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Related Concept Videos

Real Time RT-PCR02:57

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Real-time reverse transcription-polymerase chain reaction, or Real-time RT-PCR, is an analytical tool used to determine the expression level of target genes. The method involves converting mRNA to complementary DNA with the help of an enzyme known as reverse transcriptase, followed by the PCR amplification of the cDNA. These two processes can be performed simultaneously in a single tube or separately as a two-step reaction.
The real-time quantification of the number of amplified products is...
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Single Droplet Digital Polymerase Chain Reaction for Comprehensive and Simultaneous Detection of Mutations in Hotspot Regions
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QMC-PCRx: a novel method for rapid mutation detection.

Henry O Ebili1,2, James Hassall1, Abutaleb Asiri1

  • 1Division of Cancer and Stem Cell, Faculty of Medicine & Health Sciences, University of Nottingham, Nottingham, UK.

Journal of Clinical Pathology
|February 4, 2017
PubMed
Summary

The novel QMC-PCRx method enables multiplexed mutation screening, significantly reducing workload and costs. This multiplexed analysis using high-resolution melting (HRM) achieves 100% concordance with singleplex testing.

Keywords:
CANCER GENETICSCOLORECTAL CANCERPCR

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Area of Science:

  • Molecular biology
  • Genetics
  • Biotechnology

Background:

  • Quick multiplex consensus PCR (QMC-PCR) is a two-stage method for rapid mutation screening in low-quality DNA.
  • The standard QMC-PCR involves a prediagnostic multiplex (PDM) reaction followed by individual diagnostic reactions with high-resolution melting (HRM) analysis.

Purpose of the Study:

  • To develop QMC-PCRx, a modified QMC-PCR protocol with a multiplexed second stage for simultaneous testing of multiple targets.
  • To assess the diagnostic accuracy and efficiency of QMC-PCRx compared to standard QMC-PCR.

Main Methods:

  • The PDM reaction was unchanged. The second stage was redesigned for multiplex HRM (mHRM) analysis using in silico design.
  • Seventeen colorectal cancer samples were tested for mutations in five hotspots using QMC-PCR (singleplex) and QMC-PCRx (multiplexed combinations).
  • Agreement between methods was determined by percentage concordance.

Main Results:

  • Multiplex HRM optimization allowed for distinct, non-overlapping peaks with up to three targets per reaction.
  • QMC-PCRx reduced the number of second-stage tests from 85 to 34 for 85 individual targets.
  • A 100% concordance was observed between the QMC-PCRx and standard QMC-PCR methodologies.

Conclusions:

  • Multiplexed analysis using HRM is feasible without compromising diagnostic accuracy.
  • The QMC-PCRx protocol offers a significant reduction in workload and cost for mutation screening.