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Final Exam
PCR applications in the Clinical Laboratory
76
Science
Graduate
02/20/2013

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Term
What is extraction?
Definition
release of nucleic acid from the cell
Term
How do you release DNA (RNA)?
Definition
breaking the cell and nuclear membrane = cell lysis
Term
What if purification?
Definition
removal of contaminating proteins, lipids, carbohydrates, and cellular debris
Term
What are some organic isolation methods?
Definition
high salt, low pH, and organic mixture of phenol and chloroform to dissolve hydrophobic contaminants (lipids and lipoproteins and DNA associated proteins)
Term
What are the inorganic isolation methods?
Definition
uses high salt and low pH to selectively precipitate proteins leaving DNA in solution
Term
What are solid-phase isolation?
Definition
uses a solid matrix to bind and wash the DNA called a spin column, which fits inside centrifuge tubes
Term
What are crude lysis?
Definition
simple lysis for when high-quality DNA prep is prohibited
Term
Who conceived the concept of amplification?
Definition
Kary Mullis in 1983
Term
What is the concept of PCR?
Definition
double a test target by repetition to get 2^n
Term
What is PCR?
Definition
DNA replication in vitro, one copy of double stranded DNA becoming two copies
Term
What are the three steps of PCR?
Definition
denaturation, annealing, and extension
Term
explain denaturation
Definition
90-96C, dsDNA separates into two single strands
Term
explain annealing
Definition
50-70C, primer anneals to complementary sequences on the sample DNA
Term
explain extension
Definition
68-75C the polymerase adds dNTPs to the hybridized primer and replicated the template DNA
Term
How many copies has the DNA been replicated into at the end of 1 cycle (3 steps)?
Definition
2 copies
Term
What are the 5 components of PCR?
Definition
Template, Primers, Nucleotides, polymerase, and buffer components (with Mg2+)
Term
template
Definition
DNA
Term
primers
Definition
primes synthesis of the template and determines specificity, forward primer binds to target DNA, 3' is critical for extension
Term
polymerase
Definition
thermostable enzyme that adds dNTPs to growing strand
Term
buffer
Definition
salts to provide optimal conditions for accurate replication and MgCl2 for primer annealing and enzyme activity
Term
What are thermal cyclers?
Definition
automated system designed to hold and rapidly change through incubation temperatures, 96 well plate format holds 0.2mL to 0.5mL tubes with heated lid to prevent condensation of the sample on tops of the tubes (add wax if no heated lid)
Term
Mutliplex PCR
Definition
more than one primer, multiple amplifications simultaneously
Term
Reverse Transcriptase PCR
Definition
starting material is RNA first has to be converted to cDNA, RT enzyme copies the RNA into RNA:DNA hybrid stand, used hairpin formation on the DNA strand to prime synthesis replacing the original RNA
Term
Nested PCR
Definition
specimens limited in quantity and quality, two pairs of primers amplify a single target
Term
Real-Time (quantitative) PCR
Definition
monitor accumulation of PCR products in real time through fluorescence
Term
What charge does DNA have in electrophoresis and why?
Definition
each phosphate group on a DNA polymer is ionized making DNA a negatively charge molecule
Term
Which way does DNA migrate in electrophoresis?
Definition
toward the positive pole (anode)
Term
What does the migration of DNA through agarose gel depend on?
Definition
size of the DNA and spaces in the gel
Term
what does buffer do in the agarose gel box?
Definition
carries the current during electrophoresis, protects the gel and DNA molecules from damage by preventing severe pH fluctuations
Term
What is the purpose of tracking dye?
Definition
monitor the progress of the run, runs ahead of the DNA fragments, electrophoresis is terminated when dye approaches the end
Term
Examples of density gradients
Definition
ficoll, sucrose, and glycerol
Term
What is the purpose of the density gradient?
Definition
increase the density of the samples so its sinks into the well
Term
What is bromophenol blue?
Definition
tracking dye and density gradient
Term
What is usually in lane 1?
Definition
sometimes left empty
Term
What is usually in lane 2?
Definition
DNA ladder
Term
What is usually in lane 3?
Definition
control
Term
What does voltage depend on?
Definition
wait time and DNA size
Term
What is used to visualize bands?
