Molecular biology: Real-time PCR Author: Dr Kgomotso Sibeko-Matjilar Licensed under a Creative Commons Attribution license. Polymerase chain reaction (PCR) and DNA probebased techniques have improved the sensitivity and specificity that previous diagnostic tests lacked. However, PCR and probing assays are relatively timeconsuming and labour intensive, particularly when separate hybridization steps are required to confirm test outcomes. Recently, real-time PCR improved molecular technology has greatly detection of organisms of veterinary, medical and economic importance. The real-time PCR technology employs similar amplification processes followed in traditional PCR methods (denaturing, annealing and extension) however, the real-time PCR technology allows fast SYBR Green reaction real-time monitoring of a PCR reaction. Amplification and accurate detection of specific targeted nucleic acid sequences is accomplished in a single closed tube, without the need for post-amplification analysis. The real-time PCR technology uses fluorescent detection systems to detect development of amplicons during the amplification reaction. Therefore, the data is measured at the exponential phase of the PCR reaction rather than at the end-point of PCR as is the case with the use of agarose gel electrophoresis. The fluorescent detection systems employed in real-time PCR reactions can be divided into two groups including double stranded DNA intercalators, of which SYBR® Green is widely used and single stranded detection chemistries which are primer- or probe-based. TaqMan® probe reaction The double-stranded DNA intercalators bind on doublestranded DNA to detect PCR product as it accumulates during PCR cycles. The single stranded detection chemistry uses a fluorogenic probe to enable the detection of a specific PCR product as it accumulates during PCR cycles. The most important difference between the two detection systems is that the SYBR Green I dye chemistry will detect all double-stranded DNA, including non-specific reaction products whereas probe-based chemistries are more specific. A welloptimized reaction is therefore essential for accurate results. Advantages of using real-time PCR include: Collection of data occurs in the exponential development phase (during the reaction) resulting in high sensitivity. An increase in reporter fluorescent signal is directly proportional to the number of amplicons generated. Differentiation between PCR products of the same size without significant sequence variations resulting in high specific detection. No requirement for post PCR processing, therefore results are obtained faster when compared with other tests. Contamination problems are significantly minimized because of the closed-tube system. These qualities make real-time PCR assays ideal for the diagnosis of infectious and parasitic diseases, especially when pathogens are present at very low levels.