QUANTITATIVE DETECTION OF NUCLEIC ACID AMPLIFICATION PRODUCTS

Abstract: A method of amplifying and quantitating a specific nucleic acid sequence in a sample using at least one oligonucleotide primer, a supply of nucleotides and optionally a probe complementary to part of the sequence, one of these including a radionuclide. In the presence of a polymerase the reagents form an amplified product based on the specific nucleic acid sequence. The amplified sequence is allowed to bind to a solid material comprising a fluorescer which fluoresces in proximity to the radionuclide and fluorescence is observed as a measure of the specific nucleic acid sequence. The method can be applied to a range of well-known nucleic acid amplification techniques such as the Polymerase Chain Reaction. A variation on the above method allows use of the Ligase Chain Reaction technique.

Description: 1 - QUANTITATIVE DETECTION OF NUCLEIC ACID AMPLIFICATION PRODUCTS The present invention relates to a method for the rapid quantitation of products of nucleic acid amplification processes, particularly the Polymerase Chain Reaction (PCR) , and which is readily amenable to automation. The Polymerase Chain Reaction is a method which can be used to rapidly amplify a specific DNA sequence (1). In PCR the sequence to be amplified ("the target", typically 100-5000 bp) is flanked by a pair of primers typically _-30bp long, that are complementary to regions of the target but non- complementary to each other. Heat denaturation of the target followed by cooling allows annealing of the primers and subsequent extension by a DNA polymerase. Repeated cycles of denaturation/annealing/extension results in an exponential increase in the product DNA copies from the target. Products of the PCR are usually detected by visualising fluorescence of the amplified DNA on an ethidium bromide stained agarose gel, which gives a qualitative answer to t e' presence or absence of the target sequence. With an increasing usage of PCR in assays where quantitative detection is required (2,3) a number of techniques have been developed to quantitate initial target sequence copies. Techniques developed include excision of radiolabelled product bands from a gel (4,5) southern blotting followed by [ 32P] probe hybridisation and autoradiography (6,7) dot blotting and [ P] probe hybridisation (8). Rimstad et. al. (9) used a primer pair in which one primer was biotin labelled, the other 32P labelled. Following PCR separation of product is achieved by contacting the reaction mix with streptavidin coated magnetic beads which are then washed and resuspended for scintillation counting. Lundberg et. al. (10) similarly used a biotin labelled primer and streptavidin coated magnetic beads to separate PCR products, linked to a competitive colourimetric assay. All of these techniques are laborious and time consuming, with time to quantitate being from 3 to 24 hours depending on the technique. They are all manually intensive and not easily automated. The method of the present invention overcomes these problems, it is rapid and accurate producing quantitative data typically within 30 minutes and also allowing a rapid throughput of multiple samples. The method does not require any separation or washing stages and is readily automatable, thus lending itself to use in large scale screening programmes of, for example, disease status. Accordingly, the present invention provides a method of amplifying and quantitating a specific nucleic acid sequence in a sample, by the use of a) at least one oligonucleotide primer for each strand of the sequence to be amplified, the primers being complementary to part of the sequence strand but not to one another b) a supply of nucleotides c) optionally a probe complementary to part of the sequence to be amplified but not to any primer one of a) , b) and c) including a radionuclide, d) a solid material comprising a fluorescer which fluoresces when in proximity to the radionuclide which method comprises using reagents a) and b) and optionally c) in the presence of a polymerase to form an amplified product based on the specific nucleic acid sequence, causing an aliquot of the said amplified product to bind to reagent d) , and observing fluorescence emitted by reagent d) as a measure of the specific nucleic acid sequence. The specific nucleic acid sequence is also herein referred to as the target. The present invention is illustrated with particular reference to nucleic acid amplification by PCR. This is a preferred amplification technique, however, the invention is applicable to other nucleic acid amplification techniques. Such techniques include for example those described in EP-A-0408295 and GB 2235689 which do not utilise a thermal cycler to denature the nucleic acid strands as is used in the PCR technique. Techniques known in the art which can be used in the method of the invention include Nucleic Acid Sequence Based Amplification (NASBA) , Strand Displacement Amplification (SDA) and Q-β Replicase Amplification. The Ligase Chain Reaction (LCR) is a further amplification