Abstract
Since the first documentation of real-time polymerase chain reaction (PCR),1 it has been used for an increasing and diverse number of applications, including mRNA expression studies, DNA copy number measurements in genomic or viral DNAs,2–7 allelic discrimination assays,8,9 expression analysis of specific splice variants of genes10–13 and gene expression in paraffin-embedded tissues,14,15 and laser captured microdissected cells.13,16–19 Therefore, quantitative reverse transcriptase polymerase chain reaction (Q-RT-PCR) is now essential in molecular diagnostics to quantitatively assess the level of RNA or DNA in a given specimen. QRT-PCR enables the detection and quantification of very small amounts of DNA, cDNA, or RNA, even down to a single copy. It is based on the detection of fluorescence produced by reporter probes, which varies with reaction cycle number. Only during the exponential phase of the conventional PCR reaction is it possible to extrapolate back in order to determine the quantity of initial template sequence. The “real-time” nature of this technology pertains to the constant monitoring of fluorescence from specially designed reporter probes during each cycle. Due to inhibitors of the polymerase reaction found with the template, reagent limitation or accumulation of pyrophosphate molecules, the PCR reaction eventually ceases to generate template at an exponential rate (i.e., the plateau phase), making the end point quantitation of PCR products unreliable in all but the exponential phase.
Keywords: Polymerase Chain Reac, Minimal Residual Disease, Molecular Beacon, Conventional Polymerase Chain Reac, Quantitative Reverse Transcriptase
References
- 1.Higuchi R., Fockler C., Dollinger G., Watson R. Kinetic PCR analysis: real-time monitoring of DNA amplification reactions. Biotechnology. 1993;11:1026–1030. doi: 10.1038/nbt0993-1026. [DOI] [PubMed] [Google Scholar]
- 2.Kariyazono H., Ohno T., Ihara K., et al. Rapid detection of the 22q1 1.2 deletion with quantitative real-time PCR. Mol Cell Probes. 2001;15:71–73. doi: 10.1006/mcpr.2000.0340. [DOI] [PubMed] [Google Scholar]
- 3.Nigro J.M., Takahashi M.A., Ginzinger D.G., et al. Detection of 1p and 19q loss in oligodendroglioma by quantitative microsatellite analysis, a real-time quantitative PCR assay. Am J Pathol. 2001;4:1253–1262. doi: 10.1016/S0002-9440(10)64076-X. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Ginzinger D.G., Godfrey T.E., Nigro J., et al. Measurement of DNA copy number at microsatellite loci using quantitative PCR analysis. Cancer Res. 2000;60:5405–5409. [PubMed] [Google Scholar]
- 5.Ingham D.J. The study of transgene copy number and organization. Methods Mol Biol. 2005;286:273–290. doi: 10.1385/1-59259-827-7:273. [DOI] [PubMed] [Google Scholar]
- 6.Bai RK, Perng CL, Hsu CH, Wong LJ. Quantitative PCR analysis of mitochondrial DNA content in patients with mitochondrial disease. Ann NYAcad Sci. 2004;1011:304–309. doi: 10.1007/978-3-662-41088-2_29. [DOI] [PubMed] [Google Scholar]
- 7.Desire N., Dehee A., Schneider V., et al. Quantification of human immunodeficiency virus type 1 proviral load by a TaqMan real-time PCR assay. J Clin Microbiol. 2001;39:1303. doi: 10.1128/JCM.39.4.1303-1310.2001. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Johnson V.J., Yucesoy B., Luster M.I. Genotyping of single nucleotide polymorphisms in cytokine genes using real-time PCR allelic discrimination technology. Cytokine. 2004;27:135–141. doi: 10.1016/j.cyto.2004.05.002. [DOI] [PubMed] [Google Scholar]
