J. Biomedic
a
doi: 10.4236/j
b
Published O
n
An an
a
using
t
Chris C. S
t
1
Bioprocess
R
2
Department
o
3
Department
o
Email: erik.b
o
Received 6 F
e
ABSTRA
C
There is co
n
surin
g
nucl
e
tions. The
m
thod is the
r
anal
y
zed wi
t
(Ct) method
performed
h
of initial co
n
a concentra
t
resultant Ct
dard and n
o
riabilit
y
/reli
a
supports th
rep li c a t e s , t
h
tically disti
n
ten orders
o
tion. As exp
g
row as the
demonstrat
e
confound q
u
tion at low
t
that a misc
l
3000 initial
c
tion re
g
ion
thermal we
a
vide data t
h
detection st
r
and plate
classicatio
n
becomes un
r
Keywords:
M
Molecule C
o
Replicates a
n
1. INTR
O
Real time P
o
a
l Science a
n
b
ise.2010.350
6
n
line May 201
a
lysis o
f
t
he Ct
m
t
owers1, Fr
e
R
&D Division
D
o
f Biomedical
E
o
f Biomedical I
n
o
czko@vander
b
e
bruary 2010; r
e
C
T
n
siderable i
n
e
ic acids fro
m
m
ost commo
n
r
eal-time pol
y
t
h the crossi
n
.
Utilizin
g
a
m
h
undreds of r
e
n
ditions whos
e
t
ion ran
g
e of
value distrib
u
o
vel statistic
a
a
bilit
y
of th
e
e followin
g
h
e mean and/
o
ng
uishable an
o
f ma
g
nitude
ected, the va
r
number of i
n
e
that these
v
u
antitative cl
a
t
emplate con
c
l
assication
t
c
opies of tem
p
corr elates
w
a
r o f t h e TA
Q
h
at indicate
r
ate
gy
based
llin
g
statisti
c
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transition
w
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eliable.
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isclassicat
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unting; Rank
n
d Reliability
O
DUCTIO
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o
lymerase C
h
n
d En
g
ineeri
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6
4 Published O
n
0 in SciRes.
h
f
quant
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m
ethod
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derick R.
H
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ow AgroScie
n
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ngineering Va
n
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formatics Va
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b
ilt.edu
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vised 1 Marc
h
n
terest in qu
a
m
sin
g
le cells
n
l
y
emplo
y
e
d
y
merase chai
n
ng
point or c
r
m
ultiwell plat
e
e
plicate reac
t
e
initial num
b
ten orders o
f
u
tions are an
a
l techniques
e
PCR proc
e
conclusions.
o
r me d i an Ct
d can be ra
n
in initial te
m
r
iances in th
e
n
itial copies
d
v
ariances are
a
ssication o
f
c
entrations.
T
t
ransition is
p
late DNA a
n
w
ith indepen
d
Q
pol
y
merase
that an alte
r
on the theo
r
c
s is accurat
e
w
here the r
e
i
on Transitio
n
Ordering Ru
n
N
h
ain Reaction
ng
, 2010, 3, 4
5
n
line May 201
0
h
ttp://www.sci
r
i
tative
P
H
aselton2, E
r
n
ces LLC India
n
n
derbilt Unive
r
n
derbilt Univer
s
h
2010; accepte
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ntitat iv el
y
m
to small po
p
d
laborator
y
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reaction (P
C
r
ossin
g
thres
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e
rea der w e
h
t
ions each at
a
b
er of copies
s
f
ma
g
nitude.
al
y
zed with
s
to assess th
e
e
ss. Our ana
l
Given suffi
c
values are st
a
n
k ordered a
c
m
plate conce
n
e
Ct distribu
t
d
eclines to 1.
lar
g
e enou
gh
f
the init ial co
T
he data ind
i
centered ar
o
n
d that the tr
a
d
ent data on
enz
y
me. We
p
r
native end
p
ry
of well mi
x
e
below the
m
e
al time me
t
n
; Single
n
ning Title;
P
(PCR) is wi
5
9-469
0
(http://www.
S
r
p.org/journal
/j
P
CR r
e
r
ik M. Bocz
k
n
apolis, Indian
a
r
sity Nashville,
s
ity Medical C
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2 March 201
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460 C. C. Stowers et al. / J. Biomedical Science and Engineering 3 (2010) 459-469
Copyright © 2010 SciRes. JBiSE
Using a multiwell plate format we measured hundreds
of replicates to produce Ct value distributions. Using
standard and novel statistical techniques we analyze the
Ct value distributions and demonstrate that the sample
mean and/or median Ct values are statistically signifi-
cantly distinguishable over ten orders of magnitude.
Furthermore, we show that the sample mean Ct values
are reliably ordered according to the initial concentration
of template. In other words, if x and y are initial template
concentrations with x < y and µx and µy are the corres-
ponding sample mean Ct values then µx > µy. The order
reverses because less initial template requires more
cycles of PCR to amplify. We utilize ordering as a con-
venient and natural device to quantify the role of repli-
cates on reliability. We ask and answer the following
question: Given an unlabeled dilution series how many
replicates are required to reliably order the tubes? We
find that the answer depends on the range of initial tem-
plate.
A focus of this work was to cover as broad a range of
initial conditions as possible with the same experimental
format. We observed that the mean and/or median Ct
values had the smallest variance above 104 initial copies.
Most published standard curves focus on this range [2].
