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Clinical Chemistry 47: 498-504, 2001;
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(Clinical Chemistry. 2001;47:498-504.)
© 2001 American Association for Clinical Chemistry, Inc.


Articles

Solid-Phase PCR with Hybridization and Time-resolved Fluorometry for Detection of HLA-B27

Minna Sjöroos1,2,a, Jorma Ilonen1,2 and Timo Lövgren3

1 JDF Center for Prevention of Type 1 Diabetes in Finland, and Departments of
2 Virology and
3 Biotechnology, University of Turku, Turku, Finland.
a Address correspondence to this author at: MediCity Research Laboratories, Tykistökatu 6 A, 4th floor, FIN-20520 Turku, Finland. Fax 358-2-333-7000; e-mail minna.sjoroos{at}utu.fi.


   Abstract
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References
 
Background: Preactivated solid surfaces provide new possibilities for multiple consecutive reactions in a microtiter plate format. In this study, a combination of PCR and subsequent hybridization in the same microtiter well was applied for the detection of HLA-B27 alleles.

Methods: A multiplex solid-phase PCR to amplify the HLA-B27 alleles together with ß-actin as an amplification control gene was performed on the NucleoLinkTM (Nunc) surface. PCR was followed by hybridization and detection with time-resolved fluorescence. For the covalent capture of the PCR primers onto the solid support via a 1-(3-dimethylamino-propyl)-3-ethylcarbodiimide hydrochloride-mediated reaction, different 5'-end modifications of oligonucleotides were tested [amination, phosphorylation, and a poly(dT)10 linker].

Results: For covalent immobilization of the primers, amination of the 5' end combined with use of the poly(dT)10 linker was superior. At least 19.5% of the primer added per well was attached via a stable bond. When the standard time-resolved, fluorescence-based HLA-B27 detection system was compared with the newly developed method in a sample series of 82 genomic DNAs and the corresponding dried-blood spots, all results were in full agreement.

Conclusions: The new solid-phase PCR approach can be applied for multiple-target DNA detection. PCR followed by hybridization can be accomplished in a few hours using precoated strips and dried-blood spot PCR templates.


   Introduction
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References
 
Covalent linkage between biological molecules and a solid surface is needed in a wide variety of applications in molecular biology, including affinity chromatography, peptide and oligonucleotide synthesis, and biosensor and DNA-microchip technologies. The major advantage of covalent over noncovalent bonding is the ability to orient the immobilized molecules in a defined and precise fashion. Immobilized oligonucleotides can also retain their accessibility for the forthcoming reaction (e.g., PCR or hybridization) because they are not bonded along their lengths through the backbone or the bases, as in the standard method by Southern (1). However, preactivated solid surfaces, cross-linkers, or the modification of oligonucleotides are usually needed for the covalent attachment.

The microtiter plate format is widely used for the analysis of clinical samples, and a polymer surface allowing the covalent bonding of oligonucleotides (2)(3) has been widely applied for hybridization reactions (4)(5)(6)(7)(8)(9)(10). The thermostability of the first solid supports was a problem in PCR applications, but a second-generation surface has been reported to support PCR amplification (11)(12).

Here we describe a combination of multiplex PCR and a hybridization reaction performed on the NucleoLinkTM (Nunc) surface. For the solid-phase PCR, the wells were coated with the reverse primer for HLA-B27 alleles and the forward primer for the ß-actin gene. PCR was followed by subsequent detection of the amplicons by hybridization with lanthanide-labeled oligonucleotide probes and time-resolved fluorometry (TRF)1 (13)(14)(15). This procedure simplifies typing for the spondyloarthropathy-associated HLA-B27 alleles (16).


   Materials and Methods
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References
 
oligonucleotides
Combining the amplification specificities of the HLA-B27 reverse and forward primers, both of which are complementary for all HLA-B27 alleles at the critical 3' end, enables group-specific amplification to be obtained (17). The HLA-B27 and ß-actin primer sequences described previously (17) were used, with or without minor modifications, in the coating and PCR. The solid-phase primers (Table 1 ) were modified with either 5'-phosphate (MedProbe) or 5'-amino functions (constructed in-house); for determining the amount of nonspecific coating, they were not modified at all. Primers (Table 1 ) with a poly(dT)10 linker between the terminal amino group and the specific sequence were also tested. All solution-phase PCR primers (Table 1 ) were unmodified (CyberGene AB).


