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GENOME METHODS Use of a Fluorescent-PCR Reaction to Detect Genomic Sequence Copy Number and Transcriptional Abundance Pei-Wen Chiang, 1'7'8 Woo-loo Song, 2'7 Kai-Yuan Wu, 3 Julie R. Korenberg, 4 Eric J. Fogel, 1 Margaret L. Van Keuren, Deval Lashkari, s and David M. Kurnit 1'2'6

I Departments of Pediatrics and 6Human Genetics, 2Howard Hughes Medical Institute, University of Michigan Medical School, Ann Arbor, Michigan 48109-0650; 3Biotronics Corporation, Lowell, Massachusetts 01 851; 4Department of Medical Genetics, Cedars-Sinai Medical Center, Los Angeles, California 90048-1869; SStanford DNA Sequence and Technology Center, Departments of Genetics and Biochemistry, Stanford University School of Medicine, Stanford, California 94305

We present a fluorescent-PCR-based technique to assay genomic sequence copy number and transcriptional abundance. This technique relies on the ability to follow fluorescent PCR progressively in real time during the exponential phase of the reaction so that quantitative PCR is accomplished. We demonstrated the ability of this technique to quantitate both known deletions and amplifications of loci that have been measured previously by other methods, and to measure transcriptional abundance. Using an efficient variant of the fluorescent-PCR technology, we can monitor transcription semiquantitatively. The ability to detect all amplifications and deletions at any single copy locus by PCR makes this the technique of choice to assay genomic sequence copy number anomalies in birth defects and cancers. The ability to detect variations in transcript abundance enables this technique to fashion a time and tissue analysis of transcription.

Traditional PCR, assayed by monitoring PCR underlies a variety of disorders. In dys- products run on a gel, is not quantitative, as it morphology, trisomy or monosomy for parts of does not reflect the initial substrate concentra- the genome are associated with clinical syn- tion. To circumvent this limitation, we describe a dromes, for example, Down syndrome (Scog- fluorescent-PCR assay that is followed during the gin and Patterson 1982), DiGeorge syndrome exponential phase of the PCR reaction, permit- (DGS; Driscoll et al. 1992), Charcot-Marie-Tooth ting quantitation. This reaction can be made disease type 1A (CMT1A, a result of three copies of fully quantitative by comparing three control re- the PMP22 ), and its complement, heredi- actions and an unknown, or semiquantitiative by tary neuropathy with liability to pressure palsies comparing the unknown against one standard. (HNPP, a result of one copy of the PMP22 gene; We illustrate the use of the fully quantitative re- Dyck et al. 1993). In cancer, amplification of on- action to monitor genome copy number alter- cogenes (e.g., HER2/neu; Slamon et al. 1989) or ations involved in birth defects and cancer. We deletion of tumor suppressor (e.g., p53; illustrate the use of the semiquantitative reaction Nigro et al. 1989) are found frequently in tumors. to monitor abundance of transcripts in numer- Currently, detection of such genome instability is ous cDNA libraries. accomplished via two different groups of meth- Genome instability, defined to include am- ods. The methods of the first group, which only plification or deletion of part of the genome, detect monosomy of a given sequence in infor- mative cases, rely on informative sequence varia- tions [different restriction enzyme cutting sites 7These authors contributed equally to this work. SCorresponding author. for restriction fragment length polymorphisms E-MAIL [email protected]; FAX (313) 936-9353. (RFLPs; Botstein et al. 1980) or different size of

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CHIANG E1 AL.

PCR products for loss of heterozygosity analysis RESULTS (LOH; Lasko et al. 1991)] between two alleles in the genome. The methods of the second group, Analysis of Aneusomy for 21 which are considerably more laborious but can Using Fluorescent-PCR detect both deletions and amplifications, rely on either quantitative Southern blotting (1975) or The strategy of our assay is similar to that used by fluorescent in situ hybridization (FISH) (Van Ore- previous authors (Von Eggeling et al. 1993). Two men et al. 1995). Both RFLP and PCR analyses of PCR reactions were performed in parallel on both LOH are restricted by the need for polymorphic the unknown and the reference samples. In Table markers, which may be uninformative in a given 1, primers from the experimental $1006 marker case, and are often at some distance from the on chromosome 21 were used for one PCR reac- locus of interest. Quantitative Southern blotting tion and compared with the PCR reaction and FISH can detect either gain or loss of se- achieved with primers from the reference (euso- quences without the heterozygosity require- mic) IGF-1 marker on chromosome 12. Because ments of the RFLP or PCR-polymorphism meth- both reactions were monitored in exponential ods; however, these quantitative Southern blot or phase, the PCR signal depended directly on the FISH methods are difficult to perform, are time- initial target concentration. Under these condi- consuming, use large amounts of material or spe- tions, the ratio of PCR signal from the two reac- cialized tissue samples, and may offer limited tions (SIOOf3/IGF-1) in the unknown DNA, di- resolution. vided by the ratio of PCR signal from the two These difficulties point to the use of quanti- reactions (SIOOf3/IGF-1) in the control (normal tative PCR (Mansfield 1993; Von Eggeling et al. placental) DNA, accurately reflected the relative 1993; Inoue et al. 1996) as an ideal solution to dosage of $1006 to IGF-1 in the unknown DNA. the above conundra. However, the quantitative Because the dosage of IGF-1 in both cell lines PCR methods described to date can only quanti- (two copies/genome) and of $1006 in the control tate samples at a fixed reaction end-point (usu- cell line (two copies/genome) is known, the dos- ally after the completion of PCR). Assays relying on such fixed end-point analyses cannot utilize the exponential phase of the reaction and thus require competitive PCR technologies for quanti- tation or require that the reaction be in late ex- Table 1. Quantitative Analysis of ponential phase to accumulate detectable sub- Samples with Aneusomy for Chromosome strate. Therefore, these methods are inherently 21 Using the AmpliSensor Method not accurate or rapid enough to detect small Ratio of changes in copy number reproducibly. We de- gene scribe below a quantitative fluorescent-PCR assay copy no. that can be observed dynamically in exponential (target/ Standard Sample phase and, thereby, allows accurate measure- reference) deviation no. ments of copy number. Although the fluorescent-PCR assay also can De1211LS 0.50 0.10 12 be used to pinpoint the abundance of a transcript Dup21WB 1.61 0.26 10 Dup21NA 1.11 0.14 10 in cDNA libraries, a less stringent version of the Dup21 DS 1.65 0.17 10 fluorescent-PCR method can accomplish the Del6918 1.18 0.12 12 semiquantitative screening of cDNA libraries. Comparison of the fluorescent-PCR screen with In each case, at least two different measurements at each gel-based PCR screens shows this technique to be of three different twofold dilutions were taken in both both sensitive and accurate. Because no postam- normal control (placental) DNA and DNA from the cells under investigation. This enabled us to calculate that plification electrophoresis on gels is required, the sample De1211LS had one copy of SlOOp, samples method can be automated. With exponential Dup21NA and Del6918 had two copies of $100~; and growth of the number of genes discovered as the samples Dup21WB and Dup21DS had three copies of genomic initiative proceeds, automation of the $I00~. These measurements were in accord with $100~ fluorescent-PCR method will permit a rapid and gene dosage studies performed by quantitative Southern blotting (Daumer-Haas et al. 1994; J.R. Korenberg, un- sensitive time and tissue analysis of genic tran- publ.). scription.

