WO2008109823A2 - Primers for melting analysis - Google Patents

Abstract

Methods and kits are provided for nucleic acid analysis. In an illustrative method a target nucleic acid is amplified using a first primer and a second primer, wherein the first primer comprises a probe element specific for a locus of the target nucleic acid and a template-specific primer region, and the probe element is 5' of the template-specific primer region, subsequently allowing the probe element to hybridize to the locus to form a hairpin, generating a melting curve for the probe element by measuring fluorescence from a dsDNA binding dye as the mixture is heated, wherein the dye is not covalently bound to the first primer, and analyzing the shape of the melting curve. Kits may include one or more of the first and second primers, the dsDNA binding dye, a polymerase, and dNTPs.

Description

Primers for Melting Analysis

PRIORITY

This application claims priority to U.S. Provisional Patent Application Number 60/905,721 filed on 08 March 2007, titled Primers for Melting Analysis, the entirety of which is incorporated herein by reference. BACKGROUND OF THE INVENTION

The human genome project has succeeded in sequencing most regions of human DNA. Work to identify the genes and sequence alterations associated with disease continues at a rapid pace. Linkage studies are used to associate phenotype with genetic markers such as simple sequence repeats or single nucleotide polymorphisms (SNPs) to identify candidate genes Sequence alterations including SNPs, insertions, and deletions that cause missense, frameshift, or splicing mutations then may be used to pinpoint the gene and the spectrum of responsible mutations However, even when the genetic details become known, it is difficult to use this knowledge in routine medical practice, in large part because the methods to analyze DNA are expensive and complex. When costs are significantly lowered and the methods dramatically simplified, it is expected that DNA analysis will become accessible for use in everyday clinical practice for effective disease detection and better treatment. Ideal DNA analysis is rapid, simple, and inexpensive.

When a disease is caused by a limited number of mutations, or when a few sequence alterations constitute a large proportion of the disease cases, direct genotyping is feasible. Traditional methods range from classical restriction digestion of PCR products to closed-tube fluorescent methods. Closed-tube methods of DNA analysis can be simple to perform. Once PCR is initiated, no further reagent additions or separations are necessary. However, closed-tube methods are traditionally expensive, due in large part to the cost of the fluorescent probes used. Although there are many elegant designs, the probes are often complex with multiple fluorescent dyes and/or functional groups For example, one popular approach uses a fluorescent dye and a quencher, each covalently attached to an allele-specifϊc probe (1). Two of these "TaqMan^®" probes are required to genotype one SNP. Not only are the probes costly, but the time required for hybridization and exonuclease cleavage also limits the speed at which PCR can be performed Another example of closed-tube genotypmg uses Scorpion^® primers, available from DxS Ltd Originally described in 1999, Scorpion pπmers, or "self-probing amphcons," are formed during PCR from a pπmer that includes a 5 '-extension comprising a probe element, a pair of self complementary stem sequences, a fluorophore/quencher pair, and a blocking monomer to prevent copying the 5 '-extension (2) As illustrated in Fig 1 , in the original stem-loop format, the probe element forms the loop, and the stem bπngs the fluorophore and quencher into close proximity After PCR, the probe element hybridizes to a portion of the extension product, opening up the stem and separating the fluorophore from the quencher An additional duplex format, also illustrated in Fig 1, was later developed in which the fluorophore on the Scorpion^® primer is quenched by a quencher on a separate complementary probe that forms a duplex before PCR (3) After PCR, the probe element, which is now part of the amphcon, separates from the quenching probe and hybridizes to the amphcon In both cases, probing is an intramolecular reaction There are several advantages of intramolecular reactions over intermolecular probes First, intramolecular hybridization is fast and is not a limiting step, even with the current fastest PCR protocols (4) The probe element is stabilized by the intramolecular reaction, increasing probe melting temperatures by about 5-15⁰C, so that shorter probes can be used, illustratively m areas of high sequence variation In the stem-loop format, a smgle oligonucleotide serves both as one of the pπmers and as a probe However, such probes can be complex and expensive The high cost is driven by the high complexity to produce certain probes For example, each Scorpion^® pπmer requires three modifications to the oligonucleotide pπmer (a fluorophore, a quencher, and a blocker) A closed-tube genotypmg system that retains the advantages of Scorpion^® pnmers, but eliminates their complexity and cost, would be desirable

Yet another method for genotypmg, "Snapback single strand conformation polymorphism, or SSCP", has been used SSCP uses a primer of a specific sequence to introduce secondary structure into PCR products that are later separated by electrophoresis to reveal single strand conformation polymorphisms ("SSCP") (5) In Snapback SSCP, a complementary 8-11 bp pπmer tail loops back on its complementary sequence in the extension product, creating a hairpin m the smgle stranded amphcon, which is later detected by gel separation As discussed above, Snapback pπmers may be used to introduce a secondary loop structure into an extension product However, Snapback pπmers and other pπor art methods discussed herein rely on post-amplification gel separation, or use expensive fluorescently labeled pπmers In companson, the methods of the present invention use a dsDNA dye and melting analysis to monitor hybridization of the hairpin Accordmg to one aspect of the present application, after PCR, illustratively but not limited to asymmetric PCR, intramolecular melting of the hairpin allows genotypmg The intramolecular hybπdization is illustrated in Fig 2 The method is simple because only two PCR primers are required, the only addition being a 5 '-tail of nucleotides on at least one pnmer No covalent fluorophores, quenchers or blockers are required, greatly reducing the cost of synthesis and assay development Thus, in one illustrative embodiment, the dsDNA dye is untethered and is free to bind and be released from the nucleic acid solely based on melting

One issue that has prevented a better method of genotypmg revolves around the fact that most genetic diseases are complex Many different sequence alterations m the same or different genes may contribute to a disease phenotype The initial hope that most human diseases are caused by a handful of sequence vaπants has proven not to be true Many genes can contπbute to a particular phenotype, and many different mutations within a gene may cause the same or similar disease patterns Therefore, to determine the link between a genotype and its resultant phenotype, genetic testing often requires parallel analysis of many coding and regulatory regions Several methods of screening DNA for abnormalities are available and are known as "scanning" methods While "genotypmg" focuses on detecting specific sequence alterations, mutation scanning can flag the presence of an abnormality, which can then be identified through methods such as genotypmg or sequencing

Sequencing is currently the gold standard for identifying sequence vaπation Even though costs are decreasing, sequencing is still a complex process that is not rapid, simple, or inexpensive when applied to specific genetic diagnosis or pharmacogenetics This remains true for methods that use polonies (6) or emulsion PCR (7) Standard sequencing requires seven steps 1) amplification by PCR, 2) clean up of the PCR product, 3) addition of cycle sequencing reagents, 4) cycle sequencing for dideoxy termination, 5) clean up of the termination products, 6) separation by capillary electrophoresis, and 7) data analysis This complexity can be automated and has been in A- some sequencing centers, but sequencing still remains much more complex than the methods of the present invention. Further, when large or multiple genes are analyzed, over 90% of the sequenced products come back normal. A simple method that could identify normal sequences and common variants would eliminate most of the time, cost, and effort of sequencing.

Snapback primers of the present invention may be used to integrate mutation scanning and genotyping in the same reaction Scanning may be performed by high- resolution amplicon melting (8) in the same reaction and using the same melting curve as Snapback genotyping Asymmetric PCR for Snapback genotyping results in two species with different melting transitions, an excess single strand in a hairpin conformation and a double stranded PCR product, preferably with each species melting at a different temperature Illustratively, the Snapback hairpm will melt at low temperature, and the full-length amplicon will melt at high temperature. The hairpin provides targeted genotyping for common vanants, while the full-length amplicon allows scanning for any sequence vanant withm the PCR product. Similarly, symmetric PCR using two Snapback primers may be used to scan and to genotype two known polymorphisms in one reaction. In a well-characterized gene with precise amplicon melting, it is believed that Snapback genotyping typically can eliminate at least 90% and perhaps as much as 99% of the need for sequencing in the analysis of complex genetic disease. Combined scanning and genotyping with Snapback primers is attractive because only PCR reagents and a dsDNA dye are needed. No expensive modified oligonucleotides, separations, purifications or reagent addition steps are necessary Closed-tube analysis eliminates the risk of PCR contamination. Furthermore, Snapback primer annealing is rapid and compatible with the fastest PCR protocols.

