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Myeloid Leukemia

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36 Picard, Silvy, and Gabert<br />

Fig. 5. Double-stranded DNA detection with DzyNA. Reverse transcription of the<br />

transcript from total RNA and amplification of cDNA occur sequentially in a single<br />

tube. cDNA amplification is achieved by using both the standard and a DzyNA primer<br />

containing both target sequence and 5� tag sequences that are complementary to 10–<br />

23 deoxyribozymes (DNAzymes). During polymerase chain reaction (PCR),<br />

amplicons are synthesized that contain the target sequences linked to catalytic (sense)<br />

DNAzymes, which cleave reporter substrates included in the PCR mixture. The accumulation<br />

of amplicon is monitored during PCR by the change in fluorescence produced<br />

by separation of the reporter (circle) and the quencher (pentagon) moieties<br />

incorporated into opposite sides of DNAzyme cleavage sites within the generic substrates<br />

(dotted line) (14).<br />

duces an increase in fluorescence that is indicative of successful amplification<br />

of the target gene or transcript (Fig. 5).<br />

The accumulation of amplicons during PCR is monitored by an increase in<br />

reporter fluorescence produced by separation of fluoro/quencher dye molecules<br />

incorporated into opposite sides of the DNAzyme cleavage site within the<br />

reporter substrate. The DNAzyme and reporter substrate sequences can be<br />

generic and hence can be adapted for use with primer sets targeting various<br />

genes or transcripts. This technology has been used at diagnosis and for molecular<br />

monitoring of acute promyelocytic leukemia to quantify PML/RARA<br />

fusion transcripts (14).

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