Biochemistry · Topic
Polymerase chain reaction (PCR) !
PCR copies one chosen piece of DNA millions of times in a few hours; it underpins molecular diagnosis of infections and genetic diseases.
Updated 2026-11-01
Key facts
- Ingredients: template DNA, two primers flanking the region, the four dNTPs, Mg²⁺ and a heat-stable DNA polymerase (Taq, from Thermus aquaticus).
- Each cycle has three steps: denaturation (~95 °C), primer annealing (~50–65 °C) and extension (~72 °C).
- Exponential growth: about 30 cycles give on the order of a billion copies (2³⁰).
- RT-PCR: RNA is first copied into cDNA with reverse transcriptase (RNA viruses, gene expression).
- Real-time PCR (qPCR): a fluorescent probe or dye measures the product each cycle; fewer cycles to turn positive = more starting template.
In detail
- Specificity comes from the primers: about 18–25 nucleotides complementary to the ends of the target region.
- The product is seen by agarose gel electrophoresis: bands separate by size and are stained with a DNA-binding dye.
- The qPCR Ct value (threshold cycle) is inversely related to the amount of starting template; this is how viral load is measured.
- Variants: multiplex PCR (several targets at once), digital PCR (counts molecules one by one), allele-specific PCR (detects a point mutation).
- Pitfalls: contamination with previously amplified DNA (false positives) and inhibitors in the sample (false negatives); hence positive, negative and internal controls.
- Also called
- PCR, RT-PCR, qPCR
Clinical notes
- Viral load for HIV, hepatitis B and C; diagnosis of dengue, COVID-19 and other infections by RT-PCR.
- Rapid detection of Mycobacterium tuberculosis and of rifampicin resistance (rpoB mutations) with automated molecular tests.
- Genetic diagnosis: point mutations, deletions (Duchenne), repeat expansions (fragile X, Huntington), forensic identification and paternity tests.
Related conditions
Related
- DNA polymerases
- DNA sequencing
- Recombinant DNA and cloning
- Trinucleotide repeat expansion disorders
- DNA structure and chromatin
Test yourself
Think of the answer, then tap the question to see it.
Why does PCR need a heat-stable DNA polymerase?
Each cycle heats to about 95 °C to separate the strands; an ordinary polymerase would denature.
What extra step does RT-PCR have, and what is it for?
A prior reverse transcription that copies RNA into cDNA; it lets you detect RNA viruses or measure gene expression.
In qPCR, what does a low Ct value mean?
Plenty of starting template: the product crosses the fluorescence threshold in few cycles (e.g. high viral load).
Educational information, not medical advice. For any symptom, see a health professional.
Sources: Polymerase Chain Reaction (PCR) Fact Sheet (National Human Genome Research Institute (NHGRI), 2026); Polymerase Chain Reaction (PCR) (National Human Genome Research Institute (NHGRI), 2026); HIV Viral Load: MedlinePlus Medical Test (MedlinePlus, US National Library of Medicine, 2026); Textbook of Biochemistry for Medical Students, 6th ed. (Jaypee Brothers Medical Publishers (Vasudevan DM, Sreekumari S, Vaidyanathan K), 2011).
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Representative model, for educational purposes only.