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DNA, RNA and Protein: A Basic Science Tutorial for SLPs Rebecca Bartlett, MA, Marie Jetté, MS, Suzanne King, MS, Allison Schaser, MS, Susan Thibeault, PhD Introduction: Diane M. Bless, PhD Raise your hand if you… • • • • • • Are an SLP Are an audiologist Work clinically Have research experience Work in a laboratory Read articles which include molecular biology concepts Our Purpose Don’t be afraid! Bench Clinic Community Central Dogma of Molecular Biology: DNA RNA Protein Central Dogma of Molecular Biology • Techniques are available to measure – DNA – RNA – Protein Goal 1. Provide necessary knowledge to foster comprehension of the research literature 2. Provide necessary knowledge to understand the translation of the methodology to clinical applications Format • DNA – Marie Jette • RNA – Rebecca Bartlett • Protein – Suzanne King and Allison Schaser DNA Transcription RNA Translation Protein Let’s start with a 5 question quiz! DNA Quiz You have just landed your first job as a speech pathologist and now have the opportunity to build the house of your dreams. If this scenario described the central dogma of biology, which represents DNA? A. All of your ideas for the house B. Blueprints RNA C. Building supplies proteins DNA Which three people were awarded the Nobel Prize for the discovery of the structure of DNA: the double helix? A. B. C. D. James Watson, Francis Crick, and Rosalind Franklin James Watson, Francis Crick, and Albert Einstein James Watson, Francis Crick, and Charles Darwin James Watson, Francis Crick, and Maurice Wilkins Our individual DNA makes us unique, but it also makes us human. What percentage of our DNA do humans have in common with our closest primate cousin, the chimpanzee? A. Over 60% B. Over 89% C. Over 98% Where would you expect to find genetic information describing the characteristics of a Dodo? A. In virtually every cell in its body. B. In the ribosomes. C. In the primary spermatocytes. D. In its feathers. True or False: DNA is a chromosomal blueprint that does not change throughout a lifespan. A. True B. False Deoxyribonucleic Acid (DNA) DNA Every cell in the body contains a complete copy of DNA (except red blood cells) Chromosome? Gene? DNA? How are genes named? • HUGO Gene Nomenclature Committee (HGNC) has assigned unique gene symbols and names to more than 32,000 human genes • Genes that make you go “hmmmm…” – lunatic fringe – head case – one-eyed pinhead – sonic hedgehog www.pbs.org/wnet/dna/episode1/index.html Polymerase Chain Reaction (PCR) for making more DNA http://missinglink.ucsf.edu/lm/molecularmethods/images/clip_image003.gif Kary Mullis and PCR PCR: An Analogy Photocopier Analogy Photocopier items The book PCR components The entire genome (DNA template) The page being copied A portion of the genome (fragment) we are interested in Highlighter Primers that “mark” the specific fragment Steps for Performing PCR 1. Extract DNA from cells 2. Combine DNA, primers, and other molecules in a reaction mixture 3. Put reaction mixture in a heating and cooling machine (aka, thermocycler) – Cycles of heating and cooling result in exponential growth of DNA fragment of interest 4. Verify amplification with gel electrophoresis What can we learn from PCR? • Detecting bacteria and viruses in samples from sick people, sometimes before they develop symptoms • Diagnosing genetic diseases and mutation • Paternity testing • Forensics PCR Example Clinical question: Is a mutation in the gene FOXP2 related to autism? Preliminary goal: Use PCR to detect and amplify FOXP2 gene in whole blood from families with autism. Wassink et al. (2002). Evaluation of FOXP2 as an autism susceptibility gene. American Journal of Medical Genetics, 114(5), 566-569. PCR Example Methods: 1.Extract DNA from whole blood 2.Amplify FOXP2 gene mutation using genespecific primers 3.Verify amplification Measure = Presence of FOXP2 gene PCR Example Conclusions: It is unlikely that FOXP2 contributes significantly to the predisposition to develop autism in the study sample. Significance: Autism is a heterogeneous diagnosis with no single gene responsible for its features. PCR