Few studies have analyzed issues of variability and ro-
bustness below this range. We show that below 104 ini-
tial copies the probability of misclassication of the ini-
tial template concentration given a Ct value grows ra-
pidly and saturates near a half. The dispersion in the Ct
value distributions and the rise in misclassication cor-
relate with an independent measure of the thermal wear
of the TAQ polymerase enzyme.
Driven by the observed broadening of the Ct value
distributions below a thousand initial copies, and in-
spired by elegant methods that sidestep the issues
created by the dynamics of exponential growth [14-18],
we examined a format for single molecule detection uti-
lizing an endpoint analysis and the statistical properties
of well mixing and plate lling. We present data that
such an assay is accurate where the real time method
becomes unreliable.
2. MATERIALS AND METHODS
2.1. PCR
Rt-PCR results were generated using linearized double
stranded EC3 plasmid DNA containing the ybdO gene.
The plasmid was linearized by digestion with the restric-
tion enzyme BamH1 prior to PCR. The following primer
sequences were used.
1) Forward: 5’-AAT TAT TCT AAA ACC AGC
GTG TC-3’
2) Reverse: 5’-TTT GGG ATT GAA TCA CTG TTT
C-3’
The PCR supermix was prepared as described in [19],
with the exception that we used Qiagen HotStarTaq Cat
# 203203, Roche dNTPs Cat# 13583000, DMSO Sigma
# D8418 at 2%, and Sybr Green (Sigma # 86205) at
5-times the recommended concentration. Primers were
used at a concentration of 1 µM. All samples were run
on the 384 well plate platform using an Applied Biosys-
tems 7900HT thermocycler and the SDS 2.3 software.
The Ct value threshold was set at 5.0 RFU (Relative
Fluorescence Units) for all samples. The DNA concen-
trations of concentrated stocks were measured using a
Nano-Drop 100 spectrophotometer prior to use. Subse-
quent dilutions were performed using sterile, nuclease
free water from Ambion # AM9937. The following
thermo-cycling program was used.
1) 2 min at 50°C Initial Warmup Phase;
2) 15 min at 95°C Initial TAQ Activation Step;
3) 1 min at 95°C DNA Denaturation;
4) 1 min at 50°C Primer Annealing;
5) 1 min at 72°C DNA Extension;
6) 0.25 min at 80°C Fluorescence Measurement;
7) Repeat Steps 3-6 forty times.
2.2. Preparation of Identical Replicates
To ensure uniformity in the face of pipetting error the
PCR supermix was prepared in well-mixed batches in a
14-mL conical tube. Each sample consisted of 184 rep-
licates and 8 negative controls, requiring exactly half of
a 384 well plate. All of the components except for DNA
were loaded into a 14 mL conical tube in the following
order: 800 µL PCR buffer, 5.6 mL of nuclease free water,
160 µL DMSO, 320 µL MgCl2 (Qiagen Cat #
124113012), 160 µL of a primer mix (a 1:1 mix of the
forward and reverse primer stored at a concentration of
50 M each), 160 µL Sybr Green (100X stored in DMSO),
160 µL of dNTPs, and lastly 80 µL of Taq polymerase.
We have noticed that the order at which these are added
affects the reproducibility of the assay. The mixture was
vortexed at high speed for 1 minute. 335 µL of supermix
was then removed to be used as a negative control and
placed into a 1 mL eppendorf tube and 25 µL of water
was added. This mixture was then briefly vortexed to
ensure well mixing. The remaining 7.105 mL of super-
mix was then split equally four ways into 2 mL cryostat
tubes, and 134 µL of water plus the amount of desired
DNA was added to each cryostat tube. Each tube was
then briefly vortexed. For each reaction contained within
a single well of the plate, 10 µL of the respective reac-
tion mix was loaded into a well of the 384 well plates.
2.3. TAQ Polymerase Pre-Wear Assay
The PCR supermix was prepared as described above, but
without template DNA. Steps 1 and 2 of the PCR
process were executed following which samples were
pre-worn by thermocycling the supermix as described in
steps 3 through 6 above. Samples were pre-worn from 5
to 40 cycles. 108
copies of initial template DNA were
C. C. Stowers et al. / J. Biomedical Science and Engineering 3 (2010) 459-4 461
Copyright © 2010 SciRes. JBiSE
added to the preworn enzyme with subsequent resump-
tion of cycling. An efficiency was calculated by averag-
ing the derivative over the resultant amplication curve.
2.4. Statistical Analysis of Ct Distributions
The sample mean Ct values for each initial template con-
centration were compared pairwise using a permutation
test that is asymptotically valid and robust in situations
where the distributions are not necessarily normal and/or
the ratio of the variances is unknown, indicating that a
t-test is not supported [20,21]. The test statistic T [20],
measures the difference in mean rank of the samples
within their union, scaled by a consistent estimator of
their variance. Because the Ct value distributions may be
skewed by outliers, we also considered the median as a
measure of central tendency. The median Ct values were
compared pair-wise using a bootstrap test that has been
shown to outperform all reasonable alternative methods
[22].