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Table 1. Oligonucleotides used in the solid-phase HLA-B27 assay.

The lanthanide-labeled probes (Table 1Up ) described by Välimaa et al. (17) were designed to detect HLA-B27 alleles (europium-labeled probe, Eu-761) and the human ß-actin gene (samarium-labeled probe, Sm-799). In addition to these probes, a europium-labeled oligonucleotide (Eu-1307) complementary to the solid-phase primer (1303) was used to study the amount of the attached primer obtained and the stability of the coating (i.e., nature of the bond linking the surface and the primer).

The detection sensitivities of the Eu-761 and Sm-799 probes were evaluated with the help of the synthetic targets 1320 and 1321 (Table 1Up ), which were complementary to the detection-probe sequences. Targets carried the additional 10-thymidine tail at their 5' ends for optimal coating. The amounts of the coated targets were 1 x 107 to 5 x 1011 molecules per well.

Oligonucleotides prepared in-house were synthesized, labeled, and purified as described previously (18). To introduce amino functions into the 5'-terminal end of an oligonucleotide during its synthesis for coating and lanthanide-labeling purposes, a diaminohexane-modified deoxycytidine (modC) (19) was used.

coating
For covalent capture, HLA-B27 reverse (3') and ß-actin forward (5'; 100 ng of each) solid-phase primers diluted in water were combined with freshly prepared 10 mmol/L 1-(3-dimethylamino-propyl)-3-ethylcarbodiimide hydrochloride (Acros Organics) in 10 mmol/L fresh 1-methylimidazole buffer (pH 7.0; Acros Organics). Eighty microliters of the coating solution was distributed into each well, which was then sealed with adhesive tape. Subsequently, incubation was carried out at 55 °C for 5 h. After coating, the wells were washed (DELFIA® Platewash; Perkin-Elmer Life Sciences, Wallac Oy) four times with 100 mmol/L Tris (pH 7.5), 150 mmol/L NaCl, 1 mL/L Tween 20. The wells were then washed once with deionized sterile water. The empty strips were stored at 4 °C in a plastic bag until used.

dna samples
Genomic DNAs extracted from a few routine HLA-B27 whole blood (EDTA) samples, according to a standard phenol-chloroform-isoamyl alcohol method, were used to optimize assay conditions. To validate the performance of the new HLA-B27 assay in comparison with the routine assay in use in our laboratory (17), an additional 82 blood samples were collected for analysis with both methods. These additional samples were either spotted on filter paper (Schleicher & Schuell; 60 µL of blood per spot) and dried, or the genomic DNA was isolated from the blood sample with a commercially available method (QIAamp DNA Blood Mini Kit; Qiagen).

stability of the covalent linkage
To evaluate the stability of the covalent linkage between solid-phase primer 1303 and the surface after coating, the wells were incubated for 2 h (unless otherwise stated) with 100 µL of the following aqueous reagents: 1 mol/L NaOH, 1 mol/L HCl, 10 mL/L Triton X-100, 100 mL/L acetic acid, 1x standard saline citrate (0.15 mol/L NaCl and 0.015 mol/L sodium citrate, pH 5.0), 1x phosphate-buffered saline (pH 7.5), 0.1 mol/L carbonate (pH 10.0), 100 mL/L ethanol, 100 mL/L methanol, 10 mL/L dimethyl sulfoxide (DMSO), 10 mL/L N,N-dimethylformamide, absolute ethanol, 1 mol/L NaCl (24-h incubation), 10 mmol/L HCl (37 °C, 4 h) wash solution used in coating, or deionized sterile water. After treatment, wells were washed three times with sterile water followed by Eu-1307 hybridization.