Advantages: • Invaluable technique for measuring gene expression Limitations: • Poor precision • Results are non-quantitative Putting it all together… • To determine strain of HPV associated with recurrent respiratory papillomatosis • To detect presence of bacteria in laryngeal biopsies DNA Transcription RNA Translation Protein RNA Quiz You have just landed your first job as a speech pathologist and now have the opportunity to build the house of your dreams. If this scenario described the central dogma of biology, what represents RNA? A. All of your ideas for the house DNA B. Blueprints RNA C. Building supplies proteins Which of the following is NOT a source of RNA? A. B. C. D. Using an RNA-based test, scientists were able to classify this ambiguous lesion as: A.Reinke’s edema C. Cyst B. Polyp D. Granuloma messengerRNA (mRNA) mRNA • sent from DNA in nucleus cytoplasm • tells the cell which proteins to make Sources of mRNA mRNA Transcription 1. DNA strands separate 2. RNA polymerase transcribes DNA into a strand of mRNA Adenine – Uracil Cytosine - Guanine 3. mRNA strand leaves nucleus Video-Transcription www.pbs.org/wnet/dna/episode1/index.html mRNA Transcription Cell nucleus mRNA strand mRNA Assays • Quantitative PCR • Gene Microarray Quantitative Polymerase Chain Reaction (qPCR) product PCR qPCR cycles PCR- Product detection after ~40 cycles qPCR/RT-PCR- Product detection after each cycle qPCR Example Clinical question: Can genetic markers predict which patients with leukoplakia will develop cancer? Preliminary goal: use qPCR to identify genetic expression profiles to distinguish leukoplakia lesions Bartlett RS, Heckman WW, Isenberg J, Thibeault SL, Dailey SH, Genetic characterization of vocal fold lesions: Leukoplakia and carcinoma. Laryngoscope, (in press). qPCR Example Methods: 1. Leukoplakia biopsies: 1. Non-dysplasia 2. Dysplasia 3. Cancer 2. RNA extraction 3. 96 gene Human Cancer Pathway arrays qPCR Array qPCR Example Conclusions: • Genes distinguished the groups Significance: • With a larger study, it may be possible to identify predictive gene markers for vocal fold carcinoma Bartlett RS, Heckman WW, Isenberg J, Thibeault SL, Dailey SH, Genetic characterization of vocal fold lesions: Leukoplakia and carcinoma. Laryngoscope, (in press). PCR qPCR • Semi quantitative • Quantitative • Measures product once • Measures product after each cycle qPCR Advantages: • High sensitivity • No post-PCR steps are needed • Relatively high throughput Limitations: • Requires specialized equipment • Expensive Microarray • Can assess up to 30,000 genes simultaneously Applications: • Early disease detection • Newborn disease screening • Drug discovery • Detection of bacteria/viruses in water, soil, etc Microarray Example Clinical question: Can genetic analysis assist in differential diagnosis of visually similar vocal fold lesions? Preliminary goal: Use microarray to compare gene expression of polyp and Reinke’s edema tissue Duflo, Thibeault, Li, Smith, Schade, Hess. Differential gene expression profiling of vocal fold polyps and reinke’s edema by complementary DNA microarray. Annals of Otology, Rhinology and Laryngology, 2006. Microarray Example Methods: 1. RE and polyp lesions were biopsied 2. RNA extraction 3. Samples screened for 8,745 genes Obtain biopsy tissue Extract mRNA Label samples with red or green tags Apply samples to chip and capture fluorescence Microarray chip = Reinke’s edema = Polyp = Both samples = Neither sample 1 spot = 1 gene Microarray Example Conclusions: Reinke’s edema • 65 genes differentiated RE and polyps Significance: • The significant genes could classify ambiguous lesions Duflo, Thibeault, Li, Smith, Schade, Hess. Differential gene expression profiling of vocal fold polyps and reinke’s edema by complementary DNA microarray. Annals of Otology, Rhinology and Laryngology, 2006. Microarray Advantages: • High throughput*** Limitations: • Costly equipment • Less accurate than qPCR for quantifying expression differences Putting it all together • To screen a genetic sample from a newborn for 10,000 genes associated with congenital disorders, use: MICROARRAY • A child in the SLP clinic has syndromic facial