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Novel genetic and epigenetic alterations in ... - Ous-research.no

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DiscussionDNA fragments to the column. In order to elute the fragments, <strong>in</strong>creas<strong>in</strong>g concentrations ofacetonitrile is flushed through the column. As the acetonitrile concentration <strong>in</strong>creases, thebridg<strong>in</strong>g capabilities of the TEA ions decrease <strong>and</strong> the DNA fragments are released.Heteroduplexes, with mismatched base pairs, are eluted first followed by the homoduplexesdue to differences <strong>in</strong> melt<strong>in</strong>g temperature. F<strong>in</strong>ally, the fragments pass through an UVdetector which detects the absorbance over time at 260nm[146] *** .The sensitivity of DHPLC is by large determ<strong>in</strong>ed by temperature[147]. Included with theWAVE equipment is the Navigator TM software which based on fragment length <strong>and</strong> basecomposition predicts the optimal separation temperature, which is when 75% of thefragment is double str<strong>and</strong>ed. If the temperature is too low, neither the homoduplex <strong>no</strong>rheteroduplex fragments will be denatured, <strong>and</strong> will be eluted at the same time. Too hightemperature causes all fragments to be fully denatured before acetonitrile is added, aga<strong>in</strong>elut<strong>in</strong>g the fragments at the same time. Only at optimal temperatures the heteroduplexes willdenature slightly before the homoduplexes, mak<strong>in</strong>g mutation detection possible. Due to<strong>in</strong>tra-fragment variations <strong>in</strong> base composition, PCR products longer than 200 bases usuallyconta<strong>in</strong> two or more melt<strong>in</strong>g doma<strong>in</strong>s which mean that the product must be analyzed atseveral temperatures, reduc<strong>in</strong>g the throughput of the method. Other factors important forsensitivity are the resolution of the homoduplex <strong>and</strong> heteroduplex species as well as thepurity of the PCR product. With a good study design the sensitivity <strong>and</strong> specificity ofDHPLC is considered to be higher than 96%[146].In addition to DHPLC, a h<strong>and</strong>ful of sensitive mutation scann<strong>in</strong>g methods exist, <strong>in</strong>clud<strong>in</strong>gSSCP (S<strong>in</strong>gle-Str<strong>and</strong> Conformational Polymorphism)[148], TTGE (temporal temperaturegradient gel electrophoresis)[149], CSGE (Conformation Sensitive Gel Electrophoresis)[150]<strong>and</strong> DGGE (Denatur<strong>in</strong>g Gradient Gel Electrophoresis)[151]. However, most, if <strong>no</strong>t all ofthese, are clearly unsuitable when analyz<strong>in</strong>g large samples series as these are gel basedmethods. In this sett<strong>in</strong>g a high throughput method would be more suitable, such asconformation-sensitive capillary electrophoresis (CSCE), MALDI-TOF based methods[152],<strong>and</strong> of course the new generation of ultra high-throughput sequenc<strong>in</strong>g systems. AlthoughDHLPC has an <strong>in</strong>ferior throughput compared to these, with an estimated sensitivity higher*** Transge<strong>no</strong>mic web pages – http://www.transge<strong>no</strong>mic.com49

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