Given a linear regression, bmxy  , of the mean/
median Ct values against x = log(n), the log of the num-
ber of initial copies of template, a relative error was cal-
culated from the quantiles of the Ct value distributions as
follows. Allow x
h
Q and x
l
Q to be high and low quan-
tile values chosen from the Ct value distribution gener-
ated by initial log template x. Since the Ct value gener-
ally increases with decreasing amount of initial template
the slope m of the regression line(s) is negative. Thus,
the difference in the predicted amount of initial template
DNA from the distributions divided by the input amount
is given as:
x
mbQmbQ x
h
x
l
n
n
10
1010 )()( 
(1)
Let U represent the universe of possible Ct values, and
let T stand for the collection of possible initial template
concentrations. The initial template concentrations are
thought of as the class labels. We consider the probabil-
ity of misclassifying an observed Ct value given a known
class label. Suppose that we draw a Ct value from a giv-
en class, how likely is it to find that value in any of the
other classes? The mean misclassication probability is
estimated from the Ct value distributions corresponding
to different initial template concentrations according to
the following formula.
Ui
x\T|iPx|iPxP )()()( (2)
where )|( xiP is the conditional probability of finding
the Ct value i, given the initial template concentration x,
and the )\|( xTiP is the conditional probability of
observing that same value given any initial template
concentration other than
x
. The later conditional prob-
ability is interpreted as the probability of misclassi-
cation. The conditional probabilities are estimated from
the measured Ct value frequency distributions.
2.5. Plate Filling with Microbeads
Experiments were performed using 20µm latex beads
from Beckman Coulter (#PN6602798) using flat bottom
96 well plates from Becton Dickinson Labware. 96 well
plates were used in place of 384 well plates for ease of
microscopic analysis. Various dilutions of beads were
prepared using a Beckman Multisizer Coulter Counter 2.
25 µL of each dilution was loaded into each well of the
96 well plate. The number of beads in each well was
counted with a Nikon TE-2000 microscope.
2.6. Plate Filling Simulations
The statistics of the plate lling stochastic process were
modeled using Monte-Carlo simulation. For instance, the
expected number of empty wells in a 96 well plate was
estimated by simulation using the following function:
Table[Mean[
Table[Length[
Complement[Range[96],
RandomInteger[Range[96], m]]], {10000}]], {m,
1, 600}]
Here m is the number of molecules being plated from
a well mixed solution. The mean is estimated from
10,000 realizations. The standard deviation is computed
by replacing the function Mean by Standard Deviation.
A graph of these functions is shown in Figure 9. All
simulations and analysis were carried out in Mathemati-
ca 6.03 (Wolfram Research), and the notebooks are
available upon request.
3. RESULTS
The Ct value data are summarized in Figure 1. The fig-
ure shows that above 104 copies the data are distributed
about the median with smaller variance than those below.
Outliers exist across all the data, mostly trending upward
of the median, indicative of reactions lagging behind the
pack. The data show the distributions as collected across
ten orders of magnitude in initial template.
3.1. Mean and Median Ct values
While the Ct value distributions below 104 copies of ini-
tial template DNA are broad and noisy, the sample
means and medians form a monotone increasing series
when stratified according to initial template. These data
are shown in Table 1. The means and medians are very
nearly equal in all cases and the data distributions appear
unimodal.
At initial template concentrations larger than 104 ini-
tial copies the data distributions seen in Figure 1 appear
462
Copyright
©
F
o
r
d
to identify d
no hypothes
i
template co
n
not within
a
another. W
h
count the m
e
a level of si
g
ception of t
h
cally differe
n
result of the
in Table 2.
The Ct v
a
b
ecause we
riances, stan
©
2010 Sci
Table 1. Sam
p
O
b
serve that t
h
Distribution
N
L
og Copies
T
Replicates
Mean C
t
Val
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t
V
a
F
igure 1. Sum
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istinguishabl
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C. C. Stower
s
Res.
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1 2
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184 182
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m
b
out the media
n
n
terquantile ra
n
t
justified.
S
e
n proposed
f
v
e shown to
n
tains the T
-
t
ributions. T
h
c
lining as te
m
p
er boundary
u
rth and fifth
r
iance estima
t
p
lains the lar
g
b
utions conta
i
g
er variance
s
a
tely 184 rep
m
ination ove
r
n
eering 3 (20
1
i
ons are shown
a
tified by initi
a
789
3.1 2.11.
9
184 17973
0
27.6 28.8 30.
28.1 28.7 30.
g
of the initial
n
m
inimum of 17
5
n
with outliers
n
ge from the e
d
S
everal non-
p
f
or this com
m
have power.
-
statistic co
m
h
e values of t
h
m
plate decrea
s
of the null
distribution
s
t
or takes its
g
e T value. A
l
i
n some ove
r
s
. The data i
n
licates the C
r
nine orders
1
0) 459-469
in Figure 1.
a
l template.
