AU2004270756A1 - Nucleic acid detection assay - Google Patents

Description

WO 2005/024053 PCT/AU2004/001196 NUCLEIC ACID DETECTION ASSAY Technical Field The invention relates to nucleic acid detection assays and in particular to improved oligonucleotide assays using a bisulphite clamp. The invention also relates to 5 methods for distinguishing specific base sequences including 5-methyl cytosine bases in nucleic acids using these assays. Background Art A number of procedures are presently available for the detection of specific 10 nucleic acid molecules. These procedures typically depend on sequence-dependent hybridisation between the target nucleic acid and nucleic acid probes which may range in length from short oligonucleotides (20 bases or less) to sequences of many kilobases (kb). The most widely used method for amplification of specific sequences from within 15 a population of nucleic acid sequences is that of polymerase chain reaction (PCR) (Dieffenbach C and Dveksler G eds. PCR Primer: A Laboratory Manual. Cold Spring Harbor Press, Plainview NY). In this amplification method, oligonucleotides, generally 15 to 30 nucleotides in length on complementary strands and at either end of the region to be amplified, are used to prime DNA synthesis on denatured single-stranded DNA. 20 Successive cycles of denaturation, primer hybridisation and DNA strand synthesis using thermostable DNA polymerases allows exponential amplification of the sequences between the primers. RNA sequences can be amplified by first copying using reverse transcriptase to produce a cDNA copy. Amplified DNA fragments can be detected by a variety of means including gel electrophoresis, hybridisation with labelled probes, use of 25 tagged primers that allow subsequent identification (eg. by an enzyme linked assay), use of fluorescently-tagged primers that give rise to a signal upon hybridisation with the target DNA (eg. Beacon and TaqMan systems). As well as PCR, a variety of other techniques have been developed for detection and amplification of specific sequences. One example is the ligase chain reaction 30 (Barany F Genetic disease detection and DNA amplification using cloned thermostable ligase. Proc. Nati. Acad. Sci. USA 88:189-193 (1991)). For direct detection, the target nucleic acid is most commonly separated on the basis of size by gel electrophoresis and transferred to a solid support prior to WO 2005/024053 PCT/AU2004/001196 2 hybridisation with a probe complementary to the target sequence (Southern and Northern blotting). The probe may be a natural nucleic acid or analogue such as peptide nucleic acid (PNA) or locked nucleic acid (LNA). The probe may be directly labelled (eg. with 32 P) or an indirect detection procedure may be used. Indirect procedures 5 usually rely on incorporation into the probe of a "tag" such as biotin or digoxigenin and the probe is then detected by means such as enzyme-linked substrate conversion or chemiluminescence. Another method for direct detection of nucleic acid that has been used widely is "sandwich" hybridisation. In this method, a capture probe is coupled to a solid support 10 and the target nucleic acid, in solution, is hybridised with the bound probe. Unbound target nucleic acid is washed away and the bound nucleic acid is detected using a second probe that hybridises to the target sequences. Detection may use direct or indirect methods as outlined above. The "branched DNA" signal detection system is an example that uses the sandwich hybridization principle (Urdea MS et al. Branched DNA 15 amplification multimers for the sensitive, direct detection of human hepatitis viruses. Nucleic Acids Symp Ser. 1991;(24):197-200). A rapidly growing area that uses nucleic acid hybridisation for direct detection of nucleic acid sequences is that of DNA micro-arrays (Young RA Biomedical discovery with DNA arrays. Cell 102: 9-15 (2000); Watson A New tools. A new breed of high tech 20 detectives. Science 289:850-854 (2000)). In this process, individual nucleic acid species, that may range from oligonucleotides to longer sequences such as cDNA clones, are fixed to a solid support in a grid pattern. A tagged or labelled nucleic acid population is then hybridised with the array and the level of hybridisation with each spot in the array quantified. Most commonly, radioactively- or fluorescently-labelled nucleic 25 acids (eg. cDNAs) were used for hybridisation, though other detection systems were employed. One problem associated with the use of micro-arrays for genomic typing analysis is that before individual sites can be analysed they usually have to be pre-amplified in some way. Most methods rely on PCR amplification of the target sequence. However, 30 when the number of primer sets in the reaction mix is n target sequences, any 2n 2 +n possible pairwise combination of probes may give rise to non-specific amplification products (Landegren and Nilsson. Locked on target: strategies for future gene diagnostics. Ann. Med. 1997; (29): 585-590). To address this technique, padlock probes have been developed. With these probes, non-specific reactions create linearised 35 molecules whereas specific hybridization events lead to dimeric molecules which can be WO 2005/024053 PCT/AU2004/001196 3 distinguished from the linearised molecules by the use of exonucleases (Nilsson et al. Padlock probes: circularised oligonucleotides for local DNA detection. 1994; Science 92650; 2085-2088). However, for the specific detection of genomic variations' typically four probes would be used for the detection of each individual polymorphic site leading to 5 a very large number of probes to be generated for whole genome scanning. Another recent technique, molecular inversion probes (MIP) has been demonstrated to produce a high level of multiplexing in a single tube. It has been reported that more that 1000 probes can be multiplexed in a single tube (Hardenbol et al Nature Biotechnology, .21: 673-678). However, both the padlock probe and MIP method 10 require the synthesis of very long oligonucleotides >110 bp which cannot be achieved with most commercial distributors. Currently, the method of choice to detect methylation changes in DNA, such as were found in the GSTPI gene promoter in prostate cancer, are dependent on PCR amplification of such sequences after bisulphite modification of DNA. In bisulphite 15 treated DNA, cytosines are converted to uracils (and hence amplified as thymines during PCR) while methylated cytosines are non-reactive and remain as cytosines (Frommer M, McDonald LE, Millar DS, Collis CM, Watt F, Grigg GW, Molloy PL and Paul CL. A genomic sequencing protocol which yields a positive display of 5-methyl cytosine residues in individual DNA strands. PNAS 89: 1827-1831 (1992); Clark SJ, Harrison J, 20 Paul CL and Frommer M. High sensitivity mapping of methylated cytosines. Nucleic Acids Res. 22: 2990-2997 (1994)). Thus, after bisulphite treatment, DNA containing 5 methyl cytosine bases will be different in sequence from the corresponding unmethylated DNA. Primers may be chosen to amplify non-selectively a region of the genome of interest to determine its methylation status, or may be designed to selectively amplify 25 sequences in which particular cytosines were methylated (Herman JG, Graff JR, Myohanen S, Nelkin BD and Baylin SB. Methylation-specific PCR: a novel PCR assay for methylation status of CpG islands. PNAS 93:9821-9826 (1996)). Alternative methods for detection of cytosine methylation include digestion with restriction enzymes whose cutting is blocked by site-specific DNA methylation, followed 30 by Southern blotting and hybridisation probing for the region of interest. This approach is limited to circumstances where a significant proportion (generally >10%) of the DNA is methylated at the site and where there is sufficient DNA, about 1 to 5 p.g, to allow for detection. Digestion with restriction enzymes whose cutting is blocked by site-specific DNA methylation is followed by PCR amplification using primers that flank the restriction 35 enzyme site(s). This method can utilise smaller amounts of DNA but any lack of WO 2005/024053 PCT/AU2004/001196 4 complete enzyme digestion for reasons other than DNA methylation can lead to false positive signals. The present inventors have now developed methods utilizing oligonucleotide clamps for the sensitive and specific detection of methylated nucleic acids which greatly 5 reduce the problems associated with non-specific amplification of non-target sequences and increases the levels of multiplexing which can be carried out in an individual reaction tube. This makes the technique ideal for whole genome analysis of methylation patterns and also amenable to robotic manipulation. 10 Disclosure of Invention In a first aspect, the present invention provides a method for determining the methylation status of a potential methylation site in genomic nucleic acid comprising: (a) treating genomic nucleic acid with an agent which modifies cytosine bases but does not modify 5-methyl-cytosine bases under conditions to form a modified nucleic 15 acid template containing a potential methylation site; (b) providing a first clamp containing a first capture sequence complementary to a region flanking one side of the potential methylation site in the modified nucleic acid template; (c) providing a second clamp containing a second capture sequence complementary 20 to a region flanking the other side of the potential methylation site in the modified nucleic acid template; (d) allowing the first clamp and the second clamp to hybridise to the modified nucleic acid template; (e) ligating the hybridised first and second clamps to form a probe spanning the 25 potential methylation site in the modified nucleic acid template; (f) digesting the modified nucleic acid template; and (g) detecting the probe and determining the methylation status of the potential methylation site in the modified genomic nucleic acid. In a second aspect, the present invention provides a method for determining the 30 methylation status of a potential methylation site in genomic nucleic acid comprising: WO 2005/024053 PCT/AU2004/001196 5 (a) treating genomic nucleic acid with an agent which modifies cytosine bases but does not modify 5-methyl-cytosine bases under conditions to form a modified nucleic acid template; (b) providing a first clamp containing a first capture sequence complementary to a 5 region flanking one side of the potential methylation site in the modified nucleic acid template; (c) providing a second clamp containing a second capture sequence complementary to a region flanking the other side of the potential methylation site in the modified nucleic acid template; 10 (d) allowing the first clamp and the second clamp to hybridise to the modified nucleic acid template such that there is no complementary base(s) at the potential methylation site; (e) causing a base or bases to be inserted between the first clamp and the second clamp; 15 (e) ligating the hybridised clamps to form a probe spanning the potential methylation site in the modified nucleic acid template; (f) digesting the modified nucleic acid template; and (g) detecting the probe and determining the methylation status of the potential methylation site in the modified genomic nucleic acid. 20 In a third aspect, the present invention provides a method for determining the methylation status of a potential methylation site on genomic nucleic acid comprising: (a) treating genomic nucleic acid with an agent which modifies cytosine bases but does not modify 5-methyl-cytosine bases under conditions to form a modified nucleic acid template containing two complementary strands of nucleic acid containing a 25 potential methylation site; (b) providing a first clamp containing a first capture sequence and a second capture sequence, first capture sequence being complementary to a region flanking one side of the potential methylation site in the first strand of the modified hucleic acid template, and the second capture sequence being complementary to a region flanking one side of the 30 potential methylation site in the second strand of the modified nucleic acid template; WO 2005/024053 PCT/AU2004/001196 6 (c) providing a second clamp containing a third capture sequence complementary to a region flanking the other side the potential methylation site in the first strand of the modified nucleic acid template; (d) providing a third clamp containing a fourth capture sequence complementary to a 5 region flanking the other side of the potential methylation site in the second strand of the modified nucleic acid template; (e) allowing the first, second and third clamps to hybridise to the modified nucleic acid template; (f) ligating the hybridised clamps to form a probe spanning the potential methylation 10 site in the two strands of the modified nucleic acid template; (g) . digesting the modified nucleic acid template; and (h) detecting the probe and determining the methylation status of the potential methylation sites in the modified genomic nucleic acid. In a fourth aspect, the present invention provides a method.for determining the 15 methylation status of a potential methylation site on genomic nucleic acid comprising: (a) treating genomic nucleic acid with an agent which modifies cytosine bases but does not modify 5-methyl-cytosine bases under conditions to form a modifiec['nucleic acid template containing two complementary strands of nucleic acid containing a potential methylation site; 20 (b) providing a first clamp containing a first capture sequence and a second capture sequence, the first capture sequence being complementary to a region flanking one side of the potential methylation site in the first strand of the modified nucleic acid template, and the second capture sequence being complementary to a region flanking one side of the potential methylation site in the second strand of the modified nucleic acid template; 25 (c) providing a second clamp containing a third capture sequence complementary to a region flanking the other side the potential methylation site in the first strand of the modified nucleic acid template; (d) providing a third clamp containing a fourth capture sequence complementary to a region flanking the other side of the potential methylation site in the second strand of the 30 modified nucleic acid template; WO 2005/024053 PCT/AU2004/001196 7 (e) allowing the first, second and third clamps to hybridise to the modified nucleic acid template such that there is no complementary base at the potential methylation site of at least one of the complementary strands of the modified nucleic acid template; (f) causing at least one base to be inserted between the first clamp and the second 5 clamp; (g) ligating the hybridised clamps to form a linear probe spanning the potential methylation site in the two strands of the modified nucleic acid template; (h) digesting the modified nucleic acid template; and (h) detecting the linear probe and determining the methylation status of the potential 10 methylation sites in the modified genomic nucleic acid. In a fifth aspect, the present invention provides a method for determining the methylation status of a potential methylation site on genomic nucleic acid comprising: (a) treating genomic nucleic acid with an agent which modifies cytosine bases but does not modify 5-methyl-cytosine bases under conditions to form a modified nucleic 15 acid template containing two complementary strands of nucleic acid containing a potential methylation site; (b) providing a first clamp containing a first capture sequence and a second capture sequence, first capture sequence being complementary to a region flanking one side of the potential methylation site in the first strand of the modified nucleic acid template, and 20 the second capture sequence being complementary to a region flanking one side of the potential methylation site in the second strand of the modified nucleic acid template; (c) providing a second clamp containing a third capture sequence and a fourth capture sequence, the third capture sequence being complementary to a region flanking the other side the potential methylation site in the first strand of the modified nucleic acid 25 template, and the fourth capture sequence being complementary to a region flanking the other side of the potential methylation site in the second strand of the modified nucleic acid template; (d) allowing the first clamp and the second clamp to hybridise to the two strands of the modified nucleic acid template; 30 (e) ligating the hybridised clamps to form a circular probe spanning the potential methylation site in the two strands of the modified nucleic acid template; (f) digesting the modified nucleic acid template; and WO 2005/024053 PCT/AU2004/001196 8 (g) detecting the circular probe and determining the methylation status of the potential methylation site in the modified genomic nucleic acid. In a sixth aspect, the present invention provides a method for determining the methylation status of a potential methylation site on genomic nucleic acid comprising: 5 (a) treating genomic nucleic acid with an agent which modifies cytosine bases but does not modify 5-methyl-cytosine bases under conditions to form a modified nucleic acid template containing two complementary strands of nucleic acid containing a potential methylation site; (b) providing a first clamp containing a first capture sequence and a second capture 10 sequence, the first capture sequence being complementary to a region flanking one side of the potential methylation site in the first strand of the modified nucleic acid template, and the second capture sequence being complementary to a region flanking one side of the potential methylation site in the second strand of the modified nucleic acid template; (c) providing a second clamp containing a third capture sequence and a fourth 15 capture sequence, the third capture sequence being complementary to a region flanking the other side the potential methylation site in the first strand of the modified nucleic acid template, and the fourth capture sequence complementary to a region flanking the other side of the potential methylation site in the second strand of the modified nucleic acid template; 20 (d) allowing the first clamp and the second clamp to hybridise to the two strands of the modified nucleic acid template such that there is no complementary base at the potential methylation site of at least one of the complementary strands of the modified nucleic acid template; (e) causing at least one base to be inserted between the first clamp and the second 25 clamp; (f) ligating the hybridised clamps to form a circular probe spanning the potential methylation site in the two strands of the modified nucleic acid template; (g) digesting the modified nucleic acid template; and (h) detecting the circular probe and determining the methylation status of the 30 potential methylation site in the modified genomic nucleic acid. The genomic nucleic acid can be DNA or RNA. Preferably, the genomic nucleic acid is DNA.

