

Stephen A.
Bustin 1,
Vladimir Benes 2, Jeremy A. Garson 3,4, Jan Hellemans
5, Jim Huggett 6, Mikael
Kubista 7,8, Reinhold Mueller
9, Tania Nolan
10, Michael W.
Pfaffl 11, Gregory L. Shipley 12, Jo
Vandesompele 5, and Carl T.
Wittwer
13,14
Clinical
Chemistry
2009, 55(4): 611-622
1
Centre for Academic
Surgery, Institute of Cell & Molecular Science, Barts and the
London School of Medicine and Dentistry, UK
2
Genomics Core Facility, EMBL Heidelberg, Germany
3
Centre for Virology, Department of Infection, University College
London, London, UK
4
Department of Virology, UCL Hospitals NHS Foundation Trust, London, UK
5
Center for Medical Genetics, Ghent University Hospital, Ghent, Belgium
6
Centre for Infectious Diseases, University College London, London, UK
7
TATAA Biocenter, Göteborg, Sweden
8 Institute of Biotechnology AS CR, Prague, Czech
Republic
9
Sequenom, San Diego, USA
10
Sigma-Aldrich, Haverhill, UK
11
Physiology Weihenstephan, Technical University Munich, Freising, Germany
12
Quantitative Genomics Core Laboratory, Department of Integrative
Biology and Pharmacology, The University of Texas Health Science Center
Houston, USA
13
Department of Pathology, University of Utah, Salt Lake City, Utah, USA
14
ARUP Institute for Clinical and Experimental Pathology, Salt Lake City,
Utah, USA
=> download PDF
BACKGROUND:
Currently, a lack of consensus exists on how best to
perform and interpret quantitative real-time PCR (qPCR) experiments.
The problem is exacerbated by a lack of sufficient
experimental detail in many publications, which impedes a
reader's ability to evaluate critically the quality of the
results presented or to repeat the experiments.
CONTENT: The
Minimum Information for Publication of Quantitative
Real-Time PCR Experiments (MIQE) guidelines target the
reliability of results to help ensure the integrity of the
scientific literature, promote consistency between
laboratories, and increase experimental transparency. MIQE
is a set of guidelines that describe the minimum information necessary
for evaluating qPCR experiments. Included is a checklist to
accompany the initial submission of a manuscript to the publisher. By
providing all relevant experimental conditions and assay
characteristics, reviewers can assess the validity of the
protocols used. Full disclosure of all reagents, sequences,
and analysis methods is necessary to enable other
investigators to reproduce results. MIQE details should be
published either in abbreviated form or as an online
supplement.
SUMMARY: Following
these
guidelines will encourage better experimental practice,
allowing more reliable and unequivocal interpretation of
qPCR results.
TALK - Stephen A. Bustin
at the
qPCR 2009 in Freising Weihenstephan - download
talk slide PDF
The
MIQE guidelines has been
frequently cited by other researchers: => 147 times
until August
2010
The polymerase chain
reaction (PCR) has matured from a labour- and time-intensive, low
throughput qualitative gel-based technique to an easily automated,
rapid, high throughput quantitative technology. Real-time quantitative
PCR (qPCR) has become the benchmark technology for the detection and
quantification of nucleic acids in a research, diagnostic, forensic and
biotechnology setting. However, ill-assorted pre-assay conditions, poor
assay design and inappropriate data analysis methodologies have
resulted in the recurrent publication of data that are at best
inconsistent and at worst irrelevant and even misleading. Furthermore,
there is a lamentable lack of transparency of reporting, with the
"Materials and Methods" sections of many publications, especially those
with high impact factors, not fit for the purpose of evaluating the
quality of any reported qPCR data. This poses a challenge to the
integrity of the scientific literature, with serious consequences not
just for basic research, but potentially calamitous implications for
drug development and disease monitoring. These issues are being
addressed by a set of guidelines that propose a minimum standard for
the provision of information for qPCRexperiments
("MIQE"). MIQE aims to restructure to-day's free-for-all qPCR methods
into a more consistent format that will encourage detailed auditing of
experimental detail, data analysis and reporting principles. General
implementation of these guidelines is an important requisite for the
maturing of qPCR into a robust, accurate and reliable nucleic acid
quantification technology.