SUMMARY OF THE INVENTION

Accordingly, Snapback primers in various configurations are described herein. In one aspect of the present invention a method for nucleic acid analysis is provided, the method comprising the steps of mixing a target nucleic acid with a first pπmer and a second primer to form a mixture, the pπmers configured for amplifying the target nucleic acid, wherein the first pπmer comprises a probe element specific for a locus of the target nucleic acid and a template-specific primer region, wherein the probe element is 5' of the template-specific pπmer region, amplifying the target nucleic acid to generate an amplicon, allowing the probe element to hybπdize to the locus to form a hairpin, generating a melting curve for the probe element by measuring fluorescence from a dsDNA binding dye as the mixture is heated, wherein the dye is not covalently bound to the first pπmer, and analyzing the shape of the melting curve A number of vaπations on this method are provided herein

In a second aspect of the present invention methods are provided for simultaneous scanning and genotyping of a target nucleic acid, the methods comprising the steps of mixing the target nucleic acid with a first pπmer and a second pnmer to form a mixture, the primers configured for amplifying the target nucleic acid, wherein the first pπmer compπses a probe element specific for a locus of the target nucleic acid and a template- specific pπmer region, wherein the probe element is 5' of the template-specific pπmer region, amplifying the target nucleic acid to generate an amplicon, generating a melting curve for the amplicon by measuring fluorescence from a dsDNA binding dye as the mixture is heated, adjusting the mixture to favor hairpin formation by the probe element binding mtramolecularly to the target nucleic acid, and generating a melting curve for the probe element by measuπng fluorescence from the dsDNA binding dye as the mixture is heated

In a third aspect of the present invention, a kit is provided for nucleic acid analysis, the kit compπsmg a first pπmer and a second pnmer, the primers configured for amplifying a target nucleic acid, wherein the first pπmer compπses a probe element specific for a locus of the target nucleic acid and a template-specific pπmer region and the probe element is 5' of the template-specific pπmer region, and a dsDNA binding dye In one illustrative example, the dsDNA binding dye is a saturation dye In another illustrative example, the kit further compπses a thermostable polymerase and dNTPs Additional features of the present invention will become apparent to those skilled in the art upon consideration of the following detailed description of preferred embodiments exemplifying the best mode of carrying out the invention as presently perceived

BRIEF DESCRIPTION

Fig 1 shows a schematic of the action of Scorpion^® pπmers The black circle is the blocker, the red circle is the quencher, the small green circle is the quenched fluorophore, and the large green circle is the unquenched fluorophore Fig. 2 shows the intramolecular hybπdization of a Snapback primer

Fig. 3 shows SNP genotyping using a saturation dye and unlabeled oligonucleotide probes.

Fig. 4 is a schematic of genotyping using Snapback primers. Fig. 5A shows genotyping using a Snapback primer following symmetric PCR.

The genotypes shown are C/C (blue), A/A (black) and A/C (red)

Fig. 5B shows genotyping using a Snapback primer with an extension blocker

Fig. 6A diagrams Snapback primers having different length probe elements

Fig. 6B is a denvative melting plot of amplification products of probe elements of Fig. 6 A.

Figs. 6C-F show derivative melting plots for SNP genotyping using Snapback primers having different probe element lengths: Fig. 6C has an 8 base probe element; Fig 6D has a 14 base probe element; Fig. 6E has a 20 base element; Fig. 6F has a 24 base element Fig. 6G shows predicted and observed melting temperatures for different hairpin duplex lengths varying from 6 to 28 bps. Base mismatches were not present at the 5 '-end of the snapback primers Predicted melting temperatures (filled squares) were determined by standard nearest neighbor calculations, including dangling ends on both sides, but without consideration of the hairpin loop. After asymmetric PCR and melting, observed Tms (filled circles) were determined as maximum peak heights on negative derivative plots after normalization and exponential background subtraction. The GC% of the hairpm duplex vaπed from 8.3-32.1%

Figs. 7A-B diagram a possible mechanism for inhibition of PCR with Snapback primers, with Fig. 7A showing possible extension from the 3' end of the minor strand, and Fig 7B showing how a two base mismatch prevents this extension.

Fig. 7C shows normalized derivative melting plots for one hundred clinical samples using a Snapback pπmer having a two-base mismatch of the type diagrammed in Fig. 7B. Genotypes were homozygous wild type (black), heterozygous (light grey), and homozygous mutant (dark grey). Fig. 8A shows derivative melting plots of 8, 12, 16, and 20 base probe elements in

Snapback pπmers having a two base mismatch to prevent extension from the hairpin.

Fig. 8B shows derivative melting plots of 12 and 20 base probe elements after asymmetric amplification with homozygous and matched heterozygous templates. Fig 9A diagrams Snapback amplicons of varying lengths, wherein the amplicon lengths are 1 - 120 bp, 2 = 180 bp, 3 = 221 bp, 4 = 271 bp and 5 = 321 bp

Fig 9B shows derivative melting plots of the amplicons of Fig 9 A, black (120 bp), red (180 bp), blue (221 bp), green (271 bp), and yellow (321 bp) Fig 1OA diagrams Snapback amplicons having various loop sizes The loop lengths are OR = 17 bases, IR = 34 bases, 2R = 88 bases, 3R = 135 bases, 4R = 177 bases, and 5R = 236 bases

Fig 1OB shows deπvative melting plots of the amplicons of Fig 1OA Exponential background subtraction was not performed, explaining the downward slope of the deπvative curve

Fig 1 IA shows deπvative melting plots wherein a Snapback pπmer was used to amplify four different homozygous templates, each varying solely with a different base at the vaπable position

Fig 1 IB shows deπvative melting plots wherein a Snapback pπmer was used to amplify one matched homozygous template, and three different heterozygous templates each shaπng one matched allele

Fig 11C shows deπvative melting plots wherein a Snapback pnmer was used to amplify one matched homozygous template, and three different heterozygous templates with both alleles mismatched to the probe element Figs 12 A-B show deπvative melting plots wherein the Snapback pπmer has a mismatch near the ends of a 22-base probe element Fig 12A demonstrates a mismatch at position 2, while the Fig 12B has a mismatch at position 20

Figs 12C-D show deπvative melting plots wherem the Snapback pπmer has a mismatch near the middle of a 22-base probe element Fig 12C has a mismatch at position 8, while Fig 12D has a mismatch at position 14

Fig 13 shows a deπvative melting plot of the cystic fibrosis G542X mutation using a Snapback pnmer Genotypes shown are homozygous wild type (blue), heterozygous (black), and homozygous mutant (red)

Figs 14A-B show deπvative plots (Fig 14A) and normalized melting curves (Fig 14B) of the probe element of a Snapback pπmer interrogating the F507 - F508 region of CFTR exon 10 wild type (yellow), F507del het (black), F508del het (blue), F508C het (red) and F508del homo (green) Fig 15 shows a deπvative plot of multi-locus genotyping with bilateral Snapback primers interrogating CFTR exon 10 wild type (circles), compound F508del/Q493X heterozygote (connected small diamonds), I506V heterozygote (small diamonds), F508C heterozygote (small squares), I507del heterozygote (large squares), F508del heterozygote (connected large diamonds), and F508del homozygote (connected squares)

Fig 16 shows a deπvative plot of resonance energy transfer from LCGreen Plus to LCRed640 using a 5'-LCRed640-labeled Snapback pπmer (red trace melting at 72°C) In comparison, the melting curve from a non-attached LCRed640 labeled probe is shown in blue with a melting transition of 63°C Fig 17 is a schematic of genotypmg and scanning using Snapback primers

Figs 18 A-B show simultaneous mutation scanning and genotypmg of the CFTR exon 4 using symmetric PCR and one snapback primer Fig 18A shows a melting curve of the full length amphcon before dilution with water, while Fig 18B shows a deπvative curve following 1OX dilution with water After dilution, the samples were denatured by heat and cooled pπor to melting wild-type (black) and Rl 17H heterozygote (red)