WO 2005/024053 PCT/AU2004/001196 9 Preferably, the potential methylation site is cytosine (C) flanked 5' by a guanine (G), termed in the art as CpG doublet. The modifying agent is preferably selected from bisulfite, acetate or citrate. More preferably, the agent is sodium bisulfite, a reagent, which in the presence of water, 5 modifies cytosine into uracil. Sodium bisulfite (NaHSO 3 ) reacts readily with the 5,6-double bond of cytosine to form a sulfonated cytosine reaction intermediate which is susceptible to deamination, and in the presence of water gives rise to a uracil sulfite. If necessary, the sulfite group can be removed under mild alkaline conditions, resulting in the formation of uracil. Thus, 10 potentially all cytosines will be converted to uracils. Any methylated cytosines, however, cannot be converted by the modifying reagent due to protection by methylation. In one preferred form, at least one of the first, second or third clamps contains a universal primer which allows amplification of the probe after the ligation step. In another preferred form, at least one of the first, second or third clamps contains 15 a capture site which allows capture of the probe. In another preferred form, at least one of the first, second or third clamps contains a cleavable site. Preferably, the cleavable site is nuclease restriction site or a uracil base. In one preferred form, the complementary sequence(s) of the first or second 20 clamps spans the potential methylation site. In another preferred form, the complementary sequence(s) of the first, second or third clamps does not span the potential methylation site. The clamps are preferably ligated by the use of a suitable enzyme capable of ligating single stranded DNA. Examples of suitable ligases include, but not limited to, 25 Ampligase (Epicentre various cat#'s ),T4 DNA ligase (NEB cat# M0202), Thermus aquaticus DNA ligase (NEB cat# M0208), DNA ligase (E.coli, NAD) (NEB cat# M0205. It will be appreciated, however, that other ligases would also be suitable for the present invention. . In the fifth and sixth aspects, the clamps are preferably ligated at or near the first 30 and second capture sequences and at or near the third and fourth capture sequences. When one or more bases are inserted between the clamps, preferably a DNA polymerase is used. Examples of suitable polymerases include, but not limited to, Taq polymerase Stoffel fragment, Taq polymerase, Advantage DNA polymerase, AmpliTaq, WO 2005/024053 PCT/AU2004/001196 10 Amplitaq Gold, Titanium Taq polymerase, KlenTaq DNA polymerase, Platinum Taq polymersae, Accuprime Taq polymerase. DNA polymerase, T4 DNA polymerase, T7 DNA polymerase, Klenow large fragment, Klenow exo- DNA polymerase, BstB polymerase. Or any suitable DNA polymerase. It will be appreciated, however, that other 5 polymerases would also be suitable for the present. In this form, preferably the base insertion reaction is carried out in the presence of a single nucleotide type and each nucleotide type is reacted separately. Thus, the insertion of a particular base will be indicative of the identity of complementary base on the modified DNA template. Preferably, the modified DNA template is digested by the use of Uracil N DNA 10 Glycosylase (UDG or UNG). As the treated DNA template will contain uracils, it is possible to remove the template by treatment with UDG. It will be appreciated, however, that any other digestion method that does not substantially digest the probe would also be suitable for the present invention. An advantage of removal of the nucleic acid template is that any subsequent amplification of the probe will have much less 115 background and allow more accurate amplification and subsequent detection. Furthermore the removal of the nucleic acid template reduces the amount of artefactual products that may non-specifically form. Suitable methods to detect the probe and determine the methylation status of the potential methylation site in the modified genomic nucleic acid include, but not limited to, 20 incorporation of the missing base(s) between the first and second clamps, specific amplification of the probe. Numerous possible detection systems exist to determine the epigenetic status of the desired sample. Detection systems include but not limited to: 1. Hybridization of appropriately labelled amplified nucleic acid to a micro-array type device which could select for 10->60,000 individual components. The arrays 25 could be composed of either intercalating nucleic acids (INAs, see WO 03/051901), PNAs or nucleotide or modified nucleotides arrays onto any suitable solid surface such as glass, plastic, mica, nylon , bead, magnetic bead, fluorescent bead or membrane. II. Southern blot type detection systems. 30 Ill. Real-Time PCR quantitation of specific or multiple genomic amplified fragments or any variation such as molecular beacons, scorpions and the like. IV. Detection systems using fluorescent beads, enzyme conjugates, radioactive beads, etc. V. Any other amplification system such as ligase chain reaction, etc.

WO 2005/024053 PCT/AU2004/001196 11 VI. Isothermal nucleic acid amplification technologies such as strand displacement amplification (SDA), rolling circle amplification. Prior to the present invention, detection of a site of interest in genomic nucleic acid has not been achieved using bisulphite treatment, specific hybridisation of two 5 'flanking' clamps, optionally base insertion between the clamps, ligation of the two clamps, followed by removal of the template nucleic acid. The treated nucleic acid acts as a scaffold or template for aligning of the first and second clamps and is then removed. In contrast, most prior art assays require capture and the retention of the nucleic acid template. 10 One advantage of the present invention is that it does not necessarily require amplification of the genomic nucleic acid for the method to be used. Throughout this specification, unless the context requires otherwise, the word "comprise", or variations such as "comprises" or "comprising", will be understood to imply the inclusion of a stated element, integer or step, or group of elements, integers or steps, 15 but not the exclusion of any other element, integer or step, or group of elements, integers or steps. Any discussion of documents, acts, materials, devices, articles or the like which has been included in the present specification is solely for the purpose of providing a context for the present invention. It is not to be taken as an admission that any or all of 20 these matters form part of the prior art base or were common general knowledge in the field relevant to the present invention as it existed in Australia prior to development of the present invention. In order that the present invention may be more clearly understood, preferred forms-will be described with reference to the following drawings and examples. 25 Brief Description of the Drawings Figure 1 shows effect of Exonuclease Ill concentration and Ligase concentration on Clamp specificity (according to sixth aspect). Figure 2 shows detection of methylated, unmethylated and a mixture of 50% 30 methylated + 50% unmethylated DNA (according to sixth aspect). Figure 3 shows effect of polymerase on the clamp reaction (according to sixth aspect).

