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CE U P D A T E — M O L E C U L A R B I O L O G Y I I James Wisecarver, MD, PhD Techniques Used To Test Native DNA The first article of this series described the key structural features of DNA and how it is extracted from cells for study. After a DNA sequence has been extracted from cells and purified, the genetic information contained within the sequence can be examined through a variety of techniques. This article discusses the techniques commonly used to test native high-molecular-weight DNA obtained from cells and tissues, including Southern blot, dot blot, and in situ hybridization. Southern Blot The technique known as Southern blot analysis is used widely for analyzing the size of certain DNA fragments. The sequence of interest is prepared by digesting intact DNA collected from a patient's cells with a restriction endonuclease enzyme. Following complete digestion, a collection of double-stranded DNA fragments remains, ranging in size from a few hundred to several thousand base pairs. These double-stranded fragments can be separated by size using a technique known as agarose gel electrophoresis. This technique involves placing the fragmented DNA into wells in a slab of agarose gel and submersing the gel in a buffer chamber in the electrophoresis apparatus. Electric voltage is applied, causing the negatively charged nucleic acid fragments to migrate toward the positively charged region, or anode, of the gel apparatus. The gel matrix acts as a sieve, allowing the smaller fragments to move through the gel matrix easily while the progressively larger fragments have more difficulty migrating through the gel. These DNA fragments are invisible to the naked eye but can be visualized if the gel is stained with a dye such as ethidium bromide, which binds to the DNA. After staining, the gel can be placed on an ultraviolet light source. Orange fluorescence indicates the presence of the DNA within the lanes of the gel. ABSTRACT Several techniques commonly are used to test native high-molecular-weight DNA obtained from cells and tissues, including the Southern blot, dot and slot blot procedures, and in situ hybridization of tissue sections with oligonucleotide probes. These techniques work well when there is an adequate amount of fresh tissue or cells available to provide a source for the intact DNA. These techniques involve separating, or denaturing, the double-stranded DNA into individual strands, and then applying a marked nucleotide probe and allowing it to hybridize to a complementary DNA sequence that may be present. These techniques are used to determine whether a particular DNA sequence is present. This is the second article in a three-part series on DNA. Other articles discuss the structural properties of DNA, how it is extracted from cells for study, some of the basic tools used to gain useful clinical information, and DNA amplification techniques. On completion of this series, readers will be able to describe the composition of DNA, how the C 0 '£ II o 'E 3 fragments are prepared by enzyme digestion, separated using gel electrophoresis, and £ £ o then isolated for further study. 0 strands are arranged, how to extract DNA from tissues prior to testing, and how DNA After the DNA fragments have been separated, the double-stranded fragments are denatured into single strands by soaking the gel in sodium hydroxide followed by neutralization. These DNA pieces then are transferred onto a piece of electrostatically charged paper or filter membrane. In the original description of this technique, the slab of gel was placed in a tray of buffer, and the filter material was placed on top of the agarose gel. Absorbent paper toweling was placed on top of the filter material allowing the buffer to work upward through the gel and the filter membrane into the absorbent toweling (Fig 1). The migration of buffer also transfers the DNA fragments from the gel onto the membrane surface. Most laboratories use vacuum- or air pressure-blotting devices that greatly shorten the time necessary to transfer the DNA onto the membrane. The single-stranded DNA fragments that have been FEBRUARY 1997 VOLUME 28, NUMBER 2 From the Department of Pathology and Microbiology, University of Nebraska Medical Center, Omaha. © c 0 ti Reprint requests to Dr Wisecarver, Department of Pathology and Microbiology, University of Nebraska Medical Center, 600 S 42nd St, Omaha, NE 68198-3135. LABORATORY MEDICINE 121 ( Test Your Knowledge Look for the CE Update exam on Molecular Biology (702) in the March issue of Laboratory Medicine. Participants will earn 3 CMLE credit hours. Fig 1. In the Southern blot procedure, DNA fragments that