DETAILED DESCRIPTION

SYBR^® Green I (Invitrogen Corp, Carlsbad, California) is a dye extensively used for melting analysis, as it shows a large change in fluorescence dunng PCR (10, 15) SYBR Green I was first used in melting analysis to distinguish different PCR products that differed in Tm by 2° C or more (21) Subsequently, SYBR^® Green I was used to identify deletions (16), genotype dinucleotide repeats (17), and identify vaπous sequence alterations (18-21) However, the Tm difference between genotypes can be small and may challenge the resolution of current instruments Indeed, it has been suggested that SYBR^® Green I, "should not be used for routine genotypmg applications" (22) Melting curve genotypmg with commonly used double-strand-specific DNA dyes can result in an increased Tm with broadening of the melting transition (23), and compression of the Tm difference between genotypes These factors lower the potential of SYBR^® Green I for genotype discnmmation Heterozygous DNA is made up of four different single strands that can create two homoduplex and two heteroduplex products when denatured and cooled Theoretically, all four products have different Tms and the melting curve should be a composite of all four double-stranded to single-stranded transitions However, double-strand-specific DNA dyes may redistribute during melting (24), causing release of the dye from low melting heteroduplexes and redistribution to higher melting homoduplexes Because SYBR^® Green I is not saturating at concentrations compatible with PCR {10), such redistribution is plausible and consistent with the absence of an observed heteroduplex transition

Recently, LCGreen^® I and LCGreen^® Plus (Idaho Technology, Inc , Salt Lake City, UT) and vaπous other saturation dyes have been developed for high resolution applications, including for genotypmg and scanning (see co-pending U S Patent Application Nos 10/531,966, 10/827,890, 11/485,851, 11/931,174, herein incorporated by reference in their entireties) When only one PCR product is amplified and the sequence is homozygous, only homoduplexes are formed With saturation dyes, Tm differences between different homoduplex genotypes are not compressed, and clear differentiation between genotypes is possible, even for SNPs Such saturation dyes can also be used to identify and distinguish multiple products present in a reaction, illustratively homoduplexes generated from amplification of multiple loci or multiple targets that are homozygous In contrast, most of the time only a few products can be observed with SYBR^® Green I, presumably due to dye redistribution

When one or more heterozygous targets are amplified, heteroduplex products are readily observable with saturation dyes The ability to detect and identify heteroduplexes is particularly useful for detecting heterozygous genotypes as well as for scanning unknown mutations In many circumstances, this is not possible with conventional dsDNA dyes used in real-time PCR, such as SYBR^® Green I, SYBR^® Gold, and ethidmm bromide, where heteroduplex products are generally not observable

With saturation dyes, it is possible to distinguish all single base heterozygotes from homozygotes In the detection of heterozygotes, the absolute melting temperature and the influence of DNA concentration are not as important as with methods involving differentiation between homozygous genotypes Heteroduplexes affect the shape of the melting curve, particularly at the "early," low temperature portion of the transition Different melting curves can be temperature matched by translating the X-axis to superimpose the "late," high temperature portion of the transition The presence or absence of heteroduplexes can then be inferred with greater accuracy

Unlabeled oligonucleotides can be used in combination with saturation dyes for genotypmg by closed-tube melting analysis (11) Illustratively, the product strand complementary to the unlabeled probe is overproduced by asymmetric PCR, illustratively with the complementary pπmer in 5-10 fold excess The unlabeled probe may be blocked at the 3 -end to prevent extension, but no other modifications are needed Fig 3 shows a typical result of unlabeled probe genotypmg from genomic DNA A segment carrying the cystic fibrosis SNP G542X mutation was amplified in the presence of a 28-mer unlabeled probe (11) All three genotypes are shown (homozygous wild type - solid black line, heterozygous - red hne, and homozygous mutant - dashed line) using probes matched to either the wild type (top) or mutant (bottom) Using an unlabeled probe, one can genotype the region under the probe, as shown in Fig 3, and one can use the melting curve of the entire amphcon, which will generally have a higher melting transition, to scan for mutations elsewhere in the amphcon

However, it is usually desirable to block the 3 '-end of unlabeled probes, to prevent extension The blocker is an added expense Additionally, unlabeled probe genotypmg requires three oligonucleotides two pπmers and an additional unlabeled probe Furthermore, unlabeled probes give the best signal when they are relatively long, usually 25-35 bases (11) Finally, the intermolecular hybridization required with unlabeled probes can be blocked by secondary structure of the target, because intermolecular hybridization is usually slower than intramolecular hybridization of secondary structure Snapback primers according to the present disclosure address many of these issues First, only two oligonucleotides are necessary, illustratively a standard pπmer and a pπmer with a short tail as an integrated probe element Next, no 3 '-end blocking is necessary because the probe element is a part of the 5 '-end of the pπmer, and extension of the pπmer is desired Finally, Snapback pπmer hybπdization is intramolecular, so hybπdization is rapid and internal structure is less of a concern When a saturation dye is used, the saturation dye may be present dunng amplification in sufficient concentration to detect heteroduplexes upon amphcon melting Thus, the combination of Snapback pπmers and saturation dyes provide a closed-tube solution nucleic acid analysis However, while the examples herein use saturation dyes, it is understood that Snapback pπmers may be used with other dyes, particularly wherein high resolution is not necessary or where dye addition subsequent to amplification is not a problem

An illustrative Snapback genotypmg protocol is diagrammed in Fig 4 The Snapback pπmer is shown on the left, as it has a tail 8 that does not hybndize to the target nucleic acid 20 The standard primer 12 is shown on the πght The nucleic acid is amplified, illustratively by asymmetric PCR, producing more of the strand 14 made from extension of Snapback primer 10 than of the complementary strand 16 The amplification product is then cooled, producing a mixture of intramolecular hairpin products 30 from the Snapback pπmer 10, along with some double stranded full-length amplicon 40 A deπvative melt of this amplification mixture produces low temperature peaks representing melting of the hairpin structure 35, and high temperature peaks representing melting of the full-length amplicon 40

While PCR is the amplification method used m the examples herein, it is understood that any amplification method that incorporates a pπmer may be suitable

Such suitable procedures include polymerase chain reaction (PCR), strand displacement amplification (SDA), nucleic acid sequence-based amplification (NASBA), cascade rolling circle amplification (CRCA), loop-mediated isothermal amplification of DNA (LAMP), isothermal and chimeπc pπmer-mitiated amplification of nucleic acids (ICAN), target based-hehcase dependant amplification (HDA), transcription-mediated amplification (TMA), and the like Therefore, when the term PCR is used, it should be understood to include other alternative amplification methods

Further, while reference is made to post-amplification genotypmg, it is understood that the primers descπbed herein may be used for detection and/or quantification The Snapback pnmer serves both as a pπmer and as a probe for such methods, as are known in the art Example 1. Genotyping with a snapback primer after symmetric PCR.

