key: cord-0009564-a35a92gh authors: Lovatt, Archie title: Applications of quantitative PCR in the biosafety and genetic stability assessment of biotechnology products date: 2002-01-07 journal: nan DOI: 10.1016/s1389-0352(01)00043-5 sha: b504b69c61f427bd6d8b7b5049bee0fd6b85592f doc_id: 9564 cord_uid: a35a92gh High throughput screening, increased accuracy and the coupling of real-time quantitative PCR (Q-PCR) to robotic set-up systems are beginning to revolutionise biotechnology. Applications of Q-PCR within biotechnology are discussed with particular emphasis on the following areas of biosafety and genetic stability testing: (a) determination of the biodistribution of gene therapy vectors in animals; (b) quantification of the residual DNA in final product therapeutics; (c) detection of viral and bacterial nucleic acid in contaminated cell banks and final products; (d) quantification of the level of virus removal in process validation viral clearance studies; (e) specific detection of retroviral RT activity in vaccines with high sensitivity; and (f) transgene copy number determination for monitoring genetic stability during production. Methods employed for Q-PCR assay validation as required in ICH Topic Q2A Validation of Analytical Methods: Definitions and Terminology (1st June 1995) are also reviewed. Real-time quantitative polymerase chain reac-Ž . tion Q-PCR has revolutionised the detection and quantification of nucleic acid and retroviral reverse transcriptase because of fast throughput Ž capability Morris et al., 1996; Lovatt et al., 1999; . Nitsche et al., 1999 . The incorporation of this bulk harvest material. During amplification with target-specific oligonucleotide primers, a fluorogenic oligonucleotide probe with both reporter Ž . dye FAM, VIC, TET, JOE, or HEX and Ž . quencher dye TAMRA attached, anneals specifically to the amplified product between the amplimers. The detection reaction utilises the 5Ј exonuclease activity of AmpliTaq Gold TM DNA polymerase to cleave the reporter dye from the probe, which results in an increased fluorescence Ž . when target is present Fig. 1a . A sequence detector instrument calculates a reporter dye value Ž . R for each sample during each cycle of amplin fication. The value of R , or the normalised ren porter signal, represents the fluorescence of the reporter dye divided by a passive reference dye. During PCR, R increases as the amplicon copy n number increases until the reaction approaches a plateau. The value ⌬ R represents the norn Ž . malised reporter signal R minus the baseline n signal established in the first few cycles of PCR. Like R , ⌬ R increases during PCR as the amn n plicon copy number increases until the reaction Ž . reaches a plateau Fig. 1b . The use of a sequence detector allows measurement of the amplified product in direct proportion to the increase in fluorescence emission continuously during PCR Ž . amplification. The threshold cycle C value is T calculated in real time and is defined as the PCR cycle number at which an increase in reporter fluorescence above the baseline signal can first be detected. Therefore the cycling point of a given amplification where a significant increase in the fluorescence signal associated with exponential growth of the PCR product is first detected, rep-Ž resents the C value of that amplification Fig. T . 1b . A linear relationship exists between the C T value and starting quantity of target molecule, allowing the construction of a standard curve. The greater the amount of target copies in the Ž .Ž reaction, the lower the C value Fig. 2 Heid et T . al., 1996; Livak and Perkin Elmer, 1998 . There are many advantages of real time Q-PCR over conventional end-point PCR. For example, real-time Q-PCR is performed in a closed reaction system and eliminates the post-PCR processing of PCR products, thereby increasing throughput and reducing the chances of carryover con-tamination. Moreover, the TaqMan Q-PCR system incorporates a chemical system termed Am-pErase to avoid amplicon contamination. Like conventional qualitative PCR assays, Q-PCR assays should operate under a strict contamination Ž control system i.e. separate air spaces for all . reactions to give increased assurance of re-avoiding cross-contamination. Because of the increased throughput of real time Q-PCR, a higher assay sensitivity can be achieved with relative ease. Multiple replicated reactions can be used to increase the chance of observing a low level virus Ž below the limit of detection Heid et al., 1996; . Livak and Perkin Elmer, 1998 . In addition, coupling real-time Q-PCR to robotic extraction and PCR set-up systems will increase throughput further and minimise human error. C values are also less sensitive than end-point T reactions to the effects of inhibitors. Compared to endpoint PCR, real time Q-PCR offers streamline assay development, reproducible results and a large dynamic range. More importantly, if the sample contains viral sequences, then the amount of target nucleic acid molecule present is given. This will provide an indication of the level of viral contamination present, which could be useful in deciding what further action to take. If, for example, the PCR-positive sample was from bulk harvest material, further process validation could be used to determine if the sample still gave a posi-Ž tive result Heid et al., 1996; Livak and Perkin . Elmer, 1998 . Primer design for real-time TaqMan PCR can be performed using the Primer Express TM Software on the ABI 5700, 7700, or 7900HT following PE Applied Biosystems recommendations. One of the first steps in the identification of the nucleic acid target is comparison of the target sequence or amplicon using multiple sequence alignments with DNA sequence databanks. This allows an assessment of potential cross-reaction with other related sequences that may produce problems in the Q-PCR testing. Determination of primer specificity is of utmost importance when performing pathogen detection studies. False positive reactions, although uncommon, can lead to major problems in the release of biotechnology products for clinical trial. Therefore, assay specificity studies are critical during validation to ensure confidence in reporting positive results. The Q-PCR assay should be able to discriminate between the target and nucleic acids that are likely to be present in test material. For detection of viruses such as Human im-Ž . munodeficiency virus HIV , and other viruses which show sequence variation, it is extremely important to ensure the primers and probe are targeted to a conserved region of the viral genome. Selection of a region with highly conserved sequences facilitates the design of degenerate amplimers and probes, allowing detection of the maximum amount of variants and strains possible Ž . Shown in Fig. 3 for BovinerPorcine circovirus . In addition, the stability of the target sequence should be considered, in an attempt to ensure that the amplicon does not reside on an unstable genetic element that may be a hot spot for deletions, such as those that occur in the Polyoma Ž . virus Bendig and Folk, 1979; Persing, 1993 . To ensure technical reliability, assay optimisa-tion studies are essential, together with validation Ž to ICH guidelines ICH Topic Q2A, 1995; ICH . Topic Q2B, 1997; Cope, 