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Running ELISA, Western blots and RT-qPCR with the Case It molecular biology simulation — Transcript

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  1. 0:00This tutorial has been updated to
  2. 0:02reflect modern methods for HIV
  3. 0:04detection. Beginning with a
  4. 0:06demonstration of the ELISA capabilities
  5. 0:08of case version 705.
  6. 0:12The first thing we need to do is to
  7. 0:14click on the protein button on the
  8. 0:15silver button bar which is located on
  9. 0:17the left
  10. 0:21and then here is the open dialogue box.
  11. 0:25Locate the cases folder. Then double
  12. 0:27click on it.
  13. 0:29locate the infectious disease folder and
  14. 0:32we will use HIV as an example and then
  15. 0:36the example I would like to use is
  16. 0:38located in the US folder. So I'll double
  17. 0:40click on that and ANA is the case that
  18. 0:43I'm interested in right now for
  19. 0:45demonstration purposes.
  20. 0:48Inside the Anna folder are three folders
  21. 0:50and the one of interest right now is the
  22. 0:52one that includes sequences for the
  23. 0:54ELISA and Western. And since I had
  24. 0:56originally clicked on the protein
  25. 0:58button, that's what I want to select. I
  26. 1:00could either click that and click open
  27. 1:01or I could doubleclick. But in this
  28. 1:03case, I'll just click open. And you'll
  29. 1:06notice that that protein file is now
  30. 1:08open. It appears in the open and process
  31. 1:11window.
  32. 1:12It contains characters in six separate
  33. 1:15sequences. And we can see those
  34. 1:17sequences if you clicked the sequence
  35. 1:19button. You don't actually have to do
  36. 1:21this to run the ELISA, but just for
  37. 1:23demonstration purposes. Here are the HIV
  38. 1:26protein sequences
  39. 1:29that we will be working with.
  40. 1:33The next thing we need to do to run an
  41. 1:35ELISA is to open up the patient samples
  42. 1:39that may or may not contain antibodies
  43. 1:41to HIV. So I will click on the antibbody
  44. 1:44button on the silver button bar
  45. 1:48and then whatever one happens to be at
  46. 1:51the top in this case it's trimester 1. I
  47. 1:54will click on that to highlight it. I'll
  48. 1:56move down to the one just above the
  49. 1:58protein. In this case you just want to
  50. 2:00select all those antibbody sequences and
  51. 2:02click open.
  52. 2:04And they will appear in the open and
  53. 2:06process window.
  54. 2:08So now what you should do is click on
  55. 2:11the protein to make sure that that is
  56. 2:14activated and that's what will line the
  57. 2:16wells of the ELISA. As an aside, if this
  58. 2:19was a fourth generation ELISA, the wells
  59. 2:22would also be coded with antibodies to
  60. 2:24the P24 HIV capsid protein, making it
  61. 2:28considerably more accurate than earlier
  62. 2:30generations of ELISA.
  63. 2:34Then you select the first antibbody
  64. 2:36sample, whatever it happens to be. In
  65. 2:38this case, it's Anna trimester 1. Hold
  66. 2:41down the shift key and select the last
  67. 2:43antibbody sample. Highlight all of those
  68. 2:47and then use the quick load and run
  69. 2:49button and go down to elysa and option
  70. 2:52one load the same protein and different
  71. 2:54antibodies. There are other cases that
  72. 2:56might where option two would be
  73. 2:58appropriate, but in this case, option
  74. 3:00one is appropriate. So that's what I
  75. 3:02will select.
  76. 3:04This is a quick load procedure, so it
  77. 3:06automatically loads the ELISA plate, but
  78. 3:08there's a way of doing this step-wise as
  79. 3:10well that I'm not going to demonstrate
  80. 3:12in this tutorial. So, now that it's
  81. 3:14loaded, all we have to do is click the
  82. 3:16run button here to run the ELISA.
  83. 3:21And you'll notice that the wells were
  84. 3:24automatically labeled when you use this
  85. 3:26procedure. And to make this a little
  86. 3:28more realistic, you normally would read
  87. 3:29an ELISA plane on a light box.
  88. 3:34Go to the options button.
  89. 3:36Click that.