WO 2005/024053 PCT/AU2004/001196 12 Figure 4 shows effect of Polymerase/Ligase concentration (according to sixth aspect). Figure 5 shows sensitivity of the Clamp reaction (according to third aspect) using clamp primers directed against methylated DNA sequences. 5 Figure 6 shows clamp reaction on genomic DNA (known to be unmethylated at the site of interrogation) (according to sixth aspect). Figure 7 shows clamp reaction (according to second aspect). Figure 8 shows examples of the first aspect of the present invention. Figure 9 shows examples of the second aspect of the present invention. 10 Figure 10 shows examples of the third aspect of the present invention. Figure 11 shows examples of the.fourth aspect of the present invention. Figure 12 shows examples of the fifth aspect of the present invention. Figure 13 shows examples of the sixth aspect of the present invention. Figure 14 is a schematic representation of the Bisulphite Clamp method according 15 to the present invention. Figure 15 shows a ligation dependant reaction. Figure 16 shows an array tag detection system. Mode(s) for Carrying Out the Invention 20 MATERIALS AND METHODS Clamps Each clamp can be an oligonucleotide or oligonucleotide analogue selected from DNA, RNA, locked nucleic acid (LNA), peptide nucleic acid (PNA), MNA, altritol nucleic acid (ANA), hexitol nucleic acid (HNA), intercalating nucleic acid (INA), cyclohexanyl 25 nucleic acid (CNA) and mixtures thereof and hybrids thereof, as well as phosphorous atom modifications thereof, such as but not limited to phosphorothioates, methyl phospholates, phosphoramidites, phosphorodithiates, phosphoroselenoates, phosphotriesters and phosphoboranoates. Non-naturally occurring nucleotides include, but not limited to the nucleotides comprised within DNA, RNA, PNA, INA, HNA, MNA, 30 ANA, LNA, CNA, CeNA, TNA, (2'-NH)-TNA, (3'-NH)-TNA, a-L-Ribo-LNA, a-L-Xylo-LNA, p-D-Xylo-LNA, a-D-Ribo-LNA, [3.2.1]-LNA, Bicyclo-DNA, 6-Amino-Bicyclo-DNA, 5-epi- WO 2005/024053 PCT/AU2004/001196 13 Bicyclo-DNA, a-Bicyclo-DNA, Tricyclo-DNA, Bicyclo[4.3.0]-DNA, Bicyclo[3.2.1]-DNA, Bicyclo[4.3.0]amide-DNA, p-D-Ribopyranosyl-NA, x-L-Lyxopyranosyl-NA, 2'-R-RNA, a-L RNA or a-D-RNA, p-D-RNA. In addition non-phosphorous containing compounds may be used for linking to nucleotides such as but not limited to methyliminomethyl, 5 formacetate, thioformacetate and linking groups comprising amides. In particular nucleic acids and nucleic acid analogues may comprise one or more, intercalator pseudonucleotides. Preferably, the clamps are DNA oligonucleotides. 10 Genomic nucleic acid Genomic nucleic acid can be DNA or RNA obtained from plants, animals, microorganisms such as bacteria, fungi yeasts and viruses. Preferably, the nucleic acid is DNA, more preferably genomic DNA from an animal or human, or nucleic acid of an infectious agent of animal or human cells. 15 Bisulphite treatment of DNA An exemplary protocol for effective bisulphite treatment of nucleic acid is set out below. The protocol results in retaining substantially all DNA treated. This method is also referred to herein as the Human Genetic Signatures (HGS) method. It will be 20 appreciated that the volumes or amounts of sample or reagents can be varied. Preferred method for bisulphite treatment can be found in US 10/428310 or PCT/AU2004/000549 incorporated herein by reference. To 2 pg of DNA, which can be pre-digested with suitable restriction enzymes if so desired, 2 pl (1/10 volume) of 3 M NaOH (6g in 50 ml water, freshly made) was added in 25 a final volume of 20 pl. This step denatures the double stranded DNA molecules into a single stranded form, since the bisulphite reagent preferably reacts with single stranded molecules. The mixture was incubated at 370C for 15 minutes. Incubation at temperatures above room temperature can be used to improve the efficiency of denaturation. 30 After the incubation, 208 pl 2 M Sodium Metabisulphite (7.6 g in 20 ml water with 416 ml 10 N NaOH; BDH AnalaR #10356.4D; freshly made) and 12 pl of 10 mM Quinol (0.055 g in 50 ml water, BDH AnalR #103122E; freshly made) were added in succession. Quinol is a reducing agent and helps to reduce oxidation of the reagents. Other reducing WO 2005/024053 PCT/AU2004/001196 14 agents can also be used, for example, dithiothreitol (DTT), mercaptoethanol, quinone (hydroquinone), or other suitable reducing agents. The sample was overlaid with 200 pl of mineral oil. The overlaying of mineral oil prevents evaporation and oxidation of the reagents but is not essential. The sample was then incubated overnight at 55 0 C. 5 Alternatively the samples can be cycled in a thermal cycler as follows: incubate for about 4 hours or overnight as follows: Step 1, 550C / 2 hr cycled in PCR machine; Step 2, 95'C /2 min. Step 1 can be performed at any temperature from about 37 0 C to about 90'C and can vary in length from 5 minutes to 8 hours. Step 2 can be performed at any temperature from about 700C to about 990C and can vary in length from about I second 10 to 60 minutes, or longer. After the treatment with Sodium Metabisulphite, the oil was removed, and 1 pi tRNA (20 mg/ml) or 2 pl glycogen were added if the DNA concentration was low. These additives are optional and can be used to improve the yield of DNA obtained by co precitpitating with the target DNA especially when the DNA is present at low 15 concentrations. The use of additives as carrier for more efficient precipitation of nucleic acids is generally desired when the amount nucleic acid is <0.5 pg. An isopropanol cleanup treatment was performed as follows: 800 pi of water were added to the sample, mixed and then 1 ml isopropanol was added. The water or buffer reduces the concentration of the bisulphite salt in the reaction vessel to a level at 20 which the salt will not precipitate along with the target nucleic acid of interest. The dilution is generally about 114 to 1/1000 so long as the salt concentration is diluted below a desired range, as disclosed herein. The sample was mixed again and left at 40C for a minimum of 5 minutes. The sample was spun in a microfuge for 10-15 minutes and the pellet was washed 2x with 25 70% ETOH, vortexing each time. This washing treatment removes any residual salts that precipitated with the nucleic acids. The pellet was allowed to dry and then resuspended in a suitable volume of T/E (10 mM Tris/O.1 mM EDTA) pH 7.0-12.5 such as 50 pl. Buffer at pH 10.5 has been found to be particularly effective. The sample was incubated at 370C to 950C for I min to 30 96 hr, as needed to suspend the nucleic acids. Addition of polymerase and ligase The polymerase will add the correct base i.e. G (complementary to methylated) or A (complementary to unmethylated).

