title: Genome-controlled reverse transcriptase-polymerase chain reaction for targeted gene-expression analysis.
abstract: OBJECTIVE
  Although gene-expression profiling has an important part to play in the classification of tumours and premalignant conditions, reproducibility of the present polymerase chain reaction (PCR)-based quantitative techniques needs to be improved for diagnostic purposes and to enable analysis of gene expression in formalin-fixed paraffin-embedded (FFPE) tissue samples. We have developed reverse transcriptase-PCR-based technology for quantitative assessment of the relative content of multiple mRNA transcripts in small tissue or cell samples.
  
  
  METHODS
  A multiplexed sequence modifying cDNA synthesis reaction is performed with this technique to create a 4-5 degrees increase in the melting temperature of subsequent short (56-64 bp) PCR amplicons. Each cDNA template is competitively co-amplified with genomic DNA, which serves as a universal internal standard. The relative amounts of cDNA and genomic DNA-derived amplicons are quantified in-tube by homogeneous melting curve analysis.
  
  
  RESULTS
  The dynamic range of the assay was three orders of magnitude, while the detection limit was 100 cDNA molecules. A prototype assay, consisting of the analysis of eight genes, displayed good reproducibility (inter-assay CV 5-20 %) compared to the TaqMan assay (inter-assay CV 7-43 %). Gene-expression analysis could be performed in 20 of 20 (100 %) archival frozen samples, in 30 of 35 (86 %) archival FFPE samples and in 26 of 27 (96 %) endoscopic biopsies.
  
  
  CONCLUSIONS
  We demonstrate that this new technique enables accurate analysis of mRNA expression in cultured cells and endoscopic tissue biopsies. Sensitive analysis FFPE tissue is also possible thanks to the short PCR amplicons.
authors.affiliation: Department of Surgery, HUCH, Jorvi Hospital, Espoo, Finland. jakob.stenman@hus.fi
authors.forename: J
authors.initials: J
authors.lastname: Stenman
authors.forename: J
authors.initials: J
authors.lastname: Räsänen
authors.forename: T
authors.initials: T
authors.lastname: Tenkanen
authors.forename: C
authors.initials: C
authors.lastname: Haglund
authors.forename: J
authors.initials: J
authors.lastname: Salo
authors.forename: A
authors.initials: A
authors.lastname: Orpana
authors.forename: A
authors.initials: A
authors.lastname: Paju
mesh_terms: D001706:Biopsy; D002478:Cells, Cultured; D003110:Colonic Neoplasms / Q000175:diagnosis; D004947:Esophagus / Q000378:metabolism / Q000473:pathology; D005753:Gastric Mucosa / Q000378:metabolism; D020869:Gene Expression Profiling / Q000379:methods*; D005819:Genetic Markers; D015894:Genome, Human; D006801:Humans; D012333:RNA, Messenger / Q000378:metabolism; D015203:Reproducibility of Results; D020133:Reverse Transcriptase Polymerase Chain Reaction / Q000379:methods*; D013270:Stomach / Q000473:pathology; D016610:Tissue Embedding
chemical_list: D005819:Genetic Markers; D012333:RNA, Messenger