10 11
9
1.1 0.3
0
175 178
7 35.5 36.4
7 35.0 35.7
n
umber of copi
e
5
replicates we
r
shown as the r
e
d
ge of the box.
p
arametric
m
m
on situatio
n
The last ro
w
m
paring tem
p
h
e T-statistic
s
es and come
distribution.
s
are non-ov
e
minimum v
a
l
l of the othe
r
r
lap and hen
c
n
dicate that
C
t
method ca
n
of magnitud
e
JBiS
E
e
s
r
e
e
d
m
ethods hav
e
n
[20,21] an
d
w
of Table
2
p
late-adjacen
t
are generall
y
closer to th
e
Because th
e
e
rlapping th
e
a
lue and thi
s
r
pairs of dis
-
c
e have muc
h
with approx
-
n
provide dis
-
e
. One goal o
f
E
e
d
2
t
y
e
e
e
s
-
h
-
-
f
Copyright
our work, t
o
analysis of
h
make the sa
m
3.2. Stand
a
A linear re
g
initial copie
s
The regress
i
over the enti
r
contrast, Fi
g
described b
y
contains at
l
also be see
n
gression line
In an ind
e
and supermi
experiences
C. C. St
o
© 2010 Sci
o
be describ
e
h
ow few rep
l
m
e claim.
a
rd Curves
g
ression of t
h
s
of DNA te
m
i
on line capt
u
r
e range of i
n
g
ure 1 gives t
h
y
a function
t
l
east two sig
m
n
in the oscill
a
in Figure 2.
e
pendent exp
e
x, we exami
n
as a functio
n
Table 2.
applied p
treme va
l
with the
T
Table 1.
applied t
o
side of t
h
thesis is r
e
Propert
y
Min
Max
T
Figure 2.
sion line
i
on the in
d
tributions
.
o
wers et al.
/
Res.
e
d below, is
l
icates are re
q
h
e mean Ct v
m
plate is sh
o
u
res the dat
a
n
itial template
h
e impressio
n
t
hat is initiall
y
m
oid like tra
n
a
tion of the
d
e
riment with
t
n
ed the wear
n
of thermoc
y
Results of tes
t
airwise to C
t
v
l
ues of the dist
T
-statistic for
a
In each test, t
h
o
the pooled d
a
h
e range indica
t
e
jected with co
y
2v1 3
v
-5.02 -3
3.93 4
.
684.33 3
9
Linear regres
s
i
s shown in re
d
d
ividual data p
o
.
/
J. Biomedi
c
to provide s
o
q
uired to reli
a
alues against
o
wn in Fi
g
u
r
a
reasonably
w
concentratio
n
n
that the dat
a
y
linear and
t
n
sitions. This
d
ata about th
e
t
he same enz
y
that the enz
y
y
cling alone.
t
ing the null h
y
v
alue distributi
o
ribution of the
a
djacent distri
b
h
e null distribu
t
a
ta as describe
d
t
ing that the p-
v
nfidence.
v
2 4v3
.85 -4.63
.
17 3.87
9
.61 51.45
2
s
ion of the me
a
d
along with a
9
o
ints reflect o
n
c
al Science
a
o
me
a
bly
log
r
e 2.
w
ell
n
. In
a
are
t
hen
can
e
r
e-
y
me
y
me
The
mi
d
of
a
we
a
wh
e
in
d
tra
n
gre
G
me
a
fro
m
eq
u
an
d
in
F
p
r
o
sh
a
as
tra
n
y
pothesis of st
o
o
ns adjacent i
n
T-statistic un
d
b
utions. The di
s
t
ion was simu
l
d
in [20]. In ea
c
v
alue is less t
h
5v4 6v5
-4.25 -4.06
3.74 4.13
2
3809.7 91.0
a
n C
t
values wi
9
5% confidenc
e
n
e standard de
v
a
nd Enginee
r
d
dle of the tr
a
a
pproximatel
y
a
r transition
c
e
re the distri
b
d
ependent obs
e
n
sition point
ssion. The
d
a
t
G
iven a regre
a
sure of the
m
the spread
u
ation fo
r
n,
a
d
third quartil
e
F
i
g
ure 5. Th
e
o
ximately 20
%
a
rply below.
T
the red line,
n
sition region
,
o
chastic equali
t
n
initial templa
t
d
er the null hy
p
s
tributions, e.g
.
l
ated using 20,
0
c
h test the calc
h
an 1/20000. I
n
7v6 8v7
-4.10 -3.94
5.03 4.77
24.27 7.29
t
h log initial c
o
e
interval in da
iation comput
e
r
ing 3 (2010
)
a
nsition regio
n
y
25. As see
n
c
orresponds t
o
b
utions begin
t
e
rvation, we
s
and conside
r
t
a are summa
r
ssion model
o
relative erro
r
in the Ct va
l
a
s described i
n
e
s were used
e
data show t
h
%
above 10
4
T
he piecewis
e
produces a
l
,
and agrees e
t
y. A hypothes
t
e concentratio
n
p
othesis are s
h
.
“2v1”, are la
b
0
00 random p
e
ulated T-statis
t
n
each case the
9v8 10v
9
-4.62 -4.5
0
4.87 3.73
18.37 81.7
o
py number. T
h
shed line. The
e
d from the C
t
v
)
459-4
n
correspond
s
n
in Fi
g
ure
1
o
the region n
e
t
o broaden. B
s
plit the data
r
ed a piecew
r
ized in Fi
g
u
r
o
f the data w
r
of the inve
r
l
ue distributi
o
n
Subsection
to produce t
h
h
at the relati
v
4
initial copi
e
linear regr
e
l
arger relativ
e
lsewhere.
is test was
n. The ex-
h
own along
b
ele
d
as in
e
rmutations
t
ic fell out-
null hypo-
9
11v10
0
-3.57
3.74
4.22
h
e regres-
error bars
v
alue dis-
46
3
JBiS
E
s
to a Ct valu
e
1
, the therma
l
e
ar 104 copie
s
ecause of thi
s
in two at thi
s
ise linear
r
e
-
r
e 4.
