Biochemistry chapters

Biotechnology and human disease

The laboratory tools of molecular biology and how they diagnose disease: restriction enzymes, gel electrophoresis, Southern, Northern and Western blots, PCR and real-time PCR, DNA sequencing, microarrays, ELISA, recombinant DNA products, gene therapy and CRISPR, with worked PCR copy numbers.

UHS PGET syllabus: Genetics (3 MCQs), Recombinant DNA technology; techniques in molecular biology (PCR, blotting, sequencing); applications in diagnosis and treatment of diseaseUpdated October 2026
In 30 seconds
  • Restriction endonucleases cut DNA at specific palindromic sequences, leaving sticky or blunt ends; DNA fragments are joined into vectors (plasmids) with ligase to make recombinant DNA (human insulin, growth hormone, hepatitis B vaccine, clotting factors).
  • Blots: Southern = DNA, Northern = RNA, Western = protein ("SNoW DRoP"); ELISA detects antigens or antibodies with enzyme-linked antibodies (HIV screening, hepatitis serology); Western blot was the classic confirmatory HIV test.
  • PCR amplifies a DNA segment by cycles of denaturation (about 94–95 °C), primer annealing (about 50–65 °C) and extension (72 °C) by heat-stable Taq polymerase, doubling the target each cycle (2ⁿ copies after n cycles); RT-PCR starts from RNA (viral loads, COVID-19), real-time PCR quantifies as it runs (GeneXpert for TB and rifampicin resistance).
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Recombinant DNA technology

Restriction endonucleases

  • Bacterial enzymes ("molecular scissors") that cut double-stranded DNA at specific recognition sites, usually palindromes (read the same 5′→3′ on both strands, e.g. GAATTC for EcoRI).
  • Leave sticky (staggered) or blunt ends.
  • Bacteria use them to destroy invading viral DNA; their own DNA is protected by methylation.

Making recombinant DNA

  1. Cut the human gene and a vector (plasmid, bacteriophage, cosmid, artificial chromosome) with the same restriction enzyme.
  2. Join them with DNA ligase.
  3. Put the vector into a host (bacteria, yeast, mammalian cells) and select the cells that took it up (antibiotic resistance markers).
  4. The host makes the human protein.

For proteins, genes are copied as cDNA (made from mRNA by reverse transcriptase), because bacteria cannot remove introns.

Products: human insulin, growth hormone, erythropoietin, hepatitis B vaccine (HBsAg made in yeast), HPV vaccine, clotting factors VIII and IX, interferons, tissue plasminogen activator, monoclonal antibodies.

Hybridisation and blotting

A probe is a labelled single-stranded piece of DNA or RNA that binds (hybridises) to a complementary sequence.

Gel electrophoresis separates DNA, RNA or protein by size (smaller pieces move further towards the positive electrode, as DNA is negatively charged).

BlotDetectsProbeUses
SouthernDNADNA probeGene deletions, RFLP, sickle cell (historically), fingerprinting
NorthernRNADNA or RNA probeGene expression (mRNA levels)
WesternProteinAntibodyConfirming HIV antibodies (classic), Lyme disease, prion detection
SouthwesternDNA-binding proteinsDNA probeTranscription factors
High-yield

"SNoW DRoP": Southern = DNA, Northern = RNA, Western = Protein.

ELISA (enzyme-linked immunosorbent assay)

  • Detects antigen or antibody using an antibody linked to an enzyme that makes a colour change.
  • Very sensitive; used for screening: HIV, hepatitis B (HBsAg) and C, pregnancy tests, hormone levels.

Polymerase chain reaction (PCR)

Amplifies a specific DNA sequence millions of times from a tiny sample.

Ingredients: template DNA, two primers (short DNA pieces flanking the target), dNTPs, a heat-stable DNA polymerase (Taq polymerase from Thermus aquaticus), buffer with magnesium.

Each cycle:

  1. Denaturation at about 94–95 °C: strands separate.
  2. Annealing at about 50–65 °C: primers bind.
  3. Extension at 72 °C: Taq polymerase builds new strands.

Each cycle doubles the target; 25–35 cycles are usual.

PCR copy number

Copies after n cycles = starting copies × 2ⁿ

1 copy, 10 cycles: 2¹⁰ = 1024 copies
1 copy, 20 cycles: 2²⁰ = 1,048,576 (about 1 million)
1 copy, 30 cycles: 2³⁰ = 1,073,741,824 (about 1 billion)

Start with 100 copies, 20 cycles:
100 × 2²⁰ ≈ 100 × 1,048,576 ≈ 105 million copies

(Ideal doubling; real efficiency is a little lower.)

