$$\rightleftharpoonup{xx}$$
$$\longleftharp{xx}$$,
$$\longrightharp{xx}$$,
An application of this procedure appears in Carballar-Lejarazú et al.9. The ddPCR Drop-off assay utilizes two fluorescent probes to discern WT and indel sequences: A FAM probe binds to a conserved sequence within the amplicon, whereas the HEX probe targets the WT sequence of the targeted site (Figure 4A). In the presence of an indel, the HEX probe will not bind. Representative results can be found in Figure 2, Table 1, and Table 2 of Carballar-Lejarazú et al.9. Using this protocol, ddPCR has been proven to detect a wide variety of CRISPR-Cas9 induced NHEJ events and quantify the NHEJ frequency in an individual or pooled sample. Fifteen different pooled samples of 10 mosquitoes each contained various NHEJ alleles (Table 2 of Carballar-Lejarazú et al.9). These were analyzed with ddPCR using the protocol and parameters presented here. Results from Table 19 show that all 15 samples carried 100% indel alleles as identified by the Drop-off assay (Figure 4B). In another experiment, 11 pooled samples of WT mosquitoes and NHEJ mosquitoes with different NHEJ percentages (0%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, and 100%) were examined with this ddPCR protocol, and the results (Figure 2; Carballar- Lejarazú et al.9) showed that the identified percentage is close to the compared technique of Indel Detection by Amplicon Analysis (Figure 4C).

Figure 1: Experimental set-up and procedure. (A) Cartridge preparation for Droplet generation. (Top) Samples are filled in the middle row of the cartridge, while oil is filled in the bottom row. (Bottom) Top row filled with emulsified droplets after droplet generation. (B) Droplet generator with a cartridge filled with sample and covered by a gasket in place. (C) 96-well plate covered with foil seal in a Thermo-Cycler. (D) Droplet Reader with 96-well-plate in place with a metal cover latched over the plate to secure it. Please click here to view a larger version of this figure.

Figure 2: Droplet reading. (A) Software interface for droplet reading. Orange boxes show wells with samples. Gray boxes are empty wells. Experimental parameters are set up in the Edit Tools panel (right-hand side). Each sample can be edited by clicking on the respective sample box. Select Drop Off (DOF) for Experimental Type. In sample information, fill in the appropriate information for the sample's Name and Type, as well as SuperMix. Choose the Basic Drop-Off for the Assay Information. For the WT sample, choose WT for the Target Name, Ref for Target Type, and both FAM and HEX for Signal Ch1 and Ch2, respectively. For NHEJ samples, fill in the appropriate name for the Target Name, choose Unknown for the Target Type, and choose FAM for Signal Ch1. Leave Signal Ch2 at None. (B) Droplet count results for multiple samples. Please click here to view a larger version of this figure.

Figure 3: Drop-Off assay analysis. (A) Cluster 2D plot for the droplet count of the WT and NHEJ alleles. In the 2D Amplitude tab, all droplets are unclassified by default. In this figure, colors are manually assigned for distinguishing. The orange dots cluster are WT allele counts obtained by binding of both FAM and HEX probes at the reference sequence and target site sequence, respectively. Blue dots represent scores of droplets that have FAM binding to the reference sequence but no HEX binding at the target site sequence (hence drop-off of HEX). Gray dots are empty droplets that don't have either FAM or HEX binding. (B) Ratio/Abundance graphs of NHEJ events. Under the Ratio tab, select Fractional Abundance for a graph with the correspondent percentage of NHEJ events. Please click here to view a larger version of this figure.

Figure 4: Application of Drop-Off assay with ddPCR for non-homologous end-joining identification and quantification in the transgenic Anopheles stephensi line, AsMCRkh1. (A) Schematic presentation of the ddPCR Drop-Off assay to detect mutations at a targeted DNA site with a dual-probe system. An amplicon of 150-400 bp is amplified with the forward and reverse primers. A FAM-labeled probe is designed to bind to a conserved sequence of the amplicon, whereas a HEX-labeled probe is designed to bind to the WT gRNA targeted site. (B) Detection of various types of indels with ddPCR. Fifteen pools of 10 AsMCRkh1 mosquitoes each containing various types of indel, including insertion, deletion, and substitution, were analyzed with the ddPCR Drop-Off assay. Details of mutations and sequences can be found in Table 2 and Table S3 of Carballar et al.9. (C) Quantification of NHEJ in mixed samples of AsMCRkh1 and WT mosquitoes with various ratios (10:0, 9:1, 8:2, 7:3, 6:4, 5:5, 4:6, 3:7, 2:8, 1:9, and 0:10) using ddPCR and a compared technique of Indel Detection by Amplicon Analysis9. Images adapted from Carballar-Lejarazú et al. Biotechniques. 68(4):172-179 (2020)9. Please click here to view a larger version of this figure.
| Primer/Probe | Sequence (5’ » 3’) |
| ddPCR Forward Primer | ATGATCAAATGTCGACCG |
| ddPCR Reverse Primer | ACCGTACTGGTTGAACA |
| ddPCR HEX Probe (BHQ1) | [HEX]-TTCTACGGGCAGGGC-[BHQ1] |
| ddPCR FAM Probe (BHQ1) | [6FAM]-CCACGTGGGATCGAAGG-[BHQ1] |
| HEX: Hexachloro-fluorescein, FAM: 6-carboxyfluorescein, BHQ: Black Hole Quencher |
Table 1: Sequences of primers and probes.