from Wittwer CT and Farrar JS (2011)
in PCR Troubleshooting and OptimizationBy measuring time, temperature, and fluorescence throughout PCR, real-time 3-dimensional spirals can be acquired and plotted. Software on commercial instruments usually only present selected data. For example, qPCR experiments only acquire fluorescence at one temperature each cycle. Typical melting analysis only acquires fluorescence from one melting curve at the end of amplification. Much more data is available during PCR, and it is likely that this additional data will find further use in the years to come.
Homogeneous monitoring of PCR is the method of choice for gene expression quantification and closed-tube genotyping. As a "gold standard", it has evolved from early conception to present-day reality. Future improvements will be focused on reducing cost and complexity (high resolution melting), decreasing reaction volumes (microfluidic PCR) and increasing throughput and sensitivity (digital PCR). These approaches will allow homogeneous monitoring of PCR to continue its evolution as a useful tool for many years to come (Wittwer and Farrar, 2011 in
PCR Troubleshooting and Optimization).
High Resolution Melting Analysis
High resolution melting was first reported using a 5'-labeled primer for generation of fluorescence. Together with the development of high resolution melting instrumentation, high-quality, reproducible melting curves for variant scanning and genotyping became possible. High resolution instruments were necessary because standard real-time PCR instruments did not possess the precision necessary for distinguishing small differences between melting curves. However, the requirement for labeled primers and the limitation that variants had to be in the same melting domain as the primer were disadvantages.
Labeled primers became unnecessary with the development of saturating dsDNA dyes that could detect heteroduplexes throughout an amplicon. Single base genotyping within small amplicons required only two PCR primers and became the simplest method of genotyping. Because heterozygotes were easily identified by a change in melting curve shape, variant scanning was also enabled. Unlike other scanning techniques, high resolution melting does not require any physical processing or separations. It has been applied to cancer, many human genetic disorders and has been recently reviewed. In clinical diagnostics, greater sequence detail can be obtained if necessary with unlabeled probes or snapback primers (Wittwer and Farrar, 2011 in
PCR Troubleshooting and Optimization).
Unlabeled probe genotyping requires only two standard primers and an unlabeled probe complementary to the sequence of interest. Unlabeled probes are generally designed to be 20-35 bases long and can match either the wild-type or variant sequence. Snapback primers incorporate the unlabeled probe as a 5'-extension on one of the primers. At low temperature the probe element snaps back onto its complementary sequence to form an intramolecular hairpin. With both unlabeled probes and snapback primers, different genotypes result in varying duplex stabilities which are easily resolved by high resolution melting. When unlabeled probes or snapback primers are used for genotyping, two melting transitions are generally observed, one for the full-length amplicon and the other for the probed region. This feature enables simultaneous variant scanning and genotyping in the same PCR reaction (Wittwer and Farrar, 2011 in
PCR Troubleshooting and Optimization).
Microfluidic PCR
Microfluidic PCR has the potential to amplify and quantify nucleic acids very quickly and reduce reagent demands and their associated cost. A wonderful concept, the professed "chip PCR" has yet to gain wide application in research or diagnostics. Chip PCR was first described in 1993. A microsystem for performing capillary electrophoresis was introduced around the same time and a system for incorporating both of these developments was demonstrated in 1996.
However, despite wide interest in microfluidic PCR, progress has slowed from a number of setbacks. Sample and reagent adsorption onto the reaction vessel surfaces can inhibit PCR and increase the risk of carryover contamination, due to the large surface area-to-volume ratios used. Solutions for sample adsorption have been explored with differing success. PCR efficiency in microfluidic PCR is often compromised, and the samples used for demonstration are often less complex targets such as plasmids, bacteria or previously amplified products at high concentrations.
There are two widely used designs for microfluidic PCR; stationary well and continuous flow. Stationary wells do not move the sample and operate in much the same way as traditional thermal cyclers. Both the sample and the device itself are heated/cooled through specific temperatures for PCR. The thermal mass is still large and thus more traditional cycling times are generally employed to perform the PCR. However, a matrix of microwells, mixing all combinations of X samples and Y targets can be obtained by microfluidics, greatly simplifying reaction preparation.
Continuous-flow microfluidic PCR has some advantages over PCR performed in stationary wells. Namely, by moving the sample through fixed temperature zones, this system can achieve faster cycling times due to the fact that only the sample needs to be heated and not the entire system. A comprehensive review of the various designs and techniques involved in microfluidic PCR is available (Wittwer and Farrar, 2011 in
PCR Troubleshooting and Optimization).
Digital PCR
An interesting extension of microfluidic PCR is digital PCR. Digital PCR combines the amplification and quantification power of PCR with limiting dilution of template targets. This allows not only for the quantification of PCR products but also for quantification of rare initial nucleic acid targets, important in such areas as cancer and prenatal diagnostics. First demonstrated by dilution PCR, the method was later popularized on 96-well plates. By performing a dilution of the DNA pre-PCR, a single-template can be deposited in approximately every other well. Two probes are then used post-PCR for the determination of an allele ratio, one labeled with a green fluorescent dye and the other a red fluorescent dye. Simple comparison of well fluorescence determined the allele ratio.
The total reaction volume of the many wells required for digital PCR make 96- or even 384-well plates unwieldy for high-throughput sample analysis. However, digital PCR performed on microfluidic PCR devices has been used for single-copy DNA droplet PCR, aneuploidy detection and absolute quantification of point variants.
Digital PCR improves detection specificity and sensitivity in samples with a large background of wild-type alleles compared to variant alleles and is the ultimate in allele quantification. The reduced cost associated with microfluidic devices may eventually make single-step, highly parallel individual PCR reactions for digital PCR affordable (Wittwer and Farrar, 2011 in
PCR Troubleshooting and Optimization).