What is Dideoxy sequencing also known as?
Sanger sequencing
How is Sanger sequencing similar and different to PCR?
Different:
Some particles cycle to repeat the temperatures but only use a single forward primer. This means amplification is not exponential - so doesn’t create a chain reaction.
Similar:
Also uses a DNA polymerase. But if cycling is performed, a thermostable polymerase would be necessary and are usually used.
Ie. After 30 cycles of Sanger cycling, you would end up with 30 additional molecules of complementary sequence.
What are the four stages of Sanger Sequencing?
If the reaction is cycled, these reactions are repeated.
What happens at the strand separation stage?
How do you anneal primers?
What are the conditions required for extension?
1) A template strand that extend beyond a primer.
2) Free 3’ OH groups on the primer
3) All 4 Deoxy Nucleotide triphosphates ( dATP, dTTP, dCTP, dGTP)
4) Mg2+ ions
How does extension occur?
-once the base is added, The polymerase then translocates along molecule to repeat process.
What conditions are required for chain termination?
1) A template strand that extend beyond a primer.
2) Free 3’ OH groups on the primer
3) All 4 Deoxy Nucleotide triphosphates ( dATP, dTTP, dCTP, dGTP)
4) All 4 DiDeoxy Nucleotide triphosphates ( ddATP, ddTTP, ddCTP, ddGTP)
5)Mg2+ ions
How does chain termination occur?
Achieved by inclusion of the reaction mixture of all four dioxin nucleotide triphosphates (ddATP, ddCTP, ddTTP, ddGTP).
Polymerase will incorporate the deoxy nucleotides with low frequency thus terminate elongation in a low proportion of the elongating strand.
Eg. Adding ddGTP at 1/1000th concentration of dGTP means when polymerase incorporated Guanine, it will have probability of stopping of 1/1000.
Since all bases of dd_TP is present in mixture, the molecule produced by reaction will vary in length depending on when dideoxy nucleotide is incorporated.
Why does adding dideoxy neucleotides terminate elongation?
Are dideoxy nucleotide has hydroxyl groups missing one each at the 2’ and 3’ position on the ribose ring. It has a normal 5’ triphospate - so is incorporated by the polymerase all the same.
The polymerase cannot differentiate between this molecules - incorporations due to molar ratio and chance.
Extension of the chain is dependent upon having a free 3’ OH group.
By incorporating a modified nucleotide with a missing OH, we prevent further extension of the Strand.
We have four types of dideoxy neucleotides. To differentiate, we modify each by adding a fluorescent label. This means all terminations will happen at a different wavelength of colour. 
How do we sort these molecules to determine the order of the incorporation of nucleotides?
Ordering these molecules by size allows us to determine the sequence of the new strands - analysis to determine the sequence from 5’ end.
How do we sort strands by their size?
So suppression can be done by Gel electrophoresis.
For the purpose of the Dideoxy sequencing, we can do this in a capillary - technique is called capillary electrophoresis.
Use this approach because it has a much higher resolution.
How does capillary electrophoresis work?
The fastest ones are shorter = the labelled dideoxy neucleotide is nearer the primer (5’ end of molecule).
As it gets longer, it’s found nearer to 3’ end. This means we can read in the the 5’ to 3’ order.
How are the sizes of the strands measured in reality?
Measurement of fluorescence generates a trace and base calling is automated.
Ie. Measuring fluorescence over time to produce graph. - called an electrophrogram. The peaks correspond to individual bases.
This is generated by a computer algorithm performing based calling to provide the sequence such as you see it in the electropherogram.
How is deoxy sequencing used in healthcare?
Gold standard confirmatory test For specific genetic mutations in patients with suspected genetic diseases.
- used to confirm all types of mutations: silent, misense, nonsense, truncating, Indel and Mis-Splicing 
- The one exception low-frequency mosaicism. 
Also used to identify HIV haplotypes resistant to anti-retrovirals to determine therapy HAART
How is the deoxy sequencing used in research?