WO 2005/024053 PCT/AU2004/001196 15 The ligase will then ligate the G or A base and a circle will be formed. The bisulphite treated DNA is then degraded with Uracil N DNA glycosylase which also linearises the circle. The Linear DNA is then amplified with a pair of common primers. 5 The DNA is then detected on a micro-array platform using a unique DNA sequence (Zip code) present in the clamp primers (NB not detected in traditional way as the Zip code only tells the complex where to go spatially on the array not by hybridization to the complementary strand of the bisulphite treated DNA). NB Primers 1 and 3 are identical in sequence except for the inclusion of a 10 different zip code (Blue and yellow bars) and primer 1 having a terminal base G which detects the presence of methylation while primer 3 has a terminal base A which detects the lack of methylation. This enables the products to be spatially separated on a micro array (see Figure 15). This means that the presence of a C or T can be detected simultaneously in the same reaction vessel. Thus, thousands of different genomic loci 15 can be interrogated in the one reaction vessel and separated on the basis of their unique zip codes. After the clamps have been ligated and amplified they are then directed to specific sites on a micro-array devise predetermined by the internal Zip-code contained within each bisulphite clamp primer set (Figure 16). 20 RESULTS Effect of Exonuclease III concentration and ligase concentration on clamp specificity Experiment was carried out using methylated DNA sequences. Figure 1 shows the 25 effect of ligase enzyme concentration and Exonuclease IlIl concentration of the performance of the clamp reaction. As can be seen from the figure if too much exonuclease enzyme is used (10 Units), the reaction is not as efficient. Conversely if too little enzyme is used (2 Units) then this decreases the specificity of the reaction resulting in non-specific amplification occurring in he A, T and C tracks (see Figure 1A). The 30 upper band seen if some lanes (indicated by the star) is a dimer of the target band as a results of the polymerase copying the circle twice. In addition increasing the ligase concentration from 5U per reaction to 1OU per reaction reduced the specificity of the method again resulting in non-specific detection in WO 2005/024053 PCT/AU2004/001196 16 the A, T and C tracks (see figure 1 b). The bolded letters indicate the optimal exonuclease concentrations. One nanogram (ng) of a methylated oligonucleotide was used as a target. Ten ng of each clamp was used in the reaction, together with 0.1 units of Stoffel DNA polymerase. Ampligase enzyme was used at 5 and 10 units. The arrow 5 indicates the correct size of the PCR products. In detail, the following was added to a 0.5 pl thin-walled PCR tube: 1Ox Ampligase buffer 1.0 pl Clamp#1 (10 ng/pl) 1.0 pl Clamp#2 (10 ng/pl) 1.0 pi 10 Stoffel Polymerase 0.1 pl Ampligase 1.0 pl or 2 pl dG/dA/dT/dC (1 mM) 1.0 pl (dG/dA/dT/dC are added to separate tubes) water 3.9 pl or 2.9 pi Reactions were incubated as follows: 15 20 0 C 4 min, 95 0 C 2 min, 500C 15 min, 550C 5 min (with a 0.05*C/sec ramp time), 500C 1 min. Exonuclease treatment: 1OU Exo11l/2U Exol 5U Exolll/2U Exol 2U Exolll/2U Exol Exolll 0.05 pl 0.025 pl 0.01 pl 20 Exol 0.1 pl 0.1 pl 0.1 p1 T/E 0.85 0.875 0.89 One pl of the above reaction mixture was added to the appropriate tubes. The samples then incubated at 370C for 14 minutes followed by 2 minutes @ 95'C and finally 25 1 minute @ 37"C PCR was performed with universal primers by adding the following: 1Ox PCR buffer 2.5 pl (Promega) water 19.0 p1 Universal P1 1.0 pl 30 - Universal P2 1.0 pl WO 2005/024053 PCT/AU2004/001196 17 dNTPs 1.2 pl Taq 0.3 pl 95 0 C 30s, 48 0 C 45s, 72*C 45s (25 cycles). 5 Detection of methylated, unmethylated and a mixture of 50% methylated + 50% unmethylated DNA As can be seen from Figure 2 the system can easily differentiate methylated sequences from unmethylated and can also detect the presence of mixed populations. One ng of either a methylated oligonucleotide, unmethylated oligo or 50%/50% 10 mixture of methylated and unmethylated oligo was used as a target. Ten ng of each clamp was used in the reaction, together with 1 unit of Stoffel DNA polymerase. Ampligase enzyme was used at 5 units. The arrow indicates the correct size of the PCR products In detail, the following was added to a 0.5 pl thin-walled PCR tube: 15 1Ox Ampligase buffer 1.0 pl Clamp#1 (10 ng/pl) 1.0 pl Clamp#2 (10 ng/pl) 1.0 pl Stoffel Polymerase 0.1 pl (1 Unit) Ampligase 1.0 pl 20 dG/dAldT/dC (1 mM) 1.0 pl (dG/dAldT/dC are added to separate tubes) water 3.9 pl Reactions were incubated as follows: 20*C 4 min, 95'C 2 min, 50'C 15 min, 55 0 C 5 min (with a 0.05*C/sec ramp time), 50 0 C I min. 25 Exonuclease treatment: 5U ExolI/2U Exol Exolll 0.025 pl Exol 0.1 pl T/E 0.875 WO 2005/024053 PCT/AU2004/001196 18 One pi of the above reaction mixture was added to the appropriate tubes. The samples then incubated at 37 0 C for 14 minutes followed by 2 minutes @ 95 0 C and finally 1 minute @ 37 0 C PCR was performed with universal primers by adding the following: 5 10x PCR buffer 2.5 pl (Promega) water 19.0 p1 Universal P1 1.0 pl Universal P2 1.0 pl dNTPs 1.2 pl 10 Taq 0.3 pi 95 0 C 30s, 48 0 C 45s, 72 0 C 45s (25 cycles). Effect of polymerase on the clamp reaction Experiment carried out using methylated DNA sequences. 15 Figure 3 shows the effect of different polymerase enzymes on the performance of the reaction. It should be noted that all polymerase enzymes tested produced positive signals when the concentration of the target was further increased. However, not all enzymes could be used at low DNA concentrations without further optimisation. The results showed that the enzymes that produced the greatest sensitivity were 20 Klenow DNA polymerase and Taq Polymerase. These two enzymes were used subsequently in further experiments. One ng of each clamp was used in the reaction, together with 1 units of DNA polymerase. The arrow-indicates the correct size of the PCR products. In detail, the following was added to a 0.5 pi thin-walled PCR tube: 25 1Ox Ampligase buffer 1.0 pl Clamp#1 (1 ng/pl) 1.0 pl Clamp#2 (1 ng/pl) 1.0 pl Polymerase 1U Ampligase 5U 30 dG/dA/dT (1 mM) 1.0 pl (dG/dA/dT are added to separate tubes) WO 2005/024053 PCT/AU2004/001196 19 water 3.9 pl Template DNA was added at the appropriate concentrations indicated above. Reactions were incubated as follows: 200C 4 min, 95*C 2 min, 500C 15 min, 55*C 5 min (with a 0.05*C/sec ramp time), 500C 1 5. min. Exonuclease treatment: 5U Exolll/2U Exol Exolll 0.025 pl Exol 0.1 pl 10 T/E 0.875 One pl of the above reaction mixture was added to the appropriate tubes. The samples then incubated at 370C for 14 minutes followed by 2 minutes @ 950C and finally 1 minute @ 370C 0.5 pl of uracil DNA glycosylase was added to each reaction tube and the 15 samples incubated as follows; 500C 15 min, 950C 5 min, 50*C I min. PCR was performed with universal primers by adding the following: 1Ox PCR buffer 2.5 pi (Promega) water 19.0 pl Universal P1 1.0 p1 20 Universal P2 1.0 pl dNTPs 1.2 pl Taq 0.3 pi 950C 30s, 480C 45s, 720C 45s (25 cycles). 