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Nucleic acid amplification method: ramification-extension amplification method (RAM)

  • US 5,942,391 A
  • Filed: 07/31/1996
  • Issued: 08/24/1999
  • Est. Priority Date: 06/22/1994
  • Status: Expired due to Term
First Claim
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1. A method for detecting a target nucleic acid in a sample comprising:

  • (a) contacting said nucleic acid in said sample in a reaction vessel under conditions that allow nucleic acid hybridization between complementary sequences in nucleic acids with oligonucleotide probes in the presence of paramagnetic particles coated with a ligand binding moiety, said oligonucleotide probes comprising one or more capture/amplification probes, each having a 3'"'"' nucleotide sequence that is neither complementary nor hybridizable to a nucleotide sequence in the target nucleic acid, and a 5'"'"' nucleotide sequence that is complementary and hybridizable to a nucleotide sequence in the target nucleic acid, or a 5'"'"' nucleotide sequence that is neither complementary nor hybridizable to a nucleotide sequence in the target nucleic acid, and a 3'"'"' nucleotide sequence that is complementary and hybridizable to a nucleotide sequence in the target nucleic acid, each capture/amplification probe further having a ligand bound to the non-complementary sequence of the probe, wherein said ligand is capable of binding to and forming an affinity pair with said ligand binding moiety coated onto said paramagnetic particles;

    said oligonucleotide probes further comprising a circularizable amplification probe having 3'"'"' and 5'"'"' regions that are complementary to adjacent but noncontiguous sequences in the target nucleic acid, said 3'"'"' and 5'"'"' regions separated by a linker region that is neither complementary nor hybridizable to a nucleotide sequence in the target nucleic acid, such that a complex is formed comprising the target nucleic acid, circularizable probe, capture/amplification probes and paramagnetic particles, wherein the capture/amplification probes are hybridized to the complementary nucleotide sequences in the target nucleic acid and are bound to the paramagnetic particles through the binding of the ligand on the capture/amplification probe to the ligand binding moiety on the paramagnetic particles, and the circularizable probe is bound on its 3'"'"' and 5'"'"' ends to adjacent but noncontiguous sequences in the target nucleic acid;

    (b) separating the complex from unbound reactants and washing the complex;

    (c) ligating the 3'"'"' and 5'"'"' ends of said circularizable probe with a ligating agent that joins nucleotide sequences such that a circular amplification probe is formed;

    (d) amplifying said circular amplification probe by contacting said complex with a first extension primer that is complementary and hybridizable to a portion of the linker region of the circular amplification probe and a second extension primer that is substantially identical to a portion of the linker region of the circular amplification probe that does not overlap with the portion of the linker region to which the first extension primer is complementary, dNTPs, and a DNA polymerase having strand displacement activity, under conditions whereby the first extension primer is extended around the circle for multiple revolutions to form a single stranded DNA of repeating units complementary to the sequence of the circular probe, and multiple copies of the second extension primer hybridize to complementary regions of the single stranded DNA and are extended by the DNA polymerase to provide extension products, and whereby the extension products of the second extension primers displace downstream copies of the second extension primers and corresponding extension products of said downstream copies to provide displaced single strands to which multiple copies of said first extension primer bind and are extended by the DNA polymerase;

    (e) allowing said amplification to proceed until multiple copies of double stranded amplified DNA of varying lengths are produced; and

    (f) detecting said amplified DNA, wherein detection thereof indicates the presence of the target nucleic acid in the clinical sample.

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