Quantitative reverse transcriptase PCR (QRT-PCR) is a PCR technique used to determine the amount of cDNA in a sample. It is the most commonly used form of quantitative PCR (qPCR). This technique is also called real-time reverse transcriptase PCR.
Comparison of normalisation methods
There is an ongoing debate what is the best way to normalise qPCR data. Reference genes are the most common method, although single unverified reference genes invalidate the qPCR data generated. Total RNA, ribosomal RNA, and genomic DNA have been suggested as alternative methods.
Most common method. Best practise is a panel, e.g.  not just a single reference gene and including data on suitability as reference genes. Often housekeeping gene is used here instead of reference gene but the term is poorly defined and can be misleading.
Total rRNA  , or total RNA. Drawback: rapidly dividing cells will have more rRNA and different rRNA/mRNA ratio which will complicate comparison; difference in cDNA synthesis not taken into account.
Genomic DNA or cell number. Drawbacks: RNA degrades faster than RNA which can distort the data; sample cannot be DNase treated; efficiency of cDNA synthesis not taken into account.
- Main article: Choosing reference genes for qPCR normalisation
Picking reference genes will make or break your quantification via qPCR (real time PCR). If you pick only one reference gene and your pick is not constant across different conditions or samples, your results will be skewed. Choose several reference genes and check whether they satisfy the criteria for a good reference gene. Some commonly used reference genes, like 18S and GAPDH, are known to be problematic but continue to be used.
- Ajeffs 06:55, 21 April 2007 (EDT): Screen a handful of ref genes, select the most stable using genorm, bestkeeper etc, use at least 2 reference genes for subsequent reactions and normalisation. Inlcude your genorm M values when publishing qPCR data.
- Main article: Choosing primers for qPCR
summary to be placed here
Sources of variability
Due to the small amount of liquid handled and the sensitivity of the technique, operator variability is high. Bustin reports that the same qPCR experiment repeated by 3 people using the same reagents lead to very different copy number estimations [Bustin 2002 PMID 12200227, figure 3]:
- person A: 8·7 × 105
- person B: 2·8 × 105 different by a factor of 3!
- person C: 2·7 × 103 different by a factor of 300!!
Different lots of reagents can lead to different results. Experiment repeated by same operator 5 times, same RNA sample, different kits; values are copies/μg total RNA:
- kit 1: 13±32 × 107
- kit 2: 5.4±1.6 × 107 - different by a factor of 2.4
Similar experiment with old (9 months 4°C) and new probe (3 months 4°C), values are copies/μg total RNA:
- old: (5.6 ± 1.3) x 103
- new: (3.8 ± 0.6) x 108 - different by a factor of 100'000!!
both experiments above from [Bustin 2002 PMID 12200227, figure 4]
- The most commonly used specialist reverse transcriptase enzyme for cDNA production is AMV reverse transcriptase. It has RNase H activity (so that RNA molecules are only transcribed once) and has a high temperature stability (to reduce RNA secondary structure and nonspecific primer annealing) .
- Since RNA can degrade with repeated freeze-thaw steps, experimental variability is often seen during successive reverse transcription reactions of the same RNA sample .
- Reverse transcriptase enzymes are notorious for their thermal instability. Repeated removals from the freezer can degrade the efficiency of the enzyme .
- Producing total cDNA from total RNA can be advantageous because
- To make total cDNA
- An excellent, detailed Q-PCR tutorial by Margaret and Richard Hunt, University of South Carolina
- The venerable qpcrlistserv. Anyone doing qPCR should be subscribed to this list.