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FLUORESCENT-PCR REACTION age of $100~ in the experimental cell line can be (p53 (17p13), SUPT6H determined. (17q11.2), BRCA1 (17q21) and SUPT4H (17q21- To evaluate the fluorescent-PCR method for q23); SUPT6H and SUPT4H are two human genes detecting genome instability, we selected five dif- we isolated on chromosome 17 related to the ferent samples with segmental aneusomy for yeast global transcription regulators, SPT6 and chromosome 21 analyzed by quantitative South- SPT4 (Chiang et al. 1996a,b). As shown in Figures ern blotting previously (J.R. Korenberg, unpubl.). 1C-F, the p53 marker is deleted (Fig. 1C), the The copy numbers of the $100f3 marker on chro- SUPT6H marker exhibits normal copy number mosome 21 derived in a blinded fashion were (Fig. 1D), and the SUPT4H (Fig. 1E) and BRCA1 three for samples Dup21WB and Dup21DS, two (Fig. 1F) markers are amplified in MCF-7 cells. for samples Dup21NA and De16918 and one for Because the normalized quantitative curve does sample De121ILS (Table 1). In each case, these not accurately yield the copy number difference, copy numbers matched the previous results mea- this quantitative analysis was further analyzed sured by quantitative Southern blotting (J.R. Ko- using the ASAP software (see Methods). As shown renberg, unpubl.). Therefore, the AmpliSensor in Table 2, the copy number (relative gene dos- method accurately detected the $100~ copy num- age) of p53 in MCF-7 cells is about half of that of bers from five different samples with segmental the placental DNA control (0.43); the copy num- aneusomy for chromosome 21, including ber of SUPT6H is about the same as that from samples both trisomic and monosomic at this placenta control (1.08); and the copy numbers of locus. both BRCA1 and SUPT4H are about threefold that of the placenta control (3.06-fold for BRCA1, and 2.97-fold for SUPT4H). The data thus demon- The AmpliSensor Method Successfully Detected strate deletion, a normal level, and amplification Both Gene Deletions and Amplifications in Two of copy number for different loci on chromo- Different Tumor Cell Lines some 17 in MCF-7 genomic DNA. To further evaluate the AmpliSensor method, ge- nomic DNAs from two breast tumor cell lines, Analyses of Gene Transcription Using the MCF-7 and T-47D, were analyzed by this method. Fluorescent-PCR Assay The T-47D cell line has only one defective copy of p53 (Nigro et al. 1989) and the MCF-7 cell line The assay can be used in an analogous manner to has only one copy of erbB-2 (Casey et al. 1991). determine the abundance of a sequence in cDNA Both the p53 and erbB-2 markers are on chromo- libraries. We took advantage of the fact that the some 17; the $100~ marker on chromosome 21 primers we had for BRCA1 could be used for both was used as the reference marker. As shown in genomic and genic DNA samples, as they did not Figure 1A (p53 in T-47D cells) and Figure 1B cross an intron. Using a fluorescent marker for (erbB-2 in MCF-7 cells), the normalized quantita- glucose 3-phosphate dehydrogenase (G3PDH), a tive curves (detection index of p53 in T-47D DNA ubiquitously transcribed, moderately abundant or erbB-2 in MCF-7 DNA) are both less than that sequence, we could derive the ratio between of placenta DNA, demonstrating deletions of BRCA1 and G3PDH and, thereby, determine the these genes in these cell lines. Therefore, the Am- relative abundance between BRCA1 and G3PDH pliSensor method successfully detected known transcription. There was no significant variation gene deletions that were seen previously using for the ratio between BRCA1 and G3PDH in the other technologies. 11 tissues we examined (Table 3), demonstrating An advantage of the AmpliSensor method is that BRCA1 is transcribed ubiquitously in these that it becomes possible to analyze gene copy tissues at a rate equal to -1/2000 of that of the number along a chromosome by scanning copy moderately abundant G3PDH transcript. number for markers along that chromosome. Having successfully applied the AmpliSensor method for the detection of known DNA se- Semiquantitative Analysis Using the quence deletions from two tumor cell lines, we Fiuorescent-PCR Protocol elected to scan multiple markers on chromosome 17 from the MCF-7 cell line. MCF-7 genomic We next investigated the suitability of the fluo- DNA was analyzed by scanning four markers on rescent-PCR assay to monitor transcription using

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CHIANG ET AL.

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FLUORESCENT-PCR REACTION

Table 2. Quantitative Analysis of MCF-7 Table 3. Quantitative Analysis of Genomic DNA by Different Markers on Transcription of Fluorescent-PCR Chromosome 17 Quantity BRCA 1/ Ratio of gene G3PDH copy no. cDNA library G3PDH BRCA 1 (xl0 -3) (target/ Standard Sample reference) deviation no. Kidney 41 30 8.43 2.04 Liver 6980 8.19 1.1 7 BRCA1 3.06 0.12 8 Lung 5460 9.92 1.82 SUPT4H 2.97 0.13 6 Heart 11500 20.10 1.75 p53 0.43 0.1 3 8 Brain 3520 8.58 2.44 SUPT6H 1.08 0.03 8 Leukocyte 3080 9.76 3.17 Fetal kidney 3580 7.46 2.08 Copy number was calculated by use of placental DNA as Fetal liver 6330 22.30 3.52 an internal reference with the known $100f3 marker on Fetal lung 4440 10.90 2.45 chromosome 21 (two copies in both placental DNA and in Fetal heart 14540 18.70 1.29 MCF-7 genomic DNA) and the unknown markers on chro- Fetal brain 3430 10.60 3.09 mosome 17 (two copies in placental DNA and an un- known quantity in MCF-7 genomic DNA). At least three Heart 9210 20.90 2.27 different dilutions of each sample with a twofold differ- ence of each dilution were analyzed. Each dilution was Relative abundance between the BRCA1 and G3PDH genes duplicated in the analysis. The results for MCF-7 cells show was calculated in 11 different cDNA libraries. G3PDH is an that SUPT6H is present in approximately normal copy abundant gene that is transcribed constitutively in all tis- number (two copies/genome), p53 dosage is approxi- sues. The ratio, BRCA1/G3PDH, yields the relative abun- mately half of normal copy number (one copy/genome), dance between these two genes. The average for the 11 and SUPT4H and BRCA1 are present in approximately three cDNA libraries is a ratio between BRCAI and G3PDH tran- times normal copy number (six copies/genome). scription = 2.3 • 10 -3

several control genes. For this assay, one of the in energy transfer (Fig. 2). This generic primer is gene-specific primers is attached to the F (fluo- approximately fivefold less sensitive than Ampli- roscein isothiocyanate carrying)-strand for se- Sensors tailored for specific genes; this decrease quence-specific amplification. This was accom- in sensitivity renders this application semiquan- plished by synthesizing (Lashkari et al. 1995) a titative, which is still sufficient for sampling tis- primer carrying the 7-bp "hook" sequence [5' sues for transcript abundance within an order of GGGACGC-3', complementary to the 7-bp magnitude. single-stranded overhang generated by annealing Multiple variables were optimized, including F- and T (Texas Red carrying)-strands] followed protocols to (1) purify primers; (2) kinase and li- by the usual PCR primer sequence that remains gate primer oligonucleotide sequences; (3) make single-stranded. Following annealing and liga- buffers; (4) use primer concentrations, and (5) de- tion, PCR was then performed between the termine PCR cycle numbers. We found that a pre- single-stranded part of this partially duplex amplification step of 30 cycles with a gene- primer and the other specific primer. As noted specific nonfluorescent primer and an anchored above, successful PCR results in separation of the primer was needed before a second amplification two strands of the oligonucleotide duplex; the step utilizing a second (nested) gene-specific resulting separation of F and T yields a decrement primer attached to the fluorescent oligonucleo-