- 9.Petersen K., Vogel U., Rockenbauer E., et al. Short PNA molecular beacons for real-time PCR allelic discrimination of single nucleotide polymorphisms. Mol Cell Probes. 2004;18:117–122. doi: 10.1016/j.mcp.2003.10.003. [DOI] [PubMed] [Google Scholar]
- 10.Elson D., Thurston G., Huang E., et al. Quiescent angiogenesis in transgenic mice expressing constitutively active hypoxiainducible factor-1a. Genes Dev. 2001;15:2520. doi: 10.1101/gad.914801. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Schmittgen T.D., Teske S., Vessella R.L., True L.D., Zakrajsek B.A. Expression of prostate specific membrane antigen and three alternatively spliced variants of PSMA in prostate cancer patients. Int J Cancer. 2003;107:323–329. doi: 10.1002/ijc.11402. [DOI] [PubMed] [Google Scholar]
- 12.Caberlotto L., Hurd Y.L., Murdock P., et al. Neurokinin 1 receptor and relative abundance of the short and long isoforms in the human brain. Eur J Neurosci. 2003;17:1736–1746. doi: 10.1046/j.1460-9568.2003.02600.x. [DOI] [PubMed] [Google Scholar]
- 13.Sethi N., Palefsky J. Transcriptional profiling of dysplastic lesions in K14-HPV16 transgenic mice using laser microdissection. FASEB J. 2004;18:1243–1245. doi: 10.1096/fj.03-0946fje. [DOI] [PubMed] [Google Scholar]
- 14.Godfrey T.E., Kim S.H., Chavira M., et al. Quantitative mRNA expression analysis from formalin-fixed, paraffin-embedded tissues using 5’ nuclease quantitative reverse transcription-polymerase chain reaction. J Mol Diagn. 2000;2:84–91. doi: 10.1016/S1525-1578(10)60621-6. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Andreassen C.N., Sorensen F.B., Overgaard J., Alsner J. Optimization and validation of methods to assess single nucleotide polymorphisms (SNPs) in archival histological material. Radiother Oncol. 2004;72:351–356. doi: 10.1016/j.radonc.2004.07.006. [DOI] [PubMed] [Google Scholar]
- 16.Glockner S., Lehmann U., Wilke N., Kleeberger W., Langer F., Kreipe H. Detection of gene amplification in intraductal and infiltrating breast cancer by laser-assisted microdissection and quantitative realtime PCR. Pathobiology. 2000;68:173–179. doi: 10.1159/000055920. [DOI] [PubMed] [Google Scholar]
- 17.Ehrig T., Abdulkadir S.A., Dintzis S.M., Milbrandt J., Watson MA. Q. titative amplification of genomic DNA from histological tissue sections after staining with nuclear dyes and laser capture microdissection. J Mol Diagn. 2001;3:22–25. doi: 10.1016/S1525-1578(10)60645-9. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 18.Fink L., Seeger W., Ermert L., et al. Real-time quantitative RTPCR after laser-assisted cell picking. Nat Med. 1998;4:1329–1333. doi: 10.1038/3327. [DOI] [PubMed] [Google Scholar]
- 19.Shieh DB, Chou WP, Wei YH, Wong TY, Jin YT. Mitochondrial DNA 4,977-bp deletion in paired oral cancer and precancerous lesions revealed by laser microdissection and real-time quantitative PCR. Ann NYAcad Sci. 2004;1011:154. doi: 10.1007/978-3-662-41088-2_16. [DOI] [PubMed] [Google Scholar]
