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18 Cards in this Set

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What are the 3 steps in putting together a new molecular diagnostic test?
-choose target gene
-choose method of amplification
-choose detection method
What are the criteria for selecting a gene target?
-DNA/RNA/protein
-short (shorter amplification time)
-60% GC content (stable interaction with probe)
-highly conserved gene (must be found in organism)
-gene-specific locus (must be specific to organism)
Which is better for quantification, PCR or RT-PCR? How is RT-PCR different from PCR?
RT-PCR (for every cycle, 1 molecule will be detected by laser detection)
-probe has reporter and Quencher molecule that emit signal when separated
-when Taqman pol (5'-5' exonuclease activity too) comes to probe, it will cleave off the reporter, emitting fluorescence for the one strand it just amplified
Describe real-time immuno-PCR
-detects protein
-antibody on plate, then add protein, then add second antibody with biotin
-add Si which binds very strongly to biotin
-then add DNA with biotin attached to bind to antibody-biotin-Si complex
-run PCR
What are the standards for determining whether or not a molecular diagnostic test is good or bad?
-accuracy vs. precision
-specificity vs. sensitivity
Differentiate between sensitivity and specificity
-sensitivity: ability to detect people who actually have the disease
-specificity: ability to detect people who do not have the disease
What is the calculation for sensitivity? Specificity?
sensitivity = true positives/(true positives+false negatives) x 100

Sensitivity is indirectly proportional to # of false negatives
specificity = true negatives/(true negatives+false positives) x 100

Specificity is indirectly proportional to false positives
What is an ROC curve? What does it represent and what are the labels of axes?
-Receiver-operator characteristic curve
-represents trade-off between sensitivity and specificity, how good the diagnostic test is
-further up in left corner the better
-y axis = sensitivity (1-false negative rate)
-x axis = 1-specificity (false positive rate
T or F: specificity is strongly influenced by prevalence of disease population
TRUE
What is a linear dynamic ranger?
linear range that can be used for accurate quantification
how can we test individual identity?
-short tandem repeat (STR)
-no individual shares the exact same molecular profile with others
what are short tandem repeats?
-number of repeats at telomeres
-no 2 people have identical number so can be used to identify person of a crime
what is the problem with STR testing?
very sensitive so contamination is likely
What is a melting curve? How can mutations be detected using a melting curve?
-melting curve plots % dsDNA against temperature
-melting point is where dsDNA=ssDNA
-every DNA sequence has characteristic melting curve and Tm due to GC content
-with every mutation, the Tm changes
Why is it beneficial to study a single cell rather than a section of tissue?
-tissue is heterogenous, don't know how much/where in tissue has tumor
-single cell is just one cell so simpler
How can a single molecule (eg. DNA) be detected?
nanoparticle-conjugated fluorophores (bio-barcode assay, BCA)
How does bio-barcode assay (BCA) work?
-have magnetic particle that has DNA/RNA/protein of interest
-add gold particle with barcode DNA
-capture with magnetic field
-run through scanner to find molecule of interest
-highest detection known today (zeptomolar)
how can molecular based testing be used for personalized medicine?
-pharmacogenetics (unique prescription for each person)
-theragnostics (determines whether or not a drug should be used for certain therapy)
-prognomics (patient prognosis for disease and after treatment