2000 . A minimum of two operators should perform specificity, linearity, detection limit, accuracy and repeatability studies. Each operator should determine these assay parameters at least once, using a minimum of five concentrations over the range of the assay. The importance of optimisation and validation is highlighted when working with non-validated rapidly developed Q-PCR assays. High background fluorescent signals leading to reduced assay sensitivity and abnormal amplification signals have been observed in assays before assay optimisation and validation, further supporting the need for assay validation. More importantly, a less experienced operator may not be able to distinguish between genuine and abnormal amplification signals during testing with a non-optimised, non-validated assay. Primer optimisation is carried out using an array of primer concentrations with a constant amount of probe and target template. Because high ⌬ R values reflect increased levels of amplin fication product and efficient reactions, the combination of forward and reverse primer showing the maximum ⌬ R , is selected. Probe optimisan tion is performed using the optimised primer con- ditions, whereby the concentration of probe is varied. The probe concentration showing the lowest C value is chosen as optimal, and reflects T the most efficient reaction conditions. Assay linearity, detection limit and precision are assessed using eight replicated reactions over a range of five concentrations. To assess repro-Ž 2 . ducibility, the correlation coefficient r , y-inter-cept and slope of the regression line should be calculated using a minimum of two independent operators on the ABI 7700, 7900HT, or 5700 systems. The minimum accepted value for the linear correlation coefficient at the Ps 0.05 statistical level when using four standards is 0.88 Ž . Wardlaw, 1987 , and Q-PCR assays will normally show values of r 2 ) 0.90. Two major complicating factors in establishing the detection limit for a real-time PCR assay Ž . using biological material are: 1 the number of target nucleic molecules present in infected cells ( ) and clinical samples, or electron microscopy Ž . counted viral stocks, may be variable; 2 there may be no culture methods available for the target organism. Therefore, the limit of detection is firstly validated using purified target molecules in the form of recombinant plasmid DNA or recombinant RNA. The assay limit of detection with 95% confidence, is defined as the lowest amount of target producing a confidence interval that is significantly lower than that obtained from eight negative controls and no template controls. Within the group of eight replicates containing target levels at the limit of detection, there should be no failed reactions, and all replicates should produce amplification signals with a C value less T than 40. Assay limit of detection is routinely determined as 10᎐100 nucleic acid copies in a Ž background of 200 000 cellular genomes for DNA . Ž targets or 100 ng of cellular RNA for RNA . targets . Ultimate assessment of assay reproducibility requires the positive cut-off point to be determined. The positive cut-off level is the minimum number of target molecules that are detected in 95% of test runs. The positive cut-off point of an assay can be measured over a period of 12 months using different batches of reagents and several different operators. The extraction of viral nucleic acids is widely used in diagnostic and research laboratories. However, the suitability or yield of nucleic acid from extraction procedures can vary depending on the nucleic acid and the biological material Ž . Kok et al., 2000 . Therefore, to ensure efficient extraction of target nucleic acid, the procedure should be qualified for the particular target and biological material to be used. Since Q-PCR allows the quantification of a nucleic acid target molecule, it can be used to determine the percentage recovery of the viral or cellular DNA target achieved during the extraction procedure Ž . Table 1 . To assess further the performance of the extraction procedures, the extracted test nucleic acid can be spiked with target molecules to determine the percentage of PCR inhibition. The calculated copy number of the test sample is subsequently adjusted, taking into account the amount lost in extraction and the estimated level of inhibition. PCR inhibition is particularly important to assess when analysing many different biological materials that may contain various levels of inhibitory substances. When extracting nucleic acid from cell free samples, especially final products, it is important to include a carrier molecule in the procedure. This allows maximum recovery of low levels of nucleic acid and is critical for ensuring maximum sensitivity of the PCR assay. This is essential when screening vaccines for contaminating host cell DNA. As determined by Q-PCR, typical extraction recoveries of 22% and greater can be achieved in 78 pg of human cell line DNA per 0.5-ml therapeutic dose, using the Qiagen DNA Ž . mini kit Table 1 . Similar results are obtained when using Q-PCR assays for primate, rodent, chicken and porcine cellular DNA. Inhibitory factors which interfere with PCR are most apparent when performing extraction of viral or plasmid nucleic acid from animal tissues and secretions. Substances such as: heparin; urea and haemoglobin; ethanol; and iso-propanol will inhibit PCR and affect extraction efficiency Ž . Qiagen, 1999 . The use of methods which remove these molecules are of utmost importance when screening tissue during gene and cell therapy biodistribution studies. Therefore in these studies, the use of optimised high throughput nucleic acid extraction systems and the examination of the recovery of 10᎐100 copies of target nucleic acid from the highest amount of tissue possible should be determined. Recovery in percentage values of a plasmid DNA per 100 g of animal Ž . tissue are shown Table 2 . After cycling is complete, data are analysed in real time and the C values of each replicate T observed and recorded. The standard deviations and confidence limits of C values of the repli-T cates are calculated to detect similarities and significant differences between groups of replicates. Firstly, it is not impossible that a positive result may derive from nucleic acid of previously unrecognised origin that shows non-specific interactions, due to sequence homology with the amplification target used in detection. In a valid assay, a positive result for the test sample is considered to have occurred when the following four conditions are met when testing the sample with two independent amplimer sets to the specified target. Ž . 1 There are significant amplification signals pre-Ž . sent in the test sample reactions. 2 There are no amplification signals present in the sentinel con-Ž . trols. 3 There are no amplification signals pre-Ž . sent in the negative controls. 