Figure 1 Quantitative analysis of genomic DNA by different markers on chromosome 17. The normalized quantitative curves were derived by plotting the detection index obtained from the chromosome 17 marker (ordinate) against that from $10013 (abscissa). (R) regression coefficient; (n) sample number. (A) (r-l) Placenta control; R = 0.981; n = 8; (0) T-47D; R = 0.950; n = 8. (B) (E3) Placenta control; R = 0.998; n = 6; (0) MCF-7; R= 0.996; n--6. (C) (r-i) Placenta control; R----0.981; n = 8; (0) MCF-7; R= 0.977; n = 8. (D) ([-1) MCF-7; R = 0.963; n = 8; (0) Placenta control; R = 0.991; n = 8. (E) (I-1) Placenta control; R = 0.974; n = 8; (0) MCF-7; R = 0.997; n = 6. (F) (F-I) Placenta control; R = 0.946; n = 8; ( 9 MCF-7; R = 0.988; n = 8.

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No PCR Energy transfer-~ fluorescence + the ethidium bromide-gel-based as- say by at least fourfold.

primer 2 F primer 1 Specificity of Fluorescent-PCR Assay We chose as substrate six genes that were reported to be tissue-specific on the basis of Northern blotting (sequence for oligonucleotides and tissue localization data generously PCR No energy transfer--~ fluorescence - provided by D. Cupo, Life Tech- nologies, Inc., Gaithersburg, MD; Gruber et al. 1995). We also used a constitutively expressed gene, PKD1 (polycystic kidney disease), primer 2 as a positive control. The Methods section below gives the primer se- F primer 1 quences used for PCR. For the fluo- Figure 2 Schematic representation of energy transfer of the Ampli- rescent-PCR assay, we used a gene- Sensor in PCR. Primer 2 is the excess primer in the first PCR reaction. specific primer and a vector (~gt11) Primer 1 (thick line corresponding to the AmpliSensor) is a nested primer primer for the initial asymmetric homologous to the PCR product amplified by the first PCR reaction. (F) amplification for 30 cycles; the fluorescein; (T) Texas Red. Energy transfer can only occur when fluores- fluorescent primer was then added, cein and Texas Red are close to each other. the reaction was allowed to proceed for one PCR cycle, and a baseline fluorescence reading was taken. The reaction was then continued for the indicated number of cycles, tide duplex. The conditions listed in Methods a repeat fluorescence reading was taken, and this and the data reported below were obtained using routine was repeated as appropriate. The salient these optimized parameters. point is that this methodology yields a dynamic reading of the reaction that permits us to assay the reaction in the exponential cycle phase. This Sensitivity of Fluorescent-PCR Assay makes the final analysis semiquantitative by de- The sensitivity of the fluorescent PCR-based de- termining when the fluorescence decrement for tection system was compared with the gel PCR- each of two independent reactions is >0.2 (we use based assay where the product was detected by a fluorescence decrement of >0.2 as our bench- ethidium bromide staining. For this comparison, mark of positive transcription). we used a human liver cDNA library (Clontech) PKD1 was expressed constitutively using the and primers from the apolipoprotein C gene (see fluorescent-PCR assay; albumin was expressed in Methods). The cDNA library was serially diluted fetal liver, but not in embryonic liver or in any up to 256-fold with SM [50 mM Tris (pH 7.5), 0.1 other tissues examined. These controls demon- M NaC1, 8 mM MgSO4, 0.01% gelatin] buffer. Fig- strate that the same result was obtained for both ure 3 shows that the gel PCR-based system using the fluorescent-PCR (data not shown) and the detection by ethidium bromide staining reached gel-based PCR assays of transcription (Buraczyn- the detection limit after a 64-fold dilution. How- ska et al. 1995). The results of the fluorescent- ever, the fluorescent PCR-based detection system PCR assay for the other five genes are given in yielded signal at the 256-fold dilution (positive at Table 4 (assayed on even-numbered cycles fol- 13 cycles after adding the fluorescent primer; Fig. lowing addition of the fluorescent oligonucleo- 3). With increasing cycle number, the fluorescent tide). Our notation is: (3) means the PCR decre- method could detect the presence of the tran- ment was >0.2 in each of duplicate samples after script with 1024-fold diluted eluate (data not 10 cycles; (2) after 12 or 14 cycles; (1) after 16 shown). These data demonstrate that the fluores- cycles; and (-) means the PCR decrement was cent-PCR detection system is more sensitive than still <0.2 after 16 cycles. Detection at earlier

