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Smitha Abraham

Case 3.1
PCR and HZ

Polymerase Chain Reaction technique used to amplify sections of DNA ,


generating millions of copies of a particular DNA sequence.
Used for the detection and diagnosis of diseases, among other things
by identifying the genes which are different, and therefore unique, one can
use this information to identify an organism
PCR entails the use of a pair of primers, each about 20 nucleotides in length,
that are complementary to a defined sequence on strands of the DNA. These
primers are extended by a DNA polymerase so that a copy is made of the
designated sequence
This leads to exponential amplification. Since it is necessary to raise the
temperature to separate the two strands of the double strand DNA in each
round of the amplification process, a major step forward was the discovery of
a thermo-stable DNA polymerase (Taq polymerase) that was isolated from
Thermus aquaticus, a bacterium that grows in hot pools; as a result it is not
necessary to add new polymerase in every round of amplification. After
several (often about 40) rounds of amplification, the PCR product is analyzed
on an agarose gel and is abundant enough to be detected with an ethidium
bromide stain
The high sensitivity of PCR permits virus detection soon after infection and
even before the onset of disease. Such early detection may give physicians a
significant lead in treatment. The amount of virus ("viral load") in a patient
can also be quantified by PCR-based DNA quantitation techniques
real-time polymerase chain reaction, also called quantitative real time
polymerase chain reaction (Q-PCR/qPCR/qrt-PCR) or kinetic polymerase chain
reaction (KPCR), is a laboratory technique based on the PCR
Real Time-PCR enables both detection and quantification. A DNA-binding dye
binds to all double-stranded (ds)DNA in PCR, causing fluorescence of the dye.
An increase in DNA product during PCR therefore leads to an increase in
fluorescence intensity and is measured at each cycle, thus allowing DNA
concentrations to be quantified
Thus, PCR can be used to identify Herpes Zoster as well as determine the
viral load

REFERENCES:
http://www.ncbi.nlm.nih.gov/projects/genome/probe/doc/TechPCR.shtml (pcr & real
time qrt pcr)

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