$$\rightleftharpoonup{xx}$$
$$\longleftharp{xx}$$,
$$\longrightharp{xx}$$,
The results of a typical pyrosequencing run using the software shows the location of the forward and reverse primers used for amplicon generation, and the sequencing primer used for the pyrosequencing reaction within the conserved 16S ribosomal sequence (Figure 10).The hypervariable sequence between the primer sites allows for bacterial identification of a large number of bacterial species using the conserved sequencing primer (5'-TACATGCAAGTCGA).As an internal quality control, the DNA sequence bracketing the variable region can be checked to assure that the correct DNA region has been analyzed. The pyrosequencing software allows for comparison and alignment of the generated sequence to an internal database of bacterial ribosomal sequences for bacterial identification. In addition, a sequence can be analyzed to determine mutations that confer antibiotic drug resistance. For example, analysis of mutations in the 23S ribosomal genes of Helicobacter pylori demonstrates two mutation patterns (GAA or AGA) that confer antibiotic resistance (Figure 11). Analysis of multiple isolates from the same patient can be concurrently assayed to track the emergence of drug resistance over time to aid in epidemiological investigations of microbial drug resistance outbreaks.

Figure 1. Biotinylated PCR product is used as a template to incorporate dNTPs by DNA polymerase, leading to the generation of pyrophosphate (PPi).

Figure 2. ATP sulfurylase proportionately converts pyrophosphate to ATP. ATP acts as a catalyst for the luciferase-mediated conversion of luciferin to oxyluciferin, which generates light that is proportional to the amount of ATP. The light is recorded as peak on the pyrogram trace and indicates nucleotide incorporation. The unincorporated dNTPs are degraded by apyrase before the next dNTP is added for continuation of the synthesis.

Figure 3. The intensity of light generated indicates if one or more specific dNTP's (dATP, dTTP, dGTP, or dCTP) was incorporated onto the template strand sequentially.

Figure 4. Flow chart for preparation of master mix to immobilize the biotinylated PCR product.

Figure 5. PyroMark workstation, with PCR plate, PyroMark plate, and trough locations.

Figure 6. Locations of the Vacuum switch ON and OFF positions.

Figure 7. Vacuum tool. Proper handling of the vacuum tool.

Figure 8. Cartridge gate opened with cartridge in place.

Figure 9. Cartridge properly inserted with gate closed.

Figure 10. Pyrosequencing based bacterial identification results. PCR primers are designed for conserved regions of the DNA template, and the sequencing primer is positioned immediately upstream of a well-characterized identifying hypervariable DNA sequence within the amplicon (shown in blue).

Figure 11. Detection of antibiotic drug resistance in Helicobacter pylori using pyrosequencing. Analysis of mutations in the 23S genes that confer antibacterial resistance in Helicobacter pylori containing GAA or AGA sequences. Click here to view larger figure.
| Component | Volume per reaction | Final concentration |
| Pyro PCR Master Mix, 2x | 12.5 μl | 1x |
| CoralLoad Concentrate, 10x | 2.5 μl | 1x |
| 25 mM MgCl2 (optional) | Variable | ≥1.5 mM |
| Q-Solution, 5x (optional) | 5 μl | 1x |
| Primer A/Primer B | Variable/Variable | 0.2 μM/0.2 μM |
| RNase-free water | Variable | - |
| Total Volume (after adding template DNA) | 25 μl | |
Table 1. PCR Reaction Mixture.
| | | | Additional comments |
| Initial PCR activation step | 15 min | 95 °C | HotStartTaq DNA Polymerase is activated |
| 3 step cycling: Denaturation | 30 sec | 94 °C | |
| Annealing | 30 sec | 60 °C
56 °C | For genomic DNA
For bisulfite converted DNA |
| Extension | 30 sec | 72 °C | |
| Number of cycles | 45 | | |
| Final extension | 10 min | 72 °C | |
Table 2. PCR Cycle Specifications.