4 There are significant amplification signals present in the test article spiked at the limit of detection. Detection of the target sequence by PCR in any of the sentinel or negative controls invalidates the assay and is indicative of contamination. In a positive test with confidence, analysis of data results in the C values of the test sample, spiked T test sample and positive control samples being significantly less than the negativersentinel reactions. When the level of target molecules is below the limit of detection, positive reactions can occur in one of three or two of three replicates. Because negative replicates produce a C s 40, the T confidence interval of the test sample is not significantly different from the negative control reactions. In this case, a confidence interval that contains positive amplification signals in test sample reactions is produced, but overlaps with the negative controls. The result could therefore be considered 'equivocal with signals detected below the validated assay sensitivity'. Increases in sample volume can be analysed, or if appropriate, testing carried out by an independent procedure, such as cell infectivity with Q-PCR end point analysis In a valid assay, a negative result for the test sample is considered to have occurred when the following four conditions are all met when testing Ž . the sample. 1 There are no amplification signals Ž . present in the test sample reactions. 2 There are no amplification signals present in the sentinel Ž . controls. 3 There are no amplification signals Ž . present in the negative controls. 4 There are amplification signals detected in the all spiked positive control reactions. In a negative test with confidence, analysis of the data should result in the C value of the T sentinel controls, negative controls and the test article being significantly greater than those from the test article spiked at the limit of detection. Occasionally, one in three, or two in three replicates of the test sample spiked at the limit of ( ) detection may contain C s 40. If no amplifica-T tions are detected in the test article, the confidence intervals show that the spiked data is not significantly different from the test article and negative control data. In this case, the result would be considered negative below confidence, since the test was not able to detect amplification signals in all of the spiked replicates. The accuracy of the quantitative data for a number of Q-PCR assays can be determined using a minimum of eight replicates containing identical amounts of DNA or viral RNA spread across a range of concentrations. During the analysis, four of the replicates are termed standards and the other four replicates designated unknowns. After generation of the standard curve and quantification of the unknowns, the accuracy of the quantitative software in combination with an assessment of the Q-PCR assay was determined. The results show that Q-PCR assays are able to quantify accurately the correct amount to within one standard deviation for both DNA Ž . and RNA targets Table 3 . In more detail, the Ž value X s 1000 on the standard curve which is the actual amount in the Enterovirus RNA in the . standard , corresponds to a calculated value Y s w Ž 994 " 97 which is the mean " standard devia-. tion amount calculated in the unknown replicates containing identical amounts of nucleic acid x as the standard . Because the sensitivity of the ABI 7700 and 7900HT is a two-to fourfold copy number difference, a mean value of Y that varies by more than fourfold could be calculated as being different from the actual value of Y, if working at the two-to fourfold copy number difference level. Therefore, for an actual value Ž . X of 1000 copies the acceptable criteria could be a one-to twofold variation on either side of Ž the 1000 copies e.g. from 500᎐750 to 1500᎐2000 . copies ; a total of two-to fourfold variation of the Ž . actual value X . Therefore, the value of Y s 994 " 97 would be within the acceptable criteria. Any value outside of the acceptable limit could be considered as too highly variable for accurate quantification. This approach may allow one to Ž . Actual values X are the known amount in the standard Ž . reaction. Values Y are the amounts calculated in the 'standardised unknowns' from the generated standard curve, and are expressed as mean copy number "S.D. assess the performance of the standards and the overall Q-PCR assay in terms of quantification accuracy. Adventitious agents pose significant risk if present in vaccines and therapeutics. Therefore, highly sensitive PCR assays for the detection of these agents are crucial for safety testing. Numerous viral nucleic acid detection assays are available, and the available number of fully validated Q-PCR pathogen detection assays is increasing at a considerable rate. Besides viral-specific nucleic acid detection, one very important use of Q-PCR technology in safety testing is the detection of contaminating retroviruses by the identification of the presence of retroviral reverse transcriptase Ž . activity Lovatt et al., 1999 . The fluorescent product enhanced reverse tran-Ž . scriptase F-PERT assay, is an extremely sensitive tests for the detection of reverse transcrip-Ž . 5 tase RT . F-PERT is up to 10 -fold more sensitive than conventional RT assays for detecting the Ž presence of retroviruses Maudru and Peden, . 1997; Lovatt et al., 1999 . This increased sensitivity, prompted The Center for Biologics Evalua-Ž . tion and Research CBER to request PERT testing on all viral vaccines being investigated for ( ) humans. Consequently, F-PERT is the first choice for detection of RT in live viral vaccines, gene therapy preparations and the screening of animals and patients for Porcine endogenous retro-Ž . virus PERV in xenotransplantation trials. F-PERT is a RT-dependent Q-PCR assay and therefore combines the broad specificity of conventional RT assays with the high sensitivity and fast throughput of Q-PCR. As with conventional RT assays, F-PERT is utilised to detect the RT activity packaged into extracellular retrovirus particles. The assay involves converting RNA template to cDNA and then amplifying the cDNA using product-specific primers. As no exogenous RT activity is added to the reaction, cDNA will only be generated if the sample itself contains RT activity. When RT activity is not present, the Ž product will not be detected Silver et al., 1993; Pyra et al., 1994; Heneine et al., 1995; Arnold et . al., 1998 . One major advantage of F-PERT assays over other similar types of assays, is the capability to discriminate between the amplification signals generated by retroviral RT activity and those which are a result of the RT-like activity from DNA polymerases. F-PERT uses activated calf thymus DNA to suppress the RT-like activity from cellular and Taq DNA polymerases with no Ž . reduction in the RT activity Table 4 . A linear Ž . relationship between threshold cycle C and the T number of MLV retrovirus particles or RT and PERV is approximately 1000 virion particles and 1000᎐10 000 molecules of purified AMV RT enzyme, however, the assay can detect lower levels of retrovirus with decreased frequency. An overview of the F-PERT assay is described in a flow diagram in Fig. 4 . The high sensitivity of F-PERT has ensured that this Q-PCR assay plays a significant role in the evaluation of the retroviral status of vaccines and other biological material from the biotechnology industry, where safety of products is paramount. More specifically, when performed in combination with co-cultivation, induction and infectivity assays, together with electron microscopy Ž . EM and