With large genome initiatives being announced around the world, this book provides a timely graduate level introduction to molecular diagnostics technologies and applications to enable readers to embrace the subject and original literature. The first of four sections delivers readily accessible introductory information on the purposes, properties and drawbacks of diagnostic tests followed by chapters on the principal molecular technologies that underpin the information in the later sections. The following two sections provide more specialised examples of currently used diagnostic technologies and insights into selected key diagnostic challenges including specific examples, automation and point of care testing. The book concludes with a section on future prospects focusing on mutation detection for personalised medicine, for example in cancer.
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Genomics and genome technology is having, and continues to have, a major impact on all areas of bioscience research providing insights into the key area of molecular mechanisms of cells in health and disease. This is causing a profound effect on biomedical science and is accelerating the development of new diagnostic applications. This book provides a timely, graduate level introduction to the fast-paced area of genomics and clinical diagnostic technologies and introduces the concept of applications based on this area.
The initial chapters focus on principal molecular technologies that underpin the information in the later chapters. In addition to introductory areas of nucleic acids and techniques in molecular biology, bioinformatics and proteomics, other key diagnostic areas such as the use of immunological reagents are covered. The later chapters provide more specialised examples of currently used diagnostic technologies and insights into selected key diagnostic challenges including specific examples of molecular microbial diagnostics and molecular biomarkers in oncology. The running themes through the chapters provides an insight into current and future perspectives in this rapidly evolving field.
Chapter 1 Nucleic Acid Structure and Basic Analysis,
Chapter 2 Introduction to Genomic Diagnostics,
Chapter 3 Molecular Cloning and DNA Sequencing,
Chapter 4 Microbial Proteomics,
Chapter 5 Introductory Bioinformatics,
Chapter 6 Genomics and Diagnostics in Acute Myeloid Leukaemia,
Chapter 7 Comparative Genomics and the Improved Diagnosis of Trypanosomiasis and Visceral Leishmaniasis,
Chapter 8 Rare Disease Genomics and Clinical Diagnostics,
Chapter 9 Molecular Diagnostics,
Chapter 10 Nanomaterials in Human Disease Diagnosis,
Chapter 11 Molecular Microbial Diagnostics,
Chapter 12 Parasite Genomes and Diagnostics,
Chapter 13 Connective Tissue Disorders – Ehlers–Danlos Syndrome,
Chapter 14 Antibody-based Diagnostics,
Chapter 15 Molecular Biomarkers: Overview, Technologies and Strategies,
Chapter 16 Next-Generation Molecular Markers: Challenges, Applications and Future Perspectives,
Chapter 17 Genomics for Clinical Practice in Oncology,
Subject Index,
Nucleic Acid Structure and Basic Analysis
Ralph Rapley
University of Hertfordshire, School of Life and Medical Sciences, College Lane, Hatfield, AL10 9AB, UK
1.1 Introduction
Major advances have been made in gene analysis and genomics in recent years and this has been accelerated by the continued development and refinement of methods and techniques for studying nucleic acids. One major area of current research is the identification and diagnosis of diseases that are multifactorial in nature. There are numerous diseases where analysis of genomes has provided insights into the disease and one particularly notable example is oncology. Molecular genetic analysis of this area has allowed a discrete set of cellular genes, termed oncogenes and tumour suppressor genes, to be identified and characterised. These genes and the proteins and enzymes they encode are major components of cell signalling and the cell cycle and are intimately involved in many aspects cell regulation. The disruption of oncogenes and tumour suppressor genes contributes to the early changes required for cancers to develop. Identification and analysis of these genes and genomes has already provided information for use in diagnostics and prognostics and a number have been shown to be biomarkers of a particular cancer type. In a number of cancers well-defined molecular events have been correlated with mutations in oncogenes and therefore in the corresponding protein. It is already possible to screen and predict the outcome of some disease processes at an early stage, a point which itself raises significant ethical dilemmas. The application of molecular biology has allowed understanding of cellular processes both in normal and disease states. The advent of this type of analysis has given rise to the development of personalised or precision medicine and there is now great promise in further developments in drug discovery and molecular gene therapy. A number of genetically engineered therapeutic proteins and enzymes have been developed and are already having an effect on disease management. In addition the correction of disorders at the gene level using gene therapy is also under way. Perhaps one of the most startling applications of molecular biology to date is indeed gene editing and the development of gene modifications methods such as the clustered regularly interspaced short palindromic repeats (CRISPR)–CRISPR-associated system 9 (cas9) system, which may have a profound effect on treating genetic-based diseases. In considering the potential utility of molecular biology techniques it is important to understand the basic structure of nucleic acids and gain an appreciation of how this dictates the function in vivo and in vitro. Indeed, many techniques used in molecular biology mimic in some way the natural functions of nucleic acids, such as replication and transcription. This chapter is intended to provide an overview of the general features of nucleic acid structure and function and describe some of the basic methods used in their isolation and analysis.
