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The page below is a sample from the LabCE course Molecular Methods in Clinical Microbiology. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Detection and Identification of Polymerase Chain Reaction (PCR) Products

Agarose gel electrophoresis is a classic method of detection. During electrophoresis, the migration of the DNA molecules is almost entirely dependent upon their size. Smaller molecules will migrate faster than larger molecules. Following electrophoresis, some method of DNA staining or probing is required. Ethidium bromide is the most commonly employed stain utilized for visualization of the DNA products. The patterns generated by test samples are typically compared to those of known controls.

Biotin labeling in microwell-based formats (reminiscent of some ELISA assays) is another method that was utilized in some of the first commercial formats. Using the Roche COBAS® AMPLICOR assays as an example, the master mix contains biotinylated probes for the target sequence. Biotin labeled amplicons are generated during the extension sequence of the PCR process. During the detection phase, biotin labeled amplicons bind to a capture probe attached to a magnetic particle. Avidin-horseradish peroxidase conjugate is added, which binds to the biotin-labeled amplicons. After washing, substrate is added; bound conjugate acts on the substrate to produce a color reaction, read by the analyzer.

In earlier developed PCR methods, amplification and detection/characterization of the amplicon are carried out as independent steps. When detection occurs as a separate process, the analytical time is increased significantly - from 2 to 24 additional hours. In addition, some methods require more extensive manipulation of the nucleic acid amplification (NAA) product, creating risks of crossover contamination and requiring a greater level of expertise to successfully perform the assays.