To study the resistance of the coated surface to the increased temperatures used in PCR, wells coated with solid-phase primers were subjected to routine thermocycling conditions with an artificial PCR mixture lacking the solution-phase primers and the DNA polymerase. After PCR, the amount of the 1303 primer remaining on the surface was detected by hybridization to the Eu-1307 probe. To control the study, hybridization with uncycled strips was performed simultaneously.

pcr
Genomic DNA was amplified in precoated wells in a 50-µL reaction mixture containing 1.5 U of DNA polymerase (DyNAzymeTM II, F-501L; Finnzymes Oy), 200 µM each dNTP (Amersham Pharmacia Biotech), 1 g/L bovine serum albumin (Sigma), 20 mL/L DMSO (Merck), 0.4 µM primer 798, 0.03 µM primer unmod-490, 0.15 µM primer 759, 0.01 µM primer unmod-760, and 1x buffer [10 mM Tris (pH 8.8), 1.5 mM MgCl2, 150 mM KCl, 1 mL/L Triton X-100; Finnzymes Oy] supplemented with 2 mM MgCl2. For the multiplex amplification, a Hybaid Touchdown thermocycler with a hot lid was programmed for the initial incubation at 94 °C for 5 min, 56 °C for 4 min, and 72 °C for 2 min. The next 35 cycles consisted of 1 min at 94 °C, 50 s at 56 °C, and 50 s at 72 °C. To ensure complete extension, a final incubation at 72 °C for 5 min was used. When dried-blood spots were used as the source of DNA in PCR, disks (diameter, 3 mm) from the spots were punched directly into the wells and incubated for one cycle (4 °C for 30 s, 94 °C for 3 min, 4 °C for 30 s, and 94 °C for 3 min), after which the temperature was held at 80 °C while the PCR mixture was added into the wells. The wells were then sealed with a CycleSeal® (Robbins Scientific), and the program mentioned above was started. Duplicate samples were used in every PCR run. HLA-B27-positive and -negative controls were included in all series.

hybridization
Hybridization and detection of TRF emissions after pulsed-light excitation and a label-specific delay time were carried out as described previously (17) with emission signals expressed as cps. To block the background, various amounts of nonfat dry milk (1, 10, and 30 g/L; Valio Oy), denatured salmon sperm DNA (50–100 ng/well; Life Technologies), and polyvinylpyrrolidone (PVP-360; 1, 10, and 20 g/L; Sigma) were added to the hybridization mixture. To enhance the samarium signal, especially after the blood-spot PCR, polyethylene glycol (PEG-6000; 20, 50, and 10 g/L; Fluka) and dextran sulfate (20, 50, and 100 g/L; Amersham Pharmacia Biotech) additives were tested. To test whether a rehybridization could be applied to our assay format, two subsequent hybridizations were performed, separated from each other by washes (three times with 1x DELFIA Wash Concentrate) at room temperature, followed by denaturation.

The detection sensitivities of the Eu-761 and Sm-799 probes were determined by direct hybridization to the precoated targets, omitting the denaturation step because of the single-stranded nature of the targets. Direct hybridization was also applied to the Eu-1307 probe hybridization used to study the amount of primer 1303 attached and the stability of the coating. A concentration of 5 µg/L of the probe was used together with 500 mL/L formamide (Amresco). Hybridizations were performed on the precoated wells (as described in "Amounts of Primers Attached"), as well as on precoated and pretreated wells (as described in "Stability of the Covalent Linkage"), thus removing the variation of results caused by PCR.


   Results
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Abstract
Introduction
Materials and Methods
Results
Discussion
References
 
modification of the 5' ends of the solid-phase primers
In an initial study to determine the optimal modification of the solid-phase primers for immobilization, the results summarized in Table 2A were obtained. The optimized coating protocol, as described in Materials and Methods, and the routine hybridization protocol (17) were used. Subsequently, the same experiment was repeated with different samples and the fully optimized assay (Table 2B ).


