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Myeloid Leukemia

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132 Mokany et al.<br />

2.3. Duplex Single-Tube Real-Time Quantitative RT-PCR<br />

1. BD QTaq DNA polymerase mix (BD Biosciences Clontech, Part No. 639651);<br />

includes BD QTaq DNA polymerase (with built-in, hot start antibody), reaction<br />

buffer, dNTPs, and MgCl 2.<br />

2. Moloney murine leukemia virus (M-MLV) Reverse Transcriptase (RNase H<br />

minus), 200U/µL (Promega Part No. M5301).<br />

3. 50X BD QZyme Gene-Specific Primers (D-tag; 5� and 3� BCR primers) (BD<br />

QZyme Quantitative PCR reagent Part No. 638294, BD Biosciences Clontech;<br />

see Note 2).<br />

4. 50X BD QZyme Gene-Specific Primers (B-tag; 5� and 3� S-type PML-RARα<br />

primers) (BD QZyme Quantitative PCR reagent Part No. 638292, BD Biosciences<br />

Clontech; see Note 2).<br />

5. 50X BD QZyme Gene-Specific Primers (B-tag; 5� and 3� L-type/V-type PML-<br />

RARα primers) (BD QZyme Quantitative PCR reagent, Part No. 638293, BD<br />

Biosciences Clontech; see Note 2).<br />

6. 100X BD QZyme Substrate D (CAL ORANGE).<br />

7. 100X BD QZyme Substrate B (FAM).<br />

8. Calibrators and patient RNA samples as prepared under Subheading 3.<br />

9. MicroAmp ® optical 96-well plate (Applied Biosystems, Part No. N-801–0560).<br />

10. PCR cooler (Eppendorf, cat. no. 3881 000.023). This should be stored in the –<br />

20°C freezer until required.<br />

11. MicroAmp optical caps (Applied Biosystems, Part No. N801–0935).<br />

12. MicroAmp cap installing tool (Applied Biosystems, Part No. N801–0438).<br />

13. ABI PRISM ® 7700 Sequence Detection System and Sequence Detection Software<br />

1.9.1 (Applied Biosystems) and computer (see Note 3).<br />

3. Methods<br />

The single-tube RT-PCR method presented in this chapter displays features<br />

that provide advantages compared to other published real-time methods. The<br />

majority of real-time PCR methods utilize plasmids as calibrators from which<br />

to estimate the number of mRNA transcripts in patient samples (see Note 4).<br />

This method exploits the advantages of both types of calibrators (plasmid and<br />

total RNA) with two calibration curves. Dilutions of the plasmid containing<br />

the full-length fusion target cDNA allow the estimation of copy number (PML-<br />

RARα calibration curve), whereas dilutions of total RNA allow estimation of<br />

endogenous BCR mRNA expression and controls for the activity of the reverse<br />

transcriptase. Both the target and endogenous control mRNA transcripts are<br />

amplified simultaneously from patient samples. The combination of calibrators<br />

chosen in this chapter are designed to mimic the complex milieu of the<br />

patient samples being tested while simultaneously allowing an estimation of<br />

the exact copy number of the target (not achievable from mRNA transcripts in<br />

total RNA) (see Note 4).

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