technique that may be employed. LCR involves the use of two primers for each strand of nucleic acid to be amplified, these being ligated in the presence of the specific sequence to produce a complementary strand. Thus the invention also provides a method of amplifying and quantitating a specific nucleic acid sequence in a sample, by the use of ab) a pair of oHgonucleotide primers for each strand of the sequence to be amplified, each pair of primers together being complementary to the whole sequence strand, one primer of the pair required for one strand being labelled with a radiolabel and the other primer of the pair labelled with a capture label, d) a solid material comprising a fluorescer which fluoresces when in proximity to the radionucleotide, which method comprises using reagent ab) in the presence of a ligase to form an amplified product based on the specific nucleic acid sequence, causing an aliquot of the said amplified product to bind to reagent d) , and observing fluorescence emitted by reagent d) as a measure of the specific nucleic acid sequence. Reagent d) is a solid material comprising a fluorescer which fluoresces when in proximity to a radionuclide. The material may take various physical forms,- a massive surface such as the surfaces of wells in a microtitre plate or other reaction vessel; or a particulate surface such as fibres or beads. Beads for this purpose are commercially available and are known as scintillation proximity assay (SPA) beads. Assay beads and methods suitable for use in the present invention are described in US Patent 4568649. Impregnated or otherwise attached to the solid surface is a fluorescer which fluoresces in response to radioactive disintegrations. The SPA technique involves use of a radionuclide whose radiation, eg beta particles or Auger electrons, has such a short pathlength that only radionuclides immobilised on the surface cause fluorescence. The aqueous medium acts as a scavenger to absorb radiation from radionuclides in solution and so prevent it giving rise to fluorescence. Thus the SPA technique permits quantitation of radionuclide adsorbed on the solid surface, even in the presence of radionuclide in the surrounding fluid medium. In a preferred method according to the invention, reagent d) carries on its surface a specific binder for the amplified product. One of reagents a) , b) and c) which does not include a radionuclide, may comprise a capture label which binds to the specific binder of reagent d) . The capture label may be any detectable group for which a specific binder is available. - 5 - Preferred examples are a biotin capture label which ' is bound by streptavidin and an antigen/antibody combination. However, any other combination of a capture label and binder may be used such as a hormone/receptor combination or an enzyme/substrate combination. Other suitable capture label/binders would be apparent to the skilled worker. The primer or probe would normally be capture labelled at the 5' end. It will also be apparent that the reagent a), b)- or c) could be capture labelled with the binder and the group to which the binder binds would then be attached to reagent d) , the solid material comprising fluorescer. A number of different combinations of capture label/binder provisions are within scope of the invention. These include the following possibilities: (i) at least one of the oligonucleotide primers a) comprises the capture label, at least one of the nucleotides b) includes a radionuclide and the optional probe c) is not used. (ii) at least one of the oligonucleotide primers a) comprises the capture label and a probe c) is included and comprises a.radionuclide. (iii) at least one of the oligonucleotide primers a) comprises a radionuclide, at least one of the nucleotides b) comprise the capture label and the optional probe c) is not included. (iv) at least one of the oligonucleotide primers a) comprises a radionuclide and a probe c) is included and comprises the capture label. (v) at least one of the nucleotides b) includes a radionuclide and a probe c) is included and comprises the capture label. (vi) at least one of the nucleotides b) comprises the capture label and a probe c) is included and comprises a radionuclide. It should be noted that the method according to the invention can be carried out without using a capture label/binder interaction. This aspect of the invention results from the surprising discovery that 5 accurate quantitation of a nucleic acid sequence can be achieved by the present technique relying on non¬ specific binding of nucleic acid amplification products to reagent d) , the solid material. It can be seen that the radionuclide would be included in the 10 nucleotide(s) b) . Non-specific binding of amplified products is believed to be due to the solid material d) having a positive charge and the phosphate backbone of DNA or RNA giving it an overall negative charge. Nucleic ■ ] acids will therefore bind to reagent d) while separate nucleotides will not bind. Bound specific nucleic acid ' sequence or its amplified product containing radionuclide will cause the fluorescer in d) to fluoresce. 