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

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PCR Detection of Tumor Cells 191<br />

7. FR1-strategy: Distinguish FR regions and CDR regions by aligning sequence to known<br />

CDR sequences. Design the first ASO primer as the forward primer complementary to the<br />

CDR1 or CDR2 region (CDR1 regions are often rather conserved, thus CDR2-specific<br />

primers might be preferred). Design the second ASO primer as the antisense primer<br />

complementary to the CDR3 region. Use these primers as a pair for PCR.<br />

3.4.2. Testing of ASO Primers<br />

Because even carefully designed primers may not work as well as expected, only<br />

testing can distinguish between oligonucleotides that fulfill all requirements and<br />

those that are not specific or sensitive enough. CDR1/2- plus CDR3-specific ASO<br />

primer pairs do not necessarily give better results than CDR3-specific plus J-consensus<br />

primers. An example of a primer test is given in Fig. 4. Design several CDR3-specific<br />

or CDR1/CDR2-specific plus CDR3-specific (antisense) primers. An example for 4<br />

ASO primers is given in Fig. 3.<br />

1. Prepare PCRs containing 5 µL of 10× PCR buffer, 2 mM MgCl 2 , each deoxynucleotide at<br />

0.1 mM, the ASO primer pair or the CDR3-specific primer plus LJH-CL at 0.8 µM each,<br />

and 2.5 U Taq-DNA-polymerase.<br />

2. Add 500 ng of DNA from the initial BM sample to generate a positive control. Add 1000 ng<br />

of buffy coat DNA from healthy donors to generate a negative control that tests for<br />

specificity of the primers. Adjust with distilled water to a final volume of 50 µL. Repeat<br />

this for every primer combination to be tested.<br />

3. Amplify with a program consisting of 7 min of preheating at 94°C, 60 cycles of 1 min<br />

of denaturation at 94°C, and 1 minute of annealing and extension at 63°C, ending with<br />

a final extension at 63°C for 5 min.<br />

4. Analyze PCR products on a 2 (for FR1/2-strategy) or 5% (for FR3-strategy) ethidium<br />

bromide-stained agarose gel. Reactions containing DNA from the positive control should<br />

display a prominent band of the expected size (see Note 4). No such product should be<br />

visible in those with buffy coat DNA only. Avoid primers that generate a multitude of<br />

nonspecific products.<br />

3.5. Quantitation by Limiting Dilutions<br />

1. Isolate DNA from the sample to be assessed (see Note 3).<br />

2. Determine the DNA concentration of the sample by OD measurement. Add distilled water<br />

to achieve a DNA concentration of 100 ng/µL.<br />

3. Prepare a dilution series in 0.5 log steps (resulting in dilution levels of 13, 110,<br />

133, etc.).<br />

4. For each dilution level, set up a PCR containing 10 µL of the DNA solution. Use conditions<br />

as determined to be optimal for the ASO primers used (see Subheading 3.7.) and<br />

amplify.<br />

5. Analyze PCR products on agarose gels. Determine the highest dilution that still generates<br />

a specific PCR product.<br />

6. Set up five replicates of PCRs containing 10 µL of DNA solution from the highest dilution<br />

level that was PCR positive, five replicates with DNA from the lowest dilution level that<br />

was PCR negative, and five replicates with DNA from the next lowest dilution level that<br />

was PCR negative and amplify.<br />

7. Analyze on an agarose gel.<br />

8. Decrease or increase the dilution level analyzed in five replicates until the pattern of<br />

PCR results finally obtained shows a change from PCR positivity in all replicates (or the

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