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Title: Detection of HIV
United States Patent: 7,083,922
Issued: August 1, 2006
Inventors: Kacian; Daniel
L. (San Diego, CA); Fultz; Timothy J. (Pleasant Hill, CA); McDonough;
Sherrol H. (San Diego, CA)
Assignee: Gen-Probe
Incorporated (San Diego, CA)
Appl. No.:
10/244,490
Filed: September 16, 2002
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Training Courses --Pharm/Biotech/etc.
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Abstract
The present invention relates to
oligonucleotides for use in amplifying and detecting HIV nucleic acid in a
sample.
Description of the Invention
FIELD OF THE
INVENTION
This invention relates to methods for
increasing the number of copies of a specific nucleic acid sequence or
"target sequence" which may be present either alone or as a component,
large or small, of a homogeneous or heterogeneous mixture of nucleic
acids. The mixture of nucleic acids may be that found in a sample taken
for diagnostic testing, environmental testing, for research studies, for
the preparation of reagents or materials for other processes such as
cloning, or for other purposes.
The selective amplification of specific nucleic acid sequences is of value
in increasing the sensitivity of diagnostic and environmental assays while
maintaining specificity; increasing the sensitivity, convenience, accuracy
and reliability of a variety of research procedures; and providing ample
supplies of specific oligonucleotides for various purposes.
The present invention is particularly suitable for use in environmental
and diagnostic testing due to the convenience with which it may be
practiced.
BACKGROUND OF THE
INVENTION
The detection and/or quantitation of
specific nucleic acid sequences is an increasingly important technique for
identifying and classifying microorganisms, diagnosing infectious
diseases, detecting and characterizing genetic abnormalities, identifying
genetic changes associated with cancer, studying genetic susceptibility to
disease, and measuring response to various types of treatment. Such
procedures have also found expanding uses in detecting and quantitating
microorganisms in foodstuffs, environmental samples, seed stocks, and
other types of material where the presence of specific microorganisms may
need to be monitored. Other applications are found in the forensic
sciences, anthropology, archaeology, and biology where measurement of the
relatedness of nucleic acid sequences has been used to identify criminal
suspects, resolve paternity disputes, construct genealogical and
phylogenetic trees, and aid in classifying a variety of life forms.
A common method for detecting and quantitating specific nucleic acid
sequences is nucleic acid hybridization. This method is based on the
ability of two nucleic acid strands which contain complementary or
essentially complementary sequences to specifically associate, under
appropriate conditions, to form a double-stranded structure. To detect
and/or quantitate a specific nucleic acid sequence (known as the "target
sequence"), a labelled oligonucleotide (known as a "probe") is prepared
which contains sequences complementary to those of the target sequence.
The probe is mixed with a sample suspected of containing the target
sequence, and conditions suitable for hybrid formation are created. The
probe hybridizes to the target sequence if it is present in the sample.
The probe-target hybrids are then separated from the single-stranded probe
in one of a variety of ways. The amount of label associated with the
hybrids is measured.
The sensitivity of nucleic acid hybridization assays is limited primarily
by the specific activity of the probe, the rate and extent of the
hybridization reaction, the performance of the method for separating
hybridized and unhybridized probe, and the sensitivity with which the
label can be detected. Under the best conditions, direct hybridization
methods such as that described above can detect about 1.times.10.sup.5 to
1.times.10.sup.6 target molecules. The most sensitive procedures may lack
many of the features required for routine clinical and environmental
testing such as speed, convenience, and economy. Furthermore, their
sensitivities may not be sufficient for many desired applications.
Infectious diseases may be associated with as few as one pathogenic
microorganism per 10 ml of blood or other specimen. Forensic investigators
may have available only trace amounts of tissue available from a crime
scene. Researchers may need to detect and/or quantitate a specific gene
sequence that is present as only a tiny fraction of all the sequences
present in an organism's genetic material or in the messenger RNA
population of a group of cells.
As a result of the interactions among the various components and component
steps of this type of assay, there is almost always an inverse
relationship between sensitivity and specificity. Thus, steps taken to
increase the sensitivity of the assay (such as increasing the specific
activity of the probe) may result in a higher percentage of false positive
test results. The linkage between sensitivity and specificity has been a
significant barrier to improving the sensitivity of hybridization assays.