pathogen-specific PCR detection assays, F-PERT assists in providing a detailed risk assessment for the presence of adventitious agents in therapeutics. Viruses may contaminate cell lines from a Ž . number of sources including: 1 those present in 2 viruses of animal origin in media and tissue Ž . culture reagents; and 3 those from operators or other sources that could have contaminated the cells during handling in non-GMP conditions. For these reasons, all cell lines, primary cells, or tissue products used for therapeutic purposes require testing for the presence of a range of viruses. The selection of viruses to be tested depends upon the origin of the cell line and raw material used in manufacture. The development and validation of PCR assays to meet the requirements of regulatory authorities is a key element in the production and marketing of final products. An increasing number of published or validated Q-PCR assays are becoming available, and these tests can be utilised for cell line, raw material, or Ž . final product testing Tables 5 and 6 . Testing for the presence of human viruses is required when cells of human origin or products obtained from human blood or tissues are involved. Examples include mouse᎐human and human᎐human hybridomas, and cell lines of human origin such as MRC-5, and PER.C6 used in the production of Adenovirus vectors for therapy. In broad terms, the viruses that have to be screened for in a human cell line are those associated with severe or oncogenic diseases, and those that are likely to infect the cell type, particularly those that might establish latent or abortive replication in cells. Animal viruses pose significant risk if the cell line or therapeutic is of animal origin andror if animal products such as foetal calf serum, trypsin, or insulin are used in the manufacturing cultures. All new animal reagents used in manufacture should be screened by appropriate techniques. Bovine serum and porcine trypsin are usually screened using an appropriate Title 9 Code of Ž . Federal Regulation 9CFR assay. However, some caution is required as 9CFR assays using minimal volumes may miss critical viruses. In addition, some viruses are not detected by these assays, therefore PCR should be employed. Many viruses are of concern in the manufacturing process and are not the subject of this review. Instead, this section focuses on examples of viruses that have recently emerged as agents of concern, namely Bovine polyomavirus, Bunyavirus and Porcine circovirus. Recent concern has been expressed about the contamination of bovine products with the Bovine Ž . polyomavirus BPyV . This virus belongs to a family, some of which are oncogenic in their own host or in heterologous hosts. Infection of cattle is widespread, and up to 70% of foetal calf serum batches contain BPyV sequences by PCR and infectious virus can be isolated from some batches Ž . Schuurman et al., 1991 . The most worrying feature of this virus is that it is probably zoonotic. It replicates in primate cells, and while antibody to the virus is lacking in the general population, 71% of veterinarians, 50% of cattle farmers and Ž 40% of abattoir workers are sero-positive Parry . and Gardner, 1986 . Detection of BPyV by quantitative PCR is fully validated to ICH guidelines and the assay is capable of detecting 100 viral genome copies on a routine basis. The Bunyaviridae family contains over 300 viruses grouped into five genera. Unlike most other enveloped viruses, they bud into intracytoplasmic vesicles associated with the golgi apparatus forming virions 80᎐120 nm in diameter. The genome of the virus is segmented into three strands permitting complex reassortants, as occurs with Influenza virus. Consequently, the taxonomy of these viruses can be complex ŽLundstrom, 1999; Borucki et al., 1999; Mahy, . 1998 . Within the Bunyavirus genus, the most relevant serogroups or genetic complexes are the Californian serogroup and the Bunyamwera serogroup. Within the Bunyamwera group, the Cache Ž . valley virus CVV is a recognised infection of sheep and cattle. CVV can be transmitted congenitally and infection of foetal calf serum is Ž possible McLean et al., 1996; Blackmore and Grimstad, 1998; Edwards et al., 1997; Chung et . al., 1991 , emphasising that CVV has the potential to be problematic in large scale fermentation culture during manufacturing. CVV is lytic to cell lines including, CHO-K1 and Vero, and therefore can also be detected by culture-based bio-assays Ž . Edwards et al., 1997 . Since CVV is suspected to cause foetal malformations in cattle the presence of this virus in serum represents a major safety Ž . concern Edwards et al., 1997 . Detection of CVV by quantitative RT-PCR is fully validated to ICH guidelines and the assay is capable of detecting 100 viral RNA copies on a routine basis. The 95% confidence interval of C values produced by 100 T viral copies per 100 ng of non-infected cellular RNA was significantly different from the negative Ž . control RNA using two operators Circoviruses are amongst the smallest mammalian viruses at approximately 17 nm, and like parvoviruses, are highly resistant in the environ- Ž . y q ( ) Ž . ment. Porcine circovirus type 2 PCV2 has a nucleotide sequence homology to Bovine cir-Ž . covirus BCV and has been shown to be involved in the formations of organ lesions in pigs. The close relationship between these two viruses has led to suggestions that this group of viruses may cross species barriers. In some cases, circoviruses can remain as latent and persist as non-cytopathic Ž . infections in vitro Allan and Ellis, 2000 . Techniques currently available for detection of all forms of circovirus are limited, and there is no current test that differentiates between infectious virus and nucleic acids. Consequently, specific Q-PCR assays are required to detect these viruses. As shown in Fig. 3 , multiple sequence alignment of the Bovine circovirus and Porcine circovirus genomes has identified the Q-PCR primers and probe that will detect a range of strains isolated from many global locations. The Bovine circovirus and Porcine circovirus Q-PCR is fully validated to ICH guidelines and can routinely detect 100 genome copies. In summary, CVV, BPyV, Porcine circovirus and Bovine circovirus represent a new threat to biotechnology products and steps need to be incorporated to monitor these viruses. Appropriate sub-pool testing of foetal calf serum and the testing of other raw materials should be conducted. Since it is possible that effects on cell viability may not be noted, appropriate bulk harvest screening of cultures should be undertaken to exclude the presence of these viruses, thereby avoiding expensive contamination of the downstream purification train. Process validation studies are usually performed using a downscale of the manufacturer's purification process. This allows the assessment of the capacity and efficiency of the process to remove and inactivate viruses, DNA and other contaminants. All manufacturers producing recombinant proteins from rodent cell lines, e.g. Hybridoma and CHO, are required to perform Murine leukemia virus clearance studies for Phase IrII clinical trials. Generally, processes for phase III studies require clearance of three or more other Ž viruses to be demonstrated Federal Register, . 