An engineered plasmid template of Ml 3 sequence with 40% GC content was used as template (25) Otherwise identical plasmids with either an A, C, G, or T at one position were available for study Both the "A" template and the "C" template were studied, as well as a "A/C" heterozygote that was formed by mixing equal amounts of the "A" and "C" templates The concentration of each plasmid was determined by absorbance at 260 nm (Ajm), assuming an /^260 of 1 0 is 50 μg/mL The Ml 3 pπmers used are forward 5'-AATCGTCATAAATATTCATTGAATCCCCtcattctcgttttctgaactg-3'

(SEQ ID NO 1, with the tail shown in caps and the vaπable position on the template after the Snapback hairpin is formed shown in bold), and reverse 5'-atgtttagactggatagcgt-3' (SEQ ID NO 2), which form a PCR product of about 130 bps PCR was performed in 10-ul reaction volumes with 50 mM Tπs (pH 8 3), 500 μg/ml bovme serum albumin, 3 mM MCk, 200 μM of each deoxynuleotide tπphosphate, 0 4U of Klen Taq polymerase (AB Peptides), 0 5X LCGreen^® Plus (Idaho Technology), 0 5 μM primers and 10⁶ copies of the "A" plasmid or an equivalent concentration of a 1 1 mixture of the "A" and "C" plasmids PCR was performed in a LightCycler^® (Roche) for 35 cycles with denaturation at 95°C (0 s hold), annealing at 5O⁰C (0 s hold), a 2°C/s ramp to the extension temperature at 72⁰C and an 8 s hold at 72°C After PCR, the capillary samples were denatured at 94⁰C (0 s hold) and cooled to 40⁰C All transition rates between temperatures were programmed at 20°C/s unless otherwise stated The samples were removed from the LightCycler, placed in the high-resolution melting instrument HR- 1™ (Idaho Technology), and melted from 50⁰C to 87⁰C at a 0 3°C/s ramp Usually, exponential background was subtracted from the melting curves, illustratively as descπbed in PCT/US2006/036605, herein incorporated by reference in its entirety, the curves are normalized and usually displayed as deπvative plots The resultant derivative melting curves are shown in Fig 5A

Fig 5A shows deπvative melting curve plots for all genotypes of an A/C SNP Both aniplicon (78-82⁰C) and snapback probe (66-73⁰C) melting transitions are apparent Consideπng first the amplicon region, the peak of the C homozygote is at a higher temperature than the A homozygote, as expected Furthermore, the AC heterozygote shows a broad transition at lower temperatures because of the influence of heteroduplexes (12) Melting of the probe element of the Snapback primer depends on the genotype The perfectly matched A template melts at the highest temperature (71⁰C), the mismatched C template melts at 68°C, and the heterozygote shows melting peaks at both temperatures Although the signal intensity is low, the ability to genotype by observing the melting of the probe element of the Snapback primer is clearly evident

Example 2. Snapback primer genotyping with an extension blocker usine symmetric PCR.

To increase Snapback pπmer loop formation and the height of the Snapback genotypmg peaks (low temperature peaks) on deπvative plots, an extension blocker was incorporated between the template-specific primer and the probe element of the Snapback pπmer Shown as an "X" in the forward pπmer, the blocker used was an abasic tetrahydrofuran deπvative incorporated as the dSpacer CE phosphoramidite available from Glen Research (cat no 10-1914-90) Ten contiguous dSpacer units were incorporated in order to ensure blockage of the polymerase The pπmers used are forward 5'-AATCGTCATAAATATTCATTGAATCCCC(X)iotcattctcgttttctgaactg-3' (SEQ ID NO 3, with tail shown in caps and variable position on the template after the Snapback hairpm is formed shown in bold), and reverse 5'-atgtttagactggatagcgt-3 ' (SEQ ID NO 4)

Both the "A" template and the "AJC" heterozygote of Example 1 were studied PCR and melting were performed as outlined in Example 1 Fig 5B shows derivative melting curve plots for both the A and AJC genotypes Both amplicon (78-82°C) and snapback probe (68-75°C) melting transitions are apparent Consideπng the amplicon region, the AC heterozygote has a broad transition at lower temperatures compared to the homozygote Melting of the probe element of the Snapback pπmer depends on the genotype The perfectly matched A template melts in one transition at a high temperature (73⁰C), while the heterozygote transition is bimodal The probe element signal increased in relative intensity compared to Example 1

One advantage of using symmetric PCR for Snapback pπmer geno typing is that two Snapback pπmers can be used (one on each end) to interrogate two different loci within the PCR product Each tail is made complementary to one locus and the probe elements may be vaπed in length and/or GC content to separate the Tms of the alleles of the two probe elements Another illustrative way to interrogate distant loci (separated by such a distance that one probe element would be inconvenient), is to use only one Snapback pπmer with a single probe element, but divide the probe element into two or more segments, each segment complementary to one of the loci The template DNA forms loops between the loci and haplotyping is possible (13) Alternatively, one Snapback pπmer and one unlabeled probe (11) can be used, illustratively with asymmetπc PCR Another option is to mix several Snapback pπmers together, each with the same template-specific pπmer region but different probe elements that target different

Example 3. Effect of the length of the probe element on the signal of Snapback primers after asymmetric PCR.

Different probe element lengths were investigated using asymmetπc PCR The M 13 pnmers used are shown in Table 1, wherein upper case indicates the probe element tail, lower case defines the template-specific primer region, and the bold face base indicates the variable position on the template after the Snapback hairpin has formed Table 1

Name Limiting Forward Primer (0.05 uM)

IF tcattctcgttttctgaactg (SEQ ID NO 5) Snapback Reverse Primer (0.5 μM) lRόtail GAATATatgtttagactggatagcgt (SEQ ID NO 6) lR8tail TGAATATTatgtttagactggatagcgt (SEQ ID NO 7) lRlOtail ATGAAT ATTTatgtttagactggatagcgt (SEQ ID NO 8) lR12tail AATGAATATTTAatgtttagactggatagcgt (SEQ ID NO 9) lRHtail CAATGAAT ATTT ATatgtttagactggatagcgt (SEQ ID NO 10) lRlόtail TCAATGAATATTTATGatgtttagactggatagcgt (SEQ ID NO 11) lR18tail TTC A ATGAAT ATTT ATG Aatgtttagactggatagcgt (SEQ ID NO 12) lR20tail ATTCAATGAAT ATTT ATGACatgtttagactggatagcgt (SEQ ID NO 13) lR22tail GATTCAATGAATATTTATGACGatgtttagactggatagcgt (SEQ ID NO 14) lR24tail GGATTC AATGAAT ATTTATGACGAatgtttagactggatagcgt (SEQ ID NO 15) lR26tail GGGATTCAATGAAT ATTT ATGACGATatgtttagactggatagcgt (SEQ ID NO 16)

PCR and melting were performed as in Example 1 , except that 45 cycles were used, the limiting forward primer concentration was O 05 μM and the Snapback reverse pπmer concentration was 0 5 μM While a 10 1 ratio was used, it is understood that other pπmer ratios may be suitable, as are known in the art, for example from 2 1 to 20 1, or even as high as 100 1 To determine the effect of probe element length on the Snapback primer method, probe regions between 6 and 28 bases long were tested (Fig 6A) The resultant melting curves are shown in Fig 6B The melting curves of Snapback pπmers are visible even with a probe region as small as 6 bases long The ability to see duplex melting transitions as small as six base pairs was surprising Compared to unlabeled probes of the same sequence (11), the melting transitions appear to be stabilized by 5- 1O⁰C or more A comparison of melting using an amplicon generated from the IF forward pπmer and the lR26tail Snapback reverse primer vs melting using an unlabeled probe having the same sequence as the lR26tail probe element confirmed about a 1O⁰C stabilization due to the intramolecular hybridization The stabilization has been shown to be even greater for Snapback pπmers with shorter probe elements that result in short hairpm duplexes For example, the Tm of a Snapback duplex of 6 bps was 40°C greater, and the 8 bp Snapback duplex was 35°C greater, than predicted by nearest neighbor analysis The linear relationship between duplex length and Tm shown in Fig 6G suggests that melting temperatures can be accurately predicted by the duplex length The Tm of the hairpm duplex can also be adjusted by purposely introducing mismatches, base analogs, or stabilizing moieties into the probe element of the snapback primer For example, bases that result in mismatches to the template can be used to decrease the overall Tm of the hairpm duplex G T mismatches (obtained by replacing at C with a T in the probe element) are particularly attractive because they reduce the hairpin duplex Tm by disrupting a stable C G pair, but the G T pair is stable enough that it does not significantly decrease fluorescence from the saturating dye Mismatches can also be used to mask sequence variants that are best ignored, such as benign polymorphisms (26) If greater stabilization of the hairpin duplex is desired, locked nucleic acids can be incorporated into the probe element, or a minor groove binder can be attached to increase the melting temperature

Probe regions of 8, 14, 20 and 24 bp were selected for SNP genotyping Heterozygotes were formed by mixing the appropriate plasmids in a 1 1 proportion Results of SNP typing are shown m Figs 6C-F Genotyping was possible with all Snapback primers, including that with a probe element length as short as 8 bases (Fig 6C)

Example 4. Using a 2-base terminal mismatch to increase the probe element signal: the effect of probe element length after asymmetric PCR.