Related
papers:
RDML:
structured
language and reporting guidelines for real-time quantitative PCR data.
Lefever S, Hellemans J, Pattyn F, Przybylski DR,
Taylor C, Geurts R, Untergasser A, Vandesompele J; on
behalf of the RDML consortium. Center for Medical
Genetics, Ghent University
Hospital, Ghent, Belgium.
Nucleic Acids
Res. 2009 Apr;37(7): 2065-2069
Reliability
of real-time reverse-transcription PCR in clinical diagnostics: gold
standard or substandard?
Murphy J,
Bustin SA.
Expert
Rev Mol Diagn.
2009 9(2):187-197
Unreliable
real-time PCR analysis of human endogenous retrovirus-W (HERV-W) RNA
expression and DNA copy number in multiple sclerosis.
Garson JA,
Huggett JF, Bustin SA, Pfaffl MW, Benes V, Vandesompele J, Shipley GL.
AIDS Res Hum
Retroviruses. 2009 25(3): 377-378
Real-time
polymerasechain reaction – towardsa more reliable, accurateand relevant
assay.
SA Bustin
EUROPEAN
PHARMACEUTICAL REVIEW 2008 (6): 19-27
In-House
Nucleic Acid Amplification Assays in Research: How Much Quality
ControlIs Needed before One Can Rely upon the Results?
Petra
Apfalter, UdoReischl and Margaret R. Hammerschlag
JOURNAL OF
CLINICAL
MICROBIOLOGY 2005 (dec): 5835–5841
Introduction
Quantitative
polymerase chain reaction (qPCR) assays measure the copies of a
specific DNA target in a sample as that sample is repeatedly passed
through the polymerase chain reaction. Special qPCR machines are
required to quantify the amplification products at each step of the
cycle. MIQE specifies the minimum information needed for a correct
interpretation of the experiment.
Checklist for Quantitative PCR Assays
- Sample
- Fresh - How rapidly processed?
- Frozen - How frozen?
- Whole vs. microdissected
- Sample storage conditions and duration
- Fixed - How fixed, how old?
- Nucleic acid
- Quantification
- Quality/integrity
- Inhibition dilution or spike
- DNA contamination assessment of RNA sample
- DNase treatment
- Manufacturer of reagents used
- Amount of sample used for extraction
- Reverse treanscriptions
- cDNA priming method + concentration
- Amount of RNA used per reaction
- Enzyme type and concentration
- Detailed reaction conditions
- Manufacturer of reagents used
- Reaction volume
- Storage of cDNA
- Target
- Database name and target gene accession number
- Intronless, targeting of all splice
variants/splice variant-specific targeting
- Official gene symbol
- Location of amplicon with respect to reference
sequence
- Information about (retro)pseudogenes
- Primers and probes
- Primer sequences
- Location of modification
- End concentration of primers and optional
probe(s) used
- Primer purification method
- Manufacturer of oligonucleotides
- Probe sequence
- Assay details
- Amplicon length
- Specific BLAST or equivalent in silico
specific screen
- Experimental validation of specificity
- NTC; Sensitivity
- PCR efficiency, PCR efficiency standard curve
slope and r-squared value
- RTPrimerDB ID
- Secondary structure analysis around priming
sites
- PCR Cycling
- Amount of cDNA/DNA used per reaction
- Detailed reaction conditions, thermocycling
parameters
- Manufacturer of reagents used
- Manual/robotic dispensing of reagents
- Manufacturer of plates/tubes
- Manufacturer of real-time instrument
- Data analysis
- Cq value determination method
- Treatment of NTCs and technical replicates
- Normalisation method
- Is r-squared value of regression curve
satisfactory?
- Has assay sensitivity been adequately
evaluated and described?
- Has assay specificity been adequately
described?
- Is the dynamic range of the assay acceptable?
- Is the coefficient of variation for inter and
intra-assay reproducibility reasonable?
- Concordance of biological replicates
- Analysis program
- Assay carried out by core lab or
investigator's lab
- Acknowledgement of author's contribution to
analysis and interpretation
- Submission of Cq values of raw data using RDML
RDML guidelines
(formaly known as
MIqPCR)
Working draft, 4th April, 2008.