25 Effect of Polymerase/Ligase concentration Experiment carried out using methylated DNA Figure 4 shows that high concentrations of both enzymes can produce false positive signals such as those seen with 5 Units of both ligase and polymerase where bands are present in both the G and T tracks. Whereas using 2 Units ligase and 1 Unit 30 polymerase a band is only present in the correct G track. Careful titration of the enzyme WO 2005/024053 PCT/AU2004/001196 20 combinations is therefore essential to produce the most sensitive and specific enzyme combinations. As can be seen 2U of ligase and 1 U of Klenow gave the most consistent and reliable amplification even at low DNA concentrations. One ng of each clamp was used in the reaction, together with the Ampligase and 5 polymerase enzyme were used as above. The arrow indicates the correct size of the PCR products. In detail, the following was added to a 0.5 pl thin-walled PCR tube: 1Ox Ampligase buffer 1.0 pl Clamp#1 (I ng/pl) 1.0 pl 10 Clamp#2 (1 ng/pl) 1.0 pl Klenow as above Ampligase as above dG/dT (1 mM) 1.0 pl (dG/dT are added to separate tubes) water 3.9 pl 15 Template DNA was added at the appropriate concentrations indicated above. Reactions were incubated as follows: 200C 4 min, 95*C 2 min, 50'C 15 min, 550C 5 min (with a 0.05 0 C/sec ramp time), 500C 1 min. Exonuclease treatment: 20 5U Exoill/2U Exol Exolll 0.025 pl Exol 0.1 pl T/E 0.875 One pl of the above reaction mixture was added to the appropriate tubes. The 25 samples then incubated at 370C for 14 minutes followed by 2 minutes @ 950C and finally 1 minute @ 37 0 C 0.5pl of uracil DNA glycosylase was added to each reaction tube and the samples incubated as follows; 50"C 15 min, 950C 5 min, 50*C I min. PCR was performed with universal primers by adding the following: 30 1Ox PCR buffer 2.5 pl (Promega) WO 2005/024053 PCT/AU2004/001196 21 water 19.0 pl Universal P1 1.0 pl Universal P2 1.0 pl dNTPs 1.2 pl 5 Taq 0.3 pl 95 0 C 30s, 48 0 C 45s, 72 0 C 45s (25 cycles). Sensitivity of the clamp reaction using clamp primers directed against methylated DNA sequences 10 As can be seen from Figure 5, the assay had very high specificity and sensitivity at all DNA concentrations tested. One ng of each clamp was used in the reaction, together with the Ampligase enzyme was used at 2.5 and 1 units. The arrow indicates the correct size of the PCR products. 15 In detail, the following was added to a 0.5 pl thin-walled PCR tube: 1Ox Ampligase buffer 1.0 pl Clamp#1 (1 ng/pl) 1.0 pl Clamp#2 (1 ng/pl) 1.0 pl Clamp#3 (1 ng/pl) 1.0 pl 20 Ampligase 0.5 or 0.2 pl water 4.5 or 4.8 pl One pl of template DNA was added at the appropriate concentrations indicated above. Reactions were incubated as follows: 25 20*C 4 min, 95*C 2 min, 50*C 15 min, 55 0 C 5 min (with a 0.05*C/sec ramp time), 500C 1 min. Exonuclease treatment: 5U Exolll/2U Exol Exolll 0.025 pl 30 Exol 0.1 pl WO 2005/024053 PCT/AU2004/001196 22 T/E 0.875 One pl of the above reaction mixture was added to the appropriate tubes. The samples then incubated at 370C for 14 minutes followed by 2 minutes @ 950C and finally 1 minute @ 370C 5 0.5pl of uracil DNA glycosylase was added to each reaction tube and the samples incubated as follows; 500C 15 min, 950C 5 min, 500C 1 min. PCR was performed with universal primers by adding the following: 1Ox PCR buffer 2.5 pl (Promega) water 19.0 pl 10 Universal P1 1.0 pi Universal P2 1.0 pl dNTPs 1.2 pl Taq 0.3,pl 95*C 30s, 48*C 45s, 720C 45s (25 cycles). 15 Clamp reaction on genomic DNA (known to be unmethylated at the site of interrogation) Ten pg or 1 pg of each clamp was used in the reaction, together with the ampligase enzyme at 2.5 and 1 units. The arrow indicates the correct size of the PCR 20 products (Figure 6). In detail, the following was added to a 0.5 pl thin-walled PCR tube: 1Ox Ampligase buffer 1.0 pl Clamp#1 1.0 pl Clamp#2 1.0 pl 25 Ampligase 0.5 pl Polymerase 0.1 p1 dG/dA/dT/dC (1 mM) 1.0 pl (dG/dAldT/dC are added to separate tubes) water 4.4 pl One pl of bisulphite template DNA was added. 30 Reactions were incubated as follows: WO 2005/024053 PCT/AU2004/001196 23 20*C 4 min, 95'C 2 min, 50 0 C 15 min, 55 0 C 5 min (with a 0.0 5 *C/sec ramp time), 50*C 1 min. Exonuclease treatment: 5U ExolIl/2U Exol 5 Exolll 0.025 pl Exol 0.1 p1 T/E 0.875 One pl of the above reaction mixture was added to the appropriate tubes. The samples then incubated at 370C for 14 minutes followed by 2 minutes @ 950C and finally 10 1 minute @ 37 0 C 0.5 pl of uracil DNA glycosylase was added to each reaction tube and the samples incubated as follows; 50 0 C 15 min, 95*C 5 min, 500C 1 min. PCR was performed with universal primers by adding the following: 1Ox PCR buffer 2.5 pl (Promega) 15 water 19.0 pl Universal P1 1.0 pl Universal P2 1.0 pl dNTPs 1.2 pl Taq 0.3 pl 20 95*C 30s, 480C 45s, 720C 45s (40 cycles). Clamp reaction - non-circular Figure 7 shows the results of a ligase fill reaction using 2 single arms of two clamps. 25 Five pg of a uracil containing oligonucleotide (unmethylated) was used as a target. One fmol of each oligo "arm" was used in the reaction, together with 0.05 units of Taq polymerase. Ampligase enzyme was diluted from 1 unit to 0.03 unit. The arrow indicates the correct size of the PCR products. In detail, the following was added to a 0.5 pl thin-walled PCR tube: 30 1Ox Ampligase buffer 0.9 pl WO 2005/024053 PCT/AU2004/001196 24 Oligo target (5 pg/pl) 1.0 pl Clamp 1 (1 fmol/pl) 1.0 pl Clamp 2 (1 fmol/pl) 1.0 pl Taq Polymerase 0.1 pl (of a 0.5U/pI stock diluted in Ampligase buffer) 5 dA/dC/dG (1 mM) 1.0 pl (dA/dC/dG are added to separate tubes) water 4.0 pl Reactions were incubated as follows: 20'C 4 min, 95*C 5 min, 60*C 25 min, 65*C 5 min (with a 0.05'C/sec ramp time), 500C 1 min. 10 One pl of UDG was added at this point to degrade the template. 500C 15 min, 950C 5 min, 50 0 C 1 min. PCR was performed with universal primers by adding the following: 1Ox PCR buffer 2.5 pl (Promega) water 19.0 pl 15 Universal PI 1.0 pI Universal P2 1.0 pl dNTPs 1.2 pl Taq 0.3 pi 950C 30s, 480C 45s, 72*C 45s (28 cycles). 20 First aspect examples Figure 8 show the method according to the first aspect of the present invention. In Example #1 and #2, the two adjacent clamp sequences were then ligated together using a DNA ligase. 25 Second aspect examples Figure 9 shows the method according to the second aspect of the present invention. In Example #3, a polymerase enzyme will bring the correct base (G) to the site and then a ligase enzyme will ligate the base into the DNA sequence to form a linear 30 probe. In Example #4, a polymerase enzyme will bring the correct base (A) to the site WO 2005/024053 PCT/AU2004/001196 25 and then a ligase enzyme will ligate the base into the DNA sequence to form a linear probe. Third aspect examples 5. In Example #5, four independent hybridisation events need to occur to bring the three clamp sequences positioned correctly on the bisulphite treated genomic DNA (Figure 10). One arm of the clamps now form a semi-circular probe, while the other two clamps hybridise to the top and bottom strands of the DNA adjacent to the semi-circular probe. A ligase enzyme will ligate the base into the DNA sequence to form a fully 10 linearised probe. In Example #6, four independent hybridisation events need to occur to bring the three clamp sequences positioned correctly on the bisulphite treated genomic DNA (Figure 10). One arm of the clamps now form a semi-circular probe, while the other two clamps hybridise to the top and bottom strands of the DNA adjacent to the semi-circular 15 probe. A ligase enzyme will ligate the base into the DNA sequence to form a fully linearised probe. Fourth aspect examples In Example #7, four independent hybridisation events need to occur to bring the 20 three clamp sequences positioned correctly on the bisulphite treated genomic DNA (Figure 11). One arm of the clamp now forms a semi-circle probe, while the other two clamps hybridise to the top and bottom strands of the DNA adjacent to the semi-circular probe. A polymerase enzyme will bring the correct base (G) to the site and then a ligase enzyme will ligate the base into the DNA sequence to form a fully linearised probe. 25 In Example #8, four independent hybridisation events need to occur to bring the three clamp sequences positioned correctly on the bisulphite treated genomic DNA (Figure 11). One arm of the clamp now form a semi-circle probe, while the other two clamps hybridise to the top and bottom strands of the DNA adjacent to the semi-circular probe. A polymerase enzyme will bring the correct base (A) to the site and then a ligase 30 enzyme will ligate the base into the DNA sequence to form a fully linearised probe.