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Multiple additional cDNA libraries were also positive with each of the probes at the earliest assay cycle at which a positive signal was ob- tained, except for surfactant D where multiple tis- sues were positive at the next assay cycle (Table 4). This illustrates that abundant expression oc- curs in tissues other than those expected. In ad- dition, cDNA libraries from multiple tissues were positive at later cycles, indicating that the se- quence of interest is transcribed, albeit less abun- dantly than in the cDNA libraries positive at ear- lier cycles. This semiquantitative feature is a use- ful aspect of this analysis: positivity (fluorescence decrement > 0.2) at lower cycle numbers implies a higher degree of abundance than when positiv- ity first occurs at later cycles. In all five cases, we observed the most abundant transcription in the expected tissues. Table 4 compares the sensitivity of four methods: the gel-PCR assay monitored by ethidium bromide (Buraczynska et al. 1995; Chiang et al. 1995; Kurnit et al. 1995) or SYBR green (Schneeburger et al. 1995) staining, the gel- Figure 3 Sensitivity of geI-PCR- and fluorescent- PCR assay monitored by Southern blotting with PCR-based analyses of transcription. Primers from the apolipoprotein C gene (forward: 5' the gene in question as a radiolabeled probe, and GGGACGCATGCCTAGCCCGACCTTCCT- 3', with the fluorescent-PCR assay. For the most abun- the underlined sequence representing the hook dant expression (defined as positivity in the fluo- complementary to the single-stranded T-strand rescent-PCR assay at the minimum number of overhang extending from the fluorescent oligo- cycles, including all tissues where transcription nucleotide duplex; reverse: 5'-GACTCTCCCCTT- was known previously to occur), there was posi- GTCCACTGATG-3') were used to screen a human tivity with all four techniques for all 34 tissues. liver cDNA library (Clontech; HL3006b) by the gel- This underscores the ability of the fluorescent- PCR- and fluorescent-PCR-based methodologies. It PCR technique to substitute successfully for the can be seen that the gel-based assay using ethidium PCR-gel technique. After the optimization (see bromide (A) is positive to a 1/64 dilution, whereas Methods), the fluorescent-PCR method was more the fluorescent-PCR assay (B) is positive to a 1/256 dilution 13 cycles after adding the fluorescent sensitive than the standard gel-PCR assay using primer. (B) (A) 30 + 10; (O) 30 + 13; (*) 30 + 16 ethidiurn bromide, as shown by our control ex- cycles. periment with apolipoprotein C and further docu- mented by Table 4, which contains more cases where the fluorescent-PCR assay was positive but the gel-based PCR assay was negative than cycles indicates a greater abundance of the gene vice versa. Follow-up studies with SYBR green in question. In all cases, the gene was expressed (Schneeburger et al. 1995) demonstrate that at its highest abundance in the appropriate cDNA this dye is also more sensitive than ethidium library, that is, liver (fetal and adult) for apolipo- bromide, yielding sensitivity equivalent to the C; heart (fetal and adult) for cardiac tropo- fluorescent-PCR method. The order of sensitiv- nin T; neural structures for myelin; lymphocytes ity of the methods (Table 4) was Southern and monocytes (both of which will include my- blot > fluorescent-PCR = gel-PCR detected by elomonocytes and platelets) for platelet receptor; SYBR green > gel-PCR detected by ethidium bro- and fetal lung for surfactant D. Thus, there are no mide. Although it is not feasible to use the South- false negatives with the fluorescent-PCR test. In ern blotting assay routinely, it confirmed the re- all cases, the PCR-gel test was also positive using sults obtained by the other assays, as it was al- Southern blot hybridization for detection of tran- ways positive when any of the other methods scription. was positive. The accuracy of the assay is further

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Table 4. Semiquantitative Analysis of Transcription by Fluorescent-PCR

Platelet Myelin Cardiac Apolipoprotein C receptor basic protein troponin T Surfactant D

Aorta +/-/+/2 +/-/+/- +/-/+/3 - / - / - / -/+/- / - Bone marrow - / -/+/- +/+/+/1 -/+/+/2 - / -/+/2 - / -/+/- Brain, amygdala +/+/+/2 +/+/+/1 +/+/+/3 +/+/+/3 +/+/+/2 Brain, cingulate gyrus +/+/+/- -/-/-/- +/+/+/3 +/+/+/2 +/+/+/2 Brain, cerebral cortex -/+/-/- -/- / -/- +/+/+/3 +/+/+/2 +/+/+/2 Brain corpus callosum +/+/+/2 +/-/+/2 +/+/+/3 +/+/+/2 +/+/+/- Brain, hypothalamus -/-/+/- +/+/+/1 +/+/+/3 -/-/-/- -/-/-/- Brain, substantia nigra +/+/+/2 +/+/+/1 +/+/+/3 +/+/+/2 -/+/+/- Brain, subthalamic nucleus -/+/-/- +/+/+/1 +/+/+/3 - / -/-/- -/+/+/- Breast -/-/-/- -/-/-/- -/-/-/- -/-/+/- -/-/-/- Breast carcinoma -/-/-/- -/+/+/1 -/-/-/- -/-/+/- -/-/+/- Colon 1 - / - / - / - +/+/+/2 - / - / - / - - / -/+/- - / - / - / - Colon 2 - / - / - / - +/+/+/1 +/+/+/3 - / - / - / - - / -/+/- Colon adenocarcinoma -/-/+/- -/-/-/- -/-/-/- -/-/-/- +/+/+/- Colorectal adenocarcinoma -/-/-/- +/+/+/1 +/+/+/2 +/+/+/2 -/-/+/2 Endothelial 1 - / - / - / - +/+/+/2 - / -/+/- - / -/+/- - / -/+/- Endothelial2 -/-/-/- -/-/-/- -/-/-/- -/-/-/- -/-/-/- Epidermis - / - / - / - - / - / - / - +/+/+/2 +/+/+/2 - / -/+/- Eye -/-/-/- -/-/-/- +/+/+/3 -/-/-/- -/-/-/- Fat cell - / -/+/2 +/+/+/2 +/+/+/3 +/-/+/2 -/+/+/- Fetal adrenal +/+/+/2 -/-/-/- -/+/-/- -/-/- / - -/-/+/- Fetal brain - / - / - / - - / - / - / - +/-/+/2 - / - / - / - -/+/+/2 Fetal heart - / - / - / - +/-/+/1 +/+/+/2 +/+/+/3 -/+/+/- Fetal kidney +/+/+/3 +/+/+/1 - / - / - / - - / - / - / - +/+/+/2 Fetal liver +/+/+/3 -/+/+/- - / -/+/- - / - / - / - - / - / - / - Fetal lung - / - / - / - +/+/+/2 - / - / - / - +/-/+/- +/+/+/3 Giloma +/+/+/3 -/-/-/- +/+/+/3 +/+/+/3 +/+/+/2 Heart - / - / - / - +/-/+/- +/+/+/3 +/+/+/3 - / -/+/- Keratinocyte 1 - / - / - / - +/+/+/2 - / -/+/- - / - / - / - - / - / - / - Keratinocyte 2 - / -/+/- +/+/+/1 - / -/+/2 -/+/+/2 -/+/+/- Kidney - / -/+/1 - / -/+/- - / -/+/- +/+/+/2 - / - / - / - Leukemia -/-/-/- -/-/-/- -/+/-/- -/-/-/- -/-/-/- Leukocyte - / -/+/- - / - / - / - - / - / - / - - / - / - / - - / -/+/- Liver +/+/+/3 - / -/+/1 -/+/+/- - / -/+/- - / - / - / - Lung +/+/+/2 +/+/+/2 +/+/+/- +/+/+/2 +/+/+/2 Lymphocyte - / - / - / - +/+/+/2 - / - / - / - - / - / - / - - / - / - / - Melanoma -/-/+/- -/-/+/- +/+/+/2 -/-/-/- -/-/+/- Monocyte - / - / - +/+/+/2 - / -/+/2 - / -/+/- - / - / - / - Osteosarcoma - / - / - / - - / -/+/- -/+/- / - - / - / - / - - / - / - / - Ovary -/-/-/- -/-/-/- -/-/-/- -/-/-/- -/-/-/- Pancreas - / - / - / - - / - / - / - +/+/+/- - / - / - / - - / -/+/- Pituitary gland -/+/+/- -/-/+/- -/+/+/2 -/-/-/- -/-/-/- Placenta +/+/+/3 - / - / - / - - / - / - / - +/+/+/3 - / -/+/- Skin fibroblast - / - / - / - - / - / - / - +/+/+/2 +/+/+/3 -/+/+/- Negative control(X) -/-/-/- -/-/-/- -/-/-/- -/-/-/- -/-/-/-

The transcription patterns of five genes in 44 cDNA libraries (Clontech) is given. The first three columns describe whether signal was obtained by the geI-PCR method analyzed by ethidum bromide (first column), SYBR green (Schneeberger et al. 1995; second column), or Southern (1975) blotting (third column). The fourth column summarizes the results obtained by the fluorescent-PCR method. The numbers in this column indicate cycle numbers by which a fluorescent decrement >0.2 was achieved in each of two replicate PCR reactions (see Methods for reaction conditions). (3) This decrement was achieved by 10 cycles after adding the fluorescent primers; (2) this decrement was achieved by 12 or 14 cycles; (1) this decrement was achieved by 16 cycles; (-) means this decrement was not achieved by 16 cycles. As expected, the k negative control uniformly gave no signal with any of the methods.