It
is crucial that data acquisition, analysis and reporting become more
transparent to allow reinterpretation and to guarantee compliance with
quality standards. Therefore, following the example of the microarray
community and their MIAME (Minimum Information About a Microarray
Experiment) guidelines, we propose guidelines specifying the minimal
information about qPCR experiments. A RDML guidelines compliant RDML
file should contain all measured data as well as information about the
samples and targets being analyzed.
In
addition, data must be linked to samples and targets in an unequivocal
way. Due to the complexity and diversity of experiments in which qPCR
is utilized, the scope of the RDML guidelines is limited to the
technology itself, which means that these guidelines can easily be
integrated into other minimum information guidelines that focus on the
wider experimental context. To coordinate this effort, the RDML
consortium recently joined the MIBBI project (Minimum Information for
Biological and Biomedical Investigations). The minimum information
guidelines have been kept minimal to facilitate the creation of a
compliant RDML files that make the least demand on researchers’ time,
while requiring sufficient information for other researchers to
interpret and reanalyze the data contained within an RDML guidelines
compliant RDML file.
All
information needed for the MIQE checklist can be stored in specialy
designed elements or description strings inside an RDML file.
Reporting requirement for Quantitative PCR
Assays
- Administrative
information
- Experiment description
- Experiment description
- Responsible person and contact details
- Sample
annotation
- Sample description
- Sample ID
- Sample description
- cDNA synthesis method and DNAse treatment
(cDNA samples only)
- Template quantity (standard and optical
calibrator samples only)
- Sample role in qPCR assay
- Sample type
- Inter run calibrator (true or false)
- Calibrator sample (true or false)
- Target
annotation
- Target description
- Target ID
- Sequence of primers OR commercial assay
description
- Target role in qPCR assay
- Thermal
Cycling Conditions Information
- PCR program
- Complete description of the cycling
conditions
- Run
data
- Instrument information
- Plate format
- Instrument description
- Software description and version
- Information required for each well
- Well ID
- Sample ID
- Target ID
- Amplification curve fluorescence values
for each data point
- Melting curve fluorescence values for each
data point
- Quantification Cycle
- Software requirements
- RDML-Support
- Software solutions, including databases,
must support the import and export of RDML files.
- qPCR machines must allow the export of raw
data for the amplification as well as for melting curves.
More
detailed information about the terms used in the RDML guidelines
can be found here
Download
a document about the
RDML guidelines.
qPCR
Assay Quality assessment
05
January 2009
by Stephen
Bustion on

Guidelines for
minimum information required for publication of
qPCR data are currently being assembled and will be published in
Clinical Chemistry.
qPCR
quality assessment relates mainly to the reverse transcription
-qPCR (RT-qPCR) variant of the technology. This is widely used to
measure pathogen as well as cellular RNA copy numbers; the former,
given appropriate standard operating procedures and technical
expertise, is fairly straightforward. The latter can be highly
problematic. For both types of assay, however, RNA quality is a major
consideraton.
Quality
assessment is a big fat elephant sitting in the room:
everyone knows what needs to be done, but most researchers do not
follow basic quality control guidelines. This serves to undermine the
integrity of the scientific literature to such an extent, that a high
proportion of publications are reporting technical or analytic
artifacts.
Incredibly,
many researchers are not bothered by this; indeed some
have been heard to remark that they can't be bothered assessing RNA
quality, worrying about reverse transcription or determining what
normalisdation strategy to follow. However, efforts are underway to
establish a checklist for journal editors and reviewers, with the aim
of introducing a minumum standard of assay reporting.
What
are the problems?
***
LATEST NEWS ***
PCR
inhibition assessment generally depends on the assumption that
inhibitors affect all PCR reactions to the same extent; i.e. that the
reaction of interest and the control reaction are equally susceptible
to inhibition. However, it appears that when copurified inhibitors are
assessed in different PCR reactions, differential inhibition is
observed and susceptibility to inhibition is highly variable between
reactions. This has serious implications for all PCR-based gene
expression studies, including the relatively new PCR array method, and
for both qualitative and quantitative PCR-based molecular diagnostic
assays, suggesting that careful consideration should be given to
inhibition compatibility when conducting PCR analyses. Clearly, it is
not safe to assume that different PCR reactions are equally susceptible
to inhibition by substances co-purified in nucleic acid extracts.