- 20.Holland P.M., Abramson R.D., Watson R., Gelfand D.H. Detection of specific polymerase chain reaction product by utilizing the 5′-3′ exonuclease activity of Thermus aquaticus DNA polymerase. Proc Natl Acad Sci USA. 1991;88:7276–7280. doi: 10.1073/pnas.88.16.7276. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Lee L.G., Connell C.R., Bloch W. Allelic discrimination by nick-translation PCR with fluorogenic probes. Nucleic Acids Res. 1993;21:3761–3766. doi: 10.1093/nar/21.16.3761. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Cardullo R.A., Agrawal S., Flores C., Zamecnick P.C., Wolf D.E. Detection of nucleic acid hybridization by non-radiative fluorescence resonance energy transfer. Proc Natl Acad Sci USA. 1988;85:8790. doi: 10.1073/pnas.85.23.8790. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Heid C.A., Stevens J., Livak K.J., Williams P.M. Real time quantitative PCR. Genome Res. 1996;6:986–994. doi: 10.1101/gr.6.10.986. [DOI] [PubMed] [Google Scholar]
- 24.Gibson U.E., Heid C.A., Williams P.M. A novel method for real time quantitative RT-PCR. Genome Res. 1996;6:995–1001. doi: 10.1101/gr.6.10.995. [DOI] [PubMed] [Google Scholar]
- 25.Dumur C.I., Dechsukhum C., Wilkinson D.S., Garrett C.T., Ware J.L. Ferreira-Gonzalez A. Analytical validation of a real-time reverse transcriptionpolymerase chain reaction quantitation of different transcripts of the Wilms’ tumor suppressor gene (WT1) Anal Biochem. 2002;309:127–136. doi: 10.1016/S0003-2697(02)00265-8. [DOI] [PubMed] [Google Scholar]
- 26.Jurado J., Prieto-Alamo M.J., Madrid-Risquez J., Pueyo C. A. gene expression patterns of thioredoxin and glutaredoxin redox systems in mouse. J Biol Chem. 2003;278:45546. doi: 10.1074/jbc.M307866200. [DOI] [PubMed] [Google Scholar]
- 27.Borg I., Rohde G., Loseke S., et al. Evaluation of a quantitative realtime PCR for the detection of respiratory syncytial virus in pulmonary diseases. Eur Respir J. 2003;21:944–951. doi: 10.1183/09031936.03.00088102. [DOI] [PubMed] [Google Scholar]
- 28.Lin J.C., Wang W.Y., Chen K.Y., et al. Quantification of plasma EpsteinBarr virus DNA in patients with advanced nasopharyngeal carcinoma. N Engl J Med. 2004;350:2461–2470. doi: 10.1056/NEJMoa032260. [DOI] [PubMed] [Google Scholar]
- 29.Castelain S., Descamps V., Thibault V., et al. TaqMan amplification system with an internal positive control for HCV RNA quantitation. J Clin Virol. 2004;31:227–234. doi: 10.1016/j.jcv.2004.03.009. [DOI] [PubMed] [Google Scholar]
- 30.Gilliland G., Perrin S., Bunn H.F. PCR Protocols: A Guide to Methods and Applications. Innis, MA, ed. CA, USA: Academic Press; 1990. Competitive PCR for quantitation of mRNA; pp. 60–69. [Google Scholar]
- 31.Suzuki T., Higgins P.J., Crawford D.R. Control selection for RNA quantitation. BioTechniques. 2000;29:332–337. doi: 10.2144/00292rv02. [DOI] [PubMed] [Google Scholar]
- 32.Bustin S.A. Absolute quantification of mRNA using real-time reverse transcription polymerase chain reaction assays. J Mol Endocrinol. 2000;25:169–193. doi: 10.1677/jme.0.0250169. [DOI] [PubMed] [Google Scholar]
- 33.Rhoads R.P., McManaman C., Ingvartsen K.L., Boisclair Y.R. The housekeeping genes GAPDH and cyclophilin are regulated by metabolic state in the liver of dairy cows. J Dairy Sci. 2004;87:248. doi: 10.3168/jds.S0022-0302(04)73420-7. [DOI] [PubMed] [Google Scholar]
- 34.Steele B.K., Meyers C., Ozbun M.A. Variable expression of some “housekeeping” genes during human keratinocyte differentiation. Anal Biochem. 2002;307:341–347. doi: 10.1016/S0003-2697(02)00045-3. [DOI] [PubMed] [Google Scholar]