Some initial attempts at Snapback genotyping from genomic DNA did not work particularly well With asymmetric PCR, amplification appeared to be inhibited, with low signals appeaπng only after many cycles, illustratively 60 cycles or more Further consideration of the major and minor strands that form provided a possible explanation and solution In Fig 7A, both the major and minor strands produced after asymmetric PCR are shown in Snapback conformation Although the major strand cannot extend from its 5'-end, the minor strand does have a 3'-end that can hybπdize and form a polymerase substrate Extension may occur from this 3 '-end, inhibiting primer annealing and preventing major strand formation One solution to this problem is to mismatch the last two bases at the 5 '-end of the Snapback pπmer so that extension from the minor strand is not possible (Fig 7B) While two bases are used for the illustrative mismatches, it is understood that a one-base mismatch will inhibit some extension, and more bases can be added to the mismatch, if desired The mismatch will be earned forward into successive rounds of amplification

A 2-base mismatch incorporated at the 5 '-terminus of the probe element of Snapback primers results in strong probe melting signals As discussed above, such a mismatch prevents PCR inhibition that may otherwise occur after extension from the 3 '- end of the minor strand during PCR Different probe element lengths with 2-bp terminal mismatches were investigated using asymmetric PCR The Ml 3 pπmers used are shown in Table 2, wherein upper case indicates the probe element or tail, lower case defines the template-specific primer region, lower case italics indicates bases that are mismatched to the target, and the bold face base indicates the vaπable position on the template after the Snapback hairpm has formed

Table 2

PCR and meltmg were performed as in Example 3 Probe element lengths of 8,

12, 16 and 20 bases, each with a 2 base terminal mismatch, were investigated Fig 8 A shows deπvative melting profiles after asymmetric PCR using the perfectly matched "A" template All probe element peaks are large and easily identified Surprisingly, the area under the 8-base probe element is as large as the longer length probe elements

The ability to genotype is demonstrated in Fig 8B, using both "A" and "A/G" (heterozygous) templates The "A" template forms a perfect match to the probe element, whereas the "G" template forms an A/C mismatch, resulting in a meltmg peak 6-8⁰C lower than the perfect match One hundred previously typed clinical samples were PCR amplified on a 384-well plate and melted on a 384-well LightScanner^® (Idaho Technology) A Snapback pπmer with a 16-base probe element and a two-base 5 '-end mismatch was used in asymmetric PCR, producing a 169 bp PCR product and a hairpm with a 99-base loop After normalization and background subtraction of the hairpin duplex region, the curves were displayed on a negative derivative plot and automatically clustered. The probe element has a G T mismatch to the mutant allele. Fig. 7C shows that the genotypes are readily distinguishable The genotype of all samples in Fig. 7C agreed with the genotypes that were previously determined by high resolution melting of small amphcons.

Example 5. Influence of amplicon length on Snapback primer signal with a two base mismatch on the probe element 5'-end using asymmetric PCR.

A Snapback primer having a two-base terminal mismatch, as in Example 4, was used to study different amplicon lengths. The distance from the snapback primer to the SNP site was kept constant (the secondary structure loop remains the same), while the length of the amplicon was vaπed Asymmetric PCR was performed as in Example 3 The M 13 primers used are shown in Table 3, wherein upper case indicates the probe element or tail, lower case defines the template-specific primer region, lower case italics indicates bases that are mismatched to the target, and the bold face base indicates the variable position on the template after the Snapback hairpm has formed.

Table 3

Name Limiting Forward Primer (0.05 uM)

IF tcattctcgttttctgaactg (SEQ ID NO:5)

2F gcaatccgctttgcttctga (SEQ ID NO 21) 3F gatatttgaagtctttcggg (SEQ ID NO 22) 4F gttggagtttgcttccggtc (SEQ ID NO:23) 5F atgacctcttatcaaaagga (SEQ ID NO:24)

Snapback Reverse Primer (0.5 uM) lR22tailM fcGATTCAATGAATATTTATGACGatgtttagactggatagcgt (SEQ ID NO 25)

The expenmental design is diagrammed in Fig. 9A. In all cases, the Snapback primer is the same, thus forming the same loop size when the probe element anneals to the amplicon, with the same 2 bp mismatch at the 5' end. However, the amplicon length is vaπed from 120 bp to 321 bp.

Results are shown in Fig. 9B. The longer the amplicon, the smaller the size of the probe element signal compared to the amplicon signal. That is, shorter amphcons will generally result in stronger relative signals from the probe elements Example 6. Effect of the loop length on the probe element signal.

The effect of differing loops lengths was investigated by varying the distance between the Snapback pπmer and the locus to be interrogated Asymmetric PCR was performed as in Example 3 The Ml 3 primers used are shown in Table 4, wherein upper case indicates the probe element tail, lower case defines the template-specific pπmer region, and the bold face base indicates the vaπable position on the template after the snapback hairpin has formed In this case, 2 bp 5 '-mismatches adjacent to the probe element were not used

Table 4

Name Limiting Forward Primer (0.05 uM)

IF tcattctcgttttctgaactg (SEQ ID NO 5) Snapback Reverse Primer (0.5 nM)

0R24tail GGATTCAATGAATATTTATGACGAcgtccaatactgcggaa (SEQ ID NO 26) lR24tail GGATTCAATGAATATTTATGACGAatgtttagactggatagcgt (SEQ ID NO 15) 2R24tail GGATTCAATGAATATTTATGACGAaaaatagcgagaggcttttgc (SEQ ID NO 27) 3R24tail GGATTCAATGAATATTTATGACGAtaagagcaacactatcataa (SEQ ID NO 28) 4R24tail GGATTCAATGAATATTTATGACGAaatgcagatacataacgcca (SEQ ID NO 29) 5R24tail GGATTCAATGAATATTTATGACGAacaacattattacaggtaga (SEQ ID NO 30)

The experimental design is diagrammed in Fig 1OA The relative positions of the pπmers before PCR are indicated on top PCR and melting was performed as in Example 3 The loop conformation of the extended Snapback pπmer after asymmetπc PCR is shown on the bottom of Fig 1OA The loop size vaπed from 17 - 236 bp

The derivative melting curves of the six different products are shown in Fig 1OB It is noted that the Tm for the full-length amplicon is directly related to amplicon size With respect to Snapback probe tail melting in which all probe tails were of the same size, smaller loops resulted in higher melting temperatures, indicating that stabilization of intramolecular hybπdization is inversely related to loop size, at least between 17- 236 bases The inverse relationship appears to be logaπthmic between 17 and 150 bases, with the Tm inversely proportional to the log of the log size Steπc hindrance may become an issue with loops that are smaller than 17 bases, but this is unlikely to be a concern most cases, since the minimum loop size is generally dictated by the pπmer size The signal strength of Snapback primers that form larger loops may be decreased relative to the amphcon signal, as seen in Example 5 and with unlabeled probes (11) For example, the melting curve with a loop of 236 bp (5R) loop length is weak With this illustrative amplicon, the best signals were obtained with loop sizes between 17 and 177 bases, and it is expected that good signals would be obtained with loops of less than 200 bases Because stabilization of the probe element and large relative signals are generally preferred, loop sizes between 20 and 50 bases are expected to work well

Example 7. Genotyping all possible single base variants with one snapback primer.

