Esophageal Adenocarcinoma Methods and Protocols

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  1. Amplify the sample to end point with a gradient enabled PCR
    machine using the following cycling conditions (see Note 14):
    3 min of initial denaturation at 95 °C, followed by 40 cycles of
    10 s denaturation at 95 °C, 10 s of annealing at said optimized
    temperature, and 20 s of extension at 72 °C. Then, a final
    extension at 72 °C for 10 min and infinite holding at 12 °C
    (see Note 15).

  2. Transfer the PCR plate containing the amplicons onto a drop-
    let reader where target DNA molecules will be aligned and
    singulated through a detection channel within the system to
    calculate the number of targets in an absolute manner accord-
    ing to fluorescence amplitude.

  3. Analysis can then be performed with the given software that
    comes with the system such as QuantaSoft software version
    1.7.4.

  4. Assign threshold manually for each target as shown in Fig. 3
    according to manufacturer’s protocol.

  5. Then, choose the temperature that gives the most distinct
    separation between the four clusters (as seen in Fig. 3 ) (see
    Note 16).

  6. In order to distinguish the clusters between one another, the
    primer concentration of each target has to be manipulated.

  7. Target 1 primer concentration can be tested at a range of
    25–50 nM while Target 2 primer concentration can be tested
    at a range of 100–150 nM.

  8. Repeat steps 2– 9 of Subheading 3.4. Instead of using a gradi-
    ent temperature, use the optimized temperature.

  9. Primer combination that gives the most distinct separation
    between the four clusters (as seen in Fig. 3 ) is chosen (see
    Note 16).

  10. In order to identify the different clusters, a single plex assay
    containing Target 1 and Target 2 will be prepared separately.
    The assay will run on another round of ddPCR in parallel with
    the optimized duplex assay.

  11. Three reactions of a single sample will be prepared to contain
    primer set for only target 1, containing primer set for only tar-
    get 2 and containing primer set for both targets.

  12. The resulting 1D plot image should look like Fig. 4.

  13. Once the targets are identified, the assay can be run at 96 reac-
    tions per run.


3.5 ddPCR Primer
Concentration
Optimization


3.6 Target Cluster
Determination


DNA Copy-Number in Esophageal Adenocarcinoma
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