Prevention
The following review details the prevention of biological, amplified, and non-amplified nucleic acid contamination through workflow design, technique, and enzymatic controls
The Unidirectional Workflow
The most fundamental structural control against contamination is the establishment of a unidirectional (one-way) workflow. This physical separation prevents “carryover” - the accidental transfer of previously amplified DNA (amplicons) into new, unamplified patient samples
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Physical Separation of Areas: The molecular laboratory must be divided into distinct workspaces, ideally in separate rooms. If separate rooms are not available, distinct “dead air” boxes or PCR workstations must be used
- Area 1: Reagent Preparation (Clean Area): This is the sanctuary of the lab. Only preparation of Master Mix occurs here. No patient samples or DNA are ever introduced to this area
- Area 2: Specimen Preparation/Extraction: Patient samples are processed, and nucleic acids are extracted here
- Area 3: Amplification and Detection (Dirty Area): This is where PCR cycling and post-PCR analysis (gel electrophoresis, capillary electrophoresis) occur. This area contains billions of amplicons and is considered the source of highest contamination risk
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Movement Protocols: Personnel and specimens must always move from Clean → Dirty (Reagent Prep → Specimen Prep → Amplification)
- Laboratory scientists should never move from the Amplification area back to Reagent Preparation during the same shift without a thorough decontamination procedure (showering/changing clothes), though most labs simply prohibit this “backtracking” entirely
- Paperwork and lab notebooks should ideally not travel backwards against the workflow
Dedicated Equipment & Consumables
To prevent cross-contamination between areas, equipment must be dedicated to specific zones. An item used in the “Post-PCR” room should never enter the “Reagent Prep” room
- Pipettes: Each workspace must have its own set of color-coded or labeled pipettes. A pipette used to load a gel in Area 3 will have amplicon aerosols on it; bringing it to Area 1 guarantees contamination of the Master Mix
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PPE (Personal Protective Equipment)
- Lab Coats: Must be dedicated to specific rooms. “Clean” room coats should never be worn in “Dirty” rooms. Front-closing coats are standard, but back-closing gowns are preferred in reagent prep to prevent skin shedding from the chest/neck area falling into tubes
- Gloves: Gloves must be changed immediately if splashed, frequently during protocols, and always when moving between different workflow areas. Powder-free gloves are mandatory, as powder can inhibit enzymes
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Consumables
- Aerosol Barrier Tips (Filter Tips): All molecular pipetting must use tips containing a hydrophobic filter. This prevents aerosols (micro-droplets of liquid created during pipetting) from contaminating the barrel of the pipette
- Aliquotting Reagents: Reagents (primers, dNTPs, buffers) should be aliquotted into single-use volumes. If a stock tube is contaminated, the entire lot is lost. Single-use aliquots limit contamination to one reaction set
Technique & Handling
Even with perfect room design, poor laboratory scientist technique can introduce contamination. This applies to biological contamination (patient-to-patient) and environmental genomic contamination (technologist-to-sample)
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Aerosol Minimization
- Centrifuge tubes briefly (pulse spin) before opening to ensure liquid is at the bottom and not on the cap/rim, which reduces splashing
- Open tubes carefully; avoid “popping” caps, which creates invisible aerosols
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Pipetting Technique
- Avoid touching the sides of the tube with the pipette shaft
- Hold the pipette vertically to ensure precise measurement and prevent liquid from touching the filter
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Surface Decontamination
- Chemical: Surfaces should be cleaned before and after work with 10% Sodium Hypochlorite (bleach). Bleach chemically destroys DNA. However, bleach is corrosive; it must be followed by a rinse with 70% ethanol or DI water to remove residue and prevent pitting of stainless steel hoods
- UV Irradiation: “Dead air” boxes and biological safety cabinets are often equipped with UV lights. UV light (at 254 nm) causes pyrimidine dimers (thymine dimers) to form in DNA, rendering it un-amplifiable
Enzymatic Control: The dUTP-UNG System
While physical controls are essential, they are not foolproof. The most robust method for preventing amplicon contamination (carryover) is a chemical substitution method incorporated into the PCR master mix
- Principle: In the PCR Master Mix, the nucleotide dTTP (Thymine) is completely replaced with dUTP (Uracil)
- Result: All amplicons generated by the lab will contain Uracil instead of Thymine. DNA is distinct from natural DNA (which contains Thymine)
- Enzyme: The enzyme Uracil-N-Glycosylase (UNG), also known as Uracil-DNA Glycosylase (UDG), is added to the Master Mix
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Mechanism
- At the very start of a PCR run, the mix is heated to 50°C for 2-5 minutes
- During this step, the UNG enzyme scans for any DNA containing Uracil (contaminating amplicons from previous runs)
- If found, UNG cleaves the glycosidic bond, degrading the contaminant DNA so it cannot serve as a template
- The reaction is then heated to 95°C for the denaturation step. This high heat destroys the UNG enzyme
- The Taq polymerase then amplifies the true patient target (which contains Thymine and was ignored by the UNG)
- Note: This method works effectively for preventing amplicon contamination but does NOT prevent cross-contamination of biological patient samples (which contain natural Thymine).
Summary of Contaminant Types & Specific Prevention
Amplified Nucleic Acid (Carryover Contamination)
- Definition: Previously amplified PCR products (amplicons) entering a new reaction. Because these are concentrated targets, this is the most severe risk in high-volume labs
- Specific Prevention: Unidirectional workflow, dUTP-UNG enzymatic system, separate air handling, aerosol barrier tips
Biological Contamination (Cross-Contamination)
- Definition: Genomic DNA/RNA from one patient sample entering another patient’s tube
- Specific Prevention: Never have two patient tubes open at the same time. Change gloves between every sample. Use automated extraction systems when possible to reduce manual handling
Non-Amplified Nucleic Acid (Environmental/Genomic)
- Definition: DNA or RNA from the laboratory scientist (hair, skin, sneezing) or microorganisms in the environment entering the reaction
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Specific Prevention
- RNase Free: For RNA work, RNases are ubiquitous (found on skin and hair). Wear gloves at all times, cover exposed skin, and use RNase removal sprays (e.g., RNaseZap) on surfaces
- Positive Pressure: The Reagent Prep (Clean) room should ideally be under slight positive pressure compared to the hallway to prevent dust and outside spores from entering when the door opens
- NTC (No Template Control): Always run a “Blank” or Negative Control containing water instead of DNA. If this amplifies, you have contamination in your reagents or environment