A Protocol for Measurement of Noncoding RNA in Human Serum

MicroRNAs (miRNAs) are small noncoding RNAs that act as regulators of gene expression by targeting mature messenger RNAs. Following the initial report of the presence of miRNAs in serum and plasma a number of studies have successfully demonstrated the use of these miRNAs as biomarkers of disease. Currently, there are many methods of isolating total RNA from liquid samples. Here, we describe a simple, cost effective method for extraction of RNA from human serum as well as subsequent real time PCR analysis of miRNA levels.


Introduction
MicroRNAs (miRNAs) are small noncoding RNAs that act as regulators of gene expression by targeting mature messenger RNAs (mRNAs). Recently, miRNA has been discovered in both serum and plasma, where it appears to be relatively stable [1]. Since this initial report, there have been a number of studies examining miRNA expression in either serum or plasma in diseases including various cancers [2], cardiovascular disease [3], and myopathies such as Duchenne muscular dystrophy [4]. The methods of miRNA isolation, as well as the techniques used to examine expression, vary in these studies. Here, we provide a protocol for the isolation of RNA from serum and subsequent determination of miRNA expression levels using TaqMan-based real-time PCR detection. This procedure, from isolation of RNA to acquisition of real-time PCR data, takes around 8 hours.

Sample Collection.
It is important that samples are collected in accordance with the appropriate ethical guidelines.
(1) Collect blood samples using 21-gauge needle push button blood collection sets into 8 mL serum separator clot activator vacuettes.
(2) Invert the tubes five times before allowing clotting for 30 minutes.
(3) Centrifuge the tubes for 10 minutes at 1,000-1,300 g in a swinging bucket rotor.
(4) Remove serum from the tube and aliquot into 500 µL volumes in 1.5 mL microcentrifuge tubes.
Serum can be used immediately or can be frozen at −80 • C for future use.
(6) Add 1 mL TRI reagent to each tube. Following addition of TRI reagent to the serum, yellow globules appear in the solution. These dissipate following vortexing and incubation and do not appear to interfere with downstream processing.
(11) Transfer 800 µL of the upper aqueous phase to a fresh 2 mL microcentrifuge tube. There will be a large amount of white material at the interface of the aqueous and organic layers. Following removal of 800 µL from the aqueous layer, there will be residual aqueous phase remaining.
(12) Add 1.2 mL isopropanol to each tube as 2 × 600 µL volumes. Vortex for 5 seconds. At this stage the tube will be very full.
(14) Centrifuge at 12,000 g for 8 minutes at 4 • C. Whilst a pellet should be visible, it is still important to orient the tubes before centrifugation so that the hinge of the lid faces the outer rim of the centrifuge.  Figure 2: Representative real-time PCR data obtained from human serum. Six human serum samples were processed using the protocol described above and expression of miR-375 and miR-7 as well as the control miRNA RNU48 was examined. Data is expressed as fold over detectable.
opposite from the hinge (and therefore the pellet).
Due to the large volume of liquid needing to be removed it may be possible to carefully tip out the contents of the tube.
(16) Add 1 mL 75% ethanol to each tube and invert the tube 5 times.
(17) Centrifuge at 7,500 g for 5 minutes at room temperature. Again, place the tubes in the same orientation inside the centrifuge.
(18) Carefully remove the supernatant as described in step (11). In order to ensure that as much of the ethanol is removed as possible it may be necessary to sequentially decrease the size of the pipette tip used.
(19) Allow the tubes to dry out for 5 minutes at room temperature.
(20) Add 20 µL of nuclease-free water to each tube and resuspend pellet thoroughly. Always store the RNA on ice after this stage.
(21) Measure the concentration of total RNA using a NanoDrop ND-1000. We have observed that the 260/280 ratio is often around 1.3. This does not appear to have an effect on downstream processing or data generated.
RNA obtained using the above protocol is used for miRNA-specific reverse transcription. Remaining RNA can be stored at −80 • C.

miRNA-Specific Reverse Transcription.
For ease of handling, we recommend that reverse transcription is carried out in either 8-well 0.2 mL strip tubes or a 96-well thin walled PCR plate. (24) Prepare master mix by adding the above reagents as per the calculations shown in Table 1. Calculations are shown for each miRNA and 12 serum samples. Total reaction volume is 5 µL. An error of 0.5 reactions is incorporated into the calculations. Master mix must be mixed by trituration and should remain on ice at all times.
(25) Add 2.33 µL of RT master mix and 1 µL of miRNAspecific primer to each well, then add 1.67 µL of RNA to all wells. All additions must be made on ice.
(26) Vortex and spin down so that the RNA and master mix are thoroughly mixed.
(27) Reverse transcription is carried out using a BioRad DNA engine with the following program

Real-Time PCR for miRNAs.
(28) Thaw the assay-on-demand (AOD) on ice. Prepare the master mix for each target miRNA to be detected as per the calculations shown in Table 2. These calculations are based on 12 samples and have an error of 1 reaction included in the calculation. Total reaction volume is 5 µL/well.
(29) For each target miRNA, add 4.2 µL of the specific master mix to each well of a 0.1 mL optically clear PCR plate, followed by 0.8 µL of the cDNA prepared using miR-specific RT primers in step (27). Cover the plate with an optically clear film. It is important to ensure that the wells around the edge of the plate are fully sealed as they are more susceptible to evaporation.
(30) Centrifuge the plate at 3,500 rpm for 5 minutes to ensure that all contents are at the bottom of the well and all air bubbles have been eliminated.
(31) Place the plate in a 7900 HT fast real-time PCR machine and run it in fast mode using the following program Stage 1: 95 • C for 20 sec Stage 2: 40 cycles of 95 • C for 1 sec, 60 • C for 20 sec.
The plate is read during the extension step of stage 2. An example of data obtained is shown in Figures 1 and 2.