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Advanced Techniques in Diagnostic Microbiology

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244 R. P. Podzorski, M. Loeffelholz, and R. T. Hayden<br />

simple, <strong>in</strong>expensive to develop and use, rely on commonly available equipment,<br />

and offer excellent analytical performance characteristics. This chapter will discuss<br />

the use of agarose gel electrophoresis, Southern blot hybridization, RFLP analysis,<br />

and PCR-EIA as methods for the detection and characterization of PCR products.<br />

Agarose Gel Electrophoresis<br />

Pr<strong>in</strong>ciples<br />

Agarose is a polysaccharide composed of long cha<strong>in</strong>s of cross-l<strong>in</strong>ked galactopyranose<br />

residues (Sambrook et al. 2005) substituted with pyruvate, sulfate, and<br />

methyl esters. The pore size of agarose (determ<strong>in</strong>ed by agarose concentration <strong>in</strong><br />

the gel) is responsible for much of its DNA separation properties. DNA molecules<br />

migrate at a rate that is primarily size-dependent. The rate of such movement is <strong>in</strong>versely<br />

proportional to the log 10 of the length of the DNA strand, such that smaller<br />

molecules of nucleic acid move more quickly than large ones. DNA molecules<br />

of approximately 20,000 bp are the largest molecules that can be resolved us<strong>in</strong>g<br />

cont<strong>in</strong>uous-field (electrical current) agarose gel electrophoresis. Larger DNA<br />

molecules require methods such as pulsed-field gel electrophoresis (Arshad et al.,<br />

1993; F<strong>in</strong>ney, 2000; Sambrook et al., 2005). One factor that can slow DNA migration<br />

and h<strong>in</strong>der separation, particularly of larger DNA fragments, <strong>in</strong>volves electroendosmosis<br />

(EEO). EEO is dependent on the number of sulfate and pyruvate<br />

residues present <strong>in</strong> a given agarose gel (Upcroft and Upcroft, 1993; Sambrook<br />

et al., 2005). It results from positive ions mov<strong>in</strong>g toward the cathode, pull<strong>in</strong>g water<br />

molecules with them <strong>in</strong> opposition to the migration of negatively charged DNA<br />

toward the anode. The effects of EEO are seen mostly <strong>in</strong> resolution of fragments<br />

>10 kb.<br />

The supplies and equipment needed to perform agarose gel electrophoresis make<br />

it one of the most readily performed, widely available, and <strong>in</strong>expensive molecular<br />

methods. Horizontal slab gels, load<strong>in</strong>g and runn<strong>in</strong>g buffers are often prepared <strong>in</strong>house<br />

but can be purchased from commercial suppliers, with precast gels available<br />

<strong>in</strong> a range of sizes, us<strong>in</strong>g various concentrations of agarose. Hardware required for<br />

agarose gel electrophoresis consists of an electrophoresis gel box and gel cast<strong>in</strong>g<br />

tray, gel combs (used to make load<strong>in</strong>g wells or slots), a microwave oven or hot<br />

plate, and an electrophoresis power supply (Sambrook et al., 2005). UV light–<br />

transparent material should be used to make the cast<strong>in</strong>g tray so it can be placed<br />

directly on a UV transillum<strong>in</strong>ator. A fitted cover on the gel box is necessary to<br />

prevent contact with runn<strong>in</strong>g buffer dur<strong>in</strong>g electrophoresis. Although gel boxes,<br />

cast<strong>in</strong>g trays, and combs are relatively simple to construct, commercially available<br />

hardware is widely available.<br />

Technical Considerations: Gel Performance<br />

Factors effect<strong>in</strong>g gel performance and the ability to resolve DNA fragments <strong>in</strong>clude<br />

both characteristics of the gel itself (agarose concentration, class, and grade),

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