  90. 3:39Select ELISA. And what we will use in
  91. 3:41this particular case are absorbance
  92. 3:43values, optical density. So I will
  93. 3:46select that. And you'll notice that now
  94. 3:48these optical density values have
  95. 3:50appeared. I'm not going to try to
  96. 3:52interpret this right now, but I would
  97. 3:54say that for something to be considered
  98. 3:57positive, it should be at least twice
  99. 3:58the negative control. And here you can
  100. 4:00see the the one that's not very clearcut
  101. 4:02is the boyfriend. It's fairly faint and
  102. 4:05it's just about twice the negative
  103. 4:07control. So we're a little unsure of
  104. 4:09that. And remember the ELISA is just the
  105. 4:11first test you would do if somebody came
  106. 4:13in to be tested for the presence of HIV.
  107. 4:21What we really need to do if we're
  108. 4:23unsure of our results here is to run a
  109. 4:25more definitive test which is the
  110. 4:27western blot.
  111. 4:39And now I can very quickly run a western
  112. 4:42blot. Again I will demonstrate the
  113. 4:43autoload features.
  114. 4:46Go ahead and recclick on protein. You
  115. 4:48always want to redo this clicking before
  116. 4:50each procedure. So click on the protein
  117. 4:53to activate it.
  118. 4:55do a shiftclick to include all of those
  119. 4:58antibbody samples
  120. 5:00and then go to quick load and run
  121. 5:03and down to western blot and just like
  122. 5:06for the antibbody we want to load the
  123. 5:07same protein and different antibodies.
  124. 5:11So I will select that it will
  125. 5:13automatically load the wells and now I
  126. 5:17could go to the click load and run
  127. 5:20button down to western blot and I can go
  128. 5:23ahead and run it after loading the
  129. 5:24samples. Now I could have just selected
  130. 5:26this option to do it all in one step but
  131. 5:29I didn't. I selected this option and
  132. 5:31this option. So now we have to actually
  133. 5:32run the western blot. So I will select
  134. 5:34that.
  135. 5:36Unlike the eliza the blot is not
  136. 5:39automatically labeled. So I can quickly
  137. 5:42do that by highlighting
  138. 5:46one antibbody trimester
  139. 5:51copy into the gel label. Two antibbody
  140. 5:54trimester 2 copy
  141. 5:58three antibbody baby
  142. 6:01four antibbody boyfriend
  143. 6:07five the negative control.
  144. 6:16Click to the left of the two and space
  145. 6:18that. Click to the left of the three and
  146. 6:21space that.
  147. 6:23Click to the left of the four. Hit the
  148. 6:25enter key. Click to the left of the five
  149. 6:27and then space that over. And then do
  150. 6:29the same thing for six.
  151. 6:32The elysa plate has been lined up with
  152. 6:35the western blot. So we can compare the
  153. 6:37results.
  154. 6:39Keep in mind this is a historical
  155. 6:41example from a number of years ago when
  156. 6:43western blotss were considered the gold
  157. 6:45standard for HIV detection. That's no
  158. 6:49longer the case. There are other
  159. 6:51procedures used, one of which will be
  160. 6:54demonstrated later.
  161. 6:57Just use your imagination, put yourself
  162. 6:59back in time, and this is the way things
  163. 7:01would have been interpreted a number of
  164. 7:03years ago, especially towards the
  165. 7:05beginning of the AIDS epidemic.
  166. 7:08And it does show the value of western
  167. 7:10blotss which is still a very commonly
  168. 7:13used research technique for other
  169. 7:14purposes.
  170. 7:16Anna in trimester one in this example
  171. 7:20had a relatively low OD value indicating
  172. 7:23that she was negative for HIV during
  173. 7:26trimester 1. And you can verify that
  174. 7:29looking at the western blot. There's no
  175. 7:31antigen antibbody reactions here. No
  176. 7:34bands are showing in lane one. In
  177. 7:37trimester two though, she had a higher
  178. 7:40OD value with a strong positive result
  179. 7:43for the ELISA. All six bands were
  180. 7:46showing for the western. And the
  181. 7:49criteria back then was that bands two,
  182. 7:52four, and six were showing that was
  183. 7:55considered definitive. So back then she
  184. 7:57would have definitely been considered
  185. 7:59definitive for HIV. Her baby had a
  186. 8:03strongly positive elysa,
  187. 8:06but notice only two of the six bands are
  188. 8:08showing in lane three of the western
  189. 8:11blot and it doesn't match the CDC's
  190. 8:15criteria back then. So the baby would
  191. 8:16have been considered indeterminant and
  192. 8:19additional testing would have been done
  193. 8:22for lane four for the western. All six
  194. 8:26bands are showing. And that's
  195. 8:27interesting because that's the
  196. 8:28boyfriend's
  197. 8:30result. And if you look at the ELISA,
  198. 8:33notice an OD of 222. Compare that to the
  199. 8:37negative control of 1.02.