features but no diagnosis. To test their genetic sample for 10 genes associated with the most common syndromes, use: qPCR BREAK TIME! DNA Transcription RNA Translation Protein Protein Quiz You have just landed your first job as a speech pathologist and now have the opportunity to build the house of your dreams. If this scenario described the central dogma of biology, which represents protein? A. All of your ideas for the house B. Blueprints RNA C. Building supplies proteins DNA Which of the following can cause disease? a.A protein that contains an incorrect amino acid b.A protein that is incorrectly folded c.A protein that is missing from the body d.All of the above Which one of these does NOT contain protein? Trick Question! These are all sources of protein Proteins make up more than ½ of your body’s non-water mass? TRUE FALSE Sources of Protein http://web.jjay.cuny.edu/~acarpi/NSC/images/cell.gif What are proteins? http://mrswolfgang.wikispaces.com/file/view/myprotein%3D).png/61409292/myprotein%3D).png How are proteins made? How are proteins made? www.pbs.org/wnet/dna/episode1/index.html Protein’s Structural Complexity What does protein do? Structure Cell Signaling Gene Expression Movement Bind Catalyze Protein Assays • ELISA • Immunohistochemistry • SDS-PAGE & Western Blot Basic Concept of Protein Assays Antibodies & Antigens Immunoassays rely on ability of an individual antibody site to bind\react with only one antigen (i.e. protein, virus, bacteria) – Lock and Key Concept Antigen A substance that stimulates the production of antibodies: – Foreign substances – Proteins – Bacteria – Viruses Antibody A protein that is produced by the body in response to a “invading” (foreign) substance. Antibody & Antigens Lock and Key Concept: • Antigens can bind in pockets or grooves of antibodies Protein Assays • ELISA • Immunohistochemistry • SDS-PAGE & Western Blot Enzyme Linked ImmunoSorbant Assay (ELISA) Technique: 1. Detect antigens or antibodies 2. Measure quantity in a sample Clinical Applications: 1. Pregnancy tests 2. HIV screenings 3. Detect Food Allergies 4. Reflux diagnosis ELISA Example • Clinical Question: – Can Laryngopharyngeal Reflux (LPR) be accurately diagnosed using a pepsin ELISA? • Preliminary Goal: – To establish a subjective measure for diagnosing patients with LPR? Knight J, Lively MO, Johnston N, Dettmar PW, Koufman JA. (2005). Sensitive pepsin immunoassay for detection of laryngopharyngeal reflux. Laryngoscope,115(8) 1473-8. Methods • Designed a non-invasive “Spit in a cup test” – Pepsin: enzyme in digestive system that degrades proteins • Compared pepsin levels in throat sputum to 24 hr double-probe pH monitor – Tested 23 LPR patients Knight J, Lively MO, Johnston N, Dettmar PW, Koufman JA. (2005). Sensitive pepsin immunoassay for detection of laryngopharyngeal reflux. Laryngoscope,115(8) 1473-8. Pepsin “Sandwich” ELISA Enzyme Label Detection Antibody Pepsin Capture Antibody 96 well plate Uses an indirect method (multiple antibodies) to detect and measure pepsin levels from throat sputum samples ELISA Technique ELISA Technique ELISA Example Conclusion: pepsin ELISA showed high sensitivity (100%) and specificity (89%) for pharyngeal reflux events Significance: pepsin ELISA can be used clinically to accurately detect LPR Knight J, Lively MO, Johnston N, Dettmar PW, Koufman JA. (2005). Sensitive pepsin immunoassay for detection of laryngopharyngeal reflux. Laryngoscope,115(8) 1473-8. Immunohistochemistry Technique: 1. Detect antigen in a tissue slice 2. Maintain morphology of the sample 3. Measure quantity in a sample Clinical Applications: 1. Post-Mortem Autopsy Diagnosis 2. Tumor Typing in Cancer Diagnosis Immunohistochemistry Techniques Immunohistochemistry Techniques microscope-microscope.org Immunohistochemistry Example • Clinical Question: – Is cellular stress an early event in Alzheimer’s Disease? • Preliminary goals: – Look at differences in cellular stress in brains of elderly individuals – Correlate levels of cellular stress with functional deficits Schipper, H. M., Bennett, D. A., Liberman, A., Bienias, J. L., Schneider, J. A., Kelly, J., et al. (2006). Glial heme oxygenase-1 expression