1998 . The federal guidelines specify that infectivity should be used, but where this is not technically feasible alternative technologies may be justified. However, an increasing number of manufacturers are using both infectivity and Q-PCR to demonstrate viral removal. Murine leukemia viruses are endogenous proviruses that are divided into two main groups, ecotropic and non-ecotropic viruses. Ecotropic viruses can infect only mouse cells and non-ecotropic viruses are sub-divided into three groups: xenotropic; polytropic; and modified polytropic. Xenotropic MLV infect human cells, but not their natural rodent host cells. Polytropic MLVs, also Ž . termed mink-cell focus MCF forming MLV can infect both rodent and non-rodent cells, and have a broader host range than xenotropic MLV. Unlike xenotropic and ecotropic MLV, infectious polytropic MLV do not pre-exist in the mouse germ line, but can arise by recombination between infectious ecotropic MLV and endogenous MLV-related polytropic sequences. In certain laboratory mouse strains, the progeny of several non-ecotropic MLV can recombine with exogenous or endogenous MLV sequences to result in oncogenic variants such as MCF virus Ž . Tomonaga and Coffin, 1998 . Proviral xenotropic MLV that are capable of producing infectious virus are present in inbred mice populations, such as Balb-C. An endogenous xenotropic MLV, termed bx¨-1 appears to be the LTR donor for in leukemogenic MCF forming MLV. In addition, xenotropic MLV derived from the Bx¨-1 locus, first described in BALBrc mice are infectious Ž . Kozak and Ruscetti, 1992 . Murine hybridoma cells used for pharmaceutical monocolonal antibody production express xenotropic MLV, and regulatory agencies recommend that retrovirus should be inactivated or removed during manufacturing. In addition, MLV is used as a model virus to evaluate the elimination of non-infectious CHO cell retrovirus particles. Such retroviral clearance studies can use ( ) virus inactivation treatments such as low pH of elution buffers during manufacturing. Viral clearance studies in scaled down conditions, involve spiking the load sample with a known amount of infectious virus to allow assessment of retroviral removal by examination of the eluate by infectivity assay or Q-PCR. However, when buffers that inactivate virus are used in the chromatography process, the reduction of infectious virus titre in the eluate is due to the combined result of chro-Ž matography removal and buffer inactivation Lau . et al., 1999 . In these cases, infectivity assays will not provide clearance information, whereas Q-PCR resolves this problem. Initially, it is essential to qualify the viral clearance Q-PCR assay using quantitative results on both the spiked load and unspiked load control. For cell lines other than murine hybrodoma, this ensures the absence of non-specific interactions that obscure the clearance data. For retroviral nucleic acid clearance, it is essential to perform DNA and RNA copy number quantification on the viral spike and any spiked column elutions. Analysis of the X-MLV nucleic acid copy number in the absence of RT enzyme allows an estimation of the percentage of proviral DNA targets which can result from the background residual host cell DNA of the viral production cell line. By recalculating the RNA copy number, this ensures that detection of viral RNA genome is achieved and the results take into account any background integrated provirus present in residual production cell genomic DNA. The difference between two RNA copy numbers obtained from the viral spike and spiked column elutions allows calculation of Ž . viral removal Fig. 5 . For the column elution samples that already contain xenotropic MLV, during RNA extraction a different virus can be spiked as an internal extractionramplification control in order to distinguish it from the MLV already present. The internal control spike should not cross-react with the actual xenotropic MLV to simplify calculations. An unrelated RNA virus of known TCID 50 or naked viral RNA can be used to control for PCRrextraction interference and viral recovery during extraction. Viral removal can be obtained by calculating the mean RNA copy number of the load, hold control and eluate from column runs. In addition to X-MLV quantification, Q-PCR assays to measure clearance of the endogenous Ž . retrovirus from Chinese hamster ovary CHO Ž cells and SV40 are now available Shi et al., . 1999a,b; de Wit et al., 2000 . Taken together these approaches will allow the manufacturer's clearance process to be assessed for the ability to remove logs of viral genomes and thereby pave the way for optimisation of procedures to generate maximum viral clearance. Manufacturers of biopharmaceuticals must ensure that final products produced from starting cell substrates contain minimum levels of residual host cell DNA. Current regulatory guidelines established by the FDA and WHO recommend that products manufactured from continuous cell lines contain less than 100 pg of cellular DNA per dose Ž . Lewis et al., 1999a . The dangers of residual DNA include: malignant transformation by activated cellular andror viral oncogenes; aberrant gene expression by insertion of sequences in sensitive control regions of genes; as well as the production of infectious viruses from viral DNA. In response to these concerns, a number of Q-PCR assays have been designed to detect and Ž . quantify residual DNA Table 8 . The quantification limit of residual DNA Q-PCR assays are usually within the 5 pg per reaction or 50᎐100 pg Ž Slot-blot technique using P-radiolabeled probe ge-. nomic DNA , hybridisation and autoradiography. . 10᎐20 genome equivalents per ml. This sensitivity is expected when using a target such as the beta actin gene as the target. Sensitivity can sometimes be increased if a target with a higher copy number is used, for example a sequence repeat region within the genome. We are developing Q-PCR assays for these repeat regions for rodent and primate residual DNA to obtain sensitivity in the fg range, however, one advantage of using a gene such as ␤-actin is gene stability, as this target should not undergo copy number changes within a stable cell line. Repeat se-Ž quences are known to be less stable Lewis et al., . 