  200. 8:40So that's just a little bit over twice
  201. 8:42the negative control. So that's right on
  202. 8:44the borderline for the ELISA. But for
  203. 8:47the western blot, which was considered
  204. 8:49definitive, that indicates that he
  205. 8:51definitely had an HIV infection. And
  206. 8:55then for lane five of the western is
  207. 8:58negative, which you would expect because
  208. 9:00that's the negative control. Lane six is
  209. 9:03positive, which you would also expect
  210. 9:05because that's the positive control.
  211. 9:10And now we're going to come back to the
  212. 9:12present and look at one of the
  213. 9:13techniques that's used for a more
  214. 9:16precise HIV diagnosis. That technique is
  215. 9:19abbreviated RT qPCR. And in this
  216. 9:23technique, viral RNA from a patient's
  217. 9:25blood sample is reverse transcribed into
  218. 9:29cDNA and is put into a specialized
  219. 9:32thermosycler so that the resulting cDNA
  220. 9:35can be quantified. So we'll use the DNA
  221. 9:39button
  222. 9:42to open samples. Go to the cases folder,
  223. 9:45the infectious disease cases,
  224. 9:48HIV US ANA. And now we'll go to the
  225. 9:53viral load folder. And we will be
  226. 9:56opening three DNA files. These would
  227. 10:00actually be cDNA that had been reverse
  228. 10:04transcribed from viral RNA. So these are
  229. 10:07the three samples. So that first step is
  230. 10:10not shown. We're just starting with the
  231. 10:11DNA itself for this example.
  232. 10:16Since it's PCR,
  233. 10:18we need to open a primer
  234. 10:24and then simply shiftclick the three
  235. 10:27Anna samples from 1 month, 3 months, and
  236. 10:306 months because we're trying to follow
  237. 10:32her viral load over time, assuming she's
  238. 10:35under treatment. Go to the quick load
  239. 10:37run button down to 96 well PCR. This is
  240. 10:41really 96 well qPCR.
  241. 10:44Load the primer and the DNA samples
  242. 10:48and then click the run button.
  243. 10:52Now, you really wouldn't be seeing this
  244. 10:54result inside the machine, but this
  245. 10:56would indicate a certain point in time
  246. 11:00on the thermosycler
  247. 11:02showing that in
  248. 11:05one month's time, Anna had a fairly
  249. 11:07substantial viral load apparently from
  250. 11:10this positive result and then it seems
  251. 11:12to fade over time. To see what the
  252. 11:15actual numbers are, go to the options
  253. 11:17button down to 96 well PCR and viral
  254. 11:21load.
  255. 11:25The results indicate that her therapy is
  256. 11:28quite effective because the numbers go
  257. 11:31from 55,000 units to 5,000 down to 150.
  258. 11:38We're going to demonstrate a more
  259. 11:40realistic depiction of the qPCR process
  260. 11:43using that feature of Case. The data
  261. 11:46that we we will be using is accessed via
  262. 11:50the qPCR button on the silver button
  263. 11:52bar. Open file containing qPCR
  264. 11:55fluoresence chart data
  265. 12:00and the data is called qPCR honeybee.
  266. 12:04That's because this data came from an
  267. 12:06actual research project at the
  268. 12:08University of Wisconsin River Falls.
  269. 12:10It's very difficult to get a hold of
  270. 12:12fluorescent data for HIV patients. So we
  271. 12:15will use this as a surrogate data set
  272. 12:18and we'll only be using part of the data
  273. 12:20set.
  274. 12:22So I click the open button to open the
  275. 12:24data. We don't need these windows open.
  276. 12:28And I'm going to move the chart up so
  277. 12:29that it's visible on your screen. Next,
  278. 12:32click the load button right here.
