Question 16 of 20 Advanced Interpretation
What would make you reject a qPCR run even when the sample Cq values look plausible?
Short answer
Plausible Cq values say nothing about whether the run was valid. Reject or repeat it when a control fails: signal in the no-template or negative control, a positive control outside its expected range, a no-RT control close to the samples, a standard curve out of specification, or curves and melt peaks that show nonspecific products or inhibition.
Why
A run is judged on its controls and curve quality first, and on sample values last. MIQE 2.0 lists positive, negative, no-template and no-RT controls as indispensable. A no-template control with probe signal in a diagnostic assay means the run should not be reported.
In research, a dye-based no-template signal may be a primer dimer, which a melt curve can show, but it still has to be explained. A positive control that shifts by more than its historical spread suggests a reagent, pipetting or instrument problem that affects every well. If the run carries a standard curve, an efficiency outside the lab's acceptance range or poor linearity undermines the quantities.
The curves themselves matter. Flattened or late-rising curves in some samples but not the positive control suggest inhibition. Inconsistent baselines suggest the threshold was set badly.
For example, sample Cq values of 23 to 27 can look normal while the no-RT controls sit at Cq 28. That means much of the signal could be genomic DNA. The point is that a wrong answer often looks reasonable.
Acceptance criteria should be written before the run, so the decision is not made after seeing the result.
A strong answer covers
- Controls decide validity before samples are read
- Probe signal in a no-template control invalidates a diagnostic run
- Positive control outside its historical range
- No-RT controls too close to sample Cq
- Predefined acceptance criteria for efficiency, linearity and curve shape
Common mistakes
- Accepting a run because the sample results match the expected biology
- Deleting an awkward control well instead of investigating it
- Setting acceptance limits after looking at the data
The interviewer might ask next
Which acceptance criteria would you write into an SOP for a routine expression assay?