10/16/2014 Extreme PCR Conflicts of Interest Efficient Amplification in Less Than One Minute • BioFire/Idaho Technology Carl Wittwer, MD, PhD, Department of Pathology, University of Utah – CoFounder and Chairman • Royalties, Grants, Board • Canon US Life Science • Grants • ARUP • Grants • NEB • Scientific Advisor • Clinical Chemistry • Associate Editor 23rd Annual Symposium on Molecular Pathology, Sept 16, 2014 Rapid‐Cycle PCR (20‐60 second cycles) How long does it take to…. • Denature • Fast! (<1 sec) • 30 cycles in 10-30 min • Anneal • Depends on [Primers], not [Product] • Improved specificity • Extend • Complex • Depends on [Polymerase] BioTechniques cover: Jan. 1991 Melting curves after 30 cycles Back to Water Baths…. 20X [Primers] and [Polymerase] 30 sec Extreme PCR Cold Bath Control Capillary Hot Bath 10 min Rapid Cycle PCR 1 10/16/2014 Cycling Speed is Determined by the Sample Container Extreme vs Rapid Cycle PCR 5 µL sample volume 0.7 s/cycle 1.9 s/cycle LC24 LightCycler Extreme PCR compared to Rapid Cycle PCR Real time Extreme Instrument (45 bp human genomic target KCNE1) Sample Holder Capillaries NTC Extreme PCR (28 sec) [Polymerase] (µM)30 sec PCR [Primers] (µM) 1 10 NTC Stepper Motor Optical Stage 100 bp 50 bp Rapid Cycle Primers PCR (12 min) 12 min PCR 0.064 0.5 HOT WATER COLD WATER Optics Fiber Sample Interrogation 2 10/16/2014 Polymerase and Primer Optimization IRL10RB (49 bp) Polymerase and Primer Optimization NQO1 (102 bp) 58 sec PCR (30 cycles, 1.93 sec/cycle) Extreme PCR Efficiency and Sensitivity 14.7 second PCR 91.7% (45 bp, 28 sec PCR) 60 bp AKAP10 (35 cycles, 0.42 sec/cycle) 95.8% (102 bp, 58 sec PCR) Copies 40 15,000 1,500 150 15 1.5 NTC Copies 15000 Fluorescence Fluorescence 80 60 1500 150 15 1.5 NTC 20 15,000 1,500 150 15 1.5 NTC 60 40 0 10 20 30 40 0 50 15 1.5 NTC 10 20 30 40 50 Cycle Number PCR Time 21.7 s NTC 75 bp 50 bp 25 bp 8 µM polymerase, 20 µM Primers, 5 mM MgCl2 Polymerase and Primer Optimization (Synthetic Template, 300 bp) Quantification cycle (Cq) 21.7 s Quantification cycle (Cq) 40 40 18.2 s 150 20 Cycle number 14.7 s 1500 0 0 11.2 s 15000 y = -3.538x + 39.231 R² = 0.9922 35 30 25 20 0 1 2 3 4 Log10(initial template copies) y = -3.64x + 38.236 R² = 0.9909 35 30 25 20 0 1 2 3 4 Log10(initial template copies) Minimum annealing/extension time dependence on product length 3 10/16/2014 Minimum extension time required for a 500 bp product Extreme PCR for >100 bp Targets (KAPA2G Fast polymerase) KlenTaq1: One second required for every 60 bps KAPA2G Fast: One second required for every 160 bps Extreme PCR Challenges • High [Polymerase] (20X) • • Microfluidics for Extreme PCR and High Resolution Melting (Canon U.S. Life Sciences) Core Chip Patent expirations (KlenTaq™) Bulk sources (<$1/5 µl reaction) • High [Primers] (20X) • Hot start method • Instrumentation Inductive Heating / Forced Air Cooling (BioFire Diagnostics/bioMerieux) Continuous Flow PCR ‐ 45 bp genomic (Thermal Gradient Device) 30 cycles in 45 seconds 4 10/16/2014 Is speed important? 30 min PCR Extreme PCR Applications • Infectious Disease • Critical Dx • Epidemic Control/Triage • BioThreat • Point of Care/Impact • Point of Consumption (Food/Water Testing) • Intimate Encounters • Drones • Genetics • Field Forensics • In‐vitro fertilization • Clinical Trials • Oncology • Intra‐operative But…. • Who cares if you do PCR in 15 seconds if sample preparation takes 30 min? • Molecular diagnostics requires: • 1) sample preparation • 2) amplification • 3) analysis Need for rapid sample preparation (<1 min)! Summary • Increase PCR speed: Jared Farrar – 20X over rapid‐cycle PCR (10 min) – 200X over regular PCR (2.5 hr) • Without sacrificing: • Efficiency • Sensitivity (single copy human genomic DNA) • Specificity • By altering chemistry: • Increase [polymerase] 20X • Increase [primers] by 20X • Obtaining: • 20X [product] 5 10/16/2014 PCR and Polymerase Activity Jesse Montgomery Definition of Polymerase Activity The amount of polymerase required to incorporate 10 nanomoles of radiolabelled dNTPs into activated salmon sperm DNA in 30 min at 75 °C. 1. Montgomery JL, Rejali N, Wittwer CT. Anal Biochem. 2013 Oct 15;441(2):133‐9. • Template: “Activated” genomic DNA 2. Montgomery JL, Wittwer CT. Clin Chem. 2014 Feb;60(2):334‐40. • Indicator: Radiolabeled dNTPs 3. Montgomery JL, Rejali N, Wittwer CT. J Mol Diagn. 2014 May;16(3):305‐13. • End‐point assay • Buffer: Not standardized, not similar to PCR Polymerase Assays Polymerase Assays (Linearity with Time) (Linearity with Concentration) Stopped‐flow Assay Stopped Flow Assay Polymerase Extension Rates (nucleotides/sec/molecule) Common Buffer 50 mM Tris, pH 8.3 500 ug/ml BSA 2 mM Mg++ Real‐time PCR Assay Real‐time PCR Assay Effect of PCR components on polymerase extension Vendor Buffer 6 10/16/2014 Effect of monovalent cations Effect of Tm Depressors Effect of Dyes Effect of incorporated bases Effect of GC% and Temperature Summary of PCR Component Effects Probes Probes (30‐40% activity) Exo‐ faster than Exo+ 7 10/16/2014 Thanks! BioFire Dx / bioMerieux NIH ARUP Roche Applied Science Canon U.S. Life Sciences State of Utah University of Utah http://dna.utah.edu 8
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