One solution to this problem would be to specifically increase the amount
of target sequence present using an amplification procedure. Amplification
of a unique portion of the target sequence without requiring amplification
of a significant portion of the information encoded in the remaining
sequences of the sample could give an increase in sensitivity while at the
same time not compromising specificity. For example, a nucleic acid
sequence of 25 bases in length has a probability of occurring by chance of
1 in 4.sup.25 or 1 in 10.sup.15 since each of the 25 positions in the
sequence may be occupied by one of four different nucleotides.
A method for specifically amplifying nucleic acid sequences termed the
"polymerase chain reaction" or "PCR" has been described by Mullis et al.
(See U.S. Pat. Nos. 4,683,195, 4,683,202 and 4,800,159 and European patent
applications 86302298.4, 86302299.2, and 87300203.4 and Methods in
Enzymology, Volume 155, 1987, pp. 335 350). The procedure uses repeated
cycles of primer-dependent nucleic acid synthesis occurring simultaneously
using each strand of a complementary sequence as a template. The sequence
which is amplified is defined by the locations of the primer molecules
that initiate synthesis. The primers are complementary to the 3'-terminal
portion of the target sequence or its complement and must complex with
those sites in order for nucleic acid synthesis to begin. After extension
product synthesis, the strands are separated, generally by thermal
denaturation, before the next synthesis step. In the PCR procedure, copies
of both strands of a complementary sequence are synthesized.
The strand separation step used in PCR to separate the newly synthesized
strands at the conclusion of each cycle of the PCR reaction is often
thermal denaturation. As a result, either a thermostable enzyme is
required or new enzyme must be added between thermal denaturation steps
and the initiation of the next cycle of DNA synthesis. The requirement of
repeated cycling of reaction temperature between several different and
extreme temperatures is a disadvantage of the PCR procedure. In order to
make the PCR convenient, expensive programmable thermal cycling
instruments are required.
The PCR procedure has been coupled to RNA transcription by incorporating a
promoter sequence into one of the primers used in the PCR reaction and
then, after amplification by the PCR procedure for several cycles, using
the double-stranded DNA as template for the transcription of
single-stranded RNA. (See, e.g. Murakawa et al., DNA 7:287 295 (1988).
Other methods for amplification of a specific nucleic acid sequence
comprise a series of primer hybridization, extending and denaturing steps
to provide an intermediate double stranded DNA molecule containing a
promoter sequence through the use of a primer. The double stranded DNA is
used to produce multiple RNA copies of the target sequence. The resulting
RNA copies can be used as target sequences to produce further copies and
multiple cycles can be performed. (See, e.g., Burg, et al., WO 89/1050 and
Gingeras, et al., WO 88/10315.)
Methods for chemically synthesizing relatively large amounts of DNA of a
specified sequence in vitro are well known to those skilled in the art;
production of DNA in this way is now commonplace. However, these
procedures are time-consuming and cannot be easily used to synthesize
oligonucleotides much greater in length than about 100 bases. Also, the
entire base sequence of the DNA to be synthesized must be known. These
methods require an expensive instrument capable of synthesizing only a
single sequence at one time. Operation of this instrument requires
considerable training and expertise. Methods for the chemical synthesis of
RNA have been more difficult to develop.
Nucleic acids may be synthesized by techniques which involve cloning or
insertion of specific nucleic acid sequences into the genetic material of
microorganisms so that the inserted sequences are replicated when the
organism replicates. If the sequences are inserted next to and downstream
from a suitable promoter sequence, RNA copies of the sequence or protein
products encoded by the sequence may be produced. Although cloning allows
the production of virtually unlimited amounts of specific nucleic acid
sequences, due to the number of manipulations involved it may not be
suitable for use in diagnostic, environmental, or forensic testing. Use of
cloning techniques requires considerable training and expertise. The
cloning of a single sequence may consume several man-months of effort or
more.
Relatively large amounts of certain RNAs may be made using a recombinant
single-stranded-RNA molecule having a recognition sequence for the binding
of an RNA-directed polymerase, preferably Q.beta. replicase. (See, e.g.,
U.S. Pat. No. 4,786,600 to Kramer, et al.) A number of steps are required
to insert the specific sequence into a DNA copy of the variant molecule,
clone it into an expression vector, transcribe it into RNA and then
replicate it with Q.beta. replicase.
SUMMARY OF THE
INVENTION
The present invention is directed to
novel methods of synthesizing multiple copies of a target nucleic acid
sequence which are autocatalytic (i.e., able to cycle automatically
without the need to modify reaction conditions such as temperature, pH, or
ionic strength and using the product of one cycle in the next one).