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FLUORESCENT-PCR REACTION supported by the finding that the size of the PCR copy number of a locus on chromosome 21, product detected by ethidium bromide, SYBR SlOOf3, that had been shown by quantitative green, or Southern blotting was always the ex- Southern blotting to be present in one, two, or pected size. three copies in different subjects. In all cases, the fluorescent PCR technique successfully assayed DISCUSSION the copy number of $100f3. In addition, we suc- Quantitative Analysis of PCR cessfully detected known deletions of p53 in T-47D cells and of erbB-2 in MCF-7 cells, respec- Quantitative PCR has the following advantages: tively (Nigro et al. 1989; Szollosi et al. 1995). (1) It is not necessary to have informative poly- These values that agree with previous analyses morphic markers, which permits the direct appli- underscore the usefulness of this technique for cation of any set of unique markers (including molecular analysis of copy number anomalies. intragenic markers from the target of interest) for We then applied the AmpliSensor method to the analysis of gene copy number; (2) both dele- screen for genome instability on chromosome 17 tions and amplifications are scored using the from the MCF-7 cell line. The chromosome 17 same reaction; (3) only a small amount of sample markers p53, BRCA1, SUPT4H, and SUPT6H [two is required for this PCR-based analysis. yeast chromatin structural protein homologs we The AmpliSensor assay monitors PCR by isolated (Chiang et al. 1996a,b)] were analyzed. fluorescence decrement observed in real time The SUPT6H marker showed normal dosage with that permits quantitation. In the duplex state, two copies in the MCF-7 cell line. In contrast, we energy transfer between two fluorophores on dif- only detected one copy of p53 (which is known ferent strands of an oligonucleotide duplex (Am- to be intact; Casey et al. 1991) in MCF-7 cells. The pliSensor) abutting a primer is high. Disruption SUPT4H and BRCA1 markers were amplified of this duplex via PCR yields decreased energy threefold (6 copies) in MCF-7 cells. Because both transfer between the fluorophores. As a result, BRCA1 and SUPT4H were amplified similarly (-6 PCR correlates directly with decreased fluores- copies total), these two genes may lie on the same cence output (Fig. 2). The singular ability to amplicon in this cell line. If this is the case, the monitor a quality each cycle that varies with PCR amplicon must be large because these two mark- appropriately during the exponential phase of ers are at least several hundred kilobases apart the PCR reaction enables this technique to per- (data not shown). Regardless of the mechanism form quantitation. of amplification of SUPT4H and BRCA1, we de- In contrast, other variants of quantitative tected successfully both amplifications and dele- PCR involve densitometric analyses of PCR prod- tions with the AmpliSensor method. This under- uct with a necessary effort made to seeing the scores the usefulness of this PCR-based technique bands of interest when the reaction is still in the as it can score and quantitate all amplifications exponential phase (for most recent use of quan- and deletions at the single copy sequence of in- titative PCR, see Inoue et al. 1996). Even with the terest. most recent improvements, quantitative PCR us- An unexpected subtlety has arisen with re- ing gel-based analyses requires careful use of an gard to our BRCA1 results in MCF-7 cells. Al- appropriate number of PCR cycles (which must though we see amplification of BRCA1 to -6 cop- be worked up separately for each set of probes), ies (Table 2), Holt and coworkers have shown by requirements of polymorphism to confirm the polymorphism analysis that only one chromo- analysis, and a requirement that PCR with one some bearing BRCA1 is present in MCF-7 cells set of primers does not interfere with PCR using a (Holt et al. 1996). In addition, the cDNA se- second set of primers. All of these problems are quence of BRCA1 is normal in these cells (A. Fu- eliminated by fluorescent PCR where the un- treal, pers. comm.). Thus, in these cells, BRCA1 known and control sequences do not have to am- function remains unclear. Additional work on tu- plify in the same cycle, and where polymorphism mors (that are not established cell lines) is re- is not required; thus, in our fluorescent-PCR quired to elucidate what role amplification of a methodology, all single copy sequences are infor- single haplotype plays in carcinogenesis. In any mative in all cases. event, this does not vitiate our salient finding that BRCA1 and SUPT4H are amplified in this cell Quantitative Analysis: Gene Copy Number line. We used this methodology to assay the sequence The availability of a rapid and sensitive

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CHIANG ET AL. method to assay sequence copy number in the ited to the expected tissue in only one case, illus- genome (amplification or deletion of specific trating the marked sensitivity and speed of this genes) provides a generalized molecular tool to method and the inability of previous methods probe the role that genome instability plays in both to examine many tissues and to readily di- both dysmorphology and oncogenesis. This is es- agnose less abundant transcription. pecially true for syndromes in which genome in- One of the unavoidable limitations of this stability is relevant etiologically. By way of ex- technique is that the expression pattern is de- ample, these include the following. (1) A variety rived from cDNA libraries and will be subject to of syndromes resulting from to chromosome an- any artifacts engendered by cDNA cloning and eusomy, such as Down syndrome (Scoggin and library amplification. Fortunately, this is an ana- Patterson 1982). (2) A variety of malignancies as- lytical rather than a preparative technique, so sociated with deletions and amplifications of ge- generation of chimeras by cocloning events is nomic material. (Our examination of MCF-7 cells still recorded correctly as successful transcription. indicates that amplifications may be more perva- Contamination by genomic DNA of the size sive than previously thought in cancer cells. De- range (-103 bp) that is cloned into cDNA libraries termination of the validity of this point will re- is rare and would yield extremely nonabundant quire examination of tumors rather than estab- transcription in a tiny fraction of cDNA libraries lished tumor cell lines.) (3) CMT1A (a result of (at a generous 1% level of contamination of the triplication of the PMP22 gene) and HNPP (a re- cDNA size range with genomic DNA, 106 clones/ sult of deletion of the PMP22 gene), with this library and 103 bp long insert size, only 1/300 of copy number mechanism responsible for >90% libraries would have one copy of the relevant ge- of cases (Dyck et al. 1993). [This genome insta- nomic DNA). Contamination by genomic DNA bility results from mariner-like transposon se- resulting in the amplification of introns was not quences on both sides of the PMP22 gene (Reiter et detected by the gel-PCR ethidium bromide, SYBR al. 1996)]. (4) The DiGeorge Syndrome, in which green, or Southern blotting methods, further microdeletion of chromosome 22 is observed in demonstrating that genomic DNA contamina- >85% of cases [del(22) (q11.21-gq11.23)] and in tion is not a significant problem. In addition, al- which even finer deletions may be responsible for beit impractical for large-scale screening, the the phenotype in the remainder of cases (Driscoll Southern blotting method confirmed the accu- et al. 1992). (5) Thalassemias resulting from de- racy of positive results obtained by the fluores- letion of ~-globin or ~-globin genes (Kan 1980). cent-PCR and the original gel-based PCR method Because the AmpliSensor assay is facile, ca- (Buraczynska et al. 1995; Chiang et al. 1995; Kur- pable of detecting both deletions and amplifica- nit et al. 1995); no false positives were observed tions, and universally successful for detecting se- and the only potential false negatives involved quence copy number alterations, it represents the rarer messages. For abundant messages [denoted method of choice for detecting genome instabil- as (3) in the last column of Table 4], there is es- ity. As the Genomic Initiative yields an increas- sentially complete concordance, with all four ing number of mapped unique STS and EST mark- methodologies being positive. Using the inten- ers, these can all be utilized to map the extent of sity of the band obtained, the estimate of abun- various genome copy alterations with this assay. dance obtained by SYBR green parallels that ob- The facility of this assay will make it possible to tained by fluorescent PCR. Thus, these methods determine what role genome instability plays in are essentially equivalent in both sensitivity and both the normal cell and in abnormal disease informativeness. states. The expression patterns of all seven probes were consistent with previous analyses of major Semiquantitative Analysis: transcription patterns, with each of the seven Transcriptional Abundance probes expressed at the highest levels in the ex- pected tissues (essentially no false negatives in Six control genes, each previously thought to be tissues with abundance level 3). This illustrates expressed uniquely in a specific tissue, and a sev- that great confidence can be placed in the ability enth ubiquitously expressed control gene, were of the assay to detect abundant and moderately screened against >40 cDNA libraries. In all cases, abundant transcription in a given library. At the the genes were expressed most abundantly in the lower end of abundance, a negative reduces expected tissues. However, transcription was lim- transcription of a gene to be less than a baseline

