The reverse transcription polymerase chain reaction (RT-PCR) is the most se
nsitive method for the detection of low-abundance mRNA, often obtained from
limited tissue samples. However, it is a complex technique, there are subs
tantial problems associated with its true sensitivity, reproducibility and
specificity and, as a quantitative method, it suffers from the problems inh
erent in PCR. The recent introduction of fluorescence-based kinetic RT-PCR
procedures significantly simplifies the process of producing reproducible q
uantification of mRNAs and promises to overcome these limitations. Neverthe
less, their successful application depends on a clear understanding of the
practical problems, and careful experimental design, application and valida
tion remain essential for accurate quantitative measurements of transcripti
on. This review discusses the technical aspects involved, contrasts convent
ional and kinetic RT-PCR methods for quantitating gene expression and compa
res the different kinetic RT-PCR systems. It illustrates the usefulness of
these assays by demonstrating the significantly different levels of transcr
iption between individuals of the housekeeping gene family, glyceraldehyde-
3-phosphate-dehydrogenase (GAPDH).