A single Snapback pnmer was used to amplify various plasmid templates to demonstrate that the shape of the probe element melting curve depends on the amplified sequence Four different Ml 3 plasmids were used as the target, wherein each plasmid differed only at one position with an A, C, G, or T In this example, to simulate homozygote genotyping, only one matched or mismatched plasmid was used, while to simulate heterozygotes two plasmids mixed m equal proportions were used Asymmetric PCR was performed as in Example 3 The M 13 pπmers used are IF tcattctcgttttctgaactg (SEQ ID NO 5) and lR22Tmisl0 ϊcATTCAATGAATATTTATGACGAatgtttagactggatagcgt (SEQ ID NO 31), wherein upper case indicates the probe element or tail, lower case defines the template-specific pnmer region, lower case italics indicates bases that are mismatched to the target, and the bold face base indicates the variable position on the template after the Snapback hairpm has formed The PCR product was 120 bp m length

Using a Snapback primer with an "A" at the vaπable position, all possible matched, partially matched, and completely mismatched templates were investigated With homozygous templates, one matched and three mismatched duplexes were formed (Fig 1 IA), all showing single melting transitions At the amplicon transition, the G and C PCR products are slightly more stable than the A and T PCR products The probe element transition is most stable with an A T match, followed by an A G mismatch, an A A mismatch and finally a A C mismatch

Fig 1 IB shows the matched template along with all three partially matched heterozygotes As in Fig 1 IA, the matched template shows a single probe element melting peak around 68° All three heterozygotes show composite probe element melting peaks with one allele matched and the other mismatched, usually resolving into two distmct peaks with one peak around 68⁰C and the other peak depending upon the particular mismatch

Fig HC shows the matched template along with three heterozygotes with both alleles mismatched The matched duplex is most stable, while the mismatched heterozygotes form less stable duplexes with the probe element Each heterozygote melts in a unique broad apparent single transition composed of two mismatched components that are not resolved into distinct peaks

Example 8. Effect of mismatch position within the probe element of Snapback primers.

Snapback primers with different probe elements were used to amplify the same target sequence The probe elements were designed to place the vaπable base at different positions along the probe element, with the same length amplicon The probe element length was 22 bases, with the vaπable base placed at position 2, 8, 14, or 20, resulting in loop lengths of 26 to 44 bases and an amplicon size of 120 bps Although the loop lengths vaned up to a maximum of an 18 base difference, this should only affect the absolute Tm and not the ability to distinguish homozygotes from heterozygotes Asymmetric PCR was performed as in Example 3 The M 13 pπmers used are shown in Table 5, wherein upper case mdicates the probe element or tail, lower case defines the template specific primer region, lower case italics indicates bases that are mismatched to the target, and the bold face base mdicates the variable position on the template after the Snapback hairpm has formed

Table 5

Name Limiting Forward Primer (0.05 μ.M)

IF tcattctcgttttctgaactg (SEQ ID NO 5) Snapback Reverse Primer (0.5 μM) lR22Tmis2 αcAATATTTATGACGATTCCGCAGatgtttagactggatagcgt (SEQ ID NO 32) lR22Tmis8 gcTCAATGAATATTTATGACGATTatgtttagactggatagcgt (SEQ ID NO 33) lR22Tmisl4 ^GGGGATTCAATGAATATTTATGatgtttagactggatagcgt (SEQ ID NO 34) lR22Tmis20 αgTTTGAGGGGGATTCAATGAATAatgtttagactggatagcgt (SEQ ID NO 35)

Both the homozygous "A" template, and a heterozygous "AJG" template were separately amplified in order to test the ability to detect heterozygotes under different positions of the probe element When the vaπable base was placed near either end of the probe at position 2 or 20 of a 22 base probe element, it was difficult to distinguish heterozygotes from homozygotes (Figs. 12A-B). In contrast, when the variable base was near the center at positions 8 or 14, heterozygotes were easily identified (Figs. 12C-D). These results suggest that in conditions similar to those of this Example, the probe should be near the center of the region of sequence variation if optimal discrimination is desired. Sequence variations close to either of the probe element ends may not be detected.

Example 9. Genotyping of the cystic fibrosis G542X mutation with Snapback primers.

Snapback primer genotyping was performed for the CFTR mutation G542X, a single base change of G to T in exon 11 Genotyped human genomic DNA samples were obtained from Coπell Institute for Medical Research (Camden, NJ) and used at 50 ng/μl in the PCR The limiting forward pπmer was tgtgcctttcaaattcagattg (SEQ ID NO:36) (0.05 μM) and the reverse snapback pπmer was rtGAAAGACAATATAGTTCTTGGAGAcagcaaatgcttgctagacc (SEQ ID NO:37) (0 5 μM). The sequence of the probe element matched the wild type target sequence. The amplicon size was 228 bps. PCR was performed as in Example 3, except that an initial denaturation at 95⁰C for 20 s was performed, the annealing temperature was 53⁰C, 55 cycles were performed, and the melting analysis was done at 0.2°C/s from 55 to 88⁰C. The Snapback primer loop size was 88 bases and the probe element was 24 bases. The resultant Snapback primer genotyping is shown in Fig. 13 Derivative melting curves are shown with the higher temperature amplicon melting peak on the right, and the lower temperature probe element peaks are on the left Melting of the probe element from the mismatched template occurs at about 63⁰C, while the matched template melts at about 68°C All three genotypes are easy to discern.

Example 10. Genotyping of cystic fibrosis exon 10 sequence variants (F508del, F507del, and F508C) with snapback primers.

Snapback primer genotyping was performed at the CFTR mutation hotspot in exon 10, including, F507del, F508del, and F508C. Genotyped human genomic DNA samples were obtained from Coπell Institute for Medical Research (Camden, NJ) and used at 50 ng/μl in the PCR. The limiting forward pπmer was acttctaatgatgattatggg (SEQ ID NO:38) (0.05 μM) and the reverse Snapback pπmer was fcAATATCATCTTTGGTGTTTCCTATGATGacatagtttcttacctcttc (SEQ ID NC-39) (0.5 μM). The sequence of the probe element matched the wild type sequence. The amplicon size was 231 bps and the Snapback primer loop size was 58 bases.

The resultant Snapback primer probe element melting curves are shown in Figs. 14A-B, as both denvative (Fig. 14A) and normalized melting curve (Fig. 14B) plots.

Melting of the probe element from the wild type template occurs at about 72°C, while the mismatched templates melt at lower temperatures, with each genotype having a characteπstic melting curve All genotypes are easy to distinguish

Example 11. Multi-locus geno typing with bilateral Snapback primers.

Snapback genotypmg can be multiplexed along the temperature axis, similar to other melting techniques (9). For example, two or more sets of primers (each with one Snapback primer) can be used to amplify and genotype multiple loci, illustratively by having all alleles separated in melting temperature with their respective probe elements. Alternatively, multiple loci within an amplicon can be genotyped with amplification using two Snapback primers, or one Snapback primer and one unlabeled probe, each of which may interrogate more than one loci by looping out the template between constant regions (13). When two Snapback primers are used to amplify a single target nucleic acid, illustratively, symmetric PCR may be used to result in sufficient concentration of both product strands In the present example, the CFTR gene was amplified using symmetric PCR, with each pπmer at 0.5 μM The primers included a two-base 5 '-end mismatch and either a 17-base (Snapback 1) or a 28-base (Snapback 2) probe element producmg a 249 bp PCR product of exon 10 of CFTR with hairpin loops of 69 and 66 bases, respectively. Template DNA concentrations were 5 ng/μl Reaction volumes of 2 μl m a 96-well plate were overlaid with 10-15 μL of mineral oil (Sigma), the plate was centπfuged (1500 g for 3-5 mm), and PCR performed in a PTC-200 thermal cycler (Bio-Rad). An initial denaturation was performed at 95⁰C for 3 minutes, followed by 35 cycles of 95⁰C for 15 seconds, 55⁰C for 10 seconds, and 72⁰C for 15 seconds.

