- each strand serves as template for synthesis of new strand
140
Describe annealing of PCR
- “hybridization”
- temp = 50-70C/20-90 seconds
- primers attach to both template strands by binding with complementary bases on 3’ side of region to be amplified
141
Describe extension of PCR
- “polymerization”
- temp = 68-75C/ 10-60 seconds
- DNA polymerase attaches to ends of primers, adds dNTPs that are complementary to template, synthesizing new strands of DNA
142
Describe cycling repeating of PCR
- repeated 15-40 times
- each cycle results in doubling of DNA, yielding millions of copies of original DNA segment
- amplicon can be analyzed by variety of methods
143
Describe positive control of PCR
- contains nucleic acid sequence of interest
- purpose = ensures that polymerase is active, primers and thermocycler working properly
- expected reaction = target sequence detected
144
Describe negative control of PCR
- contamination control, reagent blank, or no target control)
- contains all PCR components except DNA
- purpose = checks for contamination with target DNA or amplicon from previous amplification
- expected reaction = target sequence not detected
145
Describe Negative control template of PCR controls
- contains DNA but not target DNA
- purpose = ensures that primers aren’t binding to wrong DNA sequences
- expected results = target sequence not detected
146
Describe internal control of PCR control
- amplification control
- contains 2nd set of primers and unrelated target (housekeeping gene or other nucleic acid target introduced in sample before nucleic acid extraction or during (PCR)
- purpose = demonstrates that PCR is working. Differentiates true NEG from false NEG due to amplification failure. Detects PCR inhibitors
- expected reaction = housekeeping gene detected
147
Describe Nested PCR
- uses 2 pairs of primers and second round of amplification to increase sensitivity and specificity
148
Describe real-time PCR
- simultaneous amplification and detection (fluorescence) in sealed tube
- less subject to contamination
- eliminates need to analysis of product by gel electrophoresis
- quantitative by analyzing the Ct
- commonly used for detection of microorganisms
149
Describe multiplex PCR
- uses more than 1 set of primers so mulitple targets can be amplified in same tube
150
Describe reverse transcriptase PCR (RT-PCR)
- method to amplify RNA (mRNA or microbial RNA)
- same procedure as PCR except RNA is 1st converted to cDNA by reverse transcriptase
- used to detect viruses such as SARS-Cov-2, HIV and Hepatitis C virus (HCV), measure gene expression
151
Describe self-sustaining sequence replication (3SR)
- type of transcription-based amplification systems (TAS)
- non-PCR methods to amplify target RNA
- similar methods, different manufacturers
- cDNA is formed from target RNA
- millions of copies of RNA produced by transcription of cDNA
- assays to detect RNA viruses, mycobacterium tuberculosis, chlamydia trachomata’s
- TMA and NASBA are isothermal run
- don’t require thermocycler
152
Describe Multiplex ligation-dependent probe amplification (MPLA)
- type of probe amplification
- pairs of probes, each consists of 2 unconnected oligos that bind adjacent to the template
- 1 segment is fluorescently labeled
- if both bind, DNA ligase joins them and DNA polymerase copies the probe
- applications = Duchenne muscular dystrophy
153
Describe dDNA
- type of signal amplification
- probes capture target sequence to SLE support
- extender, preamplifier, and amplifier probes hybridize sequentially
- final probe is branched and carries signal-generating enzymes that act on chemiluminescent substrate
- application = detection of HBV, HCV, CMV; HIV viral loads
154
Describe HCA
- type of signal amplification
- complexes containing target DNA bind to antibodies on solid support
- detected by enzyme-labeled antibodies
- application = detection of HPV
155
Describe cleavage-based amplification
- isothermal method that uses primary probe, invader probe reporter probe
- enzyme cleavage amplifies reporter probe bound to DNA target
- application = detection of cystic fibrosis, factor Leiden, HPV
156
What are types of solid-phase hybridization?
