Real-Time Flap Cleavage PCR for Low-Ratio Mutation Detection

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Solution Overview

Problem

Current methods for detecting point mutations in the human genome are inefficient in distinguishing between low ratios of mutant to wild-type sequences, particularly in real-time PCR assays.

Innovation Solution

A cleavage-based real-time PCR assay method involving two sets of thermocycling conditions, including high and low temperatures, is used to amplify and detect nucleic acid targets, with real-time measurement of flap probe cleavage during the second set of cycles.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If conventional real-time PCR assays are used for detecting point mutations, then the detection process is simplified, but the ability to distinguish low ratios of mutant to wild-type sequences is poor

Engineering Contradiction:
Improvedetection precisionVSAvoidassay complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The assay is divided into two distinct sets of thermocycling conditions: a first set for initial amplification and a second set for detection. This segmentation allows each phase to be optimized independently, with the first set focusing on amplification efficiency and the second set on detection precision, thereby resolving the contradiction between simplified detection and improved mutant ratio discrimination

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The patent changes thermocycling parameters between the two sets of cycles. The first set uses standard amplification temperatures, while the second set uses modified temperatures (including a holding temperature of 60°C) that optimize flap probe cleavage and detection. This parameter change enables high precision detection of low mutant ratios without requiring entirely separate assay systems

Inventive Principle:
Principle #35Parameter changes

2Measurement precision

If a single set of thermocycling conditions is used, then the assay procedure is simplified, but the resolution of mutant to wild-type ratios is insufficient

Engineering Contradiction:
Improveratio resolutionVSAvoidassay time
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The patent merges amplification and detection into a single continuous reaction without removing or adding reagents between the two sets of thermocycling conditions. This merging allows the assay to achieve high ratio resolution (1:10,000) while maintaining efficiency, as the same reaction mixture serves both amplification and detection functions throughout the extended cycling protocol

Inventive Principle:
Principle #5Merging (Combining)

3Measurement precision

If additional reagents are added between thermocycling sets, then detection sensitivity is improved, but the assay procedure becomes more complex

Engineering Contradiction:
Improvedetection sensitivityVSAvoidoperational simplicity
Core Design Contradiction:
Measurement precisionVSEase of operation

Solution Approach 1:

The flap probe serves multiple functions: it acts as a primer during amplification, becomes a substrate for cleavage during detection, and provides the fluorescent signal for measurement. This multi-functionality eliminates the need for additional reagents between thermocycling sets, maintaining operational simplicity while achieving high detection sensitivity for point mutations

Inventive Principle:
Principle #6Universality (Multi-functionality)

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The method achieves improved resolution of mutant to wild-type ratios from 1:10 to 1:10,000, enabling accurate and efficient detection of point mutations in nucleic acid samples.

Implementation Method 1

a flap endonuclease, and a fluorophore-coupled FRET cassette... the flap endonuclease is capable of cleaving the flap probe at a junction between a single-stranded region and a double-stranded region

Methodology Applied
Scientific EffectEnzyme catalysis: Enzyme

Implementation Method 2

subjecting a reaction mixture comprising a) PCR reagents for amplifying a nucleic acid target... to two sets of thermocycling conditions... i. a first temperature of at least 90° C.; ii. a second temperature in the range of 60° C. to 75° C.

Methodology Applied
Scientific EffectThermal denaturation: Phase Change

Implementation Method 3

a fluorescently-labeled flap probe... that hybridizes to the amplified nucleic acid target

Methodology Applied
Scientific EffectNucleic acid hybridization: Chemical Bonding

Data Source

PatentUS20260049347A1Real Time Cleavage Assay
Publication Date: 2026.02.19 EXACT SCIENCES CORP
  • US20260049347A1 patent drawing
  • US20260049347A1 patent drawing
  • US20260049347A1 patent drawing

AI summary

A cleavage-based real-time PCR assay method is provided. In general terms, the assay method includes subjecting a reaction mixture comprising a) PCR reagents for amplifying a nucleic acid target, and b) flap cleavage reagents for performing a flap cleavage assay on the amplified nucleic acid target to two sets of thermocycling conditions. No additional reagents are added to the reaction between said first and second sets of cycles and, in each cycle of the second set of cycles, cleavage of a flap probe is measured.