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2005 Edition Non-Radioactive Gene Detection Systems, Triple Repeat Disorders, Mutation and Gene Detection, Control DNA’s, Gene Detection Systems & Reagents GeneProber™ Southern based Non-Radioactive Gene Detection System PCRProber™ & Genemer™ PCR based Gene Detection System GScan™ Fluorescent Gene Detection System Genemer™ Control DNA Reagents & Tools “Quality, Consistency, Confidence” Gene Link has acquired a reputation for quality, consistency and confidence in the critical gene research tools and technology we supply to the research community worldwide. Our products and services are supported and ensured by our commitment to premium quality and our constant efforts to introduce new and improved products. Gene Link fosters customer satisfaction and loyalty by maintaining personal relationships with our customers. We routinely assist our customers regarding the technical inquiries, the design of their experiments and the solving of their application problems. Our dedicated and highly trained staff of customer service and technical support employees is strongly motivated to serve our customers. Gene Link has endeavored to develop, and will continue to preserve, our reputation for “Quality, Consistency, and Confidence.” -2- Table of Contents General Information About Us Confidentiality/ Nondisclosure Agreement General Information Ordering Information Terms and Conditions of Sale 5 7 8 9 10 11 Molecular Analysis of Genetic Diseases 13 Gene Link Gene Detection Systems Introduction Gene Detection Systems Fragile X Syndrome Huntington’s Disease Myotonic Dystrophy Friedreich’s Ataxia Kennedy Disease RhD (RhD gene exon 10 specific) Rh EeCc (Rh Ee and Cc exon 7 specific) SRY (sex determining region on Y) Sickle Cell Cystic Fibrosis (various mutations) Tay Sach’s Syndrome Gaucher’s Disease 27 29 29 31 39 49 57 65 71 71 75 81 85 89 93 Gene Detection Systems Product Line GeneProber™ GeneProber™ Digoxigenin Labeled Probes PCRProber™ Gene Detection Kits PCRProber ™ Alkaline Phosphatase Labeled Probes Genemer™ Genemer™ Kits Genemer™ Radioactive Detection Kits GScan™ Gene Detection Kits GScan™ Genemer Controls Genemer™ Control DNA 97 100 100 101 101 102 103 104 105 106 107 Genetic Tools and Reagents 109 Appendix 123 Protocols 141 Genetic Glossary 161 -3- -4- General Information -5- -6- About Us Gene Link, Inc. is a dynamic biotechnology company and research organization. Our mission is to be one of the most reliable suppliers of reagents and reagent systems used in genetic research technology applications worldwide. Gene Link, Inc. is privately held biotechnology company incorporated in the State of New York dedicated to fundamental and applied research on genetic/biomedical projects relating to gene mapping, localization, detection and marketing of our services and products in these areas. Since inception, Gene Link has acquired a reputation for quality, consistency and confidence in the services and products it provides to the research communities worldwide. Our services and products are supported and ensured by our commitment and constant efforts to excel. Gene Link is situated in Westchester County of New York, a location ideally suited for growth and strong interaction with prestigious nearby universities, biotechnology and pharmaceutical companies in New York, New Jersey and Connecticut. Gene Link fosters customer satisfaction and loyalty by maintaining close personal relationships with our customers, and by offering technical support for the applications of our products. We routinely assist our customers regarding the design of their experiments and the solving of their application problems to help researchers reach their goals faster and with greater success. Gene Link customers are Universities, Research Institutes, Pharmaceutical companies and Hospitals involved in research. Understanding the needs of our customers and helping them achieve success is a priority at Gene Link. These customers are located worldwide. Gene Link is a leading supplier of custom oligonucleotides for use in PCR, sequencing, cloning, and mutagenesis. Gene Link services include genotyping, sequencing and gene construction. Gene Link offers as well a wide variety of other molecular biology products such as, siRNA, fluorescent probes and nonradioactive gene detection systems for human genetic disorders. Gene Link's research and development activities focus on developing novel gene detection systems. Gene Link is in the process of developing research products to aid scientists with detection of genetic disorders, specifically triple repeat disorders (Fragile X, Myotonic Dystrophy, Huntington etc.). Also available from Gene Link are kits for research purposes designed for genotyping other genetic disorders. To complement our genetic disorder detection systems we have recently introduced detection systems for infectious disorders. -7- Confidentiality Nondisclosure Agreement At Gene Link, we respect your privacy and are committed to protecting it. We are committed to building customer trust by demonstrating this respect in every aspect of our marketing activities. If at any time you feel that Gene Link is not following its stated privacy policy, please feel free to contact us at 1-800-GENE-LINK with your concerns. The points below summarize our promise to you. • The information you provide to Gene Link through our website or any other channel will be used only to provide you with communications that are relevant to Gene Link products and services that we feel may suit your needs and preferences. • This information is held in strict confidence and will never be sold, traded or rented to other companies, individuals or entities for their marketing use. • Every communication message that you receive from Gene Link will provide you with the opportunity to be removed from future information exchanges. • You