The present method includes (a) treating an RNA target sequence with a
first oligonucleotide which comprises a first primer which has a
complexing sequence sufficiently complementary to the 3'-terminal portion
of the target to complex therewith and which optionally has a sequence 5'
to the priming sequence which includes a promoter for an RNA polymerase
under conditions whereby an oligonucleotide/target sequence complex is
formed and DNA synthesis may be initiated, (b) extending the first primer
in an extension reaction using the target as a template to give a first
DNA primer extension product complementary to the RNA target, (c)
separating the DNA extension product from the RNA target using an enzyme
which selectively degrades the RNA target; (d) treating the DNA primer
extension product with a second oligonucleotide which comprises a primer
or a splice template and which has a complexing sequence sufficiently
complementary to the 3'-terminal portion of the DNA primer extension
product to complex therewith under conditions whereby an oligonucleotide/target
sequence complex is formed and DNA synthesis may be initiated, provided
that if the first oligonucleotide does not have a promoter, then the
second oligonucleotide is a splice template which has a sequence 5' to the
complexing sequence which includes a promoter for an RNA polymerase; (e)
extending the 3'-terminus of either the second oligonucleotide or the
first primer extension product, or both, in a DNA extension reaction to
produce a template for the RNA polymerase; and (f) using the template to
produce multiple RNA copies of the target sequence using an RNA polymerase
which recognizes the promoter sequence. The oligonucleotide and RNA copies
may be used to autocatalytically synthesize multiple copies of the target
sequence.
In one aspect of the present invention, the general method includes (a)
treating an RNA target sequence with a first oligonucleotide which
comprises a first primer which has a complexing sequence sufficiently
complementary to the 3'-terminal portion of the target to complex
therewith and which has a sequence 5' to the complexing sequence which
includes a promoter for an RNA polymerase under conditions whereby an
oligonucleotide/target complex is formed and DNA synthesis may be
initiated, (b) extending the first primer in an extension reaction using
the target as a template to give a first DNA primer extension product
complementary to the RNA target, (c) separating the first DNA primer
extension product from the RNA target using an enzyme which selectively
degrades the RNA target; (d) treating the DNA primer extension product
with a second oligonucleotide which comprises a second primer which has a
complexing sequence sufficiently complementary to the 3'-terminal portion
of the DNA primer extension product to complex therewith under conditions
whereby an oligonucleotide/target complex is formed and DNA synthesis may
be initiated; (e) extending the 3'-terminus of the second primer in a DNA
extension reaction to give a second DNA primer extension product, thereby
producing a template for the RNA polymerase; and (f) using the template to
produce multiple RNA copies of the target sequence using an RNA polymerase
which recognizes the promoter sequence. The oligonucleotide and RNA copies
may be used to autocatalytically synthesize multiple copies of the target
sequence. This aspect further includes: (g) treating an RNA copy from step
(f) with the second primer under conditions whereby an oligonucleotide/target
sequence complex is formed and DNA synthesis may be initiated; (h)
extending the 3' terminus of the second primer in a DNA extension reaction
to give a second DNA primer extension product using the RNA copy as a
template; (i) separating the second DNA primer extension product from the
RNA copy using an enzyme which selectively degrades the RNA copy; (j)
treating the second DNA primer extension product with the first primer
under conditions whereby an oligonucleotide/target sequence complex is
formed and DNA synthesis may be initiated; (k) extending the 3' terminus
of the second primer extension product in a DNA extension reaction to
produce a template for an RNA polymerase; and (l) using the template of
step (k) to produce multiple copies of the target sequence using an RNA
polymerase which recognizes the promoter. Using the RNA copies of step
(l), steps (g) to (k) may be autocatalytically repeated to synthesize
multiple copies of the target sequence. The first primer which in step (k)
acts as a splice template may also be extended in the DNA extension
reaction of step (k).
Another aspect of the general method of the present invention provides a
method which comprises (a) treating an RNA target sequence with a first
primer which has a complexing sequence sufficiently complementary to the
3' terminal portion of the target sequence to complex therewith under
conditions whereby an oligonucleotide/target sequence complex is formed
and DNA synthesis may be initiated; (b) extending the 3' terminus of the
primer in an extension reaction using the target as a template to give a
DNA primer extension product complementary to the RNA target; (c)
separating the DNA extension product from the RNA target using an enzyme
which selectively degrades the RNA target; (d) treating the DNA primer
extension product with a second oligonucleotide which comprises a splice
template which has a complexing sequence sufficiently complementary to the
3'-terminus of the primer extension product to complex therewith and a
sequence 5' to the complexing sequence which includes a promoter for an
RNA polymerase under conditions whereby an oligonucleotide/target sequence
complex is formed and DNA synthesis may be initiated; (e) extending the 3'
terminus of the DNA primer extension product to add thereto a sequence
complementary to the promoter, thereby producing a template for an RNA
polymerase; (f) using the template to produce multiple RNA copies of the
target sequence using an RNA polymerase which recognizes the promoter
sequence; and (g) using the RNA copies of step (f), autocatalytically
repeating steps (a) to (f) to amplify the target sequence. Optionally, the
splice template of step (d) may also function as a primer and in step (e)
be extended to give a second primer extension product using the first
primer extension product as a template.