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FLUORESCENT-PCR REACTION reading but cannot definitively rule out non- ment of a reference sequence with DNA from the given cell abundant or leaky transcription. Nevertheless, it type; this fraction is then divided by the ratio between the fluorescence decrement of the target sequence divided by rules out abundant or moderately abundant lev- the fluorescence decrement of the reference sequence with els of transcription. Conversely, we do not know normal DNA (the copy number of the target and reference whether a low-level of transcription (e.g., seen sequences in normal genomic DNA and the copy number with the fluorescent-PCR technique only after 16 of the reference sequence in normal genomic DNA are all cycles) is significant or whether it reflects "leaki- known). This yields the desired copy number of the target sequence in the given cell, normalized for the relative ef- ness" of transcriptional control. ficiencies of the PCR reactions for the target and reference The availability of this technique affords a sequences. Note that because only ratios in a given cell are special opportunity to merge with recently re- required, it is not necessary to quantitate precisely the ported technologies to isolate sequences ex- amount of cells used for derivation of the ratios. pressed differentially in two different tissues (Schena et al. 1995; Velculescu et al. 1995). Once Assay Procedure such sequences are isolated by these technolo- gies, primers corresponding to those sequences PCR was performed in a 96-well plate (PTC-IO0, MJ Re- can be synthesized and the fluorescent-PCR or search) and directly analyzed in situ for energy transfer using a microplate fluorimeter controlled by a workstation SYBR green-gel methodology can then be used to (Biotronics Corp., Lowell, MA). To quantify the decrease in describe a semiquantitative analysis of transcrip- energy transfer, fluorescence readings from each reaction tion in a large number of cDNAs. If needed, ex- were compared with readings from a control reaction tension of the fluorescent-PCR technique using a without polymerase. This control provided a reference for control (e.g., G3PDH) may be accomplished to the maximum initial fluorescent signal, because PCR did not occur. To compensate for well-to-well variations make the reaction fully quantitative (Table 3). among the PCR reactions in the plate, all data were nor- In sum, fluorescent PCR can be used to ac- malized using an initial reading (base reading) taken one complish both quantitative and less intricate cycle after adding the AmpliSensor. semiquantitative analyses. Quantitation of se- Quantitative analysis requires reproducibility so that quences in the genome will be useful to diagnose each reaction was repeated multiple times. Only H20 was added to the blank well. For the apex well, everything genetic copy number syndromes and changes in except Taq DNA polymerase was added. For the negative copy number that accompany cancers. Semi- well, everything except genomic DNA was added. The first quantitation of expressed sequences will be use- PCR reaction (asymmetric PCR profile) was accomplished; ful to catalog levels of transcript expression in this was required to generate sufficient template for the cDNAs. second PCR reaction; use of a nested PCR system also serves to increase the fidelity of the PCR reaction. The second (nested) PCR reaction was then initiated by adding a nested third, partially duplex, primer carrying an Ampli- METHODS Sensor oligonucleotide duplex (Wang et al. 1995) with Principle of AmpliSensorAssay fluorescein on one strand and Texas Red on the other strand. The initial asymmetric PCR was performed in 10 I~1 The AmpliSensor assay has been described (Wang et al. of 50 mM Tris-HC1 (pH 8.7), 50 mM KC1, 5 mM NH4CI, 5 mM 1995). The assay is based on the principle that decrement MgC12, 1 mM DTT, 0.1% Triton X-IO0, 0.2 U of Taq DNA of fluorescence energy transfer can be used to measure polymerase, 90 ng of excess primer, and 12 ng of limiting PCR-mediated disruption of an oligonucleotide duplex, primer. The genomic DNAs were in the range of 5 • 102 to the "AmpliSensor" (Fig. 2). The two strands of the oligo- 1 • 104 copies per ~1 of the DNA sequence to be ampli- nucleotide duplex are modified with donor and acceptor fied, using 50 ng/t~l of yeast tRNA as the dilution solution. fluorophores, respectively. In the native duplex state that An aliquot of 2.5 ~1 from each dilution was used for PCR. results from the absence of PCR, energy transfer between The asymmetric PCR profiles for (1) BRCA1, (2) erbB-2 and the fluorophores (the donor, fluorescein, and the receptor, SUPT4H, (3) SUPT6H, and (4) SIOOf~ were: (1) 95~ 25 sec; Texas Red) is efficient; the fluorescent signal at the emis- 58~ 30 sec; and 72~ 30 sec for 19 cycles; (2) 95~ 25 sion frequency of Texas Red following stimulation at the sec; 58~ 30 sec; and 72~ 40 sec for 24 cycles; (3) 95~ excitation frequency for fluorescein is high. PCR disrupts 25 sec; 55~ 30 sec; and 72~ 30 sec for 24 cycles; (4) this oligonucleotide duplex due to strand displacement, 95~ 25 sec; 60~ 30 sec; and 72~ 40 sec for 24 cycles. decreasing energy transfer ]which varies inversely with the After the asymmetric PCR, 5 ~.1 of AmpliSensor (1 ng/~.l) in sixth power of the distance between the two fluors (Wang reaction buffer was added to the reactions (except the et al. 1995)]. The extent of disruption, which depends di- blank reaction) and the PCR was continued with the Am- rectly on the amount of PCR that occurs, can be quantified pliSensor profile. The AmpliSensor profiles for (1) BRCA1, directly and accurately by measuring the decrement in (2) erbB-2 and SUPT4H, (3) SUPT6H, and (4) $100{~ were: (1) fluorescence that results from decreased energy transfer. 95~ 25 sec; 62~ 30 sec; and 72~ 30 sec; (2) 95~ 25 To measure the genomic copy number of a target se- sec; 62~ 30 sec; and 72~ 40 sec; (3) 95~ 25 sec; 60~ quence in a given cell type, the fluorescence decrement of 30 sec; and 72~ 40 sec; (4) 950C, 25 sec; 62~ 30 sec; and the target sequence is divided by the fluorescence decre- 72~ 40 sec. The reaction was followed dynamically by