may also send an email to [email protected] to request removal from our email or postal mail list. Please type the word "REMOVE" in the subject line and include your name, company name and the list(s) from which you would like to be removed. • Upon request, we will provide you with a summary of the information you have provided to Gene Link. This information will be provided only to the email address on file for the customer making the request. You will be able to change, correct or remove any information at any time. The contact for such requests is [email protected] • Following website registration our site will use "session cookies" to help provide relevant information to you during your visit. The cookies are only accessible by Gene Link while you are visiting our site and are deleted upon your signoff. • You may terminate your website registration at any time by sending an email to [email protected] -8- General Information Products Gene Link is committed to providing the highest quality products at competitive prices. Gene Link warrants that all products meet or exceed the performance standards described in the product specification sheets. If you are not completely satisfied with our product, our policy is to replace the replace the product as soon as possible. Gene Link provides no other warranties of any kind, expressed or implied. Gene Link’s liability shall not exceed the purchase price of the product. Gene Link shall have no liability for direct, indirect, consequential or incidental damages arising from the use, results of use, or inability to use its products. • • • • • • • Privacy At Gene Link, we respect your privacy and are committed to protecting it. We are committed to building customer trust by demonstrating this respect in every aspect of our marketing activities. If at any time you feel that Gene Link is not following its stated privacy policy, please feel free to contact us at 1-800-GENE-LINK with your concerns. The points below summarize our promise to you. The information you provide to Gene Link through our website or any other channel will be used only to provide you with communications that are relevant to your needs and preferences. This information is held in strict confidence and will never be sold, traded or rented to other companies, individuals or entities for their marketing use. Every communication message that you receive from Gene Link will provide you with the opportunity to be removed from future information exchanges. You may also send an email to [email protected] to request removal from our email or postal mail list. Please type the word "REMOVE" in the subject line and include your name, company name and the list(s) from which you would like to be removed. Upon request, we will provide you with a summary of the information you have provided to Gene Link. This information will be provided only to the email address on file for the customer making the request. You will be able to change, correct or remove any information at any time. The contact for such requests is [email protected] Following website registration our site will use "session cookies" to help provide relevant information to you during your visit. The cookies are only accessible by Gene Link while you are visiting our site and are deleted upon your signoff. You may terminate your website registration at any time by sending an email to [email protected] Customer Service Customer Service representatives are available to Monday through Friday from 9:00 AM to 6:00 PM Eastern Time. E-mail: [email protected]. Gene Link does not require written confirmation for telephone, e-mail or Internet orders. To avoid duplication, be certain that any written confirmation of an order is clearly marked CONFIRMING. Payment Payment terms are net 30 days. Credit Cards Gene Link accepts credit card payments (Visa, MasterCard and American Express only via phone, fax, and mail). Please provide card number, expiration date, and card billing name and address. Shipping In stock catalog items regularly ship same day of order receipt for next day delivery. All custom oligos are regularly shipped in 24 hrs. and guaranteed to be shipped within 48 hrs. of order receipt by Standard Overnight for guaranteed afternoon delivery. Upon request, Priority Overnight shipment will be made for guaranteed morning delivery. Exceptions may be necessary for US holidays. A $10.00 handling charge is added to each order in addition to shipping charges. Please consult Customer Service for additional shipping information. Blanket Orders As a service to our customers, Gene Link accepts blanket order. For your convenience, we encourage you to use this type of purchase order. For more information please contact your Purchasing department or Customer Service department. Returns Products may not be returned without proper authorization by the Gene Link Customer Service Department. Due to the custom nature and temperature sensitivity of most our products, we are unable to restock and resell returned goods. Intended Use All products sold by Gene Link are intended for research only. These products are not suitable for diagnostic or drug purposes, nor are they suitable for administration to humans or animals. International Orders Gene Link has Distributors worldwide. Please see inside back cover to find a distributor in your area. -9- Ordering Information All customers are encouraged to place orders through our easy to use on-line ordering system at www.genelink.com Registration and Login • Existing Customers All existing customers have a Gene Link assigned customer number. This Customer Number is also referred to as the Customer ID. The Gene Link assigned customer number should be used for all logins and is the password as default. Password is required for order tracking and online catalog products orders. This requirement is only for online catalog item products