In addition, in another aspect of the present invention, where the
sequence sought to be amplified is present as DNA, use of an appropriate
Preliminary Procedure generates RNA copies which may then be amplified
according to the General Method of the present invention.
Accordingly, in another aspect, the present invention is directed to
Preliminary Procedures for use in conjunction with the amplification
method of the present invention which not only can increase the number of
copies present to be amplified, but also can provide RNA copies of a DNA
sequence for amplification.
The present invention is directed to methods for increasing the number of
copies of a specific target nucleic acid sequence in a sample. In one
aspect, the present invention involves cooperative action of a DNA
polymerase (such as a reverse transcriptase) and a DNA-dependent RNA
polymerase (transcriptase) with an enzymatic hybrid-separation step to
produce products that may themselves be used to produce additional
product, thus resulting in an autocatalytic reaction without requiring
manipulation of reaction conditions such as thermal cycling. In some
embodiments of the methods of the present invention which include a
Preliminary Procedure, all but the initial step(s) of the preliminary
procedure are carried out at one temperature.
The methods of the present invention may be used as a component of assays
to detect and/or quantitate specific nucleic acid target sequences in
clinical, environmental, forensic, and similar samples or to produce large
numbers of copies of DNA and/or RNA of specific target sequence for a
variety of uses. These methods may also be used to produce multiple DNA
copies of a DNA target sequence for cloning or to generate probes or to
produce RNA and DNA copies for sequencing.
In one example of a typical assay, a sample to be amplified is mixed with
a buffer concentrate containing the buffer, salts, magnesium, nucleotide
triphosphates, primers and/or splice templates, dithiothreitol, and
spermidine. The reaction is then optionally incubated near 100.degree. C.
for two minutes to denature any secondary structure. After cooling to room
temperature, if the target is a DNA target without a defined 3' terminus,
reverse transcriptase is added and the reaction mixture is incubated for
12 minutes at 42.degree. C. The reaction is again denatured near
100.degree. C., this time to separate the primer extension product from
the DNA template. After cooling, reverse transcriptase, RNA polymerase,
and RNAse H are added and the reaction is incubated for two to four hours
at 37.degree. C. The reaction can then be assayed by denaturing the
product, adding a probe solution, incubating 20 minutes at 60.degree. C.,
adding a solution to selectively hydrolyze the unhybridized probe,
incubating the reaction six minutes at 60.degree. C., and measuring the
remaining chemiluminescence in a luminometer. (See, e.g., Arnold, et al.,
International Publication No. WO 89/02476, published Mar. 23, 1989,
International Application No. PCT/US88/03195, filed Sep. 21, 1988, the
disclosure of which is incorporated herein by reference and is referred to
as "HPA"). The products of the methods of the present invention may be
used in many other assay systems known to those skilled in the art.
If the target has a defined 3' terminus or the target is RNA, a typical
assay includes mixing the target with the buffer concentrate mentioned
above and denaturing any secondary structure. After cooling, reverse
transcriptase, RNA polymerase, and RNAse H are added and the mixture is
incubated for two to four hours at 37.degree. C. The reaction can then be
assayed as described above.
The methods of the present invention and the materials used therein may be
incorporated as part of diagnostic kits for use in diagnostic procedures.
Claim 1 of 80 Claims
1. An oligonucleotide probe,
wherein the base sequence of said probe consists of or is contained within
the RNA equivalent of the base sequence of a reference sequence selected
from the group consisting of SEQ ID NO:1, SEQ ID NO:4, SEQ ID NO:7, SEQ ID
NO:10, SEQ ID NO:13, wherein said probe hybridizes to HIV-derived nucleic
acid in a sample to a form a detectable probe:target duplex which indicates
the presence of HIV nucleic acid under hybridization conditions, and wherein
said probe does not hybridize to human nucleic acid in said sample to form a
detectable probe:non-target duplex under said conditions.
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