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Pre-PCR processing
Authors:Peter Rådström  Rickard Knutsson  Petra Wolffs  Maria Lövenklev  Charlotta Löfström
Institution:(1) Applied Microbiology, Lund Institute of Technology, Lund University, PO Box 124, SE-221 00 Lund, Sweden
Abstract:Polymerase chain reaction (PCR) is recognized as a rapid, sensitive, and specific molecular diagnostic tool for the analysis of nucleic acids. However, the sensitivity and kinetics of diagnostic PCR may be dramatically reduced when applied directly to biological samples, such as blood and feces, owing to PCR-inhibitory components. As a result, pre-PCR processing procedures have been developed to remove or reduce the effects of PCR inhibitors. Pre-PCR processing comprises all steps prior to the detection of PCR products, that is, sampling, sample preparation, and deoxyribonucleic acid (DNA) amplification. The aim of pre-PCR processing is to convert a complex biological sample with its target nucleic acids/cells into PCR-amplifiable samples by combining sample preparation and amplification conditions. Several different pre-PCR processing strategies are used: (1) optimization of the DNA amplification conditions by the use of alternative DNA polymerases and/or amplification facilitators, (2) optimization of the sample preparation method, (3) optimization of the sampling method, and (4) combinations of the different strategies. This review describes different pre-PCR processing strategies to circumvent PCR inhibition to allow accurate and precise DNA amplification.
Keywords:Amplification facilitators  PCR-amplifiable samples  PCR-compatible samples  PCR facilitators  PCR inhibitors  PCR sample  pre-PCR processing  sample preparation  thermostable DNA polymerase
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