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Myeloid Leukemia

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WT1 Expression in AML and MDS 205<br />

The fluorescent Taqman probes are labeled with 6-carboxy-fluorescein<br />

phosphoramide (FAM) as reporter dye at the 5�-end, and the quencher dye is 6carboxytetramethylrhodamine<br />

(TAMRA) at the 3�-terminus.<br />

The PCR procedure starts with:<br />

a. 2 min at 50°C to activate the UNG enzyme, then<br />

b. 10 min at 95°C to inactivate the UNG enzyme and to provide a “hot start” for<br />

activating the AmpliTaq polymerase.<br />

c. Subsequently, 50 cycles of denaturation at 95°C for 15 s followed by annealing/extension<br />

at 60°C for 60 s.<br />

6. Perform all sample analysis in triplicate; where the results show a discrepancy of<br />

more than 1 threshold cycle (Ct) in one of the wells, that replicate must be<br />

excluded (see Note 11).<br />

3.4. Generation of Plasmid Standard Curves<br />

1. To construct a WT1 plasmid for the standard curve in the RQ-PCR assay, add the<br />

following primers and reagents in a final volume of 50 µL to amplify a WT1 RT-<br />

PCR product:<br />

forward primer: exon 7 -5�-GGCATCTGAGACCAGTGAGAA-3�<br />

reverse primer: exon 10 5�-GGACTAATTCATCGACCGGG-3�<br />

a. PCR buffer 1X:10 mM Tris-HCl, 50 mM KCl (pH 8.3)<br />

b. MgCl 2: 2.5 mM (final concentration)<br />

c. dNTP: 200 µM (final concentration)<br />

d. 400 nM of each primer (final concentration)<br />

e. Taq enzyme: 1 U<br />

f. 3 µL of cDNA product<br />

Use the following thermal cycler temperatures and time conditions:<br />

a. Initial melting 95°C for 30 s<br />

b. 35 PCR cycles at the following conditions: 94°C for 30 s, 65°C for 1 min,<br />

72°C for 1 min.<br />

2. Clone the PCR products into the PCR II TOPO vector (Invitrogen, Groningen,<br />

The Netherlands) according to the manufacturer’s instructions.<br />

3. Sequence the selected plasmid for confirmation of the insert, and extract the<br />

plasmid DNA using the Qiafilter Plasmid MIDI kit (Qiagen, Courtaboeuf, France)<br />

and quantify spectrophotometrically. The copy number for 1 µg is estimated<br />

according to the molecular weight of the vector plus the insert.<br />

4. Linearize 20 µg of plasmid with BamHI or HindIII restriction enzymes for 1 h at<br />

37°C under agitation.<br />

5. Dilute the digested plasmid in a solution of Tris 10 mM, EDTA 1 mM (pH 8),<br />

containing 20 ng/mL of E. coli 16S and 23S rRNA (Roche).<br />

6. Prepare five successive serial dilutions (20,000, 2000, 200, 20, and 2 copies/<br />

µL). The corresponding standard curve generates a mean slope of –4.04 and an<br />

intercept of 46.75 Ct. A mean Ct value of 26.4 should be obtained for 100,000<br />

copies of the plasmid dilution (see Fig. 1). The actual values achieved (as in Fig.

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