in alzheimer disease and mild cognitive impairment. Neurobiology of Aging, 27(2), 252261. Immunohistochemistry Example • Methods: – Used IHC techniques to stain for marker of cellular stress in post mortem tissue Schipper, H. M., Bennett, D. A., Liberman, A., Bienias, J. L., Schneider, J. A., Kelly, J., et al. (2006). Glial heme oxygenase-1 expression in alzheimer disease and mild cognitive impairment. Neurobiology of Aging, 27(2), 252-261. Immunohistochemistry Example No Cognitive Impairment (NCI) Mild Cognitive Impairment (MCI) Alzheimer’s Disease (AD) Schipper, H. M., Bennett, D. A., Liberman, A., Bienias, J. L., Schneider, J. A., Kelly, J., et al. (2006). Glial heme oxygenase-1 expression in alzheimer disease and mild cognitive impairment. Neurobiology of Aging, 27(2), 252261. Immunohistochemistry Example • Conclusion: – Individuals with NCI had significantly less cellular stress than individuals with MCI and AD, no difference between MCI and AD – Levels of cellular stress were correlated with measures of global functioning and memory Schipper, H. M., Bennett, D. A., Liberman, A., Bienias, J. L., Schneider, J. A., Kelly, J., et al. (2006). Glial heme oxygenase-1 expression in alzheimer disease and mild cognitive impairment. Neurobiology of Aging, 27(2), 252261. Immunohistochemistry Example • Significance: – Cellular stress is a early event in the process of AD and is linked to functional deficits – Mechanisms to combat cellular stress should be employed early in the disease process. Schipper, H. M., Bennett, D. A., Liberman, A., Bienias, J. L., Schneider, J. A., Kelly, J., et al. (2006). Glial heme oxygenase-1 expression in alzheimer disease and mild cognitive impairment. Neurobiology of Aging, 27(2), 252261. Sodium Dodecyl Sulfate Polyacrylamide Gel Electrophoresis (SDS-PAGE) & Western Blot (WB) Technique: 1. Separate protein based on molecular weight 2. Use antibodies to determine specific proteins in sample 3. Measure quantity in a sample Clinical Applications: 1. Confirmatory tests for different diseases: Ex: HIV, Lyme Disease, Hepatitis B SDS-PAGE + − lanes a b c largest a b c smallest SDS-PAGE/WB Example • Clinical Question: – Are there age related changes in the muscles involved in swallowing that could explain functional changes seen in elderly swallow? • Preliminary goals: – Examine age-related differences in muscle fiber types in tongue muscle using a rat model Schaser, A. J., Wang, H., Volz, L. M., & Connor, N. P. (2011). Biochemistry of the anterior, medial, and posterior genioglossus in the aged rat. Dysphagia, 26(3), 256-263. SDS-PAGE/WB Example • Methods – Extract tongue muscle from elderly rat – Use protein analysis to measure change in muscle fiber types with age Schaser, A. J., Wang, H., Volz, L. M., & Connor, N. P. (2011). Biochemistry of the anterior, medial, and posterior genioglossus in the aged rat. Dysphagia, 26(3), 256-263. Muscle Fiber Proteins SDS-PAGE/WB Example • Conclusions: – Switch to more slowly contracting fiber types with age • Significance: – Change to more slowly contracting fiber types could explain overall slowing of the swallow seen with age Schaser, A. J., Wang, H., Volz, L. M., & Connor, N. P. (2011). Biochemistry of the anterior, medial, and posterior genioglossus in the aged rat. Dysphagia, 26(3), 256-263. Advantages & Disadvantages Advantages: 1. 2. 3. ELISA: simple, cost-effective and widely available IHC: Allows you to maintain structure of tissue and look at changes in morphology SDS-PAGE & Western Blot: commonly used technique throughout the literature, allows for comparison to previous work Disadvantages: 1. 2. 3. Antibodies are expensive Antibodies need careful controls to make sure they are working properly IHC & Western Blot are semi-quantitative methods Bench Clinic Community We hope we were able to… • Provide necessary knowledge to foster comprehension of the research literature • Provide necessary knowledge to understand the translation of the methodology to clinical applications Acknowledgements Diane Bless, PhD Susan Thibeault, PhD Nadine Connor, PhD Thibeault lab NIH NIDCD R01 DC4336 R01 DC9600 R01 DC008149 T32 DC009401 Connor lab Questions? Thank you