- 35.Yperman J., De Visscher G., Holvoet P., Flameng W. β-actin cannot be used as a control for gene expression in ovine interstitial cells derived from heart valves. J Heart Valve Dis. 2004;13:848. [PubMed] [Google Scholar]
- 36.Dheda K., Huggett J.F., Bustin S.A., Johnson M.A., Rook G., Zumla A. Validation of housekeeping genes for normalizing RNA expression in real-time PCR. BioTechniques. 2004;37:112. doi: 10.2144/04371RR03. [DOI] [PubMed] [Google Scholar]
- 37.Bas A., Forsberg G., Hammarstrom S., Hammarstrom M.L. Utility of the housekeeping genes 18S rRNA, β-actin and glyceraldehyde-3-phosphate-dehydrogenase for normalization in real-time quantitative reverse transcriptase-polymerase chain reaction analysis of gene expression in human T lymphocytes. Scand J Immunol. 2004;59:566–573. doi: 10.1111/j.0300-9475.2004.01440.x. [DOI] [PubMed] [Google Scholar]
- 38.Vandesompele J., De Preter K., Pattyn F., et al. Accurate normalization of real-time quantitative RT-PCR data by geometric averaging of multiple internal control genes. Genome Biol. 2002;3:0034. doi: 10.1186/gb-2002-3-7-research0034. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39.Morrison T.B., Weis J.J., Wittwer C.T. Quantification of low-copy transcripts by continuous SYBR Green I monitoring during amplification. BioTechniques. 1998;24:954–958. [PubMed] [Google Scholar]
- 40.Ririe K.M., Rasmussen R.P., Wittwer C.T. Product differentiation by analysis of DNA melting curves during the polymerase chain reaction. Anal Biochem. 1997;245:154–160. doi: 10.1006/abio.1996.9916. [DOI] [PubMed] [Google Scholar]
- 41.Gibellini D., Vitone F., Schiavone P., Ponti C., La Placa M., Re M.C. Quantitative detection of human immunodeficiency virus type 1 (HIV-1) proviral DNA in peripheral blood mononuclear cells by SYBR green real-time PCR technique. J Clin Virol. 2004;29:282–289. doi: 10.1016/S1386-6532(03)00169-0. [DOI] [PubMed] [Google Scholar]
- 42.Blaschke V., Reich K., Blaschke S., Zipprich S., Neumann C.J. Rapid quantitation of proinflammatory and chemoattractant cytokine expression in small tissue samples and monocyte-derived dendritic cells: validation of a new real-time RT-PCR technology. Immunol Methods. 2000;246:79–90. doi: 10.1016/S0022-1759(00)00304-5. [DOI] [PubMed] [Google Scholar]
- 43.Ramos-Payan R., Aguilar-Medina M., Estrada-Parra S., et al. Quantification of cytokine gene expression using an economical real-time polymerase chain reaction method based on SYBR Green I. Scand J Immunol. 2003;57:439–445. doi: 10.1046/j.1365-3083.2003.01250.x. [DOI] [PubMed] [Google Scholar]
- 44.Nakamura T., Scorilas A., Stephan C., et al. Quantitative analysis of macrophage inhibitory cytokine-1 (MIC-1) gene expression in human prostatic tissues. Br J Cancer. 2003;88:1101–1104. doi: 10.1038/sj.bjc.6600869. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 45.Gut M., Leutenegger C.M., Huder J.B., Pedersen N.C., Lutz H. One-tube fluorogenic reverse transcriptionpolymerase chain reaction for the quantitation of feline coronaviruses. J Virol Methods. 1999;77:37–46. doi: 10.1016/S0166-0934(98)00129-3. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 46.Giulietti A., Overbergh L., Valckx D., Decallonne B., Bouillon R., Mathieu C. An overview of real-time quantitative PCR: applications to quantify cytokine gene expression. Methods. 2001;25:386–401. doi: 10.1006/meth.2001.1261. [DOI] [PubMed] [Google Scholar]