1999b; Lobachev et al., 2000 and may undergo significant changes in copy number on the genome, and therefore have the potential to obscure the residual DNA data if a shift in target copy number occurs during production. For these reasons, the choice of PCR target is important and the use of repeat regions may not be necessary, when sensitivity to pg levels is required. Besides the qualification of final products for batch release, residual DNA assays are used to demonstrate clearance of host cell DNA during process validation. In addition, since some test samples are most likely to contain detectable levels of residual DNA, another appropriate internal control DNA that is unrelated to the host cell and test sample is spiked into the sample. The recovery of the internal control is quantified using a PCR reaction specific for the unrelated target DNA. It is important that the internal control target and test sample target do not cross-react in terms of sequence specificity. This simplifies DNA recovery calculations for each individual test sample. Q-PCR for residual DNA is far more robust than conventional hybridisation methods. For example, Q-PCR is more precise and has a larger dymanic range than conventional hybridisation Ž . methods Smith et al., 1999 . Problems with standard curves can be encountered when performing linear regression with conventional hybridisation autoradiography. This is due to the fact that X-ray films have a threshold for both response and sensitivity, resulting in a non-linear response Ž . to the hybridisation signal Cornett et al., 1999 . Q-PCR on the other hand, combines a highly linear response coupled with sensitivity comparable to hybridisation assays. In addition, turnaround time for the Q-PCR technique is more rapid, less labour intensive and can be automated with robotic systems to remove operator error during sample manipulation. Q-PCR can still estimate the amount of DNA in benzonase treated products, for example, if DNA is sheared down to sizes of 50᎐100 bp. Q-PCR is essential in determining the efficacy of gene and cell therapeutics. Moreover, the biodistribution analysis of such novel therapeutics is critical for assessment of their bio-safety and for meeting the increasingly stringent regulatory guidelines. In this way, regulatory issues concerning infection or the transfer of the gene to normal or distal tissues, as well as the target site, are addressed. In addition, investigations of the possibility of integration or expression in the germ line are performed. If possible, whole organs should ( ) be homogenised, an aliquot extracted and the remaining homogenate archived for further analysis. Homogenisation of whole organs gives insurance that patches or localisation of infection in the organ can be detected. If the therapeutic is viral or cellular based, then detection of viral or cellular RNA expression in tissues of concern may be indicative of virus or cellular replication in these tissues. Therefore, the assay target, conditions and controls used in the biodistribution study are critical for generating the highest quality data to satisfy regulatory authorities. A prestudy will be most important, to assess the best conditions that can be applied in the overall biodistribution assay. Problems that can occur during a bio-distribution study are dependant on the complexity of the study design. Pre-studies can be widely variable depending on the complexity of the therapeutic vector. However, in simplistic terms, the pre-study can be used to demonstrate that optimal PCR, nucleic acid extraction and maximum assay sensitivity are all addressed. For high quality data, it may also be necessary for the preparation of an inactivated vector to provide the material for administration into the negative control animals. This will help control for the presence of any residual vector nucleic acid that becomes lodged in animal organs and therefore provide information to distinguish between signals that can be generated from the replicating vector and those from the residual nucleic acid. In addition, if the vector is a DNA virus, the use of Q-RT-PCR with the incorporation of DNase during extraction and a minus RT reaction control will help distinguish between viral expression and residual DNA in the animal tissue. The method for inactivation of the viral vector will depend on the virus, and may be either UV or B-propriolactone treatment. The inactivated preparation should then be verified by amplification using cell culture and the replicating virus vector examined by an appropriate detection method, for example cytopathic effect or Q-PCR. Healthy cells that have been treated with inactivated vector can be passed through several times to dilute any residual inactivated target in the culture. Samples of cells taken at each passage time point can be quantified by Q-PCR with and without RT enzyme to demonstrate reduction of residual viral nucleic acid and the absence of low level infection. Detection limit, linearity and reproducibility should all be determined during assay development and validation. Once the reaction conditions are optimal, spiked negative control organs are analysed to determine the lowest amount of target that can be detected in the maximum amount of test sample tissue. The optimal extraction conditions can be applied in the biodistribution study. The animal species used in the biodistribution study is extremely important. The species must be acceptable to the regulatory authorities for use in safety evaluation studies and extensive background data should be available. The chosen animal species should be susceptible to infection. The route of administration can be the intended human route for the vector, however, the intravenous route allows better assessment of the vector biodistribution. Both animal sexes should be used in the study and the administrative dose should be calculated using maximum human dose based on equivalent unit per kilogram of body weight. An example of an animal study design to examine vector biodistribution could be as fol-Ž lows: group A: high dose 50᎐100 = human maxi-. Ž . mum ; group B: low dose 1 = human dose ; and group C: high dose inactivated. Each group contains three female and three male animals. At time points 8, 48 and 168 h, one animal is killed and blood, lymph nodes, lung, spleen, brain, kidneys, gonads, heart and liver harvested under carefully controlled conditions to prevent crosscontamination of vector between different organs. Organs should be either snap frozen or stored at y80 ЊC in individual vials for Q-PCR analysis. To generate confidence intervals, a minimum of three replicated wells are required, but more ( ) are preferred. This ensures that results are expressed as positive or negative with confidence. The use of only duplicate or single wells for the controls does not allow comparison of groups to be carried out accurately, due to the significant high value of the t-statistic when using one degree of freedom. However, if working to a limited budget, performing the study using duplicate reaction replicates can allow the data to be expressed as the mean copy number within a specified standard deviation. The use of duplicate wells with a mean and standard deviation allows the generation of a 68.2% confidence interval. However, the use of single wells gives no information on well-to-well reproducibility and should only be used for research purposes rather than bio-safety testing, where confidence in results is essential. To produce an accurate set of data covering the dynamic range of the assay a standard curve with a minimum of four or five standards should be included. A minimum of four or five different 10-fold dilutions should in most cases achieve an assessment of the C values over the range of the T assay on every PCR run. These controls are essential since some of the animals dosed with a gene therapy vectors will most likely contain some PCR-positive tissues. If sentinel extractions are not included while handling positive samples, there will be no control for the level of cross-contamination between samples during extraction. The importance of the sentinel extraction is highlighted since the Q-PCR reaction sentinel can be negative and the extraction sentinels positive. This control ensures recovery of test animal nucleic