“…While the recommended amount of template DNA, according to the manufacturer (Available online:
), is 10 4 copies (~34.5 ng of human genomic DNA) or above, evaluation using the PCR protocol described in this study achieved a limit of detection (LOD) of ≤1.25 ng of human genomic DNA (Methods S2). Further optimizations, including increasing the number of PCR cycles [
35], may bring the LOD down to the theoretical limit of a single genomic copy [
36]; nevertheless, as a clinical laboratory performing diagnostic testing, it may be preferable to balance among economical use of template DNA, reasonable number of PCR cycles and standardizing laboratory protocols to avoid excessive pipetting and manual dilution steps. With regard to these, PCR-HRM is considered less robust compared to Sanger sequencing and PCR-RFLP, which depend only on the presence of adequate amplicon for subsequent cycle sequencing and restriction enzyme digestion, rather than comparable amplification efficiency within a critical number of cycles [
37].…”