- dot/slot blot
- sandwich hybridization
- line probe assay
157
Describe Dot/slot blot
- sample applied to membrane
- membrane heated to denature DNA and labeled probe added
- unhybridized probe washed away
- hybridized probe visualized by autoradiography or enzyme assay
- POS rxn indicates presence of target sequence
- application = detection of mutations associated with genetic diseases such as sickle cell anemia
158
Describe sandwich hybridization
- unlabeled probe bound to membrane or well surface (capture probe)
- sample applied. If target sequence is present, anneals to capture probe
- labeled probe (signal-generating probe) that anneals to different site on target added
- more specific than dot blot
- can be carried out in microtiter plates plates, so adaptable to automation
159
Describe line probe assay (LiPA)
- probes attached to strips, amplified target added
- unbound target washed away
- hybridized complexes visualized with Biotin-streptavidin method
- application = infectious diseases
160
Describe liquid phase hybridization
- target nucleic acid and probe interact in aqueous solution.
- rapid and more sensitive than solid phase
- uses smaller sample size.
- adaptable to automation
- application = detection of bacterial rRNA in clinical specimens or cultures
161
Describe in situ hybridization
- target nucleic acid detected in intact cells
- tissue or cells fixed on glass slide
- Probe added. Attached to complementary DNA sequences
- application = cytogenetics studies
162
Describe fluorescence in situ hybridization (FISH)
- hybridization is performed directly on intact chromosomes using a fluorescent-labeled probe
- fluorescent microscope used with appropriate filters to transmit the excited light from the specific probes
- application - IgH gene translocation such as t(11:14) in multiple myeloma, BDR/ABL (for CML or ALL) aneuploidy and chromosomal deletions
163
Describe DNA chip technology (microarrays)
- mulitple probes immobilized as specific locations on solid support (glass slide, silicone chip)
- after amplification, sample and control nucleic acid labeled with 2 different fluorescent dyes and loaded onto chip
- sample and control compete to hybridize to chip based on relative amounts
- unbound strands of target washed away
- hybridized nucleic acid detected with fluorescent detector
- relative colors measured
- thousands of reactions can be performed at same time
- application = gene profiles associated with certain cancers/diseases, classification of leukemias, tumor staging, determination of drug resistance in HIV
164
What are the characteristics of gel electrophoresis?
- nucleic acids migrate to POS pole (anode) in electrical field due to NEG charge on phosphate group
- molecules with smallest MW travel furthest from point of application.
- traditional method to detect/analyze nucleic acids following isolation
- matrices = agarose, polyacrylamide
- buffer = tris-acetate-EDTA (TAE), tris-borate-EDTA (TBE)
- tracking dyes = bromphenol blue, xylene cyanol
- stains = ethidium bromide (most commonly used fluorescent DNA-binding dye; mutagen, handle with care), SYBR gold, picoGreen and YOYO-1
- applications = PCR/restriction fragment length polymorphism (RFLP), RT-PCR fragment analysis, Southern and Northern blotting, DNA sequencing, serum protein and CSF analysis
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What are the variations of gel electrophoresis?
- polycrylamide gel electrophoresis (PAGE)
- capillary electrophoresis
- pulse-field gel electrophoresis
- denaturing gel electrophoresis
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Describe Polyacrylamide gel electrophoresis (PAGE)
- used when DNA fragments are small
- high degree of resolution
- can differentiate fragments that differ by just 1 base pair
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Describe capillary electrophoresis
- performed in thin capillary tubes using high voltage
- utilizes electroendrosmosis, which draw molecules towards the cathode where in UV light or fluorescence detector molecules as they pass by.
- used in DNA sequencing and fragment analysis
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Describe pulse-field gel electrophoresis
- alternates direction of current
- used in epidemiology of infectious diseases
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Describe denaturing gel electrophoresis
- uses chemicals to denature secondary structures
- used most often in electrophoresis of RNA
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What is the principe of blotting tests?
- nucleic acids that have been separated by electrophoresis are transferred to solid support membrane
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Describe southern blot test
- used to analyze DNA containing a specific base sequence by applying a probe to DNA bands immobilized onto nitrocellulose paper after electrophoresis
- useful for ID of DNA fragments that don’t amplify well, for polymorphisms and structural alterations
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What is sequencing?
- determination of order of nucleotides in DNA molecule
- used to detect mutations, type microoraganims, establish treatment for HIV and HCV
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What is dideoxyinosine chain termination sequencing?
- Sanger method
- widely used method to determine DNA sequence
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what is Dideoxynucleotides (ddNTPs)?
- ddATP, ddGTP, ddCTP or ddTTP
- chain terminating nucleotides used in DNA sequencing
- lack of 3’-OH group required for formation of phosphodiester bonds between nucleotides
- when in corporates into growing DNA strand, extension stops.