Reference:
Huggett JF, Novak T, Garson JA, Green C, Morris-Jones SD, Miller RF,
Zumla A. Differential susceptibility of PCR reactions to inhibitors: an
important and unrecognised phenomenon. BMC Res Notes 2008;1:70.
1.
Inappropriate sample selection, coupled with the complexity and
heterogeneity of any tissue biopy, especially from cancer and
inconsistent handling procedures, results in variability and inaccurate
mRNA quantification. In addition, there can be two sources of error:
(i) sampling error, ie even if epithelial cells are being collected,
the cell type within the epithelial population may have a different
distribution compared with the collected population’ (ii) measurement
error, which depends on the quality of instruments, reagents and
operator.
2.
The conversion of mRNA to cDNA is a
major stumbling block and arguably is the single most variable step in
the whole quantification procedure. It is well known, although not well
publicised, that different reverse transcriptases have significantly
different efficiencies of reverse transcription, and that these are
target-dependent (1,2). Similarly, the mechanism of cDNA priming has a
significant effect on the outcome of any quantification experiment,
since gene-specific priming, random priming and oligo-dT all produce
diverse results that are distinct for different mRNA targets. The
choice of primer location on the target mRNA also can yield
significantly different results, as mRNA adopts a tight secondary
structure characterised by extensive intra-strand base pairing
resulting in stem-loop structures (3). If reverse transcription primers
are designed to target stems, rather than loops, or if the amplicon can
adopt secondary structures, the efficiency of the RT step is
significantly compromised. Characteristically, this results in
non-quantitative and non-reproducible results.
3.
The accuracy of gene expression profiling is highly dependent on
mRNA quality (4,5). Unfortunately, this is an area that is
distinguished by a prevalent lack of concern. A 2005 survey of the
working practices of 100 experienced qPCR users revealed that attending
a worryingly high 37% did not quality assess their RNA, with a further
4% using absorbance ratios which even then were known to be inadequate
for quantification of mRNA (6). A survey of BMC publications in 2007/08
reveals that we have regressed since then, with >60% of papers not
even mentioning mRNA quality and a substantial 10% continuing to rely
on absorbance ratio measurements. Even when RNA quality is assessed, it
is evaluated using either gel electrophoresis or microfluidics-based
systems; this approach fails to take into account that such
measurements only look at ribosomal RNA without relating the results to
mRNA integrity, which is, after all, the real target of interest.
4.
Splicing is a post-transcriptional modification in which a single
gene can specify multiple proteins, allowing the synthesis of protein
isoforms that are structurally and functionally distinct. Gene splicing
affects most human genes (7) and plays an important role in human
pathologies, including cancer (8). This generates significant problems
with the interpretation of RT-qPCR and microarray data, since presence
or, indeed significant changes in mRNA levels may reflect cell-,
tissue- ot treatment-specific adjustments between different isoforms.
5.
The increased realisation that allelic imbalance and
allele-specific expression patterns are associated with increased
disease risk (9,10) poses further problems for the interpretation of
mRNA quantification data. Rather than avoiding SNPs when designing
primers, it may be necessary to include them as part of an overall
assay design strategy so as to be able to quantitate allele-specific
expression accurately.
6.
It is worth emphasising that in vivo mRNA is subject to constant
degradation by complex interactions of deadenylation and decapping
enzyme complexes as well as 3’-5, 5’-3’ exonucleases as well as
endonucleases (11). This is likely to result in significant natural
variability of mRNA levels between genes expressed in different tissues
and individuals. This is in addition to any degradation introduced
during the extraction of the RNA from tissue samples or during storage.
Whilst these comments may seem obvious, their implications have never
been explored.
7.
Normalisation, known to be an essential component of proper data
analysis (12), continues to be used in an inappropriate manner
particularly in RT-qPCR applications, with a high proportion of papers
still reporting expression patterns of target genes normalised against
a single, unvalidated reference gene .
