Granted Patent B2

US 12,391,978 · App. 18/045,927 · Granted Aug 19, 2025

Inventors: Rebecca Oldham-Haltom (Marshall, WI); Hongzhi Zou (Middleton, WI); Graham P. Lidgard (Madison, WI); Michael J. Domanico (Middleton, WI); Hatim Allawi (Middleton, WI)

Assignee: Exact Sciences Corporation

C12Q1/6827C12Q1/6818C12Q1/686C12Q1/6886C12Q2600/156C12Q2600/158

Abstract

Claims (38)

1. A method for detecting a plurality of target nucleic acids in a sample, the method comprising:

(a) subjecting a PCR reaction mixture comprising a flap endonuclease activity to thermocycling conditions that comprise:

i) a first set of 5 to 15 cycles each comprising a denaturation step followed by one or more steps in which all temperatures are in the range of 60° C. to 75° C.; followed by:

ii) a second set of 20 to 50 cycles each comprising a denaturation step followed by one or more steps comprising a temperature that is in the range of 50° C. to 57° C.;

wherein the PCR reaction mixture comprises at least:

a first set of PCR primers, wherein a first target nucleic acid of the plurality of target nucleic acids is amplified by the first set of PCR primers and not by any other primers present in the PCR reaction mixture;

a second set of PCR primers, wherein a second target nucleic acid of the plurality of target nucleic acids is amplified by the second set of PCR primers and not by any other primers present in the PCR reaction mixture; and

(b) detecting a first fluorescent signal in at least some cycles of ii), wherein the first fluorescent signal is generated by cleavage of a first probe by the flap endonuclease activity and indicates the presence of the first target nucleic acid; and

detecting a second fluorescent signal in at least some cycles of ii), wherein the second fluorescent signal is generated by cleavage of a second probe by the flap endonuclease activity and indicates the presence of the second target nucleic acid,

wherein no additional reagents are added to the PCR reaction mixture between said first and second sets of cycles.

2. The method of claim 1 , wherein the cycles of the second set of cycles of ii) each comprises a temperature that is in the range of 50° C. to 55° C.

3. The method of claim 1 , wherein the detecting step of (b) comprises measuring cleavage of a first fluorophore from an oligonucleotide in each of the second set of cycles of ii).

4. The method of claim 1 , wherein step (a) comprises an initial pre-incubation step that activates a thermostable polymerase.

5. The method of claim 1 , wherein the method further comprises graphing the amount of first and second fluorescent signals that are detected in each of the cycles of ii), thereby providing an estimate of the abundance of the first and second target nucleic acids in the reaction mix.

6. The method of claim 1 , wherein the first fluorescent signal of (b) indicates a mutation and the second fluorescent signal of (b) indicates a control.

7. The method of claim 6 , wherein the cycles of the second set of cycles of ii) each comprises a temperature that is in the range of 50° C. to 55° C.

8. The method of claim 6 , wherein the detecting step of (b) comprises measuring cleavage of a first fluorophore from a first oligonucleotide in a plurality of the second set of cycles of ii) and measuring cleavage of a second fluorophore from a second oligonucleotide in a plurality of the second set of cycles of ii).

9. The method of claim 6 , wherein step (a) comprises an initial pre-incubation step that activates a thermostable polymerase.

10. The method of claim 6 , wherein the method further comprises graphing the amount of first and second fluorescent signals that are detected in a plurality of the cycles of ii), thereby providing an estimate of the abundance of the first and second target nucleic acids in the reaction mix.

11. A method for detecting a target nucleic acid comprising:

(a) subjecting a PCR reaction mixture comprising a flap endonuclease activity to thermocycling conditions that comprise:

i) a first set of 5 to 15 cycles each comprising a denaturation step followed by one or more steps in which all temperatures are in the range of 65° C. to 75° C.; followed by

ii) a second set of 20 to 50 cycles each comprising a denaturation step followed by one or more steps comprising a temperature that is in the range of 50° C. to 65° C.,

wherein the PCR reaction mixture comprises:

a first set of PCR primers, wherein a first target nucleic acid of the plurality of target nucleic acids is amplified by the first set of PCR primers and not by any other primers present in the PCR reaction mixture;

a second set of PCR primers, wherein a second target nucleic acid of the plurality of target nucleic acids is amplified by the second set of PCR primers and not by any other primers present in the PCR reaction mixture; and

(b) detecting a first fluorescent signal in at least some cycles of ii), wherein the first fluorescent signal is generated by cleavage of a first probe by the flap endonuclease activity and indicates the presence of the first target nucleic acid; and

detecting a second fluorescent signal in at least some cycles of ii), wherein the second fluorescent signal is generated by cleavage of a second probe by the flap endonuclease activity and indicates the presence of the second target nucleic acid,

wherein no additional reagents are added to the PCR reaction mixture between said first and second sets of cycles.

12. The method of claim 11 , wherein the cycles of the second set of cycles of ii) each comprises a temperature that is in the range of 50° C. to 55° C.

13. The method of claim 11 , wherein the detecting step of (b) comprises measuring cleavage of a first fluorophore from an oligonucleotide in each of the second set of cycles of ii).

14. The method of claim 11 , wherein step (a) comprises an initial pre-incubation step that activates a thermostable polymerase.

15. The method of claim 11 , wherein the method further comprises graphing the amount of first and second fluorescent signals that are detected in a plurality of the cycles of ii), thereby providing an estimate of the abundance of the first and second target nucleic acids in the reaction mix.

16. The method of claim 11 , wherein the first fluorescent signal of (b) indicates a mutation and the second fluorescent signal of (b) indicates a control.

17. The method of claim 16 , wherein the cycles of the second set of cycles of ii) each comprises a temperature that is in the range of 50° C. to 55° C.

18. The method of claim 16 , wherein the detecting step of (b) comprises measuring cleavage of a first fluorophore from an oligonucleotide in a plurality of the second set of cycles of ii) and measuring cleavage of a second fluorophore from a second oligonucleotide in a plurality of the second set of cycles of ii).

19. The method of claim 16 , wherein step (a) comprises an initial pre-incubation step that activates a thermostable polymerase.

20. The method of claim 16 , wherein the method further comprises graphing the amount of first and second fluorescent signals that are detected in each of the cycles of ii), thereby providing an estimate of the abundance of the first and second target nucleic acids in the reaction mix.

Assignments (6)

Continuity (6)

References Cited (400)