e computed
a
r
sion process
,
o
ns, using th
e
2.4. The firs
t
h
e data show
n
v
e error is a
p-
e
s, and rise
s
e
ssion, show
n
e
error in th
e
3
E
e
l
s
s
s
-
a
,
e
t
n
-
s
n
e
464
Copyright
©
3.3. Miscla
The graph o
shown in Fi
that the bro
a
the inverse
p
centration f
r
attempt to s
u
Ct value dis
initial templ
value we co
n
in the equati
o
The const
r
©
2010 Sci
Figure
comput
e
Error b
a
Figure
to the t
r
ssication
f the relative
g
ure 5 is an
a
dening of th
e
p
roblem of as
s
r
om a measu
r
u
mmarize the
t
ributions on
t
ate concentr
a
n
sidered stat
i
o
n for P(x) d
e
r
uction of a
s
C. C. Stower
s
Res.
3. TAQ effic
i
e
d as the aver
a
a
rs represent a
s
4. Piecewise li
n
r
ends observed
error of the
attempt to q
u
e
Ct value di
s
s
igning an ini
t
r
ed Ct value.
impact of t
h
t
he process o
f
a
tion based
o
i
stics such as
e
scribed in Su
b
s
tandard curv
e
s
et al. / J. Bi
o
i
ency as a fu
n
a
ge derivative
o
s
tandard deviat
i
n
ear regressio
n
in Figures 1 a
n
linear regres
s
u
antify the e
f
s
tributions ha
s
t
ial template
c
In an altern
a
h
e variance o
f
f
categorizin
g
o
n a measure
d
that summa
r
b
section 2.4.
e
, as describ
e
o
medical Scie
n
n
ction of ther
m
o
f relative fluo
r
i
on over three
i
n
of the mean
C
nd
3.
s
ion,
f
fect
s
on
c
on-
a
tive
f
the
g
the
d
Ct
r
ized
e
d in
the
co
n
an
o
rep
p
la
t
ure
lik
e
cla
s
the
val
u
qu
a
dat
a
n
ce and Engi
n
m
o-cycling pre-
escence over t
h
i
ndependent ex
p
C
t
values. The
d
previous se
c
n
centration t
o
o
ther. Consi
d
resenting a c
t
e concentrat
i
d Ct value c
o
e
ly is it to
m
s
s label? The
distributions
u
e will be m
i
a
ntifies this
n
a
set, are sho
w
n
eering 3 (20
1
wear. An effi
c
h
e amplificatio
n
p
eriments.
d
ata were split
a
c
tion, is one
o
a measure
d
d
er each dis
t
lass. The cla
i
on. The heur
i
o
ming from
m
isassociate
t
larger the o
v
, the mo
r
e li
k
i
sclassified.
T
n
otion. The r
e
w
n in Fi
g
ure
6
1
0) 459-469
c
iency is
n
curves.
a
ccording
way to assi
g
d
Ct value.
N
t
ribution of
ss label is t
h
i
stic is this:
G
one of these
t
his value wi
t
v
erlap betwee
n
k
ely it is tha
t
T
he formula
f
e
sults, condi
t
6
.
JBiS
E
g
n a templat
e
N
ow conside
r
Ct values a
s
h
e initial tem
-
G
iven a meas
-
classes, ho
w
t
h the wron
g
n
the meat o
f
t
an unknow
n
f
or P(x) give
n
t
ioned on ou
r
E
e
r
s
-
-
w
g
f
n
n
r
Copyright
The analy
s
results sho
w
p
robability
o
Over a narr
o
concentratio
n
quently, at l
o
less saturat
e
C. C. St
o
© 2010 Sci
Figure
and th
e
ues co
r
whose
l
given i
n
Figure
Subsec
t
Hill's f
u
p
roxim
a
s
is indicates,
a
w
n in Fi
g
ure
o
f misclassi
c
o
w range spa
n
n
the probab
i
o
wer concent
r
e
s at the va
l
o
wers et al.
/
Res.
5. Relative er
r
e
standard curv
e
r
responding to
l
imits were cal
n
Subsection 2.
6. Misclassific
a
t
ion 2.4 and co
n
u
nction is sho
w
a
tely 2950 copi
a
s is clearly c
1, that abo
v
c
ation are sm
a
n
ning the ne
x
i
lity rises to
r
ations, the p
r
l
ue of one
h
/
J. Biomedi
c
r
or of the PCR
e
s shown in Fi
g
the first and
t
culated using t
h
4.
a
tion frequenc
y
n
ditioned upon
w
n as the das
h
es of initial te
m
orrelated wit
h
v
e 105 copies
a
ll, less than
x
t two decad
e
one half. S
u
r
obability mo
r
h
alf and eq
u
c
al Science
a
process as cal
c
g
ures 2 and 4,
B
t
hird quartile
w
h
e regression l
i
y
calculated ac
c
the C
t
value di
s
h
ed line. The
m
m
plate DNA.
h
the
the
0.1.
e
s of
u
bse-
r
e or
u
ates
cla
s
the
cla
s
Hil
tha
t
cu
r
ca
n
a
nd Enginee
r
c
ulated from t
h
B
lue and Red
r
w
ere used to c
a
i
ne(s), accordi
n
c
ording to the
d
s
tributions sho
w
m
idpoint of th
e
s
sication to
flip is interp
r
s
s or out, in
l’s function,
s
t
the midpoi
n
r
s at 103.47
2
n
be seen in
F
r
ing 3 (2010
)
h
e C
t
value dist
r
espectively. T
h
a
lculate a D
N
n
g to the defin
i
d
efinition of P(
x
w
n in Figure 1
.