  279. 12:37And that will load all 96 of the wells.
  280. 12:41Go back to the qPCR button and select
  281. 12:43run qPCR for orange wells only.
  282. 12:52So this is what the qPCR software would
  283. 12:55generate for an actual machine. You end
  284. 12:58up with these curves that start out
  285. 13:01growing very slowly, then grow
  286. 13:03exponentially and then level off like a
  287. 13:05logistic growth curve.
  288. 13:08That's because with each step of the
  289. 13:11thermosycler, the DNA is being
  290. 13:13amplified. It's a series of heating and
  291. 13:15coolings. So not until 20 or 22 does it
  292. 13:19do you get enough DNA where starts
  293. 13:22growing exponentially and then it will
  294. 13:24level off.
  295. 13:27Where each one of these curves
  296. 13:29intersects this green line which is
  297. 13:31called the threshold.
  298. 13:33That number here is the CT value. And if
  299. 13:38I'm going to just move my cursor over
  300. 13:41some of these,
  301. 13:44but so well C6, for example, has a CT
  302. 13:47value of 24.47. In other words, about 24
  303. 13:511.5 cycles until there was enough cDNA
  304. 13:54in that sample to hit that threshold. So
  305. 13:58that's well C6 24.47.
  306. 14:02If we look at well C6
  307. 14:05right here 24.47.
  308. 14:09So that's where those numbers come from.
  309. 14:11It's called the CT value.
  310. 14:13And the lower the CT value, the more
  311. 14:16cDNA there was in that sample. That
  312. 14:19means that it will start that
  313. 14:20exponential growth phase earlier because
  314. 14:22there was more cDNA to start with. The
  315. 14:26bigger the CT value, the less cDNA there
  316. 14:29was in the original sample.
  317. 14:34We'll now use the honeybee data set as a
  318. 14:36surrogate data set for HIV samples.
  319. 14:40Assume for the sake of argument that
  320. 14:43well C6 is one of Anna's samples from
  321. 14:48the HIV case. And let's further assume
  322. 14:51that was one of the samples that was
  323. 14:53done at 3 months.
  324. 14:57See what would happen if we just ran
  325. 14:59qPCR for that one sample. We'll go to
  326. 15:01the button run qPCR for purple wells
  327. 15:05only and it gives a value of 24.47 as we
  328. 15:09showed before but now you can see this
  329. 15:12single curve and you can see where it
  330. 15:14crosses the threshold. If you hold your
  331. 15:17cursor it says 24.53 that's because it
  332. 15:20depends on which pixel that cursor hits
  333. 15:24but the actual value is 24.47. So this
  334. 15:27value will be close to that value.
  335. 15:30Normally these are run in triplicate. So
  336. 15:32we will select two more wells
  337. 15:36back to the qPCR button and run that for
  338. 15:39purple wells only. And now you can see
  339. 15:42that they are pretty tightly clustered
  340. 15:45together. So we will use that average
  341. 15:47value a little bit later of those three
  342. 15:50CT values.
  343. 15:53So again that was Anna's samples at 3
  344. 15:56months. Let's do three samples at one
  345. 16:01month. And for that, I'm going to select
  346. 16:04E4, E5, and E6. As you can see over
  347. 16:08here,
  348. 16:11let's go ahead and run that for purple
  349. 16:13wells only.
  350. 16:18These are more to the left indicating
  351. 16:21that there must have been more viral DNA
  352. 16:23in our samples at that point in time
  353. 16:25because it crossed the threshold earlier
  354. 16:28than the sample at 3 months. So these
  355. 16:31again would be the three triplicates
  356. 16:32from 1 month with a value somewhere
  357. 16:35around 22.6 or so. These are the three
  358. 16:39actual values. We'll average those and
  359. 16:41use those average values later when we
  360. 16:44look at a standard curve.
  361. 16:46And finally, we need to do her samples
  362. 16:48at six months. So, we'll select
  363. 16:53B7, B8, and B9.
  364. 16:57Go to the qPCR button and say purple
  365. 17:00wells only.
  366. 17:03And now we have all three sets of data.
