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Genomic DNA is extracted from whole blood or bone marrow and 2
PCR reactions are used for each sample. In each reaction, a short
fragment of genomic DNA, including the mutation site, is amplified
using quantitative PCR in a real-time PCR instrument (LightCycler
480, Roche). In 1 reaction, the 5' terminal base of the reverse primer
matches the mutated sequence and the PCR conditions are such
that it will only bind mutated DNA. In the second reaction, the 5'
terminal base of the reverse primer matches the wild-type sequence
and the PCR conditions are such that it will only bind the wild-type
sequence. In both reactions, the PCR is monitored using TaqMan
probe chemistry. The amount of mutated DNA and the amount of
wild-type DNA is measured for each sample. In each run, the amount
of mutated and wild-type DNA in a calibrator DNA sample is also
measured. The calibrator is a mixture of DNA from a positive cell line
(HEL) and a negative cell line (HL60) that is frozen in aliquots and
expected to give an identical result in each run. Deviations
in the calibrator result are assumed to be due to deviations in the run
conditions and the sample results are corrected accordingly. Following
each reaction, LightCycler 480 Relative Quantification Software is used
to calculate the mutated:wild-type ratio, which is expressed as a unitless
normalized ratio following correction with the calibrator data.
The formula for the normalized ratio is as follows:
Normalized ratio = mutated/wild-type (sample)
mutated/wild-type (calibrator)
Samples with a normalized ratio of 0 are considered negative.
Samples with a normalized ratio of <1x10(2) are considered below
the cutoff level for positivity.
Samples with a normalized ration of >1x10(2) are considered positive.
(Instruction Manual: Roche Applied Science Technical Note No. LC
13/2001. Relative Quantification; LightCycler 480, 2006)