e
transition oc
c
coin flippin
g
r
eted as the c
h
a one versus
s
hown as the
n
t of the mis
c
2
950 initial c
o
F
i
g
ure 2, the
)
459-4
t
ributions
h
e C
t
val-
N
A value
i
tion of n
x
) given in
A best fit
c
urs at ap-
g
. The two si
d
hance of bei
n
all sense. F
r
dotted curve,
c
lassication
o
pies of temp
l
ordered pair
46
5
JBiS
E
d
ed nature o
f
n
g in the righ
t
r
om a bes
t
-fi
t
it is deduce
d
transition oc
-
l
ate DNA. A
s
(3.47,25) lie
s
5
E
f
t
t
d
-
s
s
466
Copyright
©
close to the
stripe, indic
a
error, miscla
s
3.4. Rank
O
In the first
s
sample mea
n
data are sta
t
This was the
p
late conce
n
stand how fe
w
In this se
c
Suppose that
in a set of tu
b
a correctly c
a
taining the
scrambled a
s
that the amo
u
series. The
q
PCR runs ar
e
Ct values co
r
given level
o
is one level
o
closely relat
e
Condition
e
Monte-Carlo
we draw k
r
their sample
k-replicates.
T
numerical v
a
class labels,
x
fraction of p
o
sample mea
n
of k. The res
u
©
2010 Sci
regression l
i
a
ting the con
s
sication an
d
O
rdering w
i
s
ection we su
m
n
and median
C
t
istically dist
i
case using a
l
n
tration. Doub
w
data are re
q
c
tion we ima
g
an investigat
o
b
es, with no e
r
a
librated pipet
t
dilution seri
e
s
to order, bu
t
u
nt of DNA
w
q
uestion is to
e
required suc
h
r
rectly order,
a
o
f confidence?
o
f quantitatio
n
e
d pre-requisit
e
e
d on our data
simulation.
F
r
eplicates uni
f
mean
. T
h
T
he resulting
s
a
lues and if th
i
x
, we score th
i
o
sitive draws
t
n
s, from a tota
u
lts are shown
Figure 7.
rank orde
r
C. C. Stower
s
Res.
i
ne and well
cordance bet
w
d
pre-wear da
t
i
th Replicat
e
m
marized the
C
t values co
mp
i
nguishable a
n
l
l 184 replica
t
tless it is of
q
uired to mak
e
g
ine the foll
o
o
r has produc
e
r
ror other tha
n
t
eman. Howe
v
e
s are unlab
e
t
not contents.
w
ithin the tube
s
determine h
o
h
that the resu
l
a
nd hence lab
e
We imagine
n
removed fro
m
e
.
we can answ
e
F
rom each Ct
f
ormly at ran
d
h
is mimics a
n
s
et are sorte
d
i
s order agree
s
i
s trial positiv
e
t
hat resulted i
n
l of 20,000 d
r
in Figures 7
a
Reliability of
r
r
ing the initial
t
s
et al. / J. Bi
o
within the
e
w
een the rel
a
t
a.
e
s
findings tha
t
mp
uted from al
l
n
d rank ord
e
t
es per initial
t
interest to u
n
e
this same cla
i
o
wing experi
m
e
d a serial dil
u
n
that coming
f
v
er, the tubes
c
e
led and bec
It is unequi
v
s
form a mon
o
o
w many repl
i
l
tant sample
m
e
l, the tubes w
i
that rank ord
e
m
inversion,
b
e
r this questio
n
value distrib
u
d
om and co
m
n
experiment
w
d
according to
t
s
with that of
t
e
. We comput
e
n
correctly or
d
r
aws at each
v
a
n
d
8.
r
eplicates give
n
t
emplate conce
n
o
medical Scie
n
e
rror
a
tive
t
the
l
the
e
red.
t
em-
n
der-
i
m.
m
ent.
u
tion
f
rom
c
on-
ome
v
ocal
o
tone
i
cate
m
ean
i
th a
e
ring
b
ut a
n
by
u
tion
m
pute
w
ith
t
heir
t
heir
e
the
d
ered
v
alue
F
or
d
co
p
ou
r
ac
c
wh
e
in
d
90
%
ur
e
wi
t
vio
3.
5
In
t
var
i
10
0
dar
d
b
y
mo
sep
co
n
an
d
we
rev
e
S
mi
x
mu
the
tio
n
the
tiv
e
as
t
F
n
the task of ra
n
n
trations with
x
n
ce and Engi
n
F
i
g
ure 7 sho
w
d
er the highe
s
p
ies with gre
a
r
data. The us
e
c
uracy. The i
n
e
n all the d
a
d
icate that 35
o
%
accuracy o
v
e
8 shows tha
t
h smaller ini
t
r of the samp
l
5
. End Point
t
he previous
s
i
ance that sh
o
0
initial copie
s
d
curves or c
l
erro
r
. As an
a
l
ecule detecti
o
arated the an
a
n
sider the pro
c
d
experiment
a
show that th
e
e
als the patter
n
S
uppose, as
b
x
ed, aliquots
ltiwell plate
a
total number
n
limitation o
f
expected nu
m
e
statistic tha
t
t
he total num
b
F
i
g
ure 9 sh
o
n
k ordering a di
l
x
10
4
.