20 Use of a hybridization probe in a SPA -PCR assay avoids the possibility of generating false positive signals as a result of primer-dimer formation and also provides a built-in method for identification of the PCR product hence avoiding the need for gel 2ς electrophoresis as a means of demonstrating PCR specificity. When the preferred possibility iv) above is used, the capture labelled probe c) may be attached to the solid material d) before or after being hybridised to the amplified nucleic acid sequence. Q The same applies for possibility ii) above, where capture labelled primers may be attached to the solid material d) before or after the radiolabelled probe c) is hybridised to the amplified product. An alternative method for demonstrating • at - specificity of amplification is the use of a restriction enzyme cutting site within the amplified product. Cutting at this site will result in loss of signal proportional to the distance from the capture labelled end if the correct product has been made. In this example a specific capture system is required which must be present on only one of the two primers, the radionuclide being incorporated into the nucleotides. A preferred radionuclide label is [ H] tritium although [ 125I] iodine can also be used by virtue of its Auger electron emission. Even fairly energetic beta-emitters such as [ 14C] carbon, [35S] sulphur and [ 33P] phosphorus can be used. When the radionuclide is incorporated into one or more of the nucleotides in the supply of nucleotides b) , the radiolabelled nucleotides are incorporated into the extension products at each cycle of amplification and thus multiple radiolabels are incorporated into each extension product. Once the final cycle of amplification has been completed a portion of the product mixture is contacted with the solid material d) , which contains a fluorescer and may be in the form of scintillation proximity assay beads. Use of radionuclides which are high energy radiation emitting isotopes, such as [ 32P]phosphorus for example, may be unsatisfactory, if the longer pathlength of the high energy β particles from 32P results in very high background signals not only from the fluormicrosphere beads but also from Cerenkov radiation produced in solution. Quantitation of an unknown sample can be performed by comparing to a standard curve constructed using known numbers of the target nucleic acid. In the PCR reaction, amplification reaches a limiting level once product reaches a plateau (14) and with higher amounts of starting target this "plateau" is attained after fewer cycles than with low amounts ' of starting target. As a consequence the accuracy of quantitation above this level is subsequently reduced. By reducing or increasing the number of PCR cycles run one can vary the overall amplification and hence the minimum number of target copies to obtain amplification to a "plateau" level can be adjusted according to the assay performed. Careful consideration has also been given to optimising the concentrations of primer and nucleotides to avoid formation of non specific products, for example, "primer dimers" (amplification of the primers when annealed, fortuitously, to each other and not to the target) . In order to minimise the effects of primer- dimers, which would be detected as a false positive by SPA-PCR, it is sometimes necessary to reduce primer concentrations, from a standard PCR concentration of 1μM, to generally less than 0.5μM and usually 0.2μM or 0.1μM or less. The number of cycles for each target is carefully optimised to avoid amplifying all target copies to the "plateau" described earlier. Correspondingly by varying the number of PCR cycles it is possible to change the working range of the assay to encompass all ranges of target amount depending upon the application. In order to overcome concerns regarding sample consistency, for example using unextracted DNA samples, an internal control for each amplification can be included by co-amplifying a known, different, target using, for example, a fluorescein 5 ' -labelled primer and SPA beads coated with anti-fluorescein antibody. By use of a thermostable DNA polymerase such as Taq and programmable heating blocks the PCR is readily amenable to automation. The method of the present invention is highly advantageous over previously reported PCR quantitation methods in that there is no separation and washing stage required. Once PCR is complete only one reagent is generally required, the assay beads, which may be added to the reaction product mixture or an aliquot of the product mixture added to the beads and the sample is then ready for counting. This step may be easily handled by automative sampling and pipetting apparatus currently available. Consequently results can be obtained with a very much shorter time than is possible with previous quantitation methods. The Polymerase Chain Reaction is being widely adopted as a method of analysis (15). Once a rapid and reliable method for quantitation is available its