Since formation of double-stranded full-length amplicon is an intermolecular reaction that is dependent on concentration, and the Snapback hairpm loop formation is an intramolecular reaction that is generally independent of concentration, dilution of the PCR product will favor Snapback loop formation, as compared to the same undiluted PCR product Thus, in this illustrative example, after PCR, the CFTR samples were diluted with water (18 μl for a 1OX dilution), centπfuged, heated to 95⁰C (above the melting temperature for the full-length amphcon) in a LightScanner^®, removed from the instrument for cooling to <40°C (room temperature, which is below the melting temperature for the hairpins of this example), followed by fluorescence acquisition during heating at 0 15°C/s on a LightScanner^® It has been found that heating and cooling, illustratively rapid cooling (illustratively at least 2°C/s, and more illustratively at least 5⁰Cs), subsequent to dilution and pπor to fluorescence acquisition melting produced good signal from Snapback hairpins Only weak hairpin melting transitions were observed in symmetric PCR (i) without dilution or (n) with dilution and without the heating and cooling pπor to fluorescence acquisition during melting It is understood that other methods may be used to favor the Snapback intramolecular loop formation, such as adjusting pH Snapback 1 covered the F508del, I507del, F508C, and I506V vaπants with melting transitions between 46-60⁰C The longer Snapback 2 covered the Q493X vaπant and melted between 66-72°C Data are displayed in Fig 15 as a negative denvative plot after normalization and background subtraction Wild type (circles), compound F508del/Q493X heterozygote (connected small diamonds), I506V heterozygote (small diamonds), F508C heterozygote (small squares), I507del heterozygote (large squares), F508del heterozygote (connected large diamonds), and F508del homozygote (connected squares) were all distinguishable

While a ten-fold dilution was used in this example, it is understood that other dilution ratios may be used, depending on the extent of minimization of signal from the full-length amphcon desired If only genotypmg is desired, a higher dilution may be appropπate, whereas if genotypmg and scanning are both desired, a lower dilution may be appropπate Alternatively, the sample can be melted for scanning without dilution, then melted again after dilution for genotypmg Further, while the PCR amplification product was diluted in this example, it may be possible to obtain a similar result by stopping the PCR amplification pπor to the plateau phase, thereby limiting the quantity of full-length amphcon, with resultant lower concentration of the amphcon Additional methods of favoπng Snapback loop formation over full length amplicon duplexes after symmetric PCR have been demonstrated For example, this hairpin formation can be favored by rapid cooling after denaturation This can be achieved in capillaries on the LightCycler by coolmg at a programmed rate of -20°C/s and has also been observed at -10°C/s and -5°C/s Alternatively, rapid cooling sufficient to favor hairpins can be obtained by coolmg on block thermocyclers such as the MJ PTC- 200, wherein denatured samples were cooled to <35°C m 60 seconds Hairpm formation after denaturation can be highly favored by coolmg denatured samples in capillaries by plunging them in ice water, where temperature <5°C can be obtained in less than 2 seconds If samples are rapidly cooled, they do not necessaπly need to be diluted after symmetric PCR, depending on the amounts of hairpm and full length amplicon duplex desired

High pH, illustratively from pH 8 5 to 11 0, also favors formation of hairpins over full length duplex amplicons PCR can either be performed at high pH, or the pH increased after PCR, illustratively by adding a dilute solution of NaOH or a high pH buffer For example, hairpin formation is favored after PCR amplification in AMP (aminomethyl propanol) buffers from pH 8 9 to 10 8 Alternatively, PCR can be performed in 10 mM Tns buffer, pH 8 5, and 10 niM AMP buffers between pH 9 and 11 added after PCR to make the solution more basic Dilute unbuffered NaOH can also be added directly, for example, 1-9 μl of 0 01 M NaOH may be added into the reaction products of a 10 μl PCR buffered with 10 mM Tns, pH 8 5 In summary, the amplification product may be adjusted by a combination of one or more of the following to favor hairpm formation over mtermolecular hybridization 1) lower product concentration, illustratively obtained either by limiting the amount of PCR product produced (low number of cycles or low pnmer concentrations), or by diluting after PCR, 2) rapid coolmg after denaturation, and 3) high pH (illustratively 8 5-11 0) obtained either by running the PCR at high pH or by adding a basic solution after PCR is completed

Example 12. Snapback primers as an energy transfer donor for multicolor genotyping.

Even greater multiplexing would be possible if different probe elements could be "colored" with different fluorophores This approach has been shown with iFRET (mduced fluorescence resonance energy transfer), where a solution of a dsDNA dye (SYBR Green I) in the presence of a DNA duplex provides donor fluorescence to an acceptor dye covalently attached to a strand of the duplex (14).

To demonstrate resonance energy transfer and the feasibility of color multiplexing with Snapback primers, a Snapback primer with a 5'-terminal, covalently-attached dye, LCRed640 (Roche Diagnostics) was compared to a 5 '-labeled probe of the same sequence. For the Snapback amplification, the forward primer sequence was IF (tcattctcgttttctgaactg (SEQ ID NO:5)) and the Snapback primer was Red640- GGATTCAATGAATATTTATGACGAatgtttagactggatagcgt (SEQ ID NO: 15). For the labeled probe reaction used as a control, the forward primer was again IF, the reverse primer was IR (atgtttagactggatagcgt (SEQ ID NO:40)) and the labeled probe was Red640-GGATTCAATGAATATTTATGACGA-P (SEQ ID NO:41), where "P" is a 3'- phosphate. PCR was performed in the presence of 0.5X LCGreen Plus as described in Example 3 except that the extension temperature was 74°C, 50 cycles were performed, the forward pπmer concentration was 0.1 μM, the reverse pπmer concentration (Snapback or normal) was 0 5 μM, and the labeled probe (if present) was at 0.5 μM Melting analysis was performed on the LightCycler^® m the F2 (LCRed640) channel at 0.2C/s from 50- 87⁰C.

Fig. 16 shows derivative melting plots in the LCRed640 channel that demonstrate resonance energy transfer between LCGreen Plus and covalently attached LCRed640. LCRed640 melting transitions are apparent using either Snapback primers or labeled probes, although the intramolecular loop stabilizes the Snapback duplex by about 9°C relative to the mtermolecular duplex. By labeling different Snapback primer with different fluorophores that are excited by the same dsDNA dye (e g LCGreen Plus), color multiplexing can be achieved Color compensation techniques, preferably methods that account for the effect of temperature on crosstalk between channels (9), are used to de- convolute the complex spectral signal into individual components

In Fig. 16 the labeled probe control reaction reveals a melting peak at 63°C, a result of FRET between bound LCGreen Plus and the labeled probe The labeled Snapback primer, stabilized by about 9⁰C from intramolecular binding, has a melting temperature of about 72°C. Example 13. Combined Snapback genotyping and amplicon scanning.

Asymmetric amplification with Snapback primers produces both a hairpin for genotypmg and double stranded product for amplicon scanning Hence, both genotyping and scanning from the same melting curve is possible with Snapback primers A schematic for such a method is shown in Fig 17 Because Snapback genotypmg is usually done with asymmetric PCR, the amplicon signal is not as strong as with symmetric amplification, and the heterozygote scanning accuracy is currently unknown Nevertheless, the potential to screen for mutations and genotype specific sequence variants in one process is attractive and can potentially eliminate 99% of the sequencing burden m whole gene analysis Any sequence difference in the sequence between the pπmers skews the amplicon melting transition to lower temperatures because of the heteroduplexes formed In addition, with Snapback hairpins, common variants under the probe element can be definitively identified Homozygous vaπants are also identified by the probe element, but may not alter amplicon melting Finally, if the amplicon transition indicates a heterozygous variant but the Snapback transition is normal, a rare or new vanant outside of the probed region is suggested and may require sequencing for identification

As an alternative to asymmetric PCR, scanning and genotypmg may be done in two steps using a Snapback primer and symmetric PCR, with and without dilution As discussed above, symmetric PCR to plateau phase favors formation of full-length double- stranded amplicon, while dilution favors Snapback loop formation The pπmers were tctcagggtattttatgagaaataaatgaa (SEQ ID NO 42) and gzAAGGAGGAACGCTCTATCtcctcacaataataaagagaaggca (SEQ ID NO 43) and amplified a 211 bp PCR product including exon 4 of CFTR The hairpin loop was 46 bases with a hairpm duplex length of 18 bps PCR was performed as in Example 11 except that 5 μl volumes were used with 2 mM Mg⁺⁺ and 0 25 μM of each pπmer Temperature cycling included an initial denaturation of 95°C for 5 mm, followed by 36 cycles of 95°C for 30 s, 62°C for 10 s, and 72°C for 30 s Melting acquisition for scanning was from 60 to 95°C before any additions or dilutions Fig 18 A shows the scanning melting curves of several wild type samples and a single Rl 17H heterozygote resulting from a G to A base change The single Rl 17H heterozygote is clearly visible, indicating that such symmetric melting curves without dilution may be used for scanning Fig 18B shows a deπvative plot of the same amplification product subsequent to dilution with 45 μl water (1Ox dilution) and heating and cooling as discussed above pπor to melting data acquisition Again, the Rl 17H heterozygote is easily distinguishable for specific identification by snapback pπmer genotypmg While the same heterozygote is seen in both curves, this demonstrates that it is possible to scan and genotype with the same PCR amplification using a Snapback pπmer

Example 14. Haplotyping with Snapback primers.