n
eering 3 (20
1
w
s that indiv
s
t concentrati
o
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ter than 90
%
e
of 8 or mor
e
n
set to Fi
g
ur
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a
ta are consi
d
o
r more repli
c
v
er the entir
e
t the larger v
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ial template i
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e over the en
t
Detection
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ections we
h
o
ws that belo
w
s
of template
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l
assication v
i
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lternative we
o
n utilizing an
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lysis into tw
o
c
ess of plate
a
re in good a
g
e
process of a
m
n
of plate lli
n
b
efore, that
w
of a DNA s
o
a
nd perform
4
of wells that
f
the machine
.
m
ber of unam
p
t
has the pro
p
b
er of molecu
l
o
ws the exce
l
ution series. T
h
1
0) 459-469
idual data p
o
o
ns from 104
%
accuracy c
o
e
replicates g
u
e
8 shows th
e
d
ered togethe
r
c
ates are requ
i
e
concentrati
o
a
riance of th
e
i
s responsible
t
ire range.
h
ave detailed
a
w
104 and c
e
D
NA, quantit
a
i
a a Ct value
i
describe a fo
r
endpoint ana
l
o
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lling. We sh
o
g
reement. In t
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plication b
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g.
w
e pipette i
d
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lution into t
h
4
0 cycles of P
C
amplified ab
o
. Our data de
m
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lified wells
i
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erty that its
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n analysis o
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rtainly belo
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tion via stan
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s confounde
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mat for singl
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o
w that theor
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h
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PCR simpl
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entical, wel
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onstrate tha
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theory and
e
solutions of
methods. Ut
i
DNA from t
h
ical bead co
u
endpoint an
a
p
endent exp
e
for PCR we
r
C. C. St
o
© 2010 Sci
Figure
results
results
Figur
e
p
ected
b
uted
a
from t
h
dotted
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xperiment fo
r
20 micron l
a
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lizing PCR t
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ose that are
n
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nting. Fi
g
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lysis. Each
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e
riment. The
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e determine
d
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/
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8. Reliability
for rank order
i
over the entire
e
9. Agreemen
t
number of e
m
a
mong the wel
l
h
eory is show
n
green line. Ex
p
r
lling of 9
6
a
tex beads as
o
discriminat
e
n
ot, is more
c
e
10 describe
s
d
ata point re
p
concentratio
n
d
through dil
u
/
J. Biomedi
c
of replicates g
i
ng the initial
t
range of initial
t
between expe
r
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pty wells is s
h
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s of a 96-well
p
n
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erimental data
6
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omplex than
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al Science
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iven the task
o
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emplate distri
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imental and t
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late. The expe
lue line, while
are shown in r
e
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o
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t
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r
a
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r
o
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utions with x
A
, see Table 1.
h
eoretical plate
t
ion of the tota
cted number o
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ethods. W
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arkably well
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s. The ex-
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calculated
o
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ative DNA
c
a
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ry over the e
n
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process. W
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46
7
JBiS
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oncentration
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e data agre
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tire length o
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examined th
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have show
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7
E
s
e
f
e
n
468
Copyright
©
that using l
e
template co
n
are statistica
p
onding wit
h
have shown
gressed over
The Ct v
a
copies of in
independent
tion. Indepe
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enzyme exp
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in the corres
p
Given a s
t
used to qua
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values on t
h
concentratio
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over the hig
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%
cation anal
y
to high. The
p
erhaps mor
ror analysis
cation ana
approach to
ing a standa
r
template co
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cation into o
We are curr
e
A questio
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Figure
cules s
p
theory i
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w
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lly dis
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h
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that the m
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ten orders of
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lue distribut
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itial template
statistical te
c
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dent data o
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riences a tra
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p
onding regi
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andard curve
,
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tify the imp
a
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n
. The relativ
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hest initial t
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%
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sis capture t
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misclassica
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e intuitive to
perhaps mo
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lysis sugges
t
solving the i
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r
d curve to c
o
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centration w
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ne of a discr
e
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ntly explorin
g
n
central to t
h
a
concerns t
h
stems from
t
e distributio
n
C. C. Stower
s
Res.
10. The numb
p
read over a 3
8
n
blue. The re
d
w
hundred re
p
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sures that th
e
h
able and ra
n
a
mount of te
m
e
an/median v
a
magnitude.
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ons appear
DNA and t
h
c
hniques con
f
n
TAQ-wear
n
sition of dec
r
o
n.
,
the Ct value
d
a
ct of the va
r
predicting t
h
e
error varies
e
mplate conc
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e
lative error
a
h
e transition
f
t
ion frequenc
y
interpret whi
r
e quantitativ
e
t
s an altern
a
n
verse proble
o
nvert a Ct v
a
e
consider pro
e
te number o
f
g
this idea.
h
e analysis o
f
h
e role of rep
l
t
he statistical
n
of sample
m
s
et al. / J. Bi
o
e
r of unamplif
i
8
4 well plate.