acid. This is necessary since any validation of the extraction procedure will have been performed in another time point than the actual test sample assay. This control can be replaced with the pre-extraction spike recovery control mentioned below, if the target is not integrated into the cellular DNA. If the integration of vector DNA into the host genome is not being assessed, both pre-extraction and post-extraction spike controls to quantify the percent of recovery during extraction and any inhibition during PCR should be performed. Even if a pre-study nucleic acid extraction validation already gives this information, the test sample biodistribution assay is performed at a time point other than that of the pre-study. Possible variables between those time points are, for example, variation in solution batches, different operators, errors, or problems with extraction reagents. The spike recovery controls performed at the time of testing ensure that these potential problems are detected. IPC, also known as TaqMan exogenous internal positive control reagents, can be included in all Q-PCR master mixes. This control can replace post-extraction spike controls, since PCR inhibition is detected with IPC reagents. IPC is a set of primers and probe targeted to a non-biological synthetic template. In the multiplexed PCR reaction, IPC is detected using a VIC-labelled probe and the viralrcell target nucleic acid is detected using a FAM-labelled probe. IPC reagents are spiked into the reactions to distinguish true target negatives from PCR inhibition. In addition, data generated from PCR-negative wells in the presence of IPC ensure that they are truly negative for the viral target, and are not due to a failed amplifications, thereby giving extra confidence in the results. In addition to viral detection and quantification, Q-PCR is widely used for the detection of changes in gene copy number, mRNA expression and plasmid DNA levels. Q-PCR combined with DNA sequencing and restriction mapping are commonly used in genetic stability testing. Examples of common uses of Q-PCR in research, de-Ž . velopment and quality control include: 1 detec-( ) tion of changes in plasmid DNA copy number in E. coli and yeast cell banks from development Ž . projects to large scale production; 2 detection of changes in transgene copy number of chromoso-Ž mal-integrated expression cassettes yeast and . Ž . mammalian cell banks ; 3 copy number of trans-Ž . gene mRNA levels to assess expression and 4 changes in gene expression in response to the therapeutic product. Recent approaches to vaccination involve the direct introduction of recombinant plasmid DNA Ž gene therapy vectors into appropriate tissue Ro-. bertson and Griffiths, 1998; Mahato et al., 1999 . This includes the administration of plasmid DNA complexed with cationic lipids for the treatment Ž of genetic and acquired diseases Gao and Haung, . 1995 . Since, plasmids are receiving increasing attention for use as vectors in gene therapy preparations, methods to monitor their stability and yield is of fundamental importance during manufacturing. Monitoring changes in transgene copy number and levels of mRNA expression is critical for the isolation of stable cell lines and in the streamlining of constructs for production. However, production and purification of large amounts of the therapeutic plasmid vector can be hindered by a number of factors, including bacterial host strain, plasmid DNA instability and copy number per cell. Together with restriction endonuclease mapping, nucleotide sequence analysis and phenotypic testing, routine monitoring of plasmid copy number is of utmost importance in large scale cultures where genetic instability can Ž . cause significant problems Smith et al., 1996 . Conventional procedures for the determination of plasmid DNA copy number are laborious, requiring DNA extraction, restriction endonuclease digestion, agarose electrophoreseis and ethidium bromide staining. Therefore, any high throughput methods which can calculate the copy number of plasmid vector constructs during fermentation are paramount in obtaining maximum efficiency in any downstream process. Using Q-PCR assays targeted to regions such as: the plasmid origin of replication; the antibiotic resistance gene; the human CMV promoter; or the therapeutic transgene, it is possible to identify specific changes in plasmid copy number of different microbial constructs. By assessing the relationship between cell number and C values, T linearity was demonstrated allowing the direct determination of plasmid DNA copy number from culture samples relative to the reference plasmid containing E. coli strain. A fourfold difference in plasmid DNA copy number was detected, therefore the procedure can be used to monitor microbial fermentation or optimise production Ž . methods Tables 9 and 10 . The two methods for quantifying target molecules by real-time Q-PCR are termed relative and absolute quantification. Relative quantification can use an endogenous control to normalise the amount of plasmid molecules in a sample. The normalised value can assess significant increases or decreases in the copy number of plasmid DNA and is independent of conventional measurement of cell number. The incorporation of relative quantification could provide the potential to screen colonies or volumes of culture di- A fourfold difference in cell number was detected. Confidence interval data show statistical differences. ( ) rectly. The relative quantification will calculate numerical difference between the endogenous chromosomal gene and the number of plasmid molecules, in a microbial sample. In this way, significant differences between plasmid target and endogenous control, are detected to provide information on plasmid DNA molecules per cell. Using this approach, the assay could be independent of OD standardisation and still be able to 600 detect a two-to fourfold difference in copy number. Taken together, Q-PCR has severe implications in monitoring the genetic stability of plasmid DNA in microbial constructs selected for production. Q-PCR can be used to measure the copy number over a wide range of different cell numbers or genome equivalents, and is able to assess copy Ž . number stability in master cell bank MCB , Ž . working cell bank WCB and post production Ž . cell bank PCB . Significant changes are demonstrated by performing statistical analysis on the C value obtained from the MCB, WCB and T PCB. The copy number for each cell bank is expressed in a confidence interval and if the numerical C values of the confidence intervals T from each cell bank overlap, this demonstrates that the data derived from each stage of the manufacturing process are derived from the same statistical populations. The statistical data at the Ps 0.05 level, provides a means of monitoring significant changes in the copy number during the manufacturing process. Q-PCR is more accurate than the Southern blot technique for the detection of alterations in the gene copy number, since estimation by Southern blotting relies on comparison of the banding intensity on an autoradiograph. The Southern blot analysis generates useful information about the structural integrity of the integrated construct but provides only an approximate evaluation of the copy number. In