have been prepared by cutting native DNA w i t h a restriction enzyme are separated in agarose gel through electrophoresis. The fragments are transferred onto a nylon membrane by placing the gel in a buffer bath and placing the membrane on top of the gel. Paper toweling is placed on top of the membrane, drawing the buffer upward f r o m the sponge located in the pan, through the gel and membrane, and into the toweling. As this occurs, the DNA fragments leave the gel and are deposited on the membrane surface, producing a " b l o t . " After this transfer is complete, the fragments are immobilized on the membrane surface, and a labeled probe is added to localize the DNA fragments containing the sequence of interest. 122 transferred are immobilized permanently onto the membrane surface by brief exposure to ultraviolet light. The next step is to determine the location and size of the particular DNA sequence of interest. An oligonucleotide probe with a base sequence that is complementary to the sequence of interest is prepared containing a label to permit detection. One simple technique for labeling probes is to incorporate radioactive nucleotides as the probe is assembled. The location of the radioactive probe can be detected by exposing the membrane to xray film. More recently, nonisotopic techniques have been developed to label probes with enzymes such as alkaline phosphatase. A suitable enzyme substrate can be used to detect the presence and location of the bound probe. The membrane blot is placed in a salt solution containing the labeled probe at a temperature that will permit the probe to hybridize, or bind, to its complementary DNA fragment bound to the membrane. During the incubation period, which often is several hours, the probe eventually will find the complementary base pair sequence on the membrane and bind to this target DNA. Following hybridization, the solution containing the labeled probe is removed, and the membrane is washed several times with a salt-buffer solution to remove any unbound probe from its surface. By adjusting the salt concentration and the temperature, one can carefully remove the nonspecifically bound probe, being careful not to disrupt the bonds between the probe and the intended target sequence. This careful consideration of the ionic strength and temperature used during the wash steps often is referred to as the "stringency" of the procedure. If the temperature is too low or the ionic strength is too high, the probe might stick to the membrane in a nonspecific fashion. If the temperature is too high, the probe might separate from the intended target sequence. The appropriate conditions for each procedure must be determined. When using a commercially prepared kit, care should be taken during probing and washing steps to adhere to the times and temperatures outlined in the instructions to obtain accurate results. Following these wash steps, the membrane should be exposed to x-ray film for a period of hours to days, depending on the strength of the signal emitted from the probe. If radioactive probes are used, no further steps are needed. When using enzyme-labeled probes such as alkaline phosphatase, however, a substrate must be added to the membrane surface before exposure to the film. This substrate, when cleaved by the alkaline phosphatase enzyme, emits photons of light. These light photons act similarly to the particles released from decay of a radioactively labeled probe and alter the silver present in the x-ray film. Development of the x-ray film following exposure to the membrane surface yields an image that will disclose the location of the DNA fragments containing the sequence of interest (Fig 2). To determine the size of this fragment, a size marker is placed in the gel and is transferred to the membrane. By comparing the size of fragments detected by the probe with the size marker, it is possible to estimate the number of bases present in the fragment to which the probe hybridized. Most laboratories use a 1-kilobase DNA ladder in which the sizing bands are approximately 1,000 bases apart. Northern and Western Blots The Southern blot was named for its inventor, Dr Edwin Southern. Other investigators began to use this technique to separate and identify RNA fragments and proteins. Investigators using this technique to isolate messenger RNA (mRNA) dubbed it northern blotting, as opposed to Southern blotting, which examines DNA fragments. Not to be outdone, protein chemists used the term western The Southern Blot Procedure blotting to describe a technique in which proteins are separated electroBuffer wicks up through membrane into paper toweling phoretically, transferred Paper towels Filter