By combining allele-specific amplification with Snapback primer genotypmg, a simple method for haplotyping is provided Consider two genetic loci, A and B, each with two alleles, Al, A2, and Bl, B2 The pπmer element of a Snapback primer is designed to anneal to the A locus, and the probe element of the Snapback pπmer is designed to anneal to the B locus, with the second pnmer designed to flank the B locus, so that the B locus is amplified by the two pπmers If the Snapback pπmer is designed only to extend allele 1 of the A locus (illustratively by placing the 3 ' end at the vaπable position of the A locus), then the B locus type identified by melting the probe element must be associated with (the same haplotype as) the Al allele Thus, if the pπmer element extends Al, the probe element matches Bl, and the probe melting curve indicates a match, a AlBl haplotype is present If the probe melting curve indicates a mismatch, an A1B2 haplotype is present If the pπmer element extends A2, the probe element matches Bl, and the probe melting curve indicates a match, an A2B1 haplotype is present If the probe melting curve indicates a mismatch, an A2B2 haplotype is present

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Although the invention has been descπbed in detail with reference to preferred embodiments, vaπations and modifications exist within the scope and spint of the invention as descπbed and defined in the following claims

Claims

1. A method for nucleic acid analysis comprising the steps of mixing a target nucleic acid with a first primer and a second primer to form a mixture, the primers configured for amplifying the target nucleic acid, wherein the first primer comprises a probe element specific for a locus of the target nucleic acid and a template- specific primer region, wherein the probe element is 5' of the template-specific primer region, amplifying the target nucleic acid to generate an amplicon, allowing the probe element to hybridize to the locus to form a hairpin, and generating a melting curve for the probe element by measuring fluorescence from a dsDNA binding dye as the mixture is heated, wherein the dye is not covalently bound to the first primer.

2. The method of claim 1 wherein the first primer is provided at a concentration greater than the second primer for asymmetric amplification.

3. The method of claim 1 wherein the amplifying step is amplifying by PCR.

4. The method of claim 1 wherein the first primer further comprises a mismatched region 5' of the probe element.

5. The method of claim 4 wherein the mismatched region is two bases.

6. The method of claim 1 wherein the first primer is an oligonucleotide that does not have any covalently attached dyes or quenchers.

7. The method of claim 6 wherein the first primer does not have an extension blocker.

8. The method of claim 1 wherein the dye is present in the mixture during amplification.

9. The method of claim 8 wherein the dye is a saturation dye.

10. The method of claim 9 wherein the dye is present at concentrations sufficient to distinguish heterozygotes in the melting curve.

1 1. The method of claim 1 wherein the first and second primers are provided at essentially the same concentration.

12. The method of claim 11 wherein the second primer comprises a probe element specific for a second locus of the target nucleic acid and a template-specific primer region, wherein the probe element of the second primer is 5 ' of the template-specific primer region.

13. The method of claim 12 wherein the first primer probe element melts at a temperature different from that of the second primer probe element.

14. The method of claim 12 further comprising the step of diluting the amplicon prior to generating a melting curve.

15. The method of claim 13 further comprising the step of heating the diluted amplicon to at least a denaturation temperature of the amplicon and cooling the heated diluted amplicon to a temperature below a denaturation temperature of the hairpin prior to generating the melting curve.

16. The method of claim 15 wherein the cooling is rapid cooling.

17. The method of claim 11 wherein the first primer comprises an extension blocker between the probe element and the template-specific primer region.

18. The method of claim 1 wherein the hairpin has a loop having less than 200 bases.

19. The method of claim 1 wherein the hairpin has a loop of between 20 and 50 bases.

20. The method of claim 1 wherein the probe element is less than 20 bases.

21. The method of claim 20 wherein the probe element is less than 10 bases .

22. The method of claim 1 wherein the mixture further comprises a third primer, the third primer comprises a probe element specific for a third locus of the target nucleic acid and a template-specific primer region, wherein the third primer's template-specific primer region is the same as the first primer's template-specific primer region, but the third primer's probe element is specific for a locus that is distinct from the locus of the first primer's probe element.

23. The method of claim 1 wherein the locus has a known single nucleotide polymorphism, and the single nucleotide polymorphism is located no closer than 8 bases from an end of the probe element. ]

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24. The method of claim 1 wherein the mixture further comprises an unlabeled probe configured to hybridize to a different locus of the target nucleic acid.

25. The method of claim 1 wherein the second primer comprises a probe element specific for a second locus of the target nucleic acid, a template-specific primer region and a covalently bound dye capable of resonance energy transfer with the dsDNA binding dye, wherein the probe element of the second pπmer is 5 ' of the template-specific primer region, and the fluorescence of the dsDNA binding dye is measured at a first wavelength and the generating step further includes measuring fluorescence from the covalently bound dye at a second wavelength.

26. The method of claim 1 wherein the target nucleic acid further compπses a second locus, and the template-specific pπmer region of the first primer is configured to amplify the target nucleic acid only if a particular allele of the second locus is present.

27 The method of claim 1 further comprising the step of analyzing the shape of the melting curve.

28 The method of claim 1 wherein the mixture is adjusted to favor probe element hairpin formation prior to generating the melting curve.

29. The method of claim 28 wherein the mixture is adjusted by diluting, rapid cooling after denaturation, or increasing the pH.

30. The method of claim 1 wherein amplification is terminated prior to reaching plateau phase, to limit amplicon concentration.

31. A kit for nucleic acid analysis comprising a first primer and a second primer, the pπmers configured for amplifying a target nucleic acid, wherein the first pπmer comprises a probe element specific for a locus of the target nucleic acid and a template-specific primer region and the probe element is 5' of the template-specific primer region, and a dsDNA binding dye.

32. The kit of claim 31 wherein the dsDNA binding dye is a saturation dye.

33. The kit of claim 31 wherein the first pπmer is provided at a concentration greater than the second primer.

34. The kit of claim 31 wherein the first primer further compπses a mismatched region 5 ' of the probe element.

35. The kit of claim 31 wherein neither the first primer nor the second pπmer has any covalently attached dyes or quenchers.

36. The kit of claim 31 further comprising a thermostable polymerase and dNTPs.

37. A method for simultaneous scanning and genotyping of a target nucleic acid comprising the steps of mixing the target nucleic acid with a first pπmer and a second primer to form a mixture, the pπmers configured for amplifying the target nucleic acid, wherein the first primer compπses a probe element specific for a locus of the target nucleic acid and a template-specific primer region, wherein the probe element is 5' of the template-specific pπmer region, amplifying the target nucleic acid to generate an amplicon, generating a melting curve for the amplicon by measuπng fluorescence from a dsDNA binding dye as the mixture is heated, adjusting the mixture to favor hairpin formation by the probe element binding intramolecularly to the target nucleic acid, and generating a melting curve for the probe element by measuπng fluorescence from the dsDNA binding dye as the mixture is heated.

38 The method of claim 37 wherein the adjusting is dilution of the amplicon.

39. The method of claim 38 further comprising the steps of heating the diluted amplicon to at least a denaturation temperature of the amplicon and cooling the heated diluted amplicon to a temperature below a denaturation temperature of the probe prior to generating the melting curve for the probe element.

40. The method of claim 37 wherein the adjusting is heating followed by rapid cooling.

41. The method of claim 37 wherein the adjusting is increasing the pH.