- 47.Ginzinger D.G. Gene quantification using real-time quantitative PCR: an emerging technology hits the mainstream. Exp Hematol. 2002;30:503–512. doi: 10.1016/S0301-472X(02)00806-8. [DOI] [PubMed] [Google Scholar]
- 48.van Hoeyveld E., Houtmeyers F., Massonet C., et al. Detection of single nucleotide polymorphisms in the mannosebinding lectin gene using minor groove binder-DNA probes. J Immunol Methods. 2004;287:227–230. doi: 10.1016/j.jim.2004.01.025. [DOI] [PubMed] [Google Scholar]
- 49.de Kok J.B., Wiegerinck E.T., Giesendorf B.A., Swinkels D.W. Rapid genotyping of single nucleotide polymorphisms using novel minor groove binding DNA oligonucleotides (MGB probes) Hum Mutat. 2002;19:554–559. doi: 10.1002/humu.10076. [DOI] [PubMed] [Google Scholar]
- 50.Zeschnigk M., Bohringer S., Price E.A., Onadim Z., Masshofer L., Lohmann D.R. A novel real-time PCR assay for quantitative analysis of methylated alleles (QAMA): analysis of the retinoblastoma locus. Nucleic Acids Res. 2004;32:E125. doi: 10.1093/nar/gnh122. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 51.Emig M., Saussele S., Wittor H., et al. Accurate and rapid analysis of residual disease in patients with CML using specific fluorescent hybridization probes for real time quantitative RT-PCR. Leukemia. 1999;13:1825–1832. doi: 10.1038/sj/leu/2401566. [DOI] [PubMed] [Google Scholar]
- 52.van der Velden V.H., Hochhaus A., Cazzaniga G., Szczepanski T., Gabert J., van Dongen J.J. Detection of minimal residual disease in hematologic malignancies by real-time quantitative PCR: principles, approaches, and laboratory aspects. Leukemia. 2003;17:1013–1034. doi: 10.1038/sj.leu.2402922. [DOI] [PubMed] [Google Scholar]
- 53.Schalasta G., Eggers M., Schmid M., Enders G. Analysis of human cytomegalovirus DNA in urines of newborns and infants by means of a new ultrarapid real-time PCR-system. J Clin Virol. 2000;19:175–185. doi: 10.1016/S1386-6532(00)00116-5. [DOI] [PubMed] [Google Scholar]
- 54.Aliyu S.H., Aliyu M.H., Salihu H.M., Parmar S., Jalal H., Curran M.D. Rapid detection and quantitation of hepatitis B virus DNA by realtime PCR using a new fluorescent (FRET) detection system. J Clin Virol. 2004;30:191–194. doi: 10.1016/j.jcv.2003.11.005. [DOI] [PubMed] [Google Scholar]
- 55.Tyagi S., Kramer F.R. Molecular beacons: probes that fluoresce upon hybridization. Nature Biotechnol. 1996;14:303–308. doi: 10.1038/nbt0396-303. [DOI] [PubMed] [Google Scholar]
- 56.Smit M.L., Giesendorf B.A., Vet J.A., Trijbels F.J., Blom H.J. Semiautomated DNA mutation analysis using a robotic workstation and molecular beacons. Clin Chem. 2001;47:739–744. [PubMed] [Google Scholar]
- 57.Abravaya K., Huff J., Marshall R., et al. Molecular beacons as diagnostic tools: technology and applications. Clin Chem Lab Med. 2003;41:468–474. doi: 10.1515/CCLM.2003.070. [DOI] [PubMed] [Google Scholar]
- 58.Wabuyele M.B., Farquar H., Stryjewski W., et al. Approaching real-time molecular diagnostics: single-pair fluorescence resonance energy transfer (spFRET) detection for the analysis of low abundant point mutations in K-ras oncogenes. J Am Chem Soc. 2003;125:6937–6945. doi: 10.1021/ja034716g. [DOI] [PubMed] [Google Scholar]
- 59.Whitcombe D., Theaker J., Guy S.P., Brown T., Little S. D. o. PCR products using self-probing amplicons and flourescence. Nature. 1999;17:804. doi: 10.1038/11751. [DOI] [PubMed] [Google Scholar]
