Clinical Chemistry
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Clinical Chemistry 47: 844-851, 2001;
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(Clinical Chemistry. 2001;47:844-851.)
© 2001 American Association for Clinical Chemistry, Inc.


Articles

Quantification of HER2/neu Gene Amplification by Competitive PCR Using Fluorescent Melting Curve Analysis

Elaine Lyon1,2a, Alison Millson2, Mary C. Lowery3, Rachel Woods4 and Carl T. Wittwer1,2

1 Department of Pathology, School of Medicine, 50 North Medical Dr., University of Utah, Salt Lake City, UT 84132.

2 ARUP Institute for Clinical and Experimental Pathology, 500 Chipeta Way, Salt Lake City, UT 84108.

3 Department of Pathology and Feist-Weiller Cancer Center, Louisiana State University Health Sciences Center, 1501 Kings Hwy., Shreveport, LA 71130.

4 Idaho Technology, 390 Wakara Way, Salt Lake City, UT 84108.

aAddress correspondence to this author at: ARUP Laboratories, 500 Chipeta Way, Salt Lake City, UT 84108. Fax 801-584-5207; e-mail lyone{at}aruplab.com.

Background: Molecular detection methods for HER2/neu gene amplification include fluorescence in situ hybridization (FISH) and competitive PCR. We designed a quantitative PCR system utilizing fluorescent hybridization probes and a competitor that differed from the HER2/neu sequence by a single base change.

Methods: Increasing twofold concentrations of competitor were coamplified with DNA from cell lines with various HER2/neu copy numbers at the HER2/neu locus. Competitor DNA was distinguished from the HER2/neu sequence by a fluorescent hybridization probe and melting curve analysis on a fluorescence-monitoring thermal cycler. The percentages of competitor to target peak areas on derivative fluorescence vs temperature curves were used to calculate copy number.

Results: Real-time monitoring of the PCR reaction showed comparable relative areas throughout the log phase and during the PCR plateau, indicating that only end-point detection is necessary. The dynamic range was over two logs (2000–250 000 competitor copies) with CVs <20%. Three cell lines (MRC-5, T-47D, and SK-BR-3) were determined to have gene doses of 1, 3, and 11, respectively. Gene amplification was detected in 3 of 13 tumor samples and was correlated with conventional real-time PCR and FISH analysis.

Conclusion: Use of relative peak areas allows gene copy numbers to be quantified against an internal competitive control in <1 h.




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