terms of stability, an increase in copy number of the transgene in the cell line can occur by chromosomal duplication. If significant increases in copy number are detected in the manufacturing process, Fluorescent In Situ Ž . Hybridisation FISH analysis can be performed to investigate further the stability of the construct. Direct chromosomal duplication, with no associated structural alterations, would be missed by southern analysis, if the integrated expression cassette remains unaltered when duplicated. Structural analysis will only detect changes in the expression cassette, such as those caused by deletions, insertions and recombinationrduplication of the integrated construct to another chromosomal location. Therefore, rapid screening with Q-PCR assays will aid in the detection of any chromosomal duplication, which results in an increase in copy number but no associated structural alterations detectable by Southern blot analysis. Because of the increasing rate of discovery of previously unrecognised viruses, safety is becoming of the utmost concern in biotechnology manufacturing. In addition, there is additional pressure for fast assay development, optimisation and validation of testing methods. Now that validated tests are available, Q-PCR is now beginning to revolutionise the production and batch release of products. The high versatility of Q-PCR assays coupled with the high reproducibility and fast throughput ability will no doubt assist in decreasing the time for the development, safety testing and final marketing of novel biotechnology products. that they have carried out for the development program, and for significantly contributing towards solving the problems encountered. A quantitative, internally controlled real-time PCR assay for the detection of parvovirus B19 DNA Porcine circoviruses: a review One step fluorescent probe product enhanced reverse transcriptase assay Deletion mutants of polyoma virus defining a nonessential region between the origin of replication and the initiation codon for early proteins Rapid quantification and differentiation of human polyomavirus DNA in undiluted urine from patients after bone marrow transplantation Cache valley and Ž . Potosi viruses Bunyaviridae in white tailed deer Ž . Odocoileus¨irginianus : experimental infections and antibody prevalence in natural populations Bunyavirus superinfection and segment reassortment in transovarially infected mosquitos Use of quantitative product enhanced reverse transcriptase assay to monitor retrovirus levels in mAb cell-culture and downstream processing Cache valley virus infection in Texas sheep flocks Analytical method validation Real time quantitative PCR for retrovirus-like particle quantification in CHO cell culture Ovine fetal malformations induced by utero inoculation of Main Drain, San Angelo and La Crosse viruses Cationic liposome-mediated gene transfer Development of a fluorogenic Ž . polymerase chain reaction assay TaqMan for the detection and quantification of varcella zoster virus Real time quantitative PCR Detection of reverse transcriptase by a highly sensitive assay in sera from persons infected with human immunodeficiency virus type 1 Sensitive and robust one-tube real-time reverse transcriptase-polymerase chain reaction to quantify SIV RNA load: comparison of one-versus two-enzyme systems Validation of Analytical Methods. Definitions and Terminology. The European Agency for the Evaluation of Medicinal Products Validation of Analytical Methods. Methodolgy. The European Agency for the Evaluation of Medicinal Products Detection and quantitation of human papillomavirus by using the fluorescent 5Ј exonuclease assay Development of a TT virus DNA quantification system using realtime detection PCR Human herpes virus 8 Ž HHV-8 in Kaposi's sarcoma: lack of association with bcl-2 and p53 expression Quantitative analysis of Epstein᎐Barr virus load by a using real time PCR assay Comparison of six nucleic acid extraction methods for the detection of viral DNA or RNA sequences in four different non-serum specimen types Retroviruses in rodents Quantitative competitive reverse transcription-PCR as a method to evaluate retrovirus removal during chromatography procedures Real-time TaqMan PCR as a specific and more sensitive ( ) alternative to the branched-chain DNA assay for quantitation of Simian immunodeficiency virus RNA A defined approach to the regulatory assessment of the use of neoplastic cells as substrates for viral vaccine manufacture. A Draft. For the cell᎐ substrate ᎐ adventitious agent workingrinterest group Palindromic DNA and genome stability. Further studies Quantitation of DNArRNA using real time PCR detection Inverted Alu repeats unstable in yeast are excluded from the human genome High throughput detection of retrovirus-associated reverse transcriptase using an improved Fluorescent Product Enhanced Reverse Ž Transcriptase Assay F-PERT and its comparison to conventional detection methods Pharmaceutical perspectives of nonviral gene therapy Zoonoses and haemorrhagic fever Elimination of background signals in a modified polymerase chain reaction-based reverse transcriptase assay The role of deer as a possible reservoir host of Potosi virus recognised arbovirus in the United States Simultaneous screening for HBV DNA and HCV RNA genomes in blood donations using a novel TaqMan PCR Rapid reverse transcription-PCR detection of hepatitis C virus RNA in serum using TaqMan fluorogenic detection system Development of a real-time PCR procedure including an internal control for the measurement of HCMV viral load Different real-time PCR formats compared for the quantitative detection of human cytomegalovirus DNA Human exposure to bovine polyomavirus: a zoonosis? Target selection and optimisation of amplification reactions Ultra-sensitive retro-v irus detection by a reverse transcriptase assay based on product enhancement Critical factors for successful PCR. Practical Guidelines Technical Literature WHO guidelines for assuring the quality of DNA vaccines Development of a high-throughput quantitative assay for detecting Herpes simplex virus DNA in clinical samples Application of a fluorogenic PCR assay for typing and subtyping of influenza viruses in respiratory samples Frequent detection of Bovine polyomavirus in commercial batches of calf serum by using the polymerase chain reaction A real time quantitative PCR-based method for the detection and quantification of Simian virus 40 Real time quantitative PCR as a method to evaluate Simian virus 40 removal during pharmaceutical protein purification An RT PCR assay for the enzyme activity of reverse transcriptase capable of detecting single virions Fast and accurate method for quantitating E. coli host᎐cell DNA contamination in plasmid DNA preparations Plasma SIV RNA viral load determination by real time quantification of product generation in reverse transcriptase polymerase chain reaction Structure and distribution of endogenous non-ecotropic Murine leukemia virus in wild mice Simultaneous detection of influenza viruses A and B using real-time quantitative PCR Multiplex detection of four pathogenic retroviruses using molecular beacons Correlation, regression and line fitting through graph points: standard curves. Practical Statistics for Experimental Biologists