WO 2005/024053 PCT/AU2004/001196 26 Fifth aspect examples In Example #9, four independent hybridisation events need to occur to bring the two clamp sequences positioned correctly on the bisulphite treated genomic DNA. Each arm of the clamps now form a semi-circle probe (Figure 12). A ligase enzyme will ligate 5 the bases into the DNA sequence to form a fully circularised probe. In Example #10, four independent hybridisation events need to occur to bring the two clamp sequences positioned correctly on the bisulphite treated genomic DNA. Each arm of the clamp probes now form a semi-circle (Figure 12). A ligase enzyme will ligate the base into the DNA sequence to form a fully circularised probe. 10 Sixth aspect examples In Example #11, four independent hybridisation events need to occur to bring the two clamp sequences positioned correctly on the bisulphite treated genomic DNA. Each arm of the clamps now forms a semi-circle probe (Figure 13). A polymerase enzyme will 15 bring the correct base (G) to the site and then a ligase enzyme will ligate the two semi circular probes to from a fully circularised probe. In Example #12, four independent hybridisation events need to occur to bring the two clamp sequences positioned correctly on the bisulphite treated genomic DNA (Figure 13). Each arm of the clamps now form a semi-circle probes. A polymerase 20 enzyme will bring the correct base (A) to the site and then a ligase enzyme ligate the two semi-circular probes to from a fully circularised probe. Figure 14 shows a schematic example of a clamp reaction forming a circular probe with a uracil cleavage site. 25 Array tag detection system The bisulphite clamp is a new method for genome wide detection of methylated cytosine bases. Unlike all previous methods for the detection of methylated cytosines, the clamp method does not depend on the amplification of the bisulphite treated nucleic acid. The method is unique in that it can use a ligation reaction to determine the 30 presence or absence of a methylated cytosine within a CpG doublet (see Figures 15 and 16). This means that individual CpG sites can be analysed throughout the genome. After the clamps have been ligated and amplified they can then directed to specific sites on a micro-array devise predetermined by the internal Zip-code contained WO 2005/024053 PCT/AU2004/001196 27 within each bisulphite clamp primer set. Figure 16 shows an example of such a detection system. One of the major advantages of this approach over conventional micro-array analysis is that the hybridisation conditions can be controlled in a precise manner. The 5 zip code primers can be tailor made so that they all share the same melting temperatures and have similar sequence content. This means that the hybridisation kinetics will be very similar for each probe, whereas in conventional micro-array the hybridisations are dependant on the DNA sequence of the genomic nucleic acid and cannot be controlled in the same manner. 10 SUMMARY There are a number of unique advantages to the bisulphite clamp method according to the present invention for the genome wide detection of methylation states compared to existing technologies. One major advantage is the exquisite specificity 15 generated during the reaction. Conventional bisulphite analysis (Clark et al, 1994) relies on two rounds of nested PCR to generate the specificity required in a bisulphite converted genome. This is due to the fact that after bisulphite treatment the genome is essentially composed of only three bases namely A G and T since all the unmethylated cytosines have been converted to U. Four nested primers are then designed to one of 20 the bisulphite treated strands of DNA then two rounds of PCR are performed to generate the necessary specificity and sensitivity. After bisulphite treatment, the two strands of DNA are no longer complementary. The targeting of both strands after conversion has to date not been utilised. The bisulphite clamp methodology according to the present invention can target both strands of the modified or converted DNA (see Figure 1), thus 25 four independent hybridization reactions need to occur before the reaction will proceed. This in effect gives nested PCR specificity in one round reducing the chances of PCR contamination and greatly simplifying the procedure. In addition, non-specific amplification often occurs especially when the amount of target DNA is low. This is due to the nature of the PCR amplification reaction. The bisulphite clamp method, however, 30 overcomes this by the use of a dual specificity system. The first layer of specificity is generated by the polymerase filling in the correct base. Even if the polymerase makes an error, the second round of fidelity is achieved by the use of a ligase enzyme which means that any incorrect base will not be correctly ligated and the reaction will come to a halt.

