Fundamentals of multiplexing with digital PCR

Over the past decade numerous publications have demonstrated how digital PCR (dPCR) enables precise and sensitive quantification of nucleic acids in a wide range of applications in both healthcare and environmental analysis. This has occurred in parallel with the advances in partitioning fluidics that enable a reaction to be subdivided into an increasing number of partitions. As the majority of dPCR systems are based on detection in two discrete optical channels, most research to date has focused on quantification of one or two targets within a single reaction. Here we describe ‘higher order multiplexing’ that is the unique ability of dPCR to precisely measure more than two targets in the same reaction. Using examples, we describe the different types of duplex and multiplex reactions that can be achieved. We also describe essential experimental considerations to ensure accurate quantification of multiple targets.

[1]  Jim F Huggett,et al.  Highly reproducible absolute quantification of Mycobacterium tuberculosis complex by digital PCR. , 2015, Analytical chemistry.

[2]  C. Paweletz,et al.  Noninvasive Detection of Response and Resistance in EGFR-Mutant Lung Cancer Using Quantitative Next-Generation Genotyping of Cell-Free Plasma DNA , 2014, Clinical Cancer Research.

[3]  A. Barrett,et al.  Digital PCR analysis of maternal plasma for noninvasive detection of sickle cell anemia. , 2012, Clinical chemistry.

[4]  Jim F Huggett,et al.  Comparative study of sensitivity, linearity, and resistance to inhibition of digital and nondigital polymerase chain reaction and loop mediated isothermal amplification assays for quantification of human cytomegalovirus. , 2014, Analytical chemistry.

[5]  Kerry R Emslie,et al.  Comparison of methods for accurate quantification of DNA mass concentration with traceability to the international system of units. , 2010, Analytical chemistry.

[6]  S. Mccarroll,et al.  A Rapid Molecular Approach for Chromosomal Phasing , 2015, PloS one.

[7]  A. Barrett,et al.  The clinical implementation of non‐invasive prenatal diagnosis for single‐gene disorders: challenges and progress made , 2013, Prenatal diagnosis.

[8]  Yi Liu,et al.  Highly Sensitive Droplet Digital PCR Method for Detection of EGFR-Activating Mutations in Plasma Cell-Free DNA from Patients with Advanced Non-Small Cell Lung Cancer. , 2015, The Journal of molecular diagnostics : JMD.

[9]  David Bryder,et al.  Transcription factor profiling in individual hematopoietic progenitors by digital RT-PCR , 2006, Proceedings of the National Academy of Sciences.

[10]  Serge Saxonov,et al.  Droplet Digital™ PCR quantitation of HER2 expression in FFPE breast cancer samples. , 2013, Methods.

[11]  Benjamin J. Hindson,et al.  Evaluation of a Droplet Digital Polymerase Chain Reaction Format for DNA Copy Number Quantification , 2011, Analytical chemistry.

[12]  G. Serrano-Heras,et al.  Real-time PCR detection chemistry. , 2015, Clinica chimica acta; international journal of clinical chemistry.

[13]  Bruno Landi,et al.  Clinical Relevance of KRAS-Mutated Subclones Detected with Picodroplet Digital PCR in Advanced Colorectal Cancer Treated with Anti-EGFR Therapy , 2014, Clinical Cancer Research.

[14]  Kerry R Emslie,et al.  Effect of sustained elevated temperature prior to amplification on template copy number estimation using digital polymerase chain reaction. , 2011, The Analyst.

[15]  J. Garson,et al.  Digital PCR and Its Potential Application to Microbiology , 2016 .

[16]  Jorge S. Reis-Filho,et al.  Mutation tracking in circulating tumor DNA predicts relapse in early breast cancer , 2015, Science Translational Medicine.

[17]  Hanlee P. Ji,et al.  Correction to High Sensitivity Detection and Quantitation of DNA Copy Number and Single Nucleotide Variants with Single Color Droplet Digital PCR , 2015, Analytical chemistry.

[18]  S. Murphy,et al.  Methylation-specific PCR. , 2013, Methods in molecular biology.

[19]  Marek Figlerowicz,et al.  Copy number polymorphism in plant genomes , 2013, Theoretical and Applied Genetics.

[20]  Christopher M. Hindson,et al.  Absolute quantification by droplet digital PCR versus analog real-time PCR , 2013, Nature Methods.

[21]  Tania Nolan,et al.  The digital MIQE guidelines: Minimum Information for Publication of Quantitative Digital PCR Experiments. , 2013, Clinical chemistry.

[22]  Alan Ashworth,et al.  Noninvasive Detection of HER2 Amplification with Plasma DNA Digital PCR , 2013, Clinical Cancer Research.

[23]  R. Zárate,et al.  Quantitative Cell-Free Circulating BRAF Mutation Analysis by Use of Droplet Digital PCR in the Follow-up of Patients with Melanoma Being Treated with BRAF Inhibitors , 2014 .

[24]  Yunfeng Ling,et al.  Multiplexed target detection using DNA-binding dye chemistry in droplet digital PCR. , 2013, Analytical chemistry.

