Advances in PCR for diagnostics

One area where PCR has attracted significant attention is in the diagnosis of infectious disease, particularly for conditions where conventional culture methods are less effective. One such example of a condition where researchers are increasingly interested in the potential of PCR is invasive aspergillosis (IA), one of the most widespread and life-threatening mold infections of the respiratory system among individuals with compromised immunity. Early diagnosis is crucial for such individuals, who will not survive if infection cannot be established at an early stage and quickly treated.

Currently, diagnosis of IA depends on detection of Aspergillus fungi in diseased tissue, but obtaining lung tissue is difficult and risky to the patient. As a non-invasive method that could be used to detect fungal nucleic acids in the blood, PCR could significantly improve IA diagnosis and patient survival.

In one study, infectious disease experts Mario Cruciani (Center of Community Medicine and Infectious Diseases Service, Verona, Italy) and colleagues assessed the use of PCR-based blood tests in diagnosing IA among high-risk, immunocompromised patients.

As reported in the Cochrane Database of Systematic Reviews, the meta-analysis of 18 primary studies, demonstrated that PCR showed moderate diagnostic accuracy, with a mean sensitivity and specificity of 80.5% and 78.5% for a single positive result and 58.0% and 96.2% for consecutive positive results. Importantly, the negative predictive value (NPV) of PCR techniques was high enough for IA to be excluded from diagnosis, thereby avoiding the need for empiric therapy in cases of suspected infection.

Using PCR to elucidate transcription and translation

Another area where PCR is an essential tool is the field of genetics. In a study by researchers from the Netherlands, the value of PCR was demonstrated in an analysis of gene expression that tested the conventional understanding of the relationship between transcription and translation.

Boris Slobodin (Netherlands Cancer Institute) and team investigated whether there is any link between the two processes, since they are generally considered as uncoupled, despite their serving a common purpose.

By using an unbiased screen of various human promoters, the team managed to identify a general coupling between mRNA expression and translational efficiency. They cloned human promoters in a Promoter Library after the addition of random barcodes, which were detected by real-time reverse transcription-PCR (qRT-PCR) using specific primers. The barcodes were then PCR amplified to construct libraries that could be deep sequenced. As reported in Cell, the study showed a general and robust link between the transcription and translation of RNA, as well as providing insight into the underlying epigenetic mechanism by which transcription imprints molecules of mRNA.

Highly accurate temperature control

The extremely sensitivity and high specificity of PCR is the result of the exponential nature of the polymerase chain reaction. This requires highly accurate temperature control, not only for the reaction itself but during preparation of the reagents used in a PCR assay.

During assay preparation, any well-to-well temperature differences in PCR plates can introduce variability in the samples and affect the accuracy of measurements. Vitl Life Science Solutions, a leading supplier of laboratory mixers and heaters for over 40-years, produces products to ensure variability is removed and accuracy is maximized during laboratory procedures such as PCR sample preparation.

One of the latest additions to Vitl’s portfolio is the Flexi-Therm dry block heater, an instrument designed to ensure excellent temperature accuracy whether samples are being thawed, preheated or maintained after having already been mixed. The Flexi-Therm enables users to create and store heating protocols of their choice. With its straightforward digital touch control interface, excellent temperature accuracy, visual countdown timer and audible alert, users can simply load their modules on the Flexi-Therm, select a temperature and wait to be told when the heating program is finished.

The Flexi-Therm requires at least one of Vitl’s interchangeable Heated Modules. The modules are all pre-calibrated, enabling accurate temperature control, without the need for thermometers or thermocouples. Each module is specifically designed for optimum sample heating within a particular plate or tube type, for excellent results every time.

The modules are ideal for use in PCR preparation and are available for a range of consumable types including 0.15ml, 0.2ml and 0.25ml 96 deep-well PCR microplates and microcentrifuge tubes, as well as larger tubes. To accommodate the various different consumables available on the market, Vitl can also design bespoke heated modules that fit the specific requirements a particular laboratory may have.

References

• Cruciani M, et al. Polymerase chain reaction blood tests for the diagnosis of invasive aspergillosis in immunocompromised people. Cochrane Library. Cochrane Database of Systematic Reviews 2015; doi: 10.1002/14651858.CD009551.pub3

• Slobodin B, et al. Transcription Impacts the Efficiency of mRNA Translation via Co-transcriptional N6-adenosine Methylation. Cell 169(2)326-337

• Vitl Life Science Solutions. Available at: http://www.vitlproducts.com/

• Flexi-Therm Dry Block Heater. Vitl Life Science Solutions. Available at: http://www.vitlproducts.com/products/flexi-therm-dry-block-heater

• Intelligent Heated Modules. Vitl Life Science Solutions. Available at: Heated Modules