WO 2005/024053 PCT/AU2004/001196 28 Another feature of the bisulphite clamp method can be the incorporation of a uracil site into one arm of one primer. Thus, when the correct hybridisation and ligation occurs a circle is formed. The reaction mix can then be treated with Uracil N Glycosylase (UNG). This enzyme will then degrade all the uracil-containing bisulphite 5 treated DNA and at the same time linearise the circle. Thus, subsequent amplification now occurs in a pure population of target molecules greatly increasing the efficiency of the reaction unlike conventional PCR which occurs in a sea of non target genomic DNA. Alternatively, a unique restriction site can be added to one of the clamp primers so that after UNG digestion, the circles remain undigested but the bisulphite treated genomic 10 DNA has been degraded. The circular DNA can then be replicated by isothermal Rolling Circle Amplification (RCA) (Lizardi et al. Mutation detection and single-molecule counting using isothermal rolling-circle amplification. 1998 Nat. Genetics (19); 225-232). Further, the bisulphite clamp method allows the multiplexing of a large number of probes in the same reaction tube. Thus, large numbers of genomic regions can be 15 interrogated simultaneously in the one reaction tube. This is due to the fact that the clamps can contain common PCR primer sites, thus only two primers are required to amplify the target circularized molecules unlike multiplex PCR where individual primer sets need to be designed to each loci of interest. In addition, the method also eliminates the problem of PCR bias which can often 20 occur in a bisulphite reaction This is a result of the fact that the bisulphite clamp does not depend on the amplification of a genomic region spanning two primers sites. It has been shown that amplification of certain sequences of bisulphite treated DNA can lead to an under-estimation of the true methylation status (Warneke et al). This phenomenon is a consequence of the differing sequence content of a methylated DNA strand compared 25 to an unmethylated strand, resulting in the preferential copying of the unmethylated strand over the methylated strand. As the clamp only depends on a hybridization reaction, PCR bias will not occur. Moreover, the detection of methylation changes in bisulphite treated DNA by micro-arrays has relied on sequence specific hybridisation of regions of amplified DNA 30 contained between two unique primer sites. As stated previously, the sequence content of a methylated DNA sequence is very different from an unmethylated sequence. This has the effect that the hybridisation kinetics of an unmethylated sequence will be very different to that of a methylated sequence. Thus, in practical terms, it is very difficult to determine hybridisation conditions that will favour both the binding of the unmethylated 35 sequence and the methylated sequence to an array simultaneously to the same array.

WO 2005/024053 PCT/AU2004/001196 29 The bisulphite clamp procedure can overcome this problem by optionally incorporating zip-code sequence into the primers that subsequently direct the sequence to a defined place on an array. The zip-code sequence is not designed to correspond with a piece of bisulphite treated DNA but a randomly defined DNA sequence that is not present in the 5 human genome. This zip-code sequence can be "shuffled" so that each zip code has the same melting temperature and sequence composition. Thus, the hybridisation conditions in the bisulphite clamp can be tailor made so that the kinetics of hybridisation of each probe will be identical. Thus the final read out will be a true reflection of the methylation status of the sample. 10 It will be appreciated by persons skilled in the art that numerous variations and/or modifications may be made to the invention as shown in the specific embodiments without departing from the spirit or scope of the invention as broadly described. The present embodiments are, therefore, to be considered in all respects as illustrative and not restrictive.

Claims (41)

1. A method for determining the methylation status of a potential methylation site in genomic nucleic acid comprising: treating genomic nucleic acid with an agent which modifies cytosine bases but 5 does not modify 5-methyl-cytosine bases under conditions to form a modified nucleic acid template containing a potential methylation site; providing a first clamp containing a first capture sequence complementary to a region flanking one side of the potential methylation site in the modified nucleic acid template; 10 providing a second clamp containing a second capture sequence complementary to a region flanking the other side of the potential methylation site in the modified nucleic acid template; allowing the first clamp and the second clamp to hybridise to the modified nucleic acid template; 15 ligating the hybridised first and second clamps to form a probe spanning the potential methylation site in the modified nucleic acid template; digesting the modified nucleic acid template to obtain the probe; and detecting the probe and determining the methylation status of the potential methylation site in the modified genomic nucleic acid. 20

2. The method according to claim 1 wherein the treating step forms a modified nucleic acid template containing two complementary strands of nucleic acid containing a potential methylation site; and the first clamp contains a first capture sequence and a second capture sequence, first capture sequence being complementary to a region flanking one side of the 25 potential methylation site in the first strand of the modified nucleic acid template, and the second capture sequence being complementary to a region flanking one side of the potential methylation site in the second strand of the modified nucleic acid template.

