Elsevier

Methods

Volume 50, Issue 4, April 2010, Pages 262-270
Methods

Review Article
Accurate and objective copy number profiling using real-time quantitative PCR

https://doi.org/10.1016/j.ymeth.2009.12.007Get rights and content

Abstract

Copy number changes are known to be involved in numerous human genetic disorders. In this context, qPCR-based copy number screening may serve as the method of choice for targeted screening of the relevant disease genes and their surrounding regulatory landscapes. qPCR has many advantages over alternative methods, such as its low consumable and instrumentation costs, fast turnaround and assay development time, high sensitivity and open format (independent of a single supplier). In this chapter we provide all relevant information for a successfully implement of qPCR-based copy number analysis. We emphasize the significance of thorough in silico and empirical validation of the primers, the need for a well thought-out experiment design, and the importance of quality controls along the entire workflow. Furthermore, we suggest an appropriate and practical way to calculate copy numbers and to objectively interpret the results.

The provided guidelines will most certainly improve the quality and reliability of your qPCR-based copy number screening.

Introduction

Copy number changes under the form of deletions and duplications are known to be involved in numerous human genetic disorders. Moreover, each individual’s genome embodies several copy number polymorphisms of various sizes which are thought to contribute to normal phenotypic variation and susceptibility to multifactorial disease [1], [2]. Hence, it is not surprising that a wide spectrum of laboratory methods has been developed to identify these copy number changes. Well known and widely applied techniques include conventional karyotyping, fluorescent in situ hybridization (FISH) analysis, microarray-based copy number screening, multiplex ligation-dependent probe amplification (MLPA), and quantitative PCR (qPCR) [3], [4]. Each method is characterized by particular (dis)advantages and the choice for a given technique largely depends on the application, required resolution, flexibility, workload, and cost. Conventional karyotyping allows the detection of structural variations across the entire genome, but it is limited in resolution (>5–10 Mb). FISH analysis for targeted regions has been used in a routine setting for many years, and requires either metaphase chromosomes (similar to karyotyping) or interphase nuclei (resolution approximately 100 kb). Microarray-based copy number profiling has improved the resolution in the last decade and facilitated the detection of much smaller copy number changes [4]. The most recent high density targeted arrays even achieve a resolution of a few base pairs. For patients with mental retardation or other complex phenotypes, genome wide copy number profiling using microarrays proves to be the most suitable approach to reveal the underlying molecular defect [5]. In contrast to the research driven race for ever increasing resolution, the majority of diagnostic tests for genetic disorders are restricted to the targeted screening of the relevant disease genes and their surrounding regulatory landscapes. In the latter context, focused copy number screening methods are preferentially used, such as MLPA, targeted microarrays, and qPCR.

With real-time qPCR, the PCR product accumulation is measured in real-time resulting in a sigmoidal amplification curve. Several detection chemistries are available to measure product accumulation, including hydrolysis probes, molecular beacons, dual hybridization probes and double stranded DNA specific binding dyes. There is a relationship between the moment that the fluorescent PCR signal increases above the background and the initial amount of input DNA; larger amounts of input material will result in lower quantification cycle (Cq) values. The Cq value represents the fractional PCR cycle that is characteristic for the amplification curve (e.g. where increase in fluorescence is maximum) or at which the fluorescence crosses a certain threshold. qPCR has many advantages over alternative methods, such as its low consumable and instrumentation costs, fast turnaround and assay development time, high sensitivity and open format (independent of a single supplier). To date, qPCR is the golden standard for gene expression analysis. For copy number determination, qPCR has been less frequently used, but recent developments hold the promise of taking this application to the next level.

In this chapter we provide all relevant information required to use qPCR for copy number analysis.

Section snippets

Selection of regions

The overall accuracy of an answer to a specific research or diagnostic question largely depends on the number of qPCR assays, their position relative to the disease locus, and the spatial interval between subsequent amplicons. First, the genes or intergenic regions of interest are selected. The number of selected genes usually affects the number of assays included per gene. When a large series of genes needs to be screened, the number of assays per gene is often restricted to one or two due to

Concluding remarks

Real-time quantitative PCR is a perfectly suited method for the detection of copy number variations in targeted regions because of its low screening cost and fast turnaround time. Adhering to the following general guidelines increases the quality and reliability of the determined copy numbers. First of all, take care of the preparations: assay design and validation, as well as experiment design. Secondly, perform as much quality controls as possible along the entire workflow: QC on the assay

Acknowledgments

This study was supported by Specialisatiebeurs from Institute for the Promotion of Innovation through Science and Technology in Flanders (IWT-Vlaanderen) (B.D.); 1.2.843.07.N.1 from the Research Foundation Flanders (FWO) (J.H.); 01209407 from BOF-UGent (J. VDS.).

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