- 60.Hart K.W., Williams O.M., Thelwell N., et al. Novel method for detection, typing, and quantification of human papillomaviruses in clinical samples. J Clin Microbiol. 2001;39:3204–3212. doi: 10.1128/JCM.39.9.3204-3212.2001. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 61.Thelwell N., Millington S., Solinas A., Booth J., Brown T. Mode of action and application of Scorpion primers to mutation detection. Nucleic Acids Res. 2000;28:3752–3761. doi: 10.1093/nar/28.19.3752. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 62.Solinas A., Brown L.J., McKeen C., et al. Duplex Scorpion primers in SNP analysis and FRET applications. Nucleic Acids Res. 2001;29:E96. doi: 10.1093/nar/29.20.e96. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 63.Ugozzoli L.A., Hamby K. Four-color multiplex 5′ nuclease assay for the simultaneous detection of the factor V Leiden and the prothrombin G20210A mutations. Mol Cell Probes. 2004;18:161–166. doi: 10.1016/j.mcp.2003.12.002. [DOI] [PubMed] [Google Scholar]
- 64.Vet J.A., Majithia A.R., Marras S.A., et al. Multiplex detection of four pathogenic retroviruses using molecular beacons. Proc Natl Acad Sci USA. 1999;96:6394–6399. doi: 10.1073/pnas.96.11.6394. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 65.Tong A.K., Li Z., Jones G.S., Russo J.J., Ju J. Combinatorial fluorescence energy transfer tags for multiplex biological assays. Nature Biotechnol. 2001;19:756–759. doi: 10.1038/90810. [DOI] [PubMed] [Google Scholar]
- 66.Tong A.K., Ju J. Single nucleotide polymorphism detection by combinatorial fluorescence energy transfer tags and biotinylated dideoxynucleotides. Nucleic Acids Res. 2002;30:E19. doi: 10.1093/nar/30.5.e19. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 67.Rickman D., Bobek M.P., Misek D.E., et al. Distinctive molecular profiles of high-grade and low-grade gliomas based on oligonucleotide microarray analysis. Cancer Res. 2001;65:6885–6891. [PubMed] [Google Scholar]
- 68.Miyazato A., Ueno S., Ohmine K., et al. Identification of myelodysplastic syndrome-specific genes by DNA microarray analysis with purified hematopoietic stem cell fraction. Blood. 2001;98:422–427. doi: 10.1182/blood.V98.2.422. [DOI] [PubMed] [Google Scholar]
- 69.Dolken G. Detection of minimal residual disease. Adv Cancer Res. 2001;82:133. doi: 10.1016/S0065-230X(01)82005-4. [DOI] [PubMed] [Google Scholar]
- 70.Lo Y.M., Tein M.S., Lau T.K., et al. Quantitative analysis of fetal DNA in maternal plasma and serum: implications for noninvasive prenatal diagnosis. Am J Hum Genet. 1998;62:768–775. doi: 10.1086/301800. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 71.Hu Y., Zheng M., Xu Z., Wang X., Cui H. Quantitative real-time PCR technique for rapid prenatal diagnosis of Down syndrome. Prenat Diagn. 2004;24:704–707. doi: 10.1002/pd.968. [DOI] [PubMed] [Google Scholar]
- 72.Costa C., Pissard S., Girodon E., Huot D., Goossens M. A one-step realtime PCR assay for rapid prenatal diagnosis of sickle cell disease and detection of maternal contamination. Mol Diagn. 2003;7:45–48. doi: 10.2165/00066982-200307010-00008. [DOI] [PubMed] [Google Scholar]
- 73.Arya M., Shergill I.S., Williamson M., Gommersall L., Arya N., Patel H.R. Basic principles of real-time quantitative PCR. Expert Rev Mol Diagn. 2005;5:209–219. doi: 10.1586/14737159.5.2.209. [DOI] [PubMed] [Google Scholar]