1.2 Structure of Nucleic Acids
1.2.1 Primary Structure of Nucleic Acids
DNA and RNA are macromolecular structures composed of regular repeating polymers formed from nucleotides. These are the basic building blocks of nucleic acids and are derived from nucleosides, which are composed of two elements: a five-membered pentose carbon sugar (2-deoxyribose in DNA and ribose in RNA), and a nitrogenous base (Figure 1.1). The carbon atoms of the sugar are designated 'prime' (l', 2', 3', etc.). To distinguish them from the carbons of the nitrogenous bases, of which there are two types, either a purine or a pyrimidine. A nucleotide, or nucleoside phosphate, is formed by the attachment of a phosphate to the 5' position of a nucleoside by an ester linkage. Such nucleotides can be joined together by the formation of a second ester bond by reaction between the phosphate of one nucleotide and the 3' hydroxyl of another, thus generating a 5' to 3' phosphodiester bond between adjacent sugars; this process can be repeated indefinitely to give long polynucleotide molecules. DNA has two such polynucleotide strands. However, since each strand has both a free 5' hydroxyl group at one end, and a free 3' hydroxyl at the other end, each strand has a polarity or directionality. The polarities of the two strands of the molecule are in opposite directions, and thus DNA is described as an 'anti-parallel' structure.
The purine bases (composed of fused five- and six-membered rings), adenine (A) and guanine (G), are found in both RNA and DNA, as is the pyrimidine (a single six-membered ring) cytosine (C). The other pyrimidines are each restricted to one type of nucleic acid: uracil (U) occurs exclusively in RNA, whilst thymine (T) is limited to DNA. Thus it is possible to distinguish between RNA and DNA on the basis of the presence of ribose and uracil in RNA, and deoxyribose and thymine in DNA. However, it is the sequence of bases along the structure, which distinguishes one DNA (or RNA) from another.
1.2.2 Secondary Structure of Nucleic Acids
The two polynucleotide chains in DNA are usually found in the shape of a right-handed double helix, in which the bases of the two strands lie in the centre of the molecule, with the sugar–phosphate backbones on the outside.A crucial feature of this double-stranded structure is that it depends on the sequence of bases in one strand being complementary to those in the other strand. A purine base attached to a sugar residue on one strand is always hydrogen bonded to a pyrimidine base attached to a sugar residue on the other strand. Moreover, adenine (A) always pairs with thymine (T) or uracil (U) in RNA, via two hydrogen bonds, and guanine (G) always pairs with cytosine (C) by three hydrogen bonds (Figure 1.2). When these conditions are met a stable double-helical structure results in which the backbones of the two strands are, on average, a constant distance apart. Thus, if the sequence of one strand is known, that of the other strand can be deduced. The strands are designated as plus (+) and minus (-) and an RNA molecule complementary to the minus (-) strand is synthesised during transcription. The base sequence may cause significant local...
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