  367. 17:06Notice these are not as tightly
  368. 17:08clustered together, but all three of
  369. 17:10them are more to the right of this one
  370. 17:13and this one, indicating that there was
  371. 17:15less viral RNA in her sample at 6
  372. 17:18months. To determine viral load from
  373. 17:21this data, we need to generate a
  374. 17:23standard curve. First thing I will do is
  375. 17:27go to the clear menu and say clear
  376. 17:30everything. Bring this one up.
  377. 17:34Select the qPCR button. Open file
  378. 17:39and this time select the standard curve
  379. 17:42data set.
  380. 17:45Click the load button.
  381. 17:48Run qPCR for orange wells only.
  382. 17:54This standard curve was run with
  383. 17:56duplicates.
  384. 17:58So you'll notice that they are
  385. 18:00consistent with one exception and it's
  386. 18:04this one right here.
  387. 18:06So these are very close
  388. 18:10as are these.
  389. 18:12This looks like an outlier
  390. 18:15and notice it is well D2.
  391. 18:23Looking at the amplification plot here,
  392. 18:30this is the line for well D1 and D2 is
  393. 18:32way over here. So that's clearly an
  394. 18:35outlier. Something was wrong with the
  395. 18:37experimental procedure. If you look at
  396. 18:39the standard curve, which is going to
  397. 18:41plot the [snorts] initial quantity
  398. 18:44copies versus the CT,
  399. 18:48you can see that this is clearly an
  400. 18:50outlier. to be very careful about
  401. 18:53outliers because sometimes they can be
  402. 18:54the most important data point in a set.
  403. 18:58But in this case, it's clearly something
  404. 19:00on this with the experimental procedure.
  405. 19:02So, we're going to rerun that for all of
  406. 19:04the wells except for well D2, which is
  407. 19:07the outlier.
  408. 19:09To do that, first I need to go back to
  409. 19:11the amplification plot.
  410. 19:14and before I got to the standard curve
  411. 19:15by clicking this button.
  412. 19:18But we need to be on the amplification
  413. 19:20plot. And I'm going to go to well D2 and
  414. 19:24select it to turn it purple. And then
  415. 19:29run QPCR for orange wells only.
  416. 19:34And you'll notice the outlier is no
  417. 19:36longer there.
  418. 19:39Going back to the standard curve,
  419. 19:43you can see that that data point is
  420. 19:44missing. And now what we want to do is
  421. 19:48plug in the average CT values that we
  422. 19:51generated before. The average of those
  423. 19:53three values for 1 month, 3 months, and
  424. 19:566 months into this box. To do this,
  425. 19:59we're going to need to magnify the chart
  426. 20:01because if you leave it at this size,
  427. 20:03some of these numbers are going to be
  428. 20:04cut off. So, I'm going to hit click this
  429. 20:08magnifying button.
  430. 20:11Bring this up.
  431. 20:13So, the number I'm going to put in here
  432. 20:15for Anna at 1 month using again the
  433. 20:20honeybee data as a surrogate for Anna's
  434. 20:22data, the average value of the CT for
  435. 20:26E4, E5, and E6 for those three wells was
  436. 20:3022.64.
  437. 20:32So, I'm going to type that in.
  438. 20:39And you can see the result the number of
  439. 20:42copies 1.745e
  440. 20:46plus 03. That's scientific notation and
  441. 20:49it means that the decimal point should
  442. 20:51be moved three places to the right. So
  443. 20:54that would be 1745 copies. 3 months the
  444. 20:58average of the CT values for cells C4,
  445. 21:01C5 and C6. I calculated that is 24.43
  446. 21:10giving interpolated copies of 5.149E
  447. 21:14plus 02. So move the decimal point 2
  448. 21:17units to the right that'd be 514 or if
  449. 21:21you round up 515.
  450. 21:23And then finally for on it 6 months if
  451. 21:27you recall that was cells B7, B8 and B9.
  452. 21:30The average for that I calculated is
  453. 21:3225.68.
  454. 21:40Moving that two units to the right
  455. 21:42that's 219.
  456. 21:45So at one month there were 1745
  457. 21:49copies. At 3 months 515
  458. 21:52and at 6 months 219.
  459. 21:55So the viral load is decreasing over
  460. 21:57time. Even though those are
  461. 21:59unrealistically low values for a real
  462. 22:01HIV infection, this example does show
  463. 22:04how qPCR can be used to determine viral
  464. 22:07load.

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