What is PCR and qPCR? | PCR Animation

ClevaLab, Basic Principles of Human Biology  Explained. An American scientist, Kary Mullis, invented PCR in 1983. His idea was to use two  primers, nucleotides and DNA polymerase, to make unlimited copies of DNA.

A primer is a 20 base  pair fragment of DNA that pairs the target DNA. The DNA sequence of the primers is so specific  that from a background of 22,000 genes they can amplify one gene. DNA exists as two strands  bound together.

So for a primer to access the DNA, the strands first need to be separated by heating  at 95 degrees Celsius. As the mixture cools to 60 degrees, the primers bind to opposite strands of  the DNA. Binding so they flank the target region.

DNA polymerase can only copy DNA in one  direction. So the strands get made in opposite directions resulting in overlapping copies.  This copying of the DNA by DNA polymerase will double the amount of DNA.

The reaction is  again heated to 95 degrees to separate the DNA. When cooled, the primers also bind to the new DNA,  and the DNA polymerase makes another copy. For each PCR cycle, the amount of DNA doubles.

So that  two copies of DNA can become two million copies in just 20 PCR cycles. The flanking placement of the  primers limits the length of the amplified DNA. This DNA can be visualised on a gel at the end of  the amplification and will be one discrete band.

Heating the mixture to 95 degrees destroys  DNA polymerase. So fresh DNA polymerase gets added after each heating cycle. This manual  addition was very time consuming and error-prone.

But in 1988, Randall Saiki, from Cetus Corporation, used a different DNA polymerase for PCR. One from Thermus aquaticus or Taq. Thermus aquaticus  is a bacteria that lives in hot springs.

So it isn't destroyed during the 95-degree heating  step. The use of taq polymerase means that PCR can continue to the end without having to add more  polymerase. Cetus also created an instrument to automate PCR.

The first thermal cycler, the  TC1, automated heating and cooling using a metal heat block and an inbuilt computer. This  automation made the process of PCR far easier. The first commercial real-time PCR instrument  was made in 1996 by Applied Biosystems.

This instrument monitors fluorescence in the PCR tube  as it is happening. DNA production is measured using two primers and a probe. A fluorescent  dye is attached to one end of the probe, and a quenching dye is on the other end.

When the probe  is intact, the quencher stops the fluorescence. The probe sits close to one of the primers. As Taq  polymerase copies the DNA, it cuts up the probe and releases the dye and quencher.

The quencher is  no longer near enough to stop the fluorescence, so light gets emitted. The camera then records the  fluorescence. The increase in DNA during PCR can be seen on the computer screen in real-time as  the PCR is cycling.

The power of real-time PCR, also known as quantitative PCR or qPCR, is  to see when the PCR is doubling each cycle without stopping the reaction. In this doubling  phase, the quantification of DNA is possible. In the first few cycles of the qPCR, the amount  of fluorescence is below the camera's detection limit.

Then, as DNA accumulates, the fluorescence in  the tube becomes detectable over the background. At this point, the fluorescence doubles each cycle.  This doubling is the exponential growth phase.

As millions of copies of DNA accumulate, the  reaction slows down to a linear rate and then reaches a plateau. The higher the starting amount  of DNA, the earlier the PCR will appear above the background. The amount of DNA in different  samples is measured using a threshold line.

The point that the fluorescence passes this  threshold is the cycle threshold or Ct of the PCR. The threshold is set above the background and  during the exponential phase of the PCR. The Ct value is a measure of how much DNA is in the  sample.

But, the Ct value can't tell you the exact amount of DNA in the tube. It can only tell you a  relative amount. For example, a sample with a Ct of 10 will have two times more DNA than a sample  with a Ct of 11.

That means that a difference of two cycles is four times more DNA, and 20 cycles  is a million times more DNA! So, if you want to know the exact copies of DNA in a tube, you need  to compare it to a known amount called a standard. Standards covering the full range of qPCR cycles  can make a standard curve.

Then when you know the Ct of a sample, you can read the DNA copies from  the standard curve. It's also possible to amplify more than one DNA target in the same tube. Each  target uses a probe with a distinct coloured dye.

Each primer and probe set can target different  locations in the DNA or even slight changes in the sequence. This change can be as small  as one nucleotide in the DNA sequence. PCR and real-time PCR have many uses.

For example,  in diagnosing disease and in medical research. Top of mind is the detection of viruses  and bacteria from respiratory infections. Most of us have had a swab or given a  saliva sample for one of these tests.

From this sample, PCR is used to identify which  viruses or bacteria are present. Different coloured probes in one PCR reaction allow  for the detection of many targets in one PCR. For example, it's common for one test to  detect influenza A, influenza B and SARS-CoV-2.

These are yes/no tests, meaning they report  if a virus or bacteria is detected or not. But for COVID-19, the Ct value of the real-time  PCR is also helpful for contact tracing. A low Ct means that the person has a lot of virus present  and is more likely to be infectious.

Tests over time can tell if the person is early or late in  their infection and when they were infectious. The discovery of PCR was a fantastic insight.  PCR enables Disease Diagnosis and a greater understanding of biology.

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