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Table 2. S/N ratios obtained with the solid-phase HLA-B27 assay using different 5' modifications on the primers.1

In both studies, a marked effect of the poly(dT)10 can be seen. When we compared the results obtained with phosphorylated primers with those obtained with the aminated primers, the signal-to-noise (S/N) ratio (e.g., signal is defined as the specific signal obtained, and noise is defined as the nonspecific signal of the PCR background control, which is the reaction without DNA template) for the aminated primers was substantially higher, especially with the samarium labeled ß-actin-specific probe detection. In addition, the S/N ratio of the phosphorylated primers in our system was almost equal to the S/N ratio of the unmodified counterparts.

pcr
Several reaction conditions, with MgCl2 concentration, primer concentrations, annealing temperature, and additives (e.g., bovine serum albumin and DMSO) as the most important ones, were tested to optimize the PCR reactions. The conditions leading to optimal performance of the PCR are indicated in Materials and Methods.

stability of the covalent linkage
After coating, stability tests were conducted to determine the strength of the bond immobilizing the oligonucleotide onto the surface. The results of the treatment of the 1303-precoated surface with a variety of reagents are indicated in Table 3 . When the fluorescence counts obtained were compared with the signals of the untreated (water incubation) wells and expressed as residual signals (%), the surface was found to be very stable. It was affected only by treatment with a strong acid (1 mol/L HCl) or alkali (1 mol/L NaOH).


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Table 3. Reagents used to test the stability of the coating.1

When the wells precoated with primers 1302 and 1303 were subjected to PCR temperatures followed by Eu-1307 hybridization, almost 100% of the attached 1303 primer could still be detected as remaining on the surface. Because we could detect very little difference between the treated and untreated wells, we concluded that our PCR conditions did not inactivate the primer or detach it from the surface.

amount of primers attached
Only a rough estimate of the amount of the 1303 primer attached to the wells during the coating could be made. The labeled Eu-1307 probe used in the direct hybridization was not able to detect >20 ng of the primer (1.2 x 1012 molecules). Because the optimum amount of the primer added to each well in coating was 100 ng (6.15 x 1012 molecules), it could only be concluded that at least 19.5% of the input primer, corresponding to 1.2 x 1012 molecules, was attached during the coating.

hybridization
We tried to reduce the background fluorescence signal of our HLA-B27 assay by adding common blockers, such as nonfat dry milk, salmon sperm DNA, and polyvinylpyrrolidone to the hybridization mixture. In contrast, to enhance the signal, hybridizations with dextran and polyethylene glycol were carried out. The background signal for Eu-761 decreased by an average of 33% and that of Sm-799 decreased by 13% when 1 g/L nonfat dry milk was added to the hybridization reaction. Increasing the amount of dry milk or adding other additives did not improve the performance of the assay.

After the fluorescence detection and denaturation phases of the first hybridization, the rehybridization was successfully performed. No difference in the S/N ratios of the two consecutive hybridizations with either HLA-B27-positive or -negative samples could be seen. Thus, no loss in hybridization capacity of the wells could be observed.

sensitivity of the detection probes
A linear relationship (data not shown) between increasing amounts of the targets (1320 and 1321) and the fluorescence signals originating from the complementary lanthanide-labeled probes (Eu-761 and Sm-799, respectively) was observed. The signals produced by both probes were linear for 1 x 108 to 5 x 1011 target molecules (i.e., more than three orders of magnitude with correlation coefficients of 0.991 for Eu-761 and 0.977 for Sm-799). When the cutoff for a positive reaction was set as three times the background counts, detection limits of 5.2 x 108 molecules for the Eu-761 probe and 2.1 x 1010 molecules for the Sm-799 probe were obtained.

reproducibility of the assay
The intra- and interassay CVs for the entire solid-phase assay, including coating, PCR, and hybridization, were 14% and 18%, respectively, for isolated DNA samples, and 21% and 16% for blood spots (n = 8).