usefulness in, for example, clinical diagnostics will be greatly increased. There is currently a requirement for quantitative PCR so that genetic and viral detection by PCR can be linked to an understanding of disease progress/remission (16,17). The novel SPA-PCR method presented here affords a rapid and quantitative detection of PCR products that can be directly related to initial quantities of target DNA. In contrast to other methods of quantitative PCR which are multistep, time consuming and manually intensive, this method uses two steps and is rapid. It easily lends itself to automation for the large scale screening of clinical samples. Furthermore, when the nucleotides are radiolabelled the amount of radiolabel incorporated is proportional to the size of the labelled molecules and so background "noise" due to primer-dimer labelling is much less significant than for other methods which employ a single labelled moiety per molecule. Other techniques such as the Ligase Chain reaction, like PCR, give exponential amplification of target sequence. In the case of LCR, the target is restricted to the sequence covered by pairs of oHgonucleotides (1 pair per target strand of DNA) which hybridise adjacent to each other, generally covering about 60 base pairs total. A full review of the LCR is presented by F. Barany in "PCR, Methods and Applications", August 1991, Vol. 1, Number 1, Page 5. A specific application of LCR is presented by Barany in P.N.A.S., Vol. 88, pp, 189-193, January 1991. Using SPA, it is possible to quantify the product generated during a LCR reaction and relate that to the original copy number of target sequence. This can be achieved as in the Example described later by labelling the 3 "OH end of the one of the adjacent oHgonucleotides (the Radiolabelled Oligonucleotide) with a radioactive moiety, such as 3H/35S/33P labelled nucleotides, and attaching a specific capture label such as biotin or antigen to the 5'PO. end of the other adjacent oligonucleotide (the Capture Oligonucleotide) . In the event of ligation, the Radiolabelled Oligonucleotide will become covalently attached to the Capture Oligonucleotide, forming the ligation product which is specifically captured and counted on SPA beads. The ligation reaction occurs on both strands of target duplex DNA, hence the need for two pairs of oHgonucleotides and the exponential nature of the LCR. A further technique, NASBA, is a simple and rapid method for continuous amplification of nucleic acids in a single mixture at one temperature. Two primers are used, the first incorporating a promoter sequence recognized by an RNA polymerase and the second being derived from the opposite side of the target sequence to the first primer. The technique is - 1 1 - described in PNAS (1990) 87, 1874-8. PCR results in exponential accumulation of target sequence therefore it requires approximately 20 cycles to enable an amplification of one million fold. With NASBA however only 4-5 cycles would be required to produce equivalent amplification as 10-100 copies of RNA are generated at each transcription step. Double-stranded nucleic acids can be used with NASBA as well as single-stranded RNA but double-stranded templates must first be converted to single-stranded templates in order to be compatible with the process. Either primer (or both) can be biotinylated for capture and subsequent detection by SPA. Radiolabelled nucleotides can be used in the nucleic acid synthesis reaction. SDA is an isothermal alternative for amplification of DNA using a restriction enzyme/DNA polymerase system. This technique is described in detail in PNAS (1992) 89, 392-396. Both double-stranded and single-stranded target DNA fragments can be used with this technique and as with PCR high levels of target amplification can be achieved. In relation to SPA quantitation assays the standard method of using biotinylated primers cannot always be employed. A system would have to be used in which the label was incorporated into the DNA product. This could involve use of radiolabelled nucleotides and a capture hybridization method, or radiolabelled and capture labelled nucleotides, or radiolabelled nucleotides with total DNA capture. Q-β Replicase amplification relies on the ability of the enzyme Q-β replicase to amplify exponentially recombinant RNA molecules. This technique exponentially amplifies probe sequences rather than target sequences as in the PCR. Studies of Q-β replicase have shown that highly specific single-stranded RNA will serve as template for the synthesis of complementary single- stranded products. Following strand synthesis the template and product are released from the replication complex and both strands are then available for subsequent rounds of replication and therefore the number of RNA strands can increase exponentially. The technique is described in detail in Nucleic Acids Research (1986), 14 (14), 5591-5603. In SPA quantification of Q-β Replicase amplification the primer is not incorporated into the amplified product. The primer will not therefore include either the radionuclide or a capture label. The invention is further illustrated in the following Examples. EXAMPLE 1 Quantitation of target copies of a marker region adjacent to the cystic fibrosis gene. A 386 bp region was amplified using the primers (13) 1. 