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John M. S. Bartlett.pdf - Bio-Nica.info

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PCR Detection of Tumor Cells 189<br />

Fig. 2. Consensus PCR using primers FR3A and LJH. In 5 of 16 cases, the consensus PCR<br />

product of the malignant clone can be distinguished from the surrounding polyclonal smear.<br />

In all other cases, only a smear, like the one seen in buffy coat DNA, is visible. This figure<br />

also illustrates the low rate of distinct consensus PCR products obtained if using DNA instead<br />

of RNA. Detection rates can further be increased by using two different consensus strategies<br />

in parallel.<br />

5. Scrape layer of bacteria from the plate and suspend in 100 µL of lysis buffer. Vortex<br />

vigorously.<br />

6. Incubate the suspension at 65°C for 15 min.<br />

7. Inactivate proteinase K at 95°C for 15 min.<br />

8. Pellet debris by centrifugation at maximum speed and 4°C. Transfer the supernatant<br />

containing the plasmids to a fresh tube. Store at 4°C.<br />

9. Analyze plasmids for inserts by PCR using primers complementary to the M13 sites<br />

of the vector. Set up a PCR containing 5 µL of 10× PCR buffer, 2 mM MgCl 2 , each<br />

deoxynucleotide at 0.1 mM, primers M13 forward plus M13 reverse at 0.4 µM each, 2.5 U<br />

Taq-DNA-polymerase, and 1 µL of plasmid solution. Amplify for 40 cycles of 1-min<br />

denaturation at 94°C, 1 minute annealing at 65°C, and extension at 72°C, followed by a<br />

final extension of 5 min at 72°C. Analyze on a 2% agarose gel.<br />

3.3.2. Sequencing and Identification of the CDR Regions of the Myeloma Clone<br />

1. Prepare sequencing reactions using commercially available kits according to the manufacturer’s<br />

instructions with 4 to 8 µL of plasmid solution, and perform cycle sequencing.<br />

2. Analyze on a sequencer, for example Alf-express (Pharmacia, Freiburg, Germany).<br />

3. Analyze obtained sequences by aligning them to known CDR regions (examples for CDR3<br />

regions are given in Fig. 3; see Note 2).<br />

4. Identify the consensus PCR product of the malignant clone by its predominant occurrence<br />

among the polyclonal CDR-regions. B-cells of normal clones are not encountered more<br />

frequently than once in 20000 B-cells (12). At least five identical clones should be typed<br />

to identify the myeloma clone.

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