Summary: Personalized Medicine Alles
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1 PCR
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What is the goal of PCR?
Exponential amplification of specific target piece of DNA -
How does is work? (3 steps)
Monster -> DNA extractie
You need- DNA polymerase = taq polymerase
- primers
- template DNA
- nucleotides
Denaturation of thetemplate strand into single strandsAnnealing ofprimers (of specific target DNA) to eachoriginal strandExtension of the newDNA strand from theprimers with DNA-polymerase.
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2 Sanger
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What is the goal of sanger sequencing?
Determine the preciseorder of thenucleotides of a givenDNA fragment . -
What do you need for sanger seq?
- Primer
- DNA template
- DNA polymerase
- dNTP
- ddNTP (=stop)
- Primer
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How do you separate DNA fragments on length and charge?
Gel electroforesis. -
What can you detect with sanger sequencing?What is an disadvantage of sanger?
Sanger sequencing is the gold standard method foraccurate detection of- single
nucleotide variants - small
insertions /deletions . - Not so well duplications
Disadvantage:
- only short parts of DNA
- Long parts => long time - single
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3 NGS/wes
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What is the goal of NGS?
One gene or a gene package sequencen -> finding the order of the nucleotides. -
So what is the difference with sanger?
- The length of the DNA sample: NGS is massively parallel, that is, sequencing millions of fragments simultaneously per run
- NGS is better in detecting small variants and rare mutations
- Higher discovery power
- Higher sensitivity
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What is a problem with NGS/WES?
You sequence short elements => can lead to unneccecairy frame shift.
You need to realine the different parts => difficult with copy number variants (CNV). -
3.1 Variant analysis
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So you found variant/mutations. What is next? What do you want to know?
Is there a gene-disease association Does this explain the pathogenic mechanism of the disease Inheritance: autosomal dominant, recessive, x-linked Prevalence , penetrance
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