This video demonstrates the multiplex droplet polymerase chain reaction technique for the simultaneous quantification of methylated DNA regions in different white blood cell populations as an early biomarker for clinical diagnosis and prognosis.
Protocol
1. Droplet generation and PCR
NOTE:Table 1 outlines information on the forward and reverse primers along with the double-quenched hydrolysis probes for C-LESS, CD3Z, and Foxp3 genes, which are required for the multiplex amplification of demethylated gene targets.
Prepare the master mix as described in Table 2.
Thaw all components of the master mix except for the enzyme mix. Mix the master mix thoroughly by pipetting up-down, and spin down briefly.
Add the appropriate volume (1 μL) of bisulfite-converted DNA to the master mix in a PCR tube. Mix the reaction by pipetting up-down and spin down briefly.
Connect disposable fluidic tubing (I.D. 0.25 mm, O.D. 1.6 mm) to two precision glass syringes (250 μL volume) using PEEK fittings.
Prefill one precision glass syringe with 250 μL of carrier oil containing 5% fluoro-surfactant.
Prefill another precision glass syringe with 50 µL of carrier oil before loading 100 µL of the PCR mix to ensure dispensing of the entire sample volume during emulsification.
Set up a droplet microfluidic device on a stage of an upright light microscope equipped with a high-speed camera to observe and record droplet formation in real-time.
Place the prefilled syringes onto the programmable syringe pump and using PEEK union with fittings (see Table of Materials), connect the tubing of the syringes to the tubing of the respective inlet channels of the droplet microfluidic device.
Place the tubing from the outlet of the droplet generator inside a 0.5 mL PCR tube.
Adjust the flow rate of the syringe pump to 2 µL/min and allow for the droplet size to stabilize before collecting the resulting emulsion.
Collect the emulsion and transfer 75 μL to a 0.2 mL PCR tube for thermal cycling.
Ensure that the oil content in the PCR tube closely matches the volume of the dispersed phase in order to prevent the coalescence of the droplets during thermal cycling.
Place the 0.2 mL PCR tube in a thermal cycler and perform the cycling protocol as follows: preheating at 95 °C for 5 min, then 45 cycles of denaturation at 95 °C for 15 s, and annealing/extension at 60 °C for 30 s.