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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.

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).

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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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