8.
Inappropriate experimental designs, improper analyses, subjective
interpretation of RT-qPCR data, variability of microarray results
depending on the choice of analysis algorithms all combine to
compromise the interpretation and confident application of
quantitative, mRNA-targeted data (13).
The
consequence of these, and other poor standards, is that a large
number of publications report data that are at best unreliable, at
worst misleading, with a dramatic and damaging effect on the integrity
of the scientific literature. For example, a paper published in Science
and named as a “breakthrough of the year”, has had to be withdrawn,
because its results could not be repeated (14). More seriously, a paper
using RT-qPCR technology and purporting to confirm an association
between the presence of measles virus and gut pathology in children
with developmental disorder (15) was used to claim a link between the
MMR vaccine and autism (16). However, the data were significantly
flawed as the RT-qPCR assay was applied in an inappropriate manner
(ftp://autism.uscfc.uscourts.gov/autism/cedillo.html).
What is the solution?
First,
it is essential to step back and concentrate on getting the
basic technical problems sorted out. This includes enforcing minimum
quality standards for template preparation, validation and consistent
use of cDNA priming methods, enzymes, protocols and, equally
critically, appropriate analysis of data.
Second,
it is entirely unacceptable that most publications do not
address the critical issue of RNA quality assessment. It is equally
unacceptable that data are not normalised in an appropriate manner.
Third
Third,
it is essential that data acquisition, analysis and reporting
become more transparent. Consequently, it is essential for the editors
of scientific and biomedical publications to issue prescriptive
checklists specifying the key information to include when reporting
experimental results. There are significant efforts underway to
organise such ‘minimum information’ checklists, with the “Minimum
information for biological and biomedical investigations” (MIBBI)
project offering a common portal aimed at promoting gradual data
integration (http://mibbi.sourceforge.net).
Another development concerns the problems associated with
attempting to share qPCR data between different laboratories and users.
A new initiative, the “Real-time PCR Data Markup Language” (RDML)
describes a structured and universal data standard for exchanging qPCR
data (http://www.rdml.org/).
Together with the accompanying guidelines for Minimal Information
(MIqPCR), the data standard will contain sufficient information to
understand the experimental setup, re-analyse the data and interpret
the results. This is of particular importance for transparent exchange
of annotated qPCR data between authors, peer reviewers, journals and
readers.
Those
intimately familiar with the molecular technologies underlying
the advances proclaimed by the highest impact factor journals, then
taken up by the popular press and finally shaping peoples’ expectations
are only too familiar with their serious shortcomings. Unfortunately,
it seems that very few researchers are willing to listen and even fewer
are willing to change their modi operandi. It really is time to put the
horse before the cart, and stop being blinded with ever-more technology.
References
1. Stahlberg, A., Hakansson, J., Xian, X., Semb, H., and Kubista, M.
(2004) Clin Chem 50(3), 509-515
2.
Stahlberg, A., Kubista, M., and Pfaffl, M. (2004) Clin Chem 50(9),
1678-1680
3.
Bustin, S. A., and Nolan, T. (2004) J Biomol Tech 15(3), 155-166
4.
Nolan, T., Hands, R. E., Ogunkolade, B. W., and Bustin, S. A. (2006)
Anal Biochem 351, 308-310
5.
Nolan, T., Hands, R. E., and Bustin, S. A. (2006) Nature Protocols
1(3), 1559-1582
6.
Bustin, S. A. (2005) Expert Rev Mol Diagn 5(4), 493-498
7.
Ben-Dov, C., Hartmann, B., Lundgren, J., and Valcarcel, J. (2008) J
Biol Chem 283(3), 1229-1233
8.
Pettigrew, C. A., and Brown, M. A. (2008) Front. Biosci. 13,
1090-1105
9.
Meyer, K. B., Maia, A. T., O'Reilly, M., Teschendorff, A. E.,
Chin, S. F., Caldas, C., and Ponder, B. A. (2008) PLoS biology 6(5),
e108
10.