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CHIANG ET AL. monitoring fluorescence following the addition of the (chromosome 17), (3) SUPT6H (chromosome 17), (4) AmpliSensor. The reaction is performed as two sequential erbB-2 (chromosome 17), (5) $100~ (chromosome 21) nested PCR amplifications to increase the specificity and and (6) IGF-1 (chromosome 12) are as follows: (1) BRCAI: to enable enough sequence to accumulate in the first re- limiting: 5'-CCCAGAGTCAGCTCGTGTTG-3', excess: 5'- action to enable quantitative PCR using the fluorescent GGGTCAGGCCAGACACCACCATGG-3', AmpliSensor: AmpliSensor to proceed expeditiously upon adding the 5'-AATTGACAGCTTCAACAGAAAGG-3'; (2) SUPT4H: AmpliSensor. limiting: 5'-AAGGTGGCAGCTGAGTGG-3', excess: 5'- CTGAGTCTGAATTGGAGG-3', AmpliSensor: 5'-CTGC- TTATTTCTTGTTCTGG-3'; (3) SUPT6H: limiting: 5'-GAG- CACTGTGATGATGAAGC-3', excess: 5'-ATGCTTTAAT- Data Analysis GAACCTTATC-3', AmpliSensor: 5'-TTGGAGGAAGC- Data were analyzed using ASAP software (Biotronics Corp., CCAGGGCATTGC-3'; (4) erbB-2: limiting: 5'-ACTG- Lowell MA); the principle of this software is outlined be- AAAGCCTTAGGGAAGC-3', excess: 5'-AAGCACTCTGTA- low. The AG-9600 AmpliSensor Analyzer (Biotronics CAAAGCCTGG-3', AmpliSensor: 5'-TACTGCCCCCCAT- Corp.) monitors the fluorescent signal of each reaction via GAGGAAGGAAC-3'; (5) $100~: limiting: 5'-CTGACC- a bottom reading mechanism. The signal reading thus ac- ACTTCCCCAGAGTGG-3', excess: 5'-GCTGGGCCCTCCT- quired is registered in digital format and processed accord- GCTGAACG-3', AmpliSensor: 5'-TACACCTGTGCT- ing to a default algorithm, which converts the raw reading TAGGGCACTG-3'; (6) IGF-I: limiting: 5'-GATGAGGCA- into a normalized data set for standard curve interpola- AAGACTATGCCG-3', excess: 5'-CCCAGGTACCCTTCTC- tion. The fluorescent-PCR assay requires both the base- CCAGAGTGG-3', AmpliSensor: 5'-TACTAGGCTGCCTGT- reading data set and the assay-cycle data set for quantita- CACTGTC-3'. tion. The base-reading data set represents the initial signal reading acquired prior to any detectable PCR-induced sig- nal changes, whereas the assay-cycle data set consists of Cell Culture and Genomic DNA Isolation signal readings measured after any number of user-selected PCR cycles (the microtiter dish with the samples undergo- The MCF-7 cell line (breast adenocarcinoma; ATCC HTB- ing PCR is alternately placed in a thermocycler and the 22) was maintained in minimal Eagle's medium with non- fluorescence plate reader, thereby allowing alternate poly- essential amino acids and Earle's balanced salt solution, 1 merization and reading). The readings of each data set are mM sodium pyruvate, 10 ~g/ml of bovine insulin, and 10% normalized, allowing determination of PCR by the de- fetal calf serum. The T-47D cell line (ductal breast carci- crease in fluorescence resulting from PCR. The well-to-well noma; ATCC HTB-133) was maintained in RPMI 1640 with signal variation intrinsic to each data point comes mainly 0.2 units bovine insulin/ml and 10% fetal calf serum. Ge- from factors such as geometric irregularity of microplate nomic DNAs were isolated using the AcuGen DNA Extrac- and pipetting related inaccuracy. This signal interference tion kit (Biotronics Corp.). can be eliminated through a normalization process using the base reading, which takes into account both the back- ground noise and the energy transfer coefficient. The de- tection index derived from the normalized data is equiva- Semiquantitative Analysis of Transcription lent to the signal departure of each sample from that of the Oligonucleotide primers to be ligated to the F-strand of the negative standard. Thus, the value of the detection index oligonucleotide duplex (Fig. 2) were purified following reflects the relative amount of amplified target. synthesis by incubating at 37~ for 1 hr in the presence of Quantitative analysis yields the amount of target se- 0.01 M MgC12 followed by ethanol precipitation [3 vol- quence present in the sample based on the linear regres- umes of ethanol and 0.3 M sodium acetate (pH 5.6)]. Based sion fitting curve derived from a set (at least three dilu- on A260/A280, this purification procedure yielded DNA as tions) of positive standards. Linear regression fitting is pure as that prepared by a conventional phenol/chloro- based on the principle of least mean square analysis to form extraction method followed by ethanol precipita- correlate the quantity and detection index using the linear tion. The 5' end of the primer was phosphorylated with T4 equation derived from the positive standard set. To opti- polynucleotide kinase in the presence of I mM ATP for 1 hr mize the fitting, the program intentionally discards those at 37~ Then 90 pmole of the phosphorylated primers standards deviating the most from the linearity (ASAP soft- were ligated with 10 ixl of the AmpliSensor mixture to ware; Biotronics Corp.). Because both the sequence to be generate a final volume of 50 ixl which contained a duplex investigated and the reference sequence are measured both of an F-strand and a T-strand (9 pmole/ixl each) (Biotronics in the cell line to be investigated and in a control cell line, Corp.). Ligation of the primer to the F-strand is facilitated the quantity of DNA from a given cell line does not factor by the presence of a 7-bp "hook" sequence (5'- into the final result, thereby obviating the need to perform GGGACGC-3'; underlined) at the 5' end of the primer precise measurement of the DNA concentrations from the complementary to a 7-bp sequence on the 5' end of the cell lines to be analyzed. T-strand (5'-GCGTCCC-3'). These ligations were carried out for 1 hr at 16~ followed by inactivation of T4 DNA ligase enzyme for 10 min at 65~ The fluorescent primers PCR Primers for Measurement of Genomic were then used for PCR without further purification. The Sequence Copy Number ligation efficiency was measured as described (Wang et al. 1995), being typically > 95% for the fluorescent oligo- The sequences of limiting, excess, and AmpliSensor nucleotide duplex. The oligonucleotides carrying the F primers for (1) BRCA1 (chromosome 17), (2) SUPT4H and T fluors were from Biotronics (Wang et al. 1995); the