3. The method according to claim 1 or 2 wherein the first clamp and the second clamp 30 hybridise to the modified nucleic acid template such that there is no complementary bases at the potential methylation site and causing at least one base to be inserted between the first clamp and the second clamp prior to ligating the clamps to form a probe spanning the potential methylation site in the modified nucleic acid template.

4. The method according to any one of claims 1 to 3 wherein the potential methylation 35 site is cytosine (C) flanked 5' by a guanine (G). WO 2005/024053 PCT/AU2004/001196 31

5. The method according to any one of claims 1 to 4 wherein the modifying agent is selected from the group consisting of bisulfite, acetate, and citrate.

6. The method according to claim 5 wherein the modifying agent is sodium bisulfite.

7. The method according to any one of claims I to 6 wherein at least one of the first or 5 second clamps contains a universal primer which allows amplification of the probe after the ligation step.

8. The method according to any one of claims 1 to 7 wherein at least one of the first or second clamps contains a capture site which allows capture of the probe.

9. The method according to any one of claims 1 to 8 wherein at least one of the first or 10 second clamps contains a cleavable site.

10. The method according to claim 9 wherein the cleavable site is nuclease restriction site.

11. The method according to claim 10 wherein the cleavable site is a uracil base.

12. The method according to any one of claims 1, 2 and 4 to 11 wherein the 15 complementary sequences of the first or second clamps span the potential methylation site.

13. The method according to any one of claims 1 to 12 wherein the clamps are ligated using a suitable enzyme capable of ligating single stranded nucleic acid.

14. The method according to any one of claims 1, 2 and 4 to 13 wherein the clamps are 20 ligated at or near the first and second capture sequences.

15. The method according to any one of claims 3 to 13 wherein one or more bases are inserted between the clamps using a nucleic acid polymerase.

16. The method according to claim 15 wherein base insertion reaction is carried out in the presence of a single nucleotide type and each nucleotide type is reacted 25 separately such that the insertion of a particular base will be indicative of the identity of complementary base on the modified nucleic acid template.

17. The method according to any one of claims 1 to 16 wherein the modified nucleic acid template is digested by an enzyme.

18. The method according to claim 17 wherein the enzyme is Uracil N DNA Glycosylase. 30

19. The method according to any one of claims 1 to 18 wherein the probe is detected and the methylation status of the potential methylation site in the modified genomic nucleic acid determined with a detection system which can recognise incorporation of WO 2005/024053 PCT/AU2004/001196 32 the missing base(s) between the first and second clamps, or detect specific amplification of the probe.

20. The method according to claim 19 wherein the detection system is selected from the group consisting of hybridization by array, Southern blot type detection, Real-Time 5 PCR quantitation, fluorescent beads, enzyme conjugates, radioactive beads, ligase chain reaction, and isothermal DNA amplification technologies including strand displacement amplification or rolling circle amplification.

21. The method according to any one of claims 1 to 20 wherein the genomic nucleic acid is DNA. 10

22. A method for determining the methylation status of a potential methylation site on genomic nucleic acid comprising: treating genomic nucleic acid with an agent which modifies cytosine bases but does not modify 5-methyl-cytosine bases under conditions to form a modified nucleic acid template containing two complementary strands of nucleic acid containing a 15 potential methylation site; providing a first clamp containing a first capture sequence and a second capture sequence, first capture sequence being complementary to a region flanking one side of the potential methylation site in the first strand of the modified nucleic acid template, and the second capture sequence being complementary to a region 20 flanking one side of the potential methylation site in the second strand of the modified nucleic acid template; providing a second clamp containing a third capture sequence and a fourth capture sequence, the third capture sequence being complementary to a region flanking the other side the potential methylation site in the first strand of the modified 25 nucleic acid template, and the fourth capture sequence being complementary to a region flanking the other side of the potential methylation site in the second strand of the modified nucleic acid template; allowing the first clamp and the second clamp to hybridise to the two complementary strands of the modified nucleic acid template; 30 ligating the hybridised clamps to form a circular probe spanning the potential methylation site in the complementary strands of the modified nucleic acid template; digesting the modified nucleic acid template to obtain the circular probe; and detecting the circular probe and determining the methylation status of the potential methylation site in the modified genomic nucleic acid. WO 2005/024053 PCT/AU2004/001196 33

23. The method according to claim 22 wherein the first clamp and the second clamp hybridise to the two complementary strands of the modified nucleic acid template such that there is no complementary bases at the potential methylation site of at least one of the complementary strands of the modified nucleic acid template, and causing 5 at least one base to be inserted between the first clamp and the second clamp prior to ligating the clamps to form a probe spanning the potential methylation site in the modified nucleic acid template.

24. The method according to claim 22 or 23 wherein the potential methylation site is cytosine (C) flanked 5' by a guanine (G). 10

25. The method according to any one of claims 22 to 24 wherein the modifying agent is selected from the group consisting of bisulfite, acetate, and citrate.

26. The method according to claim 24 wherein the modifying agent is sodium bisulfite.

27. The method according to any one of claims 22 to 26 wherein at least one of the first or second clamps contains a universal primer which allows amplification of the probe 15 after the ligation step.

28. The method according to any one of claims 22 to 27 wherein at least one of the first or second clamps contains a capture site which allows capture of the probe.

29. The method according to any one of claims 22 to 28 wherein at least one of the first or second clamps contains a cleavable site. 20

30. The method according to claim 29 wherein the cleavable site is nuclease restriction site.

31. The method according to claim 29 wherein the cleavable site is a uracil base.

32. The method according to any one of claims 22 and 24 to 31 wherein the complementary sequences of the first or second clamps span the potential 25 methylation site.

33. The method according to any one of claims 22 to 32 wherein the.clamps are ligated using a suitable enzyme capable of ligating single stranded nucleic acid.

34. The method according to any one of claims 22 and 24 to 33 wherein the clamps are ligated at or near the first and second capture sequences. 30

35. The method according to any one of claims 23 to 33 wherein one or more bases are inserted between the clamps using a DNA polymerase. WO 2005/024053 PCT/AU2004/001196 34

36. The method according to claim 35 wherein base insertion reaction is carried out in the presence of a single nucleotide type and each nucleotide type is reacted separately such that the insertion of a particular base will be indicative of the identity of complementary base on the modified nucleic acid template. 5

37. The method according to any one of claims 22 to 36 wherein the modified nucleic acid template is digested by an enzyme.

38. The method according to claim 37 wherein the enzyme is Uracil N DNA Glycosylase.

39. The method according to any one of claims 22 to 38 wherein the probe is detected and the methylation status of the potential methylation site in the modified genomic 10 nucleic acid determined with a detection system which can recognise incorporation of the missing base(s) between the first and second clamps, or detect specific amplification of the probe.

40. The method according to claim 39 wherein the detection system is selected from the group consisting of hybridization by array, Southern blot type detection, Real-Time 15 PCR quantitation, fluorescent beads, enzyme conjugates, radioactive beads, ligase chain reaction, and isothermal DNA amplification technologies including strand displacement amplification or rolling circle amplification.

41. The method according to any one of claims 22 to 40 wherein the genomic nucleic acid is DNA.