membrane to membranes, and idenA ^4, tified through the use of labeled antibodies specific for the protein of interest. Northern blot analysis of mRNA is more technically Gel containing Buffer in tray Sponge soaked in demanding than similar separated DNA buffer supporting gel analyses of DNA. RNA is fragments LABORATORY MEDICINE VOLUME 28. NUMBER 2 FEBRUARY 1997 degraded easily, because numerous ribonuclease enzymes present in mammalian cells quickly break down these molecules. Investigators performing such studies must be careful to treat all reagents with a substance such as diethylpyrocarbonate (DEP-C), which inactivates these ribonucleases so that the RNA sequence they are trying to detect is not degraded. The Southern, northern, and western blot procedures are similar in that large macromolecules are separated on a membrane, followed by detection of a particular sequence of interest or protein molecule using an oligonucleotide probe or antibody marker system, respectively. Dot/Slot Blot Methods Autoradiograph From Southern Blot X-ray f i l m __ Dark bands indicate sites w h e r e the labeled probe hybridized to the DNA fragment being sought. The size of the DNA fragments can be estimated by comparing them w i t h the DNA marker ladder that w a s run on t h e same gel. In Situ Hybridization The previous sections describe techniques in which DNA, removed from cells and tissues, is separated and placed on artificial substrates and then probed for sequences of interest. In some cases, it is preferable to apply these labeled probes directly to cells and tissues to localize the source of the signal. This technique is known as in situ hybridization. Using this method, the DNA within the native tissues is denatured by heating, followed by application of a labeled probe that binds to the complementary sequence of interest (Fig 4). Following several wash steps, a detection method is used to localize the signal that indicates areas in which the probe has bound to the tissues. In cases in which radioactive probes are used, the tissue sections on microscope slides are dipped in a silver emulsion similar to an x-ray film. These slides are kept in the dark for a period of time (from days to several weeks), after which the emulsion is developed in a fashion similar to developing film. If you wish to determine whether a particular nucleotide sequence is present in a patient's sample, shortcuts are available. In this analysis, enzyme digestion and subsequent electrophoretic separation need not be performed. Instead, the DNA sample is rendered single-stranded by alkaline denaturation or heat, spotted onto a nylon membrane, and then probed using an oligonucleotide probe that was labeled in the same way as in the Southern blot technique. This procedure is known as a "dot blot." For example, a probe specific for a particular mutation (eg, sickle cell anemia), can be used to test DNA from the patient's cells to determine whether the mutation is present (Fig 3). In this example, the probe is designed to detect the thymine substitution for adenine, which results in the incorporation of valine at position 6 in the (3 hemoglobin chain. The hybridization stringency conditions are adjusted so that the probe will bind if thymine is present, but will not bind if adenine is present. This approach The Dot Blot Technique can detect individuals who have this mutation owing to the presence of a Patient DNA is spotted and linked to membrane substrate. OOOOO' positive signal when the blots are ooooo Labeled probe is OOOOO exposed to film. In many cases, hetadded to membrane ooooo and allowed to ooooo erozygotes and homozygotes can be ooooo hybridize. distinguished due to the increased signal intensity generated when two defective copies of the gene are preBlot is washed to remove excess labeled probe. sent, as in persons with sickle cell Blot is exposed to x-ray OOOOO film. Dark, exposed areas o»ooo disease (homozygotes). correspond to samples where ooooo probe has become bound, o ooto ooooo indicating that the target ooooo sequence is present. FEBRUARY 1997 VOLUME 28, NUMBER 2 Fig 2. An autoradiograph is prepared by exposing x-ray film to a membrane blot that has been hybridized with a labeled probe. The visible bands on the film correspond to the location where the labeled probe has become bound (hybridized) to the membrane. The traditional approach has been to incorporate radioactive nucleotides into the probes. Recently, nonradioactive labels have been developed that use enzyme-labeled probes and substrates that release photons of light when the enzyme acts on it. These light photons or products of radioactive decay produce dark bands on the film after it is