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Moleculaire diagnostiek samenvatting

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visuele samenvatting die alles samenvat uit de cursus van Moleculaire Diagnostiek

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  • January 22, 2022
  • 17
  • 2021/2022
  • Summary
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MOLECULAIRE DIAGNOSTIEK
qPCR
QPCR VS CONVENTIONELE PCR

qPCR Conventionele PCR
Kwantitatief Niet kwantitatief
Tijdens de reactie gemeten End point meting
Post PCR geen analyses meer doen  Post PCR wel analyses doen  contaminatie
contaminatie vermijden
Fluorochromen (meerdere tegelijk) Fragmentlengtes bepalen


ALGEMEEN PRINCIPE




DETECTIEMETHODE

Direct Indirect
Intercallerende kleurstoffen Hydrolyse probe (TaqMan)
Vb. SybrGreen




5’3’ exonucleaseactiviteit



1

, Molecular beacon probe




Wordt gebruikt bij GENOTYPERING
- Opsporen SNV
- Enkel binden bij 100%
complementariteit
- 2 verschillende: wild type en mutant
type



MULTPLEX-PCR

Verschillende fluorochromen toevoegen  probleem: SPECTRALE OVERLAP

Oplossing: fluorochromen zoveel mogelijk scheiden obv emissie-eigenschappen en PCR-toestel
kalibreren




2

, DIGITAL DROPLET PCR

PCR-inhibitoren hebben minder effect op kwantificatie (verdund)

Target in lage hoeveelheid aanwezig
Diagnostiek:

 Mutatie in minderheid van de cellen (tumor)
 Circulating free-cell DNA
 CNV

DETECTIE & KWANTIFICERING

Efficiëntie is afhankelijk van

- Temperatuur
- Primers
- Pipetteren
- PCR-inhibitoren (ethanol, heparine)

Kan berekend worden via een standaardcurve
of via de formule:  aanvaardbaar tussen 90-110%
a= -3,32, dan is E= 100%

Kwantificeren= meten van de hoeveelheid fluorescentie in de reactie
Startmateriaal kan je via

- Externe standaard (vb. plasmide) = absolute kwantificatie
o Berekenen via ijklijn/standaardcurve
- Interne standaard berkenen = relatieve kwantificatie




o Berekenen door 2∆Cq
o Nut: data normaliseren, kwaliteit monster nagaan

2 methoden om genexpressie vast te stellen

Livak methode



3

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