Variants

  • RT-PCR: reverse transcriptase first makes cDNA from RNA; used for RNA viruses (HIV viral load, hepatitis C RNA, COVID-19) and gene expression.
  • Real-time (quantitative) PCR: measures product as it forms (fluorescence); quantifies the starting amount. GeneXpert MTB/RIF detects M. tuberculosis and rifampicin resistance in about 2 hours; widely used in Pakistan's TB programme.
  • Multiplex PCR: several targets at once.
  • Allele-specific PCR / ARMS: detects point mutations (β-thalassaemia mutations in prenatal diagnosis).

Uses of PCR: infectious disease diagnosis (TB, HIV, hepatitis, COVID-19), prenatal diagnosis (thalassaemia from chorionic villus sample), detecting mutations, forensic analysis from tiny samples, paternity testing, monitoring leukaemia (BCR-ABL).

DNA sequencing and analysis

  • Sanger (chain-termination) sequencing: uses dideoxynucleotides (no 3′-OH), which stop chain growth at specific bases.
  • Next-generation sequencing: many fragments sequenced in parallel; whole-genome and exome sequencing, cancer panels.
  • RFLP (restriction fragment length polymorphism): variation in fragment sizes after cutting; old method for tracking genes in families (and sickle cell, which abolishes an MstII site).
  • DNA fingerprinting: compares short tandem repeats (STRs) or VNTRs, which vary greatly between people: forensics, paternity, identifying remains.
  • Microarrays (DNA chips): thousands of probes test expression or copy-number changes at once.

Cytogenetic techniques

  • Karyotyping: chromosome number and large changes (Down, Turner, Klinefelter).
  • FISH (fluorescence in situ hybridisation): fluorescent probes find specific sequences: microdeletions (22q11 DiGeorge), HER2 amplification in breast cancer, translocations (BCR-ABL), rapid aneuploidy tests.

Gene therapy and genome editing

  • Gene therapy: inserting a working gene into a patient's cells, usually with a viral vector (adenovirus, adeno-associated virus, lentivirus). Successes include some forms of SCID (ADA deficiency), spinal muscular atrophy, haemophilia B and inherited retinal disease. Risks include immune reactions and insertional cancers.
  • CRISPR-Cas9: a bacterial defence system adapted to cut DNA at a chosen site guided by an RNA; used to edit genes (an approved therapy edits blood stem cells for sickle cell disease and β-thalassaemia).
  • Transgenic animals and knockout mice model human disease.
  • Stem cells: embryonic (pluripotent), adult (multipotent), and induced pluripotent stem cells.
  • Monoclonal antibodies: made from hybridomas (B cell fused with myeloma cell); used in diagnosis and treatment.
Exam focus

Expect: restriction enzymes and palindromes, steps of recombinant DNA and its products (insulin, hepatitis B vaccine), cDNA, blot types (SNoW DRoP), ELISA uses, PCR steps, temperatures, Taq polymerase and 2ⁿ, RT-PCR and real-time PCR (GeneXpert), Sanger sequencing (dideoxynucleotides), DNA fingerprinting (STRs), FISH uses, and gene therapy and CRISPR.

Quick revision

  • Restriction enzymes cut palindromes; ligase joins; plasmid vectors.
  • cDNA from mRNA by reverse transcriptase (no introns).
  • Southern DNA, Northern RNA, Western protein.
  • ELISA: screening (HIV, HBsAg).
  • PCR: denature (94–95 °C), anneal (50–65 °C), extend (72 °C); Taq; 2ⁿ copies.
  • RT-PCR for RNA; real-time PCR quantifies; GeneXpert for TB and rifampicin resistance.
  • Sanger: dideoxynucleotides. Fingerprinting: STRs. FISH: microdeletions, HER2.

Written by The House Job from standard biochemistry references (Lippincott Illustrated Reviews: Biochemistry).

FAQ

Which blotting technique detects RNA?

Northern blotting.

What are the steps in each PCR cycle?

Denaturation of the DNA at about 94–95 °C, annealing of primers at about 50–65 °C, and extension by Taq polymerase at 72 °C.

Why is Taq polymerase used in PCR?

It comes from a heat-loving bacterium, so it survives the repeated high temperatures needed to separate DNA strands.

What do restriction enzymes recognise?

Specific short DNA sequences, usually palindromes, where they cut the DNA.