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FLUORESCENT.PCR REACTION

T-strand was complementary to the underlined 7 bp at the (index of 0.2) of the reading in each of duplicate samples 5'-most end of the primers listed below. was taken to represent positive amplification. The sequences of the primers were: Xgt11 forward: 5 '-CCTGGAGCCCGTCAGTATCGGCGG-3'; apolipoprotein C: forward, 5'-GGGACGCATGCCTAGCCCGACCTTCCT- Southern Blotting 3'; reverse, 5'-GACTCTCCCCTTGTCCACTGATG-3'; plate- let receptor: forward, 5'-GGGACGCACTACCAAAAC- Following electrophoresis through a 3% agarose gel, the CAGGGCAACT-3'; reverse, 5'-TGATGAGGAAGACCAG- samples were transferred by the method of Southern GAAGA-3'; myelin C: forward, 5'-GGGACGCGCACA- (1975). The probes for Southern blotting were prepared by GAGACACGGGCATCCTT-3'; reverse, 5'-GTGCGAGGC- isolation of a PCR product corresponding to a correctly GTCACAATGTTCTT-3'; cardiac troponin T: forward, 5'- sized gene fragment from the cDNA library in which the GGGACGCACCGAGGAGACCAGGGCAGAA-3'; reverse, gene was known to be transcribed. The PCR product from 5'-GCGCTTCCGGTGGATGTCAT-3'; surfactant D: for- the appropriate library was purified using the Wizard PCR ward, 5 '-GGGACGCAATGGCCAAAGTGTCGGGGAGAA- preparation system (Promega, Madison, WI). The purified 3'; reverse, 5'-TGGCTCAGAACTCGCAGACCACA-3'; PCR product was radiolableled with 32p-dCTP using the PKDI: forward, 5'-GGGACGCTCTTGCTACCTGGCCTGG- Rediprime DNA labeling system (Amersham, Arlington 3'; reverse, 5'-ACTATTTTCACTAGGGCTGAGGG-3'; Heights, IL). The primer sequences were a gift of Dr. D. albumin: forward, 5'-GGGACGCGCCTACCATGAG- Cupo (Gruber et al. 1995). The relevant adult cDNA librar- AATAAGAG-3'; reverse, 5'-GAAATCCTCTACCGAAGTGG- ies (Clontech, Palo Alto, CA) from Northern-positive tis- 3'. In each case, the oligonucleotide with the "hook" se- sues were: apolipoprotein C: liver (HL3006b); platelet recep- quence, 5'-GGGACGC-3' (underlined) was used for both tor: keratinocyte (HL1045b); myelin: hypothalamus fluorescent PCR and for gel-based PCR. (HL1172b); cardiac troponin T: heart (HLlO38b); surfactant D: lung (HL3004). Hybridization and filter washing were performed according to Amershams recommendations.

PCR and Analysis of the Abundance Assay Acknowledgments PCR for the abundance assay was carried out in a 96-well plate with the I?TC-IO0 machine (MJ Research Inc., Water- This work was supported by National Institutes of Health town, MA). For fluorescent PCR, the initial asymmetric grants 1 R01 HL50025 and 1 R01 HG00923, by the Ameri- preamplification with kgt11 forward (0.05 ~M) and the can Heart Association and by the Howard Hughes Medical specific reverse primer (2 IxM) was performed in a 10 ixl Institute. D.M.K. is an Investigator, W.-J.S. is an Associate reaction mixture containing 1 txl of cDNA library eluate and M.V.K. is a Research Specialist, Howard Hughes Medi- (-107 pfu, Clontech), 1 unit of Taq DNA polymerase, and cal Institute. Supported by the University of Michigan 0.2 mM (of each) dNTP in Taq Extender buffer [20 mM Cancer Center and Arthritis Center. Tris-HC1 (pH 8.8), 10 mM KC1, 10 mM (NH4)2SO4, 2 mM The publication costs of this article were defrayed in MgSO4, 0.1% Triton X-100, and 0.1 mg/ml of nuclease-free part by payment of page charges. This article must there- bovine serum albumin]. The PCR protocol was: initial de- fore be hereby marked "advertisement" in accordance naturation at 94~ for 2 min, followed by 30 cycles of with 18 USC section 1734 solely to indicate this fact. denaturation at 92~ for 40 sec, annealing at 60~ for 40 sec, and extension at 75~ for 2 min. For the nonfluores- cent gel-based assay, two specific primers (final concentra- REFERENCES tion 0.5 ixM) were used for 30 cycles of amplification. After PCR, the samples were run on a 3% agarose gel followed by Botstein, D., R.L. White, M. Skolnick, and R.W. Davis. ethidium bromide staining or SYBR green (Schneeburger et 1980. Construction of genetic linkage map in man using al. 1995) staining, respectively. The procedure for South- restriction fragment length polymorphisms. Am. J. Hum. ern (1975) blotting onto Hybond-N nylon membrane was Genet. 32- 314-331. performed according to Amersham's protocol. Nested fluorescent-PCR was performed by preampli- Buraczynska, M.J., M.L. Van Keuren, K.M. Buraczynska, fying as above with one gene-specific primer and an an- Y.S. Chang, E. Crombez, and D.M. Kurnit. 1995. chored (kgt11 forward) primer. Following 30 cycles, 5 ~l of Construction of human embryonic cDNA libraries: HD, fluorescent primer mixture (1 pmole--~67 nM final concen- PKD1 and BRCA1 are transcribed widely during tration) was added (0.6 ixl of fluorescent primer, 0.5 Ixl of embryogenesis. Cytogenet. Cell Genet. 71" 197-202. 10 • Taq Extender buffer, and 3.9 ixl of water). Basal read- ings were measured using the microplate fluorimeter con- Casey, G., M. Lo-Hsueh, M.E. Lopez, B. Vogelstein, and trolled by an AG-9600 AmpliSensor Minilyzer (sensitivity E.J. Stanbridge. 1991. Growth suppression of human setting 5, Biotronics Corp.) after a first cycle of 92~ for 40 breast cancer cells by the introduction of a wild-type p53 sec, 60~ for 40 sec, and 75~ for 40 sec. The readings were gene. Oncogene 6: 1791-1797. then recorded after additional cycles to measure the fluo- rescence decrement, which is a direct function of PCR. Chiang, P.W., G. Dzida, J. Grumet, J.F. Cheng, W.J. Fluorescence readings were analyzed using ASAP software Song, E. Crombez, M.L. Van Keuren, and D.M. Kurnit. (Biotronics Corp.), which records the fluorescent reading 1995. Expressed sequence tags from the long arm of at any given number of cycles by digital numbers (raw human chromosome 21. Genomics 29; 383-389. reading). The reading after any number of PCR cycles is then compared with the basal reading. A 20% decrement Chiang, P.-W., S.-Q. wang, P. Smithivas, W.-J. Song, E.

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Use of a fluorescent-PCR reaction to detect genomic sequence copy number and transcriptional abundance.

P W Chiang, W J Song, K Y Wu, et al.

Genome Res. 1996 6: 1013-1026 Access the most recent version at doi:10.1101/gr.6.10.1013

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