Qualitative and Quantitative Detection of Runt-Related Transcription Factor 1 and Eight-Twenty-One Oncoprotein Gene Fusion Products using Thermal Fingerprint and Cycle Threshold Value by Employing a DNA Intercalating Dye and Fluorescent PCR for Detecting Acute Myeloid Leukaemia (AML)_Crimson Publishers
Qualitative and Quantitative Detection of Runt-Related Transcription Factor 1 and Eight-Twenty-One Oncoprotein Gene Fusion Products using Thermal Fingerprint and Cycle Threshold Value by Employing a DNA Intercalating Dye and Fluorescent PCR for Detecting Acute Myeloid Leukaemia (AML) by Pratap Mukhopadhyaya
in Novel
Approaches in Cancer Study
Abstract
An intercalating dye-based qualitative and quantitative real
time PCR assay was developed to detect and estimate the AML1/ETO fusion
transcript in patients suffering from Acute myeloid leukaemia. Quantitation
standard was prepared by molecular cloning of the fusion transcript in a
multicopy cloning vector followed by its propagation in Escherichia coli.
Nucleotide sequencing confirmed the AML1/ETO fusion point within the cloned
insert and further, its serial dilution resulted in a predicted increase in cycle
threshold value which was used to generate a standard curve. Secondary
calibration of the standard with an CE-IVD approved, quantified control DNA
allowed quantitative detection of AML1/ETO and ABL copy numbers of an AML1/ETO
testing panel of samples and the percentage of the AML1/ETO was successfully
ascertained. Qualitative detection data of the fusion transcripts from the
panel indicated 100% concordance of data when compared with a published
protocol that used hydrolysis probes (TaqMan) for detecting the AML1/ETO fusion
transcript percentage in clinical samples. The study indicated the potential of
using Evagreen as an intercalating dye for qualitative and quantitative
detection of AML1/ETO and ABL transcripts for estimating Minimal Residual
Disease (MRD) in AML patients.
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