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What is a sequencing ladder?
- 4-lane gel electrophoresis pattern obtained from dideoxy chain termination sequencing
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What is cycle sequencing?
- most commonly used method for DNA sequencing in clinical lab
- based on Sanger method.
- Amplification by PCR, denaturation, annealing or primer, extension of new strand by DNA polymerase
- Extension stops when ddNTP is incorporated.
- ddNTPs are labeled with different fluorescent tags, detected by capillary electrophoresis and fluorescent detector
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What is pyrosequencing?
- method to determine DNA sequence in short segments based on generation of light
- doesn’t recruiter electrophoresis or sequencing ladder
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What is mutation?
- permanent change in nucleotide sequence
- may of may not cause disease
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What is point mutation?
- mutation involving single nucleotide pair
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Describe polymorphism
- variation in DNA sequence that occurs in at least 1% of population
- some cause susceptibility to disease, or affect the response to drugs
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What is a single nucleotide polymorphism (SNP)?
- “snip”
- variation in single base
- most common type of variation in human genome
- example of disease caused of hereditary hemochromatosis (single base mutation in HFE gene on chromosome 6
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What is restriction endonucleases?
- bacterial enzymes used to cut DNA at specific sites
- used to produce short fragments for electrophoresis
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What is restriction site (recognition site)?
- nucleotide sequence recognized by restriction endonuclease
- most are palindromes
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What are palindromes?
- nucleotide sequence that reads same in both directions e.g. the complementary strand to 5’-CATG is 3’-CATG
- since reading is from 5’ to 3’ direction, both are read as CATG
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What is a restriction digest?
- DNA fragments formed by action of restriction endonuclease on DNA
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What is restriction pattern (RFLP profile)? -
- Pattern of DNA fragments produced following digestion with restriction endnucocleases
- fragments separated by gel electrophoresis
- stained with ethidium bromide and viewed under UV light or blotted onto nitrocellulose membrane and detected with labeled probe (Southern Blot)
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What is restriction fragments length polymorphisms (RFLPs)?
- differences in restriction patterns due to variations in nucleotide sequences that change where restriction enzymes cleave DNA
- useful in forensics and paternity testing, detection of genes associated with specific diseases, ID of microorganisms
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Describe the Sanger Dideoxy Chain termination method
- modification of DNA replication that incorporates labeled dideoxynucleotides (ddNTPs, chain terminating nucleotides) in reaction mixture
- similar to sNTPs except lack 3’OH needed for phosphodiester bond formation
- when incorporated into growing DNA chain, elongation is terminated
- components = template, primer, DNA polymerase, dNTPs, ddNTPs
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What is the procedure for Sanger Dideoxy chain termination method?
1. DNA template amplified
2. 4 reaction tubes containing”
— template
— primer
— DNA polymerase
— all 4 dNTPs
— only 1 ddNTP
3. Amplicon denatured
4. Primer hybridizes to target
5. DNA polymerase extends primer, occasionally incorporating ddNTP that stops further extension. Resulting fragments are of various lengths. All fragments in tube end with same labeled ddNTP
6. Product electrophoreses in 4 separate lanes labeled A, C, G, T, corresponding with the ddNTP in tube. Fragments separate according to size
7. Gel dried and exposed to x-ray film, producing sequencing ladder. Band furthest from origins is smallest, fastest migrating fragment and ends in the 1st nucleotide in the sequence, e.g. if band futhest from origins is in lane A (lane from tube that contained ddATP), then 1st nucleotide in sequence is A. Ladder is read from bottom to top to determine entire nucleotide sequence
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Describe automation sequencing and application of Sanger dideoxy chain termination method
- uses fluorescent labels and capillary gel electrophoresis
- fragments migrate through gel according to size, pass by laser beam and detector
- bases identified by color of fluorescence
- results in electropherogram rather than gel pattern
- application = detection of mutations, genotyping HIV to determine drug resistance and HCV to determine therapy and prognosis
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Describe Next Generation Sequencing (NGS) method
- principle = parallel sequencing of small pieces (subunits) of DNA where each subunit is sequenced rapidly numerous times followed by assembling the fragments to yield a sequence of the starting material
- NGS allows rapid sequence with a much smaller amount of DNA when compared to the Sanger methodology
- components = sample, primer, DNA polymerase, dNTPs, reference genome
- application = detection of mutations for a variety of diseases, detect target cancer drug resistance mutations, detection of cell-free tumor DNA (liquid biopsy)
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What is the procedure for Next generation Sequencing method
1. Library preparation (prepares DNA or RNA to be comparable with a sequencer)
— sonication
2. Cluster generation
— clones produced of each subunit
— separation of clones in wells, on beads or on a glass slide
3. Sequencing (bridge amplification)
— complementary strands made to amplicon of each single clone
4. Data analysis
— instrument software and external programs can aid in this process
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What are the strengths of molecular testing?