5' Biotin AAT GCA ACA ATT CAC CCA ATT GCT CA 3' 2. 5' GGT TAG GTC AGA GAA CAA AGC AAA TT 3' Primers were obtained from Medprobe, Oslo, Norway. The biotinylated primer was HPLC purified by Medprobe. PCR was performed using the following optimised reagent concentrations 1O M Tris HC1, pH9.0, 50mM KC1, 1.5mM gCl 2 100-μg/ml gelatin, 20μM dATP, dCTP, dGTP, 20μM 3 H TTP (ICi/mmol) , 0.1μM primers and 2 units of Taq/50μl mix. 3 Reagents were from Sigma, Poole, UK, H TTP and Taq were from Amersham, UK. 2.5ml of the above was prepared ("master mix") to standardise the PCR mix. 5μl of a solution of human genomic DNA containing 0-20ng/μl was placed in a 500μl eppendorf tube and 45μl of master mix added. The solution was then overlaid with 2 drops of light mineral oil (Sigma) and thermal cycling performed using a Biometra Trio Thermoblock (Biometra, Maidstone, Kent, UK) . .The initial denaturation was at 95°C for 30 seconds followed by 40 cycles of 55°C for 2 minutes then 72°C for 3 minutes then 95°C for 30 seconds. A final extension of 55°C for 2 minutes then 72°C for 10 minutes was performed after the last cycle. After amplification 25μl of the reaction mix was removed and added to 25μl of an optimised streptavidin coated polyvinyltoluene SPA beads (0.25mg) in 500μl of 50mM Na 2 EDTA pH7. The mix was counted, without any further incubation, for 15 seconds on an LKB Rackbeta 1209 scintillation counter with a 0-999 window. Results are shown in Figure 1. EXAMPLE 2 Quantitation of the human β-globin gene by amplif cation of a 268bp region of the gene. A 268bp target of the β-globin gene was amplified using primers PC04 and GH20 (Cetus Corp, Emeryville, California, USA) with the PC04 primer biotinylated at the 5 ' end: PC04 5' Biotin CAA CTT CAT CCA CGT TCA CC 3 GH20 5 " GAA GAG CCA AGG ACA GGT AC 3 ' Primers were synthesised using an Applied Biosystems PCR-Mate Oligonucleotide Synthesiser. 5 ' biotin was introduced using biotin phosphoramidite (Amersham) . Conditions for the PCR and analysis are as for Example 1 except that 35 cycles of amplification are performed with primers at 0.05μM concentration. Results are shown in Figure 2 Quantitation of target copies of β-globin is again achievable using the SPA-PCR. Accuracy is similar to that found with Example 1. The measured radioactivity in Example 2 is <50% of than in Example 1 and is due to: i) the target sequence is shorter therefore less H TTP will be incorporated per product molecule, ii) the biotinylated primer has not been purified therefore some non biotinylated primer will be present to prime PCR but will not be bound subsequently to the SPA bead. EXAMPLE 3 Quantitation of p24 gene from plasmid pGEMEX containing the HIV1 p24 gene. Serial dilutions of DNA from 17500 copies/5μl to 1.75 copies/5μl were prepared and 45μl of PCR mix added. PCR was performed as Example 1 except with primer concentration at 0.2μM and 40 cycles PCR with 2 units TAQ. The primers used were: 5' biotinylated SK39;TTT GGT CCT TGT CTT ATG TCC AGA ATG and SK145;AGT GGG GGG ACA TCA AGC AGC CAT GCA AAT which amplify a 300bp region of the p24 gene of HIV-1 Results are shown in Figure 3. Each point represents the mean +/- SEM of triplicate samples. The relationship between target 3 copies and H counts is described by the line shown. The best fit line has an r value of 0.998. EXAMPLE 4 Quantification of copies of the plasmid PAT153 by amplification of a 500bp region of the plasmid and hybridization with a biotinylated hybridization probe. The 500 bp target was amplified using the primers given below, 5'GCG CTC ATC GTC ATC CTC GG 3 5'GAG GCC GTT GAG CAC CGC CG 3 The primers were synthesized using an Applied Biosystems PCR-mate oligonucleotide synthesiser and purified using Oligonucleotide Purification Cartridges (Applied Biosystems) according to the manufacturer's protocol. The PCR was performed as in Example 1. Following amplification a 25μl aliquot of the PCR product was removed, denatured and hybridized to a third oligonucleotide probe which was biotinylated at its 5 ' end. The samples were heated at 95 C for 5 minutes and allowed to cool to room temperature in the presence of 1μM oligo (3) . The sequence of this 25 mer probe occurs within the 500bp target region but it does not overlap the primer sequences. The sequence is given below, 5 3. 5 'Biotin TAG AGG ATC CAC AGG ACG GGT GTG G 3 ' The Probe was synthesized and purified as for primers (1) and (2). Biotin phosphoramidite 0 (Amersham) was used to introduce the biotin group onto the 5' terminus. After hybridization, 500μl of streptavidin coated polyvinyltoluene SPA beads in 100 mM MgC12 5 (final concentration of 2 mg/ml) was added and the samples counted for 20 seconds on a Rackbeta 1209 scintillation counter with a 0-999 window. The results are shown in Figure 4. 