[25]  K. Gruden,et al.  Optimising droplet digital PCR analysis approaches for detection and quantification of bacteria: a case study of fire blight and potato brown rot , 2014, Analytical and Bioanalytical Chemistry.

[26]  Melanie Ziman,et al.  Detection of BRAF-V600E and V600K in melanoma circulating tumour cells by droplet digital PCR. , 2015, Clinical biochemistry.

[27]  Alexandra S. Whale,et al.  Methods for Applying Accurate Digital PCR Analysis on Low Copy DNA Samples , 2013, PloS one.

[28]  Benjamin J Hindson,et al.  Droplet digital PCR measurement of HER2 copy number alteration in formalin-fixed paraffin-embedded breast carcinoma tissue. , 2013, Clinical chemistry.

[29]  S H Neoh,et al.  Quantitation of targets for PCR by use of limiting dilution. , 1992, BioTechniques.

[30]  John Frater,et al.  Low copy target detection by Droplet Digital PCR through application of a novel open access bioinformatic pipeline, ‘definetherain’ , 2014, Journal of virological methods.

[31]  Michael Traugott,et al.  Advances in multiplex PCR: balancing primer efficiencies and improving detection success , 2012, Methods in ecology and evolution.

[32]  宁北芳,et al.  疟原虫var基因转换速率变化导致抗原变异[英]/Paul H, Robert P, Christodoulou Z, et al//Proc Natl Acad Sci U S A , 2005 .

[33]  Qun Zhong,et al.  Multiplex digital PCR: breaking the one target per color barrier of quantitative PCR. , 2011, Lab on a chip.

[34]  C. Foy,et al.  Detection of Rare Drug Resistance Mutations by Digital PCR in a Human Influenza A Virus Model System and Clinical Samples , 2015, Journal of Clinical Microbiology.

[35]  P. Walson,et al.  Digital droplet PCR for rapid quantification of donor DNA in the circulation of transplant recipients as a potential universal biomarker of graft injury. , 2013, Clinical chemistry.

[36]  E. Houpt,et al.  Digital PCR to Detect and Quantify Heteroresistance in Drug Resistant Mycobacterium tuberculosis , 2013, PloS one.

[37]  Daniel B. Martin,et al.  Circulating microRNAs as stable blood-based markers for cancer detection , 2008, Proceedings of the National Academy of Sciences.

[38]  Jim F Huggett,et al.  Considerations for digital PCR as an accurate molecular diagnostic tool. , 2015, Clinical chemistry.

[39]  Anupam Singhal,et al.  Megapixel digital PCR , 2011, Nature Methods.

[40]  J. Dubcovsky,et al.  Increased copy number at the HvFT1 locus is associated with accelerated flowering time in barley , 2013, Molecular Genetics and Genomics.

[41]  Jim F Huggett,et al.  Evaluation of digital PCR for absolute DNA quantification. , 2011, Analytical chemistry.

[42]  P. Laurent-Puig,et al.  Multiplex picodroplet digital PCR to detect KRAS mutations in circulating DNA from the plasma of colorectal cancer patients. , 2013, Clinical chemistry.

[43]  Jeff Mellen,et al.  High-Throughput Droplet Digital PCR System for Absolute Quantitation of DNA Copy Number , 2011, Analytical chemistry.

[44]  L. Foster,et al.  Initial diagnosis of chronic myelogenous leukemia based on quantification of M-BCR status using droplet digital PCR , 2016, Analytical and Bioanalytical Chemistry.

[45]  A Lievens,et al.  Measuring Digital PCR Quality: Performance Parameters and Their Optimization , 2016, PloS one.

[46]  K. Kinzler,et al.  Digital PCR. , 1999, Proceedings of the National Academy of Sciences of the United States of America.

[47]  Ramesh Ramakrishnan,et al.  Taking qPCR to a higher level: Analysis of CNV reveals the power of high throughput qPCR to enhance quantitative resolution. , 2010, Methods.

[48]  Qun Zhong,et al.  Multiplex picoliter-droplet digital PCR for quantitative assessment of DNA integrity in clinical samples. , 2013, Clinical chemistry.

[49]  C. Foy,et al.  The applicability of digital PCR for the assessment of detection limits in GMO analysis , 2010 .

[50]  Alexandra S. Whale,et al.  Comparison of microfluidic digital PCR and conventional quantitative PCR for measuring copy number variation , 2012, Nucleic acids research.

[51]  Ramesh Ramakrishnan,et al.  Mathematical Analysis of Copy Number Variation in a DNA Sample Using Digital PCR on a Nanofluidic Device , 2008, PloS one.

[52]  Stephen R Quake,et al.  Detection of aneuploidy with digital polymerase chain reaction. , 2007, Analytical chemistry.

[53]  J. Ku,et al.  Methylation-specific PCR. , 2011, Methods in molecular biology.

[54]  Mojca Milavec,et al.  Quantitative Analysis of Food and Feed Samples with Droplet Digital PCR , 2013, PloS one.

[55]  A. Bardelli,et al.  Minimal Residual Disease in Breast Cancer: In Blood Veritas , 2014, Clinical Cancer Research.

[56]  C. Foy,et al.  Evaluation of Digital PCR for Absolute RNA Quantification , 2013, PloS one.