Real-time polymerase chain reaction (PCR) is the current method of choice for detection
and quantification of nucleic acids, especially for molecular diagnostics. Complementarity
between primers and template is often crucial for PCR applications, as mismatches
can severely reduce priming efficiency. However, little quantitative data on the effect
of these mismatches is available. We quantitatively investigated the effects of primer-template
mismatches within the 3'-end primer region on real-time PCR using the 5'-nuclease
assay. Our results show that single mismatches instigate a broad variety of effects,
ranging from minor (<1.5 cycle threshold, eg, A-C, C-A, T-G, G-T) to severe impact
(>7.0 cycle threshold, eg, A-A, G-A, A-G, C-C) on PCR amplification. A clear relationship
between specific mismatch types, position, and impact was found, which remained consistent
for DNA versus RNA amplifications and Taq/Moloney murine leukemia virus versus rTth
based amplifications. The overall size of the impact among the various master mixes
used differed substantially (up to sevenfold), and for certain master mixes a reverse
or forward primer-specific impact was observed, emphasizing the importance of the
experimental conditions used. Taken together these data suggest that mismatch impact
follows a consistent pattern and enabled us to formulate several guidelines for predicting
primer-template mismatch behavior when using specific 5-nuclease assay master mixes.
Our study provides novel insight into mismatch behavior and should allow for more
optimized development of real-time PCR assays involving primer-template mismatches.