0 Quantification was achieved over a wide range of copies i.e. 2.6x10 3 up to 2.6x107 copies. The counts obtained using the third oligo approach are lower than in the previous two examples. This is probably due to the fact that only half the PCR product is counted using this method. This could be rectified with the use of a second hybridization probe, complementary to the second strand of the PCR product but not to the first probe. Q An alternative to the hybridization method outlined above would be the use of biotinylated primers to generate PCR product and following amplification, hybridization of radiolabelled oligonucleotide probe to an aliquot of denatured PCR c product. EXAMPLE 5 Quantitation of target copies of a specific RNA. Synthetic GeneAmplimer pAW109 RNA (Perkin Elmer N808-0037) was amplified using the following pair of primers:- DM151 .Upstream) 5' -BIOTIN GTC TCT GAA TCA GAA ATC CTT CTA TC - 3 ' DM152 (Downstream) 5' -BIOTIN CAT GTC AAA TTT CAC TGC TTC ATC C - 3 ' 5 This primer pair produces a 308 base pair product following RNA-PCR amplification of pAW109 RNA. Primers were synthesized in-house using an 0 ABI PCR-Mate oligonucleotide synthesizer. 5' biotin was introduced using biotin phosphoramidite (Amersham) . Primers were purified on ABI OPC cartridges according to manufacturer's protocol. Purified oHgonucleotides were resuspended in sterile, 5 distilled water at a final concentration of 50 μM. Storage was at -20°C. RNA- PCR was performed using the following reagents which were added to 2 μl aliquots of pAW109 template - 1OmM Tris HC1, pH 9.0, 50mM KC1, 1.5mM 0 MgCl 2 , 20μM dATP, dCTP, dGTP, 20μM 3 H TTP (1 Ci/mmol), 0.1μM primer DM152, 10 units Reverse Transcriptase (Amersham RAV-2 Batch 3001). Final volume was adjusted to 20μl with pyrogen-free water and the mixture was incubated at 42°C for 30 minutes, then c placed on ice. The volume was then adjusted to 100μl by the addition of the following reagents - 10mM Tris HC1, pH 9.0, 50mM KC1, 1.5mM MgCl 2 , 100μg/ml gelatin, 20μM dATP, dCTP, dGTP, 20μM 3 H TTP (1 Ci/mmol), O.lμM primer DM151 and 2 units of Taq polymerase (Amersham) , the mixture was adjusted to the 1OOμl final volume via the addition of sterile, distilled water. The complete reagent set required for the PCR was now present. All reagents were from Sigma, Poole, UK and 3 H TTP was supplied by Amersham (TRK 576). The reaction mix was overlaid with two drops of light mineral oil, followed by PCR over 50 cycles using identical amplification parameters to those in Example 1. After amplification, 50μl of the reaction mix was removed and added to 500μl of 0.5 mg/ml streptavidin coated, polyvinyltoluene SPA beads in 50mM Na_EDTA, pH 7.0. This assay mix was counted without further incubation for 20 seconds on an LKB Rackbeta 1209 scintillation counter with a 0-999 window. Also the remaining 50μl from each - 19 - sample was removed and analysed on a 1% agarose gel stained with 0.5μg/ml ethidiu bromide. Results are shown in Figure 5. Quantitation of RNA target copy numbers was therefore achievable using SPA-PCR. EXAMPLE 6 Quantitation of target copies of a marker region adjacent to the cystic fibrosis gene using an antigen - antibody method for capture of PCR product. A 386bp region was amplified using the primers given in Example 1. The primers were not biotinylated and were synthesized using an Applied Biosystems PCR-mate oligonucleotide synthesizer and purified using Oligonucleotide Purification Cartridges (Applied Biosystems) according to the manufacturer's protocol. The PCR was performed as in Example 1 except the following mix was used:-20 μM dATP, dGTP, dCTP; 10μM 3 H TTP (Amersham, UK; 1Ci/mmole) and 10 μM fluorescein dUTP. Following amplification 30μl aliquots of PCR product were removed from each tube. The samples were incubated for 2 hours at room temperature with 170μl of 1x Phosphate Buffered Saline (Flow Laboratories, Irvine, Scotland) and 100μl of sheep anti-fluorescein antibody (Amersham) diluted 1:2500 in PBS.Scintillation proximity assay anti-sheep reagent (Amersham) was reconstituted using 50 ml PBS and sonicated Herring sperm DNA was added to give a final concentration of 50μg DNA/100μl of bead suspension for the purpose of reducing background. 100μl of bead solution was added to each sample. The samples were mixed on an orbital shaker for 3 hours at room temperature and then counted for 20 seconds each on an LKB 1209 scintillation counter with the window open from 0-999. Results are shown in Figure 6. Quantitation of target copies is therefore achievable using an SPA-PCR assay in which the capture label is an antigen and the binder is an antibody to that antigen. In this example quantitation was achieved in the range of 125 - 5000 copies. EXAMPLE 7 Quantitation of the wild-type Beta-globin gene (sickle-cell allele) using LCR. The region was amplified using the following set of oHgonucleotides:- 1. 5 ' - BIOTIN GTC ATG GTG CAC CTG ACT CCT GA'- 3 ' 2. 5' - BIOTIN C TGC AGT AAC GGC AGA CTT CTC CT - 3 3. 5 ' G GAG AAG TCT GCC GTT ACT GCC - 3 ' 4. 5' - C AGG AGT CAG GTG CAC CAT GGT - 3' Where oHgonucleotide number:- 1. Is the wild-type, anti-sense strand Capture Oligonucleotide. 