Definition
EtBr under UV light
Term
VNTR
Definition
variable number of tandem repeats
Term
describe VNTRs
Definition
15-70 bp sequences repeated 5-100x
Term
STR
Definition
short tandem repeats
Term
describe STRs
Definition
2-4 bp in length
Term
What chromosome is D1S80 on?
Definition
Chromosome 1
Term
What is D1S80?
Definition
VNTR
Term
Homozygous individuals band pattern?
Definition
single band because equal repeat numbers are present on both homologues of chromosome 1
Term
Heterozygous individuals band pattern?
Definition
2 distinct PCR products, differing repeat numbers are present on the homologues of chromosome 1
Term
What is important to remember about EtBr?
Definition
neurotoxin
Term
What are VNTRs and STRs used for?
Definition
in forensic science, they are used for criminal investigations or paternity testing. it is a way to do a DNA "fingerprint"
Term
What is proteinase K used for?
Definition
The proteinase K will digest proteins in the sample, lysing the cells and inactivation other enzymes. This allows for isolation of DNA
Term
Chelex is used to bind what kind of ions which can inhibit PCR reactions?
Definition
metal ions
Term
What does PCR stand for?
Definition
Polymerase chain reaction
Term
2 reasons why the bands would not show up on the gel?
Definition
(1) chelex was extracted with the sample before PCR, the specimen was not in the chelex solution or (2) DNA was not obtained, DNases degraded the DNA before isolation
Term
Which PCR step in most crucial and why
Definition
annealing is most important because it is critical for specificity, the primers dictate the part of the template that will be amplified
Term
If PCR is run for 36 cycles, how many copies of DNA?
Definition
2^36
Term
What is the buffer for gel electrophoresis?
Definition
TAE
Term
Why is EtBr dangerous
Definition
it intercalates between the nitrogen bases in DNA and is carcinogenic
Term
In which direction does the gel run?
Definition
from The negative black cathode to the positive red anode
Term
What can DNA be run on?
Definition
agarose and polyacrylamide
Term
Where do you see VNTR invesitgations in the clinical lab?
Definition
immunology
Term
What is the method of choice for engraftment monitoring?
Definition
DNA typing
Term
How can donor cells be monitored?
Definition
following individual donor polymorphisms in the recipient blood and bone marrow
Term
How can small VNTRs and STRs be easily detected?
Definition
PCR
Term
What happens before the transplant in engraftment/chimerism DNA testing?
Definition
several polymorphic loci in the donor and recipient cells must be screened to find at least 1 informative locus, where the donor alleles differ from the recipient alleles
Term
What happens after the transplant in engraftment/chimerism DNA testing?
Definition
engraftment analysis, which is performed at specified intervals, where the blood and bone marrow is tested to determine the presence of donor cells using the informative loci
Term
What is the preferred method of testing for engraftment/chimerism DNA testing?
Definition
PCR amplification of STRs, resolution by capillary electrophoresis, and fluorescent detection
Term
How can donor and recipient DNA for allele screening prior to transplant be isolated?
Definition
blood, hair, or buccal cells
Term
informative loci
Definition
when Donor and Recipient do not match
Term
noninformative loci
Definition
when donor and recipient match
Term
donor-informative
Definition
one lane matches, one does not
Term
Why is VNTR analysis performed before the transplant?
Definition
find informative loci ( non-matching) that differ in pattern between the donor and the recipient
Term
Why is VNTR analysis performed after the transplant?
Definition
band patterns can be used to distinguish between graft failure, mixed chimerism, or full chimerism
Term
multiplex PCR
Definition
utilized for HBV, HCV, and HIV testing for blood donations, all in one run
Term
Real-time PCR
Definition
quantitate HIV in a specimen
Term
in PCR, when we isolate DNA,we can go striaght to PCR. when the product is RNA, we must first convert it into DNA. How is this accomplished?
Definition
reverse transciptase and t(th) polymerase
Term
what organism was taq polyermase isolated from
Definition
T. aquaticus
Term
real-time PCR systems are equipped with fluorescent detectors which allow us to not only detect if a specific sequence is present, but also to measure PCR product as the reaction proceeds
Definition
True
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