developed. in c 0 n u e 3 £ £ o o i Fig 3. The dot blot technique involves spotting DNA onto a membrane substrate and then using a labeled complementary nucleic acid probe to determine whether a specific sequence is present in the specimen. LABORATORY MEDICINE 123 Speaking the Language of DNA This guide can help you better understand the techniques commonly used to test native high-molecular-weight DNA. Electrophoresis—A method for separating macromolecules on the basis of size and net electrical charge. Dot blot—A technique to determine whether a particular nucleotide sequence is present in a patient's sample. A DNA sample is rendered single-stranded by alkaline denaturation or heat, spotted onto a nylon membrane, and then probed using an oligonucleotide probe. Heterozygous—Possessing different copies of a gene from each parent. Homozygous—Possessing identical copies of a gene from each parent. Hybridization—Binding of two complementary base sequences. In situ hybridization—A technique in which DNA within the native tissues is denatured by heating, followed by application of a labeled probe that binds to the complementary sequence of interest. Oligonucleotide probe—A string of nucleotides used to detect the presence of a complementary nucleic acid sequence. Slot blot—The same procedure as dot blot (see above); the difference is the shape of the template used to spot the DNA onto the membrane. Southern blot—A technique to separate, identify, and determine the size of DNA fragments. Western blot—A technique in which proteins are separated electrophoretically, transferred to membranes, and identified through the use of labeled antibodies specific for the protein of interest. Alternatively, these probes can be labeled with an enzyme similar to those used for blotting techniques. Following probe hybridization, the enzyme substrate is placed on the slide, and a color reaction develops at the site of probe localization. This process is similar to immunohistochemical detection of antigens, which is used routinely in many pathology laboratories. In situ techniques have been used for detecting viral nucleic acid sequences (eg, human papilloFig 4. In the technique known as in situ hybridization, tissue sections are mounted on slides, and the DNA in the section is denatured by heating. A labeled probe is hybridized onto the section. The presence of the bound probe can be detected by exposing the slides to a film emulsion or by adding the appropriate substrate if an enzyme-labeled probe is used. 124 In some cases, a fluorescent marker is attached to the probe. These probes then are used in a technique known as fluorescence in situ hybridization (FISH) to detect sequences on individual chromosomes. Such techniques are useful for detecting extra copies of a chromosome within cells (eg, trisomy 21 in Down syndrome). Conclusion DNA fragments that have been prepared by cutting DNA using bacterial restriction enzymes can be transferred onto a solid supporting membrane using Southern blotting. After the fragments have been transferred to the membrane, a labeled nucleic acid probe, having a sequence complementary to the target sequence, is used to pinpoint the location of the target sequence on the membrane blot. Slot or dot blot techniques can be used to detect the presence or absence of a target sequence within a mixture of unseparated DNA pieces, without having to follow the steps of electrophoretic separation. In situ hybridization is used to identify a target nucleic acid sequence within tissue sections. This process is similar to immunohistochemistry techniques used in many laboratories. The difference is that in situ hybridization incorporates a DNA denaturation step to separate the cellular DNA into individual strands. A labeled nucleic acid probe then is used to detect the presence of the target nucleic acid strand. In situ hybridization is particularly useful for detecting viral nucleic acids within tissues.® Selected Readings Darnell J, Lodish H, Baltimore D. Molecular Cell Biology. New York, NY: Scientific American Books; 1990. Kirby LT. DNA Fingerprinting: An Introduction. New York, NY: Stockton Press; 1990. Lewin B. The extraordinary power of DNA technology. In: Lewin B, ed. Genes V. Oxford, England: University Press; mavirus) within infected cells. 1994:633-656. Piper MA, Unger ER. Nucleic Acid Probes: A Primer for Pathologists. Chicago, 111: In Situ Hybridization ASCP Press; 1989. Ross DW. Tools of recombinant DNA technology. In: Labeled probe hybridized Ross DW, ed. Introduction to to tissue Molecular Medicine. New Tissue section York, NY: Springer-Verlag; 1992:29-52. LABORATORY MEDICINE Microscope slide VOLUME 28, NUMBER 2 FEBRUARY 1997