2. Is the wild-type, sense strand Capture Oligonucleotide. 3. Is the wild-type, anti-sense strand Radiolabelled Oligonucleotide. 4. Is the wild-type, sense strand Radiolabelled Oligonucleotide. All oHgonucleotides were synthesized in- house using an ABI PCR-Mate oligonucleotide synthesizer. OHgonucleotides were purified using reverse-phase HPLC, resuspended at 50μM and stored at -20°C. A 1mCi pack of 3 H TTP (TRK 576, Amersham) ' was dried down under nitrogen, and resuspended in 100μl of sterile distilled water. This was used in the reaction mix outlined below. Post-purification labelling reactions for the two Radiolabelled OHgonucleotides (3 and 4) were as follows - 25μl of each oligonucleotide (corresponding to 1250 pmoles of 3 'OH ends) were added to 50μl of 3 H TTP solution (-5000 pmoles, -0.5mCi H) , 1.25μl of 5mM ' ddTTP (-1250 pmoles, Pharmacia), 20μl of five-times terminal transferase buffer (Amersham) and 5μl (10 units) of terminal transferase enzyme (Amersham) . The final volume was adjusted to 100μl using sterile distilled water. The reaction mixes were incubated at 37°C for 2 hours. Incorporation efficiency was approximately 25% and the specific activity was 30 Ci/mmol of Radiolabelled Oligonucleotide. The final concentration of the Radiolabelled OHgonucleotides was 12.5μM. • The following reagent conditions were used per LCR assay - 0.1μM oHgonucleotides 1/2/3/4, 20mM Tris HCL, pH7.6, 25mM potassium acetate, 10mM magnesium acetate, 10mM dithiothreitol, 0.6mM NAD and 0.1% Triton X-100, 10 units of Taq ligase enzyme (Ampligase, Cambio) and 5μl of diluted blood DNA from a normal, non-sickle-cell individual. Final volume was 50μl. The reaction mixes were overlaid with 2 drops of light mineral oil and the tubes loaded onto a Biometra Trio thermal-cycler. Cycling parameters were as follows - 95 C for 1 minute, 65 C for 4 minutes. This was repeated for 20 or 35 cycles. Following cycling, 25μl aliquots of each sample were removed and added to 500μl of 4mg/ml polyvinyltoluene streptavidin-coated SPA beads in the presence of 50mM Na 2 EDTA and 200mM NaOH. This mix was counted without further incubation for 20 seconds on an LKB Rackbeta scintillation counter with a 0-999 window. Results are shown in Figures 7 and 8. LCR over the range of DNA dilutions assayed has occurred and the SPA counts are reproducible and quantitative. In this test system, 35 cycles causes a distinct "plateau" effect (Figure 7), lower cycle numbers allows for an almost linear signal increase in response to initial copy number of target (Figure 8) . This is analogous to the "plateau" observed during PCR reactions, above which accuracy of quantitation is reduced. EXAMPLE 8 Quantitation of target copies of a marker region adjacent to the cystic fibrosis gene using DNA binding properties exhibited by SPA beads. The PCR was performed as in Example 1 except the primers were not biotinylated. Following amplification, 30μl aliquots of PCR product were removed from each tube. 500μl of scintillation proximity assay reagent (yttrium silicate fluomicrospheres (Amersham, UK) in 1 x PBS) at a concentration of 1 mg yttrium silicate fluomicrospheres/500μl of buffer was added to each sample. The samples were incubated for 3 hours at room temperature on an orbital shaker and then counted for 20 seconds each on an LKB 1209 scintillation counter with the window open from 0-999. Results are shown in Figure 9. References; 1. Saiki. R. , Scharf S., Faloona, F., Mullls, K. , Horn, C, Erlich, H. , Arnheia, N. Science (1985), 230, 1350-1354. 2. Genesca, J. Yuan-Hu Vang, R., Alter H.J. and Vai-Kuo Shih, J., J. Infectious Disease (1990), 162, 1025-1030. 3. Dlckover, R. , Donovan, R., Goldstein, E._ Dandekar, S., Bush, C., and Carlson, J., J. Clin. Microbiology (1990), 28, 9. 2130-2133. 4. Noonan. K.. et al , Proc. Natl . h ad. Sci (1990), 87, 7160-7164. 5. Gilliland, G., Perrin, S., Blanchard, K. , and Bunn, H. Proc. Natl . Acad. Sci . (1990), 87, 2725-2729. 6. Katz, J, Bodin, E. , and Coen, D. J. Virology (1990), 64, 9, 4288-4295. 7. Bej, A., Stef an, R. , Di Cesare, J., Haff, L. , and Atlas, R. Appl . Env. Microbiology (1990), 56, 2, 307-314. 8. Kellogg, D.E., Sninsky, J., Kwok, S. Anal . Biochemistry (1990), 189. 202-208. 9. Rimstad, E.. Homes, E. , Olsvik, 0. and Hyllseth, B. J. Clin. Microbiology (1990), 28, 10, 2275-2278. 10. Lundeberg, J., Vahlberg, J.. and Uhlen, M. Biocechniςues (1991), 10, 1, 68-75. 11. Mullis, K., Faloona, F. , Scharf, S.. Saiki, R. , Horn, G. and Erlich, H. Cold Spring Harbor Symp. Quant. Biol. (1986), 51, 263-273. 12. Bosworch, N. and Towers, P. Nature (1989). 341, 167-168. 13. Huth, A., Estivill, X., Grade, K., Billwitz, H. , Speer, A., Rosenchal, A., Williamson, R. , Ramsay, K. and Coutelle, C. Nucleic Acid Res. (1989), 17, 17, 7118. 14. Katz, E., and Haff. L. Amplifications (1989), 3, 8-9. 15. Wright, P. and Wyπford Thomas, D. J. pathology (1990), 162, 99-117. 16. Eisenstein, B. New Engl . J. Medicine (1990), 322, 3. 178-183. 17. Brechot. C. J. Hepatology (1990). 11, 124-129.

