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

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190 Cremer and Moos<br />

Fig. 3. Alignment of sequences of CDR3 consensus PCR products of the malignant clones<br />

from 10 patients with MM and an example of four ASO primers designed for the last of the<br />

given sequences (testing of the primers is shown in Fig. 4). Aligning allows to distinguish<br />

variable and rather conserved segments. Primers are designed to be complementary to the<br />

highly variable region.<br />

3.4. Quantitative PCR (qPCR) Using ASO Primers<br />

To quantitate PCR results, essentially four different methods have been described.<br />

Although the measurement of the amount of PCR product, the coamplification of a<br />

control gene, and the competitive PCR rely on the quantitation of the generated product,<br />

the limiting dilution assay analyzes only positive and negative PCRs at different<br />

dilution levels (13). Amplification efficiencies and hence the amounts of PCR product<br />

can vary substantially from tube to tube despite identical and simultaneous processing<br />

of reaction mixtures (14), even if quantitation is performed in the exponential phase of<br />

amplification. Limiting dilutions are less prone to errors caused by these deviations.<br />

Standards can be used to control for these differences; however, in MM a system of<br />

standard and template would have to be established for each new patient. Therefore,<br />

we prefer the limiting dilutions assay, which analyzes only PCR positivity versus<br />

PCR negativity. A prerequisite of this method is that a single copy of target DNA<br />

can be detected.<br />

3.4.1. Designing Primers (see Note 3)<br />

1. ASO primers should be 18 to 23 bases long.<br />

2. The initiation of the Taq-DNA-polymerase can be enhanced by 3′-ends with NS or SS as<br />

bases, but more than 2 G at the 3′-end should be avoided.<br />

3. The 5′-end and 3′-end of primers should not be complementary to each other to avoid<br />

primer homodimerization.<br />

4. The A/T to G/C ratio should be approx 50%, if possible.<br />

5. There are several computer programs that can be used to check primers for hairpin<br />

formation and primer pairs for dimerization.<br />

6. FR3-strategy: Identify hypervariable parts of the CDR3-region of the malignant clone<br />

by aligning the sequence to known CDR3-sequences. Avoid segments that are relatively<br />

conserved. Design ASO primer as forward primer according to above considerations. Use<br />

ASO primer together with LJH as antisense primer.

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