T
d
dots represent
p
licates per i
n
e
mean Ct v
a
n
k ordered co
r
m
plate DNA.
a
lues can b
e
noisy below
h
e results of
f
irm this obs
e
indicate tha
t
r
easing effici
e
d
istributions
w
r
iability of t
h
h
e initial tem
p
from 7% to
5
e
ntrations av
e
a
nd the miscl
a
f
rom low vari
a
y
is smoother
le the relativ
e
e
. The miscl
a
a
tive clasic
a
m. Instead o
f
a
lue into an i
n
babilistic cla
s
f
template cla
s
f
the Ct value
l
icates. The
v
fact that the
m
eans is sm
a
o
medical Scie
n
i
ed wells as a
f
T
he expected n
u
experimental
P
n
itial
a
lues
r
res-
We
e
r
e-
104
two
e
rva-
t
the
e
ncy
w
ere
h
e Ct
p
late
5
0%
e
rag-
a
ssi-
a
nce
and
e
er-
a
ssi-
a
tion
f
us-
n
itial
s
si-
s
ses.
dis-
v
alue
va-
a
ller
tha
n
ca
n
cat
e
cib
i
nie
n
Ra
n
nu
m
ini
t
dat
a
35
reg
dis
h
lic
a
sc
a
tra
t
me
t
we
l
T
de
m
tio
n
ti
m
D
N
Ho
w
hu
n
qu
a
alt
e
co
u
an
a
W
lec
u
ha
v
tha
n
ce and Engi
n
f
unction of the
u
mber of emp
t
P
CR endpoint
d
n
the varianc
e
n
the data dis
t
e
s are require
i
lity? Rank o
r
n
t and meani
n
n
k ordering s
i
m
ber of repli
c
t
ial template.
a
points prov
i
or more repl
i
ion for the sa
m
h
eartening re
s
a
tes are requi
r
rce. For sam
p
t
ions it may b
t
hod using t
h
l
ls than to co
n
T
hese data, a
n
m
onstrated th
a
n
with statisti
c
m
e PCR capa
b
N
A samples r
a
w
ever the da
t
n
dreds of initi
a
ntitation. W
e
e
rnative met
h
u
nting. In thi
s
a
lysis shows s
i
W
e have des
u
le counting
v
e demonstra
t
t the expect
e
n
eering 3 (20
1
number of D
N
t
y wells calcul
a
d
ata.
e
of the data
d
t
ributions tea
d in practice
f
r
dering of th
e
n
gful device
f
i
mulations wi
t
c
ates require
d
Below the t
r
i
de better tha
n
i
cates are sug
g
m
e degree of
s
ult for the f
o
r
ed precisely
p
les with sm
a
e more accur
a
h
e expected
n
n
sider replicat
n
d the work
a
t the use of
c
al replicates
b
le of quant
i
a
nging from
u
t
a presented
a
al copies real
e
and other g
r
h
ods for sing
l
s
regard, a
p
i
gnicant pro
m
cribed a dec
o
into plate ll
t
ed through
s
e
d number o
f
1
0) 459-469
N
A mole-
a
ted from
d
istributions.
a
ch about ho
w
f
or resolutio
n
e
sample mea
n
f
or exploring
t
h our data s
u
d
depends on
r
ansition regi
n
90% rank a
c
g
ested below
rank accurac
y
o
llowing reas
o
where the s
a
a
ll initial te
mp
a
te to consid
e
n
umber of (
u
es.
of other gro
u
the Ct metho
renders the
p
itative analy
s
u
pwards of 1
a
bove show t
h
time PCR is
r
oups have b
e
l
e molecule
d
p
rocess invol
v
m
ise.
o
mposition
o
ing and amp
l
s
imulation an
f
(un)amplifi
e
JBiS
E
What lesson
s
w
many repli
-
n
and reprodu
-
n
s is a conve
-
this question
.
u
ggest that th
e
the range o
f
on individua
l
c
curacy, whil
e
the transitio
n
y
. But this is
a
o
n: More re
p-
a
mple may b
e
p
late concen
-
e
r an endpoin
t
u
n) amplifie
d
u
ps [24] hav
e
d in conjunc
-
p
rocess of rea
l
s
is for initia
l
04 molecules
.
h
at for tens t
o
unreliable fo
r
e
en explorin
g
d
etection an
d
v
ing endpoin
t
o
f single mo
-
l
ication. W
e
d experimen
t
e
d wells is
a
E
s
-
-
-
.
e
f
l
e
n
a
-
e
-
t
d
e
-
l
l
.
o
r
g
d
t
-
e
t
a
C. C. Stowers et al. / J. Biomedical Science and Engineering 3 (2010) 459-4 469
Copyright © 2010 SciRes. JBiSE
robust statistic on which to base an inverse problem or
a rigorous hypothesis test to count small numbers of
single molecules. The observed linear scaling between
expected and perceived DNA concentration indicates
that amplication by PCR is directly related to plate
lling.
It remains an open problem to determine the condi-
tional probability with which PCR can amplify above
threshold in 40 cycles from a single strand of DNA.
While it is currently impossible to enumerate individ-
ual molecules or particles smaller than a nanometer, it
is straightforward to count macroscopic objects such
as latex beads or single yeast cells with a Coulter
counter. Haploid yeast cells provide a convenient and
veriable means to deliver single copies of Bacillus
subtilis genes such as ybdO into the wells of a multi-
well PCR plate.
In this way, we are currently exploring the relation-
ship between amplication and DNA copy number.
5. ACKNOWLEDGEMENTS
This work was partially supported through NSF-DMS 0443855, NSF
ECS 0601528, NIH EB009235, and the short-lived W. M. Keck Foun-
dation Grant#062014.
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