title: The real-time polymerase chain reaction.
abstract: The scientific, medical, and diagnostic communities have been presented the most powerful tool for quantitative nucleic acids analysis: real-time PCR [Bustin, S.A., 2004. A-Z of Quantitative PCR. IUL Press, San Diego, CA]. This new technique is a refinement of the original Polymerase Chain Reaction (PCR) developed by Kary Mullis and coworkers in the mid 80:ies [Saiki, R.K., et al., 1985. Enzymatic amplification of beta-globin genomic sequences and restriction site analysis for diagnosis of sickle cell anemia, Science 230, 1350], for which Kary Mullis was awarded the 1993 year's Nobel prize in Chemistry. By PCR essentially any nucleic acid sequence present in a complex sample can be amplified in a cyclic process to generate a large number of identical copies that can readily be analyzed. This made it possible, for example, to manipulate DNA for cloning purposes, genetic engineering, and sequencing. But as an analytical technique the original PCR method had some serious limitations. By first amplifying the DNA sequence and then analyzing the product, quantification was exceedingly difficult since the PCR gave rise to essentially the same amount of product independently of the initial amount of DNA template molecules that were present. This limitation was resolved in 1992 by the development of real-time PCR by Higuchi et al. [Higuchi, R., Dollinger, G., Walsh, P.S., Griffith, R., 1992. Simultaneous amplification and detection of specific DNA-sequences. Bio-Technology 10(4), 413-417]. In real-time PCR the amount of product formed is monitored during the course of the reaction by monitoring the fluorescence of dyes or probes introduced into the reaction that is proportional to the amount of product formed, and the number of amplification cycles required to obtain a particular amount of DNA molecules is registered. Assuming a certain amplification efficiency, which typically is close to a doubling of the number of molecules per amplification cycle, it is possible to calculate the number of DNA molecules of the amplified sequence that were initially present in the sample. With the highly efficient detection chemistries, sensitive instrumentation, and optimized assays that are available today the number of DNA molecules of a particular sequence in a complex sample can be determined with unprecedented accuracy and sensitivity sufficient to detect a single molecule. Typical uses of real-time PCR include pathogen detection, gene expression analysis, single nucleotide polymorphism (SNP) analysis, analysis of chromosome aberrations, and most recently also protein detection by real-time immuno PCR.
authors.affiliation: TATAA Biocenter, Medicinargatan 7B, 405 30 Göteborg, Sweden. mikael.kubista@tataa.com
authors.forename: Mikael
authors.initials: M
authors.lastname: Kubista
authors.forename: José Manuel
authors.initials: JM
authors.lastname: Andrade
authors.forename: Martin
authors.initials: M
authors.lastname: Bengtsson
authors.forename: Amin
authors.initials: A
authors.lastname: Forootan
authors.forename: Jiri
authors.initials: J
authors.lastname: Jonák
authors.forename: Kristina
authors.initials: K
authors.lastname: Lind
authors.forename: Radek
authors.initials: R
authors.lastname: Sindelka
authors.forename: Robert
authors.initials: R
authors.lastname: Sjöback
authors.forename: Björn
authors.initials: B
authors.lastname: Sjögreen
authors.forename: Linda
authors.initials: L
authors.lastname: Strömbom
authors.forename: Anders
authors.initials: A
authors.lastname: Ståhlberg
authors.forename: Neven
authors.initials: N
authors.lastname: Zoric
mesh_terms: D000818:Animals; D003199:Computer Systems; D005260:Female; D005456:Fluorescent Dyes / Q000737:chemistry; D005784:Gene Amplification; D015870:Gene Expression; D020869:Gene Expression Profiling / Q000379:methods*; D016133:Polymerase Chain Reaction / Q000295:instrumentation / Q000379:methods*; D012680:Sensitivity and Specificity; D012984:Software; D014982:Xenopus laevis
chemical_list: D005456:Fluorescent Dyes