- High sensitivity
- high specificity
- ability to predict one disease before they are manifested in patient
- ability to detect mutations that predict response to some therapies
- ability to detect nonviable, fastidious slow-growing and nonculturable microorganisms
- adaptability to automation (high throughput, rapid turnaround time)
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What are the limitations of molecular testing?
- potential for nucleic acid contamination
- Data not always clinically significant e.g. presence of microbial nucleic acid doesn’t indicate disease, unable to differentiate viable and dead microorganisms
- cost
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What can cause false POS results in MDx?
- contamination from other specimens
- contamination with amplicons from previous target amplification
- environmental contamination
- contamination by testing personnel
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How is contamination from other specimens prevented in MDx?
- use of plugged pipette tips and screw cap tubes to minimize sample aerosols
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How is contamination with amplicons from previous target amplification prevented in MDx?
- use of closed tube (real-time) PCR or signal or probe amplification methods; separate areas for sample prep ad amplification with no movement of equipment or reagents from amplification area to sample prep area; use of dUTP-UNG system to destroy amplicons form previous amplifications
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How is environmental contamination prevented in MDx?
- use of 10% bleach or alcohol to clean benches, hoods; UV light to decontaminate sample prep areas (interferes with DNA replication by breaking sugar-phosphate backbone)
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How is contamination by testing personnel prevented in MDx?
- use of lab coats, and gloves
200
What causes false NEGs in MDx?
- inhibitors in sample
- degradation of nucleic acids during transport/handling
- degradation of nucleic acid during processing
- degradation of nucleic acid during storage
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How is inihibitors in samples prevented from causing false NEG in MDx?
- proper specimen collection (correct anticoagulant, no hemolysis), use of internal control or split sample testing (1 aliquot with target added)
202
How is degradation of nucleic acids during transport/handling prevented in MDx?
- use of transport media, collection tubes designed to stabilize RNA, prompt processing or preservation, inhibiton of DNases and RNases
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How is degradation of nucleic acids during processing prevented in MDx?
- use of glover when handling samples, standards, controls to protect against nuclease degradation
- RNase-free conditions for isolation of RNA
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How is degradation of nucleic acid during storage prevented in MDx?
- storage at proper temp:
— specimens: snap freeze and store at -70C
— DNA: RT a few month or 1 year in refrigerator, -20C to -70C for 10 year
— RNA: -20C few months, -70C longer
- avoid repeated freeze/thaw cycles and frost-free refrigerators
- can damage DNA
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What are the applications for microbiology in MDx?
- detection of microorganisms
- viral load testing
- genotyping to determine antimicrobial resistance
- epidemiology
- classification (and reclassification)
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What are the applications for immunology in MDx?
- viral load testing
- measurements of cytokine activity
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What is the application for coagulation in MDx?
- detection of point mutations (using Sanger or NGS method)
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What are the applications for hematology in MDx? -
- diagnosis and classification of B and T cell leukemias and non-Hodgkins Lymphomas
- monitoring of therapy and remission
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What are the applications for blood banking in MDx?
- screening donors for bloodborne pathogens
- fetal typing for risk of HDFN
- determining Rh variants
- determining blood group variants
- antigen status of chronically transfused patients
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What are the applications for cytogenetics in MDx?
- diagnosis of genetic disease
- diagnosis of carrier state
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What are the applications for histocompability in MDx?
- HLA typing (PCR based)
- detection of polymorphisms in major histocompatibility complex MHC genes (NGS often utilized)
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What are the applications for oncology in MDx?
- diagnosis of cancer
- mutations to predict lack of or favorable response to therapies
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What are applications for pharmacogenetics in MDx?
- selection of optimal drug therapy based on patients genotype
- ID of potential adverse drug affects based on patients genotype