Claims: CLAIMS 1. A method of amplifying and quantitating a specific nucleic acid sequence in a sample, by the use of a) at least one oligonucleotide primer for each strand of the sequence to be amplified, the primers being complementary to part of the sequence strand but not to one another b) a supply of nucleotides c) optionally a probe complementary to part of the sequence to be amplified but not to any primer one of a) , b) and c) including a radionuclide, d) a solid material comprising a fluorescer which fluoresces when in proximity to the radionuclide which method comprises using reagents a) and b) and optionally c) in the presence of a polymerase to form an amplified product based on the specific nucleic acid sequence, causing an aliquot of the said amplified product to bind to reagent d) , and observing fluorescence emitted by reagent d) as a measure of the specific nucleic acid sequence. 2. A method as claimed in claim 1, wherein the specific nucleic acid sequence is amplified by the Polymerase Chain Reaction technique. 3. A method as claimed in claim 1 or claim 2, wherein reagent d) carries on its surface a specific binder for the amplified product. 4. A method as claimed in claim 3, wherein one of reagents a), b) and c) which does not include a radionuclide, comprises a capture label which binds to the specific binder of reagent d) . 5. A method as claimed in claim 4, wherein at least one of the oligonucleotide primers a) comprises the capture label, at least one of the nucleotides b) includes a radionuclide, and the optional probe c) is not used. 6. A method as claimed in claim 4, wherein the probe c) comprises the capture label. 7. A method as claimed in any one of claims 4 to 6, wherein the capture label is biotin and the binder is streptavidin. 8. A method according to any one of claims 4 to 6, wherein the capture label is an antigen and the binder is an antibody to that antigen. 9. A method according to claim 1 or claim 2 wherein the amplified product binds to reagent d) in a non-specific way. 10. A method according to any one of claims 1 to 3 8, wherein the radionuclide is chosen from [ H] tritium, [ 125 I] iodine, [ 14 C] carbon, [ 35 S] sulphur and [ 33P] phosphorus. 11. A method of amplifying and quantitating a specific nucleic acid sequence in a sample, by the use of ab) a pair of oligonucleotide primers for each strand of the sequence to be amplified, each pair of primers together being complementary to the whole sequence strand to be amplified, one primer of the pair required for one strand being labelled with a radiolabel and the other primer of the pair labelled with a capture label, d) a solid material comprising a fluorescer which fluoresces when in proximity to the radionucleotide, which method comprises using reagent ab) in the presence of a ligase to form an amplified product based on the specific nucleic acid sequence, causing an aliquot of the said amplified product to bind to reagent d) , and observing fluorescence emitted by reagent d) as a measure of the specific nucleic acid sequence. 12. A method according to any one of claims 1 to 11, wherein the number of copies of the specific nucleic acid sequence initially present is estimated by reference to a standard curve constructed using samples containing known copy numbers of the specific sequence.. 13. A method according to claim 12, wherein the extent of amplification is adjusted such that the amplified product concentration falls within a region of the standard curve below a plateau region. 14. A method as claimed in any one of claims 1 to 13, wherein the solid material d) is in the form of scintillation proximity assay beads.

Inventors: BLAIR JAMES NINIAN ROWELL, CROSS LISA, DOWNES MALCOLM JOHN, PARRY DAVID ALUN, ROBINSON PHILIP STEVEN, BLAIR, JAMES, NINIAN, ROWELL, CROSS, LISA, DOWNES, MALCOLM, JOHN, PARRY, DAVID, ALUN, ROBINSON, PHILIP, STEVEN
Applicants: AMERSHAM INT PLC, AMERSHAM INTERNATIONAL PLC
Application year: 1992
Main classification: C12Q1
IPC codes: C12Q1