clinical samples
At the above-mentioned cutoff, full agreement was found with the routine assay (17) for the 82 blood-spot samples. When we qualitatively categorized the S/N ratios into HLA-B27-positive and -negative groups, no difference between the genomic DNAs and the blood-spot DNAs was observed (Fig. 1 ). The systematically lower S/N ratios obtained with the blood-spot samples can be explained by the lower amount of the DNA template and/or DNA polymerase inhibitors present in the PCR. Also clearly seen in Fig. 1 is the effect of the intrinsic fluorescence properties of the samarium label (20) on the S/N ratio, which was much lower than that of europium. Nevertheless, the samarium probe used in our assay serves as a useful internal control for the quality of the sample DNA in PCR and the performance of PCR in general. When the samarium signal originating from the ß-actin PCR product was low, representing a low efficiency of PCR for a particular sample, the europium signal was decreased and vice versa. The more efficient amplification of the HLA-B27 alleles in our multiplex PCR makes interpretation of the fluorescence signal of a sample easy, even if combined with a lower samarium control signal.



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Figure 1. The S/N ratios of the NucleoLink HLA-B27 assay with 82 clinical samples using both QIAamp-extracted DNAs (A) and dried-blood spots (B) as the PCR templates.

The S/N ratios of both labels for each sample are stacked: {blacksquare}, europium; {square}, samarium. As indicated, HLA-B27-positive samples can be clearly distinguished from negative ones, independent of the nature of the PCR template.


   Discussion
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References
 
We performed a combination of solid-phase PCR and hybridization detection in a single well, thus reducing both the chance of contamination and the workload in general. The hands-on time and the costs can be reduced to one-half those of the conventional assay. In addition, the capacity of the well was high enough for immobilization of two sets of primers, allowing a dual-color assay for simultaneous comparison of europium-labeled HLA-B27 alleles and a samarium-labeled amplification control gene (ß-actin). The NucleoLink surface was applied previously to the detection of the bovine leukemia virus (11), Fusarium graminearum (21), and the Pasteurellaceae bacterial family (22) by taking advantage of the covalent linkage formed by a previously published carbodiimide condensation reaction (23) between the 5'-phosphorylated oligonucleotide and a reactive group on the surface. We demonstrated that aminated oligonucleotides attached to the surface can also be hybridized and thus can serve as solid-phase primers in the PCR.

The use of the spacer arms of unspecific sequences coupled to an attached oligonucleotide to extend it away from the surface was necessary for optimal PCR performance. This procedure is widely used as a method to create conditions that approximate hybridization performed in solution (24). Thus, the steric hindrance produced by the surface, which restricts the reaction between the primer and the DNA template, can be avoided (25).

The stability of the covalent bond between the 5'-amino primer and the functional group on the surface of the plate was demonstrated by its resistance to treatment with acids, alkali, detergents, organic solvents, and buffers with different pHs. In addition, the bond was able to withstand the PCR cycling conditions. Thus, a rehybridization procedure after measurement was also possible.

The sensitivities of the detection probes Eu-761 and Sm-799 were in line with previous results using TRF for hybridization detection (18)(26). The somewhat lower sensitivity of the samarium probe is attributable to the fivefold higher background (~1000 cps) caused by the surface material compared with the background of the wells (~200 cps) used in the earlier calculations.

The results of the newly developed HLA-B27 method were consistent with the results of the standard method (17) in each of the 82 clinical samples assayed. HLA-B27-positive samples can be clearly identified, even when combined with a low ß-actin signal (blood spots), reflecting more efficient amplification of the HLA-B27 alleles and a better detection sensitivity of the europium label. The use of blood spots as the source of DNA in PCR allows the cumbersome and time-consuming steps of DNA extraction to be avoided. In addition, numerical values obtained with TRF allow objective interpretation, statistical treatment, and computer-assisted handling of the data. Moreover, the TRF technology allows construction of a triple-label assay (i.e., europium, samarium, and terbium) (18), which is especially suitable for multiple gene detection.

In conclusion, in the newly developed solid-phase assay, HLA-B27 was used only as a model analyte, although the method is well suited for our diagnostic service, which handles ~50 samples per week. The method will be applied in our barcode-assisted, large-scale screening program.


   Footnotes
 
1 Nonstandard abbreviations: TRF, time-resolved fluorometry; DMSO, dimethyl sulfoxide; and S/N, signal-to-noise.


   References
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References
 

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