Chen, X., Weaver, J., Bove, B. A., Vanderveer, L. A., Weil,
S. C., Miron, A., Daly, M. B., and Godwin, A. K. (2008) Hum. Mol.
Genet. 17(9), 1336-1348
11.
Coller, J., and Parker, R. (2004) Annu. Rev. Biochem. 73, 861-890
12.
Vandesompele, J., De Preter, K., Pattyn, F., Poppe, B., Van
Roy, N., De Paepe, A., and Speleman, F. (2002) Genome Biol 3(7),
0034.0031-0034.0011
13.
Bustin, S. A., and Mueller, R. (2005) Clin Sci (Lond) 109(4),
365-379
14.
Huang, T., Bohlenius, H., Eriksson, S., Parcy, F., and Nilsson, O.
(2005) Science 309(5741), 1694-1696
15.
Uhlmann, V., Martin, C. M., Sheils, O., Pilkington, L., Silva,
I., Killalea, A., Murch, S. B., Walker-Smith, J., Thomson, M.,
Wakefield, A. J., and O'Leary, J. J. (2002) Mol Pathol 55(2), 84-90
16.
Bradstreet, J. J., El Dahr, J., Anthony, A., Kartzinel, J.
J., and Wakefield, A. J. (2004) Journal of American Physicians and
Surgeons 9, 38-45
Update on 21 January
2010
MIQE,
the guidelines for minimim information required for publication of qPCR
data have published in Clinical Chemistry.
The real-time polymerase chain reaction uses fluorescent reporter dyes
to combine DNA amplification and detection steps in a single tube
format. The increase in fluorescent signal recorded during the assay is
proportional to the amount of DNA synthesised during each amplification
cycle. Individual reactions are characterised by the cycle fraction at
which fluorescence first rises above a defined background fluorescence, a
parameter previously known as the threshold cycle (Ct) or crossing
point (Cp), now standardised by MIQE as the quantification cycle (Cq).
Consequently, the lower the Cq, the more abundant the initial target.
This correlation permits accurate quantification of target molecules
over a wide dynamic range, while retaining the sensitivity and
specificity of conventional end-point PCR assays. The homogeneous format
eliminates the need for post-amplification manipulation and significantly
reduces hands-on time and the risk of contamination. MIQE abbreviates
real-time PCR to qPCR, with reverse transcription PCR abbreviated to
RT-qPCR.
There are three main
chemistries in general use:
* DNA binding dyes,
such as SYBR-Green, which fluoresce upon light excitation when bound to
double stranded DNA. These are cheap, easily added to legacy assays and
amplification products can be verified by the use of melt curves. They
can lack specificity and fluorescence varies with amplicon length. In
general, they are one Cq or so more sensitive than probe-based assays.
Their main drawback is that the NTCs often come up around Cqs of 36+,
although melt curves can often distinguish genuine ampolification from
nom-specific noise.
* Fluorophores
attached to primers, e.g. Invitrogen's Lux or Promega's Plexor
primers. These are relatively inexpensive and amplification products
can be verified by melt curves. Specificity depends on the primers and
specific, usually company-specific design software needs to be used for
optimal performance. This is not necessarily a bad thing (indeed the
Plexor software is very useful), but it is not always possible to
change primer design parameters.
* Probe based
methods, e.g. hydrolysis (TaqMan), Scorpions or Molecular
Beacons. These are the most specific, as products are only detected if
the probes hybridise to the appropriate amplification products. There
are many variations on this theme, with melt curve analysis possible
for some chemistries. Their main disadvantages are cost, complexity and
occasional fragility of probe synthesis, especially when incorporating
DNA analogues. There are potential problems associated with the fact
that probe-based assays do not report primer dimers that can interfere
with the efficiency of the amplification reaction. Hence establishing
the efficiency of any assay is an important component of assay design.
qPCR targeting DNA is a robust assay, with assay quality determined
mainly by PCR primer quality. Its derivate, RT-qPCR, which targets RNA,
on the other hand, is much less robust, as the obligatory conversion of
RNA into cDNA can be highly variable.
qPCR
QUALITY ASSESSMENT
Reliable quantification requires consideration of each step of the qPCR
assay. The issue of quality control is discussed on the QUALITY
ASSESSMENT page.
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