and for checking order history and status. Password is not required for custom oligo orders. • New Customers All new customers can place the first order without having a customer number. At Gene Link customers are assigned a number after their first order is received. All new customers are requested to register and provide all the requested information. The order will be processed and you will be contacted if any more information is required. A Gene Link assigned customer number will be emailed to you for future use. • Individual Users At Gene Link 'Customer Numbers' are assigned to Principal Investigators, Laboratory Directors or Independent Laboratories. Researchers within the same 'laboratory' use the same Customer Number. Individual researchers are termed as 'User' and registered. All orders placed are thus linked to a customer number and a user. A new researcher in a laboratory registers under the 'Customer Number' account. Password Requirement Our new web site offers the security of password protection for placing catalog orders and viewing order status and history. Customers can feel confident that their information is protected, while enjoying the convenience of acquiring account information immediately, at the click of a mouse. As a default, your password will be the same as your customer number. You will be able to change it when you log on. Please make sure that all parties ordering for your account are aware of the password. We advise that password be changed only after consultation with all 'users' of the account, specifically after approval by of the Laboratory Director or Principal Investigator. Forgot Password: Password will be emailed to the email address in the 'Ship To' information of the Account Profile. The email address entered for the 'email password' should exactly match the one on file. Catalog Product Orders Select the 'catalog orders' button to browse or place catalog orders. Select products to order and view their specification sheets. To finally submit order after viewing and approving the items on the cart you will require a Gene Link assigned Customer Number or new customers simply register as a 'new customer'. Order Confirmation All submitted online orders receive a message indicating the order number and the email address where the automatic email confirmation will be sent. Please print or make a note of this information. The email confirmation is an official record of order placed and should be saved for future reference. The email address used for sending the automatic confirmation is of the 'User'. Please select your name from the dropdown USER name field. If you are a 'new' user, select NEW and enter your name, email address and telephone number. This information will be stored and your name will appear the next time you login. Order Changes and Cancellation All catalog product orders are routinely shipped the same day for next day delivery. Please email us as soon as possible if you notice an error or want to amend an order. Reference the order number in all correspondence with Gene Link. The email address for immediate inquiries relating to the order on the day it was placed is [email protected] All inquiries after 24 hrs. of order placement may please be addressed to [email protected]. Order Tracking and Order History Order Tracking and Order History All orders are assigned an order number once placed. An email confirmation of all orders contains the order number. You can track the shipment status of orders online by clicking the 'Order Status' menu item on the menu bar. You will be required to enter your customer number and password to access order status and order history. Orders by Phone: 1-800-GENE-LINK Orders by Fax: 1-888-GENE-LINK (Please note that custom oligo orders cannot be placed by phone) Orders by E-mail: [email protected] When placing an order, please provide the following information: 1. Purchase order number or credit card number 2. Customer number 3. Billing address 4. Shipping address 5. Name of person to whose attention order should be shipped 6. Name and telephone number of contact person 7. Product catalog number, description, size and quantity - 10 - Terms and Conditions of Sale 1. Acceptance – GENE LINK, Inc., HERIN REFERRED TO AS SELLER, RESERVES THE RIGHT TO ACCEPT OR REJECT A SALES ORDER AT ITS SOLE DISCRETION WITHOUT ASSIGNING ANY REASON. ALL SALES ARE SUBJECT TO AND EXPRESSLY CONDITIONED UPON THE TERMS AND CONDITIONS CONTAINED HEREIN, AND UPON BUYER'S ASSENT THERETO. NO VARIATION OF THESE TERMS AND CONDITIONS WILL BE BINDING UPON SELLER UNLESS AGREED TO IN WRITING AND SIGNED BY AN OFFICER OR OTHER AUTHORIZED REPRESENTATIVE OF SELLER. 2. Changes -Orders arising hereunder may be changed or amended only by written agreement signed by both Buyer and Seller, setting forth the particular changes to be made and the effect, if any, of such changes on the price and time of delivery. Buyer may not cancel this order unless such cancellation is expressly agreed to in writing by Seller. In such event, Seller will advise Buyer of the total charge for such cancellation, and Buyer agrees to pay such charges, including, but not limited to, storage and shipment costs, costs of producing non-standard materials, costs of purchasing non-returnable materials, cancellation costs imposed on Seller by its suppliers, and any other cost resulting from cancellation of this order by Buyer which is permitted by Seller. Certification of such costs by Seller's independent public accountants shall be conclusive on the parties hereto. 3. Delivery, claims, delays - All sales are FOB Seller's shipping point unless otherwise noted. If Shipping and Handling Charges are quoted or invoiced, they will include charges in addition to actual freight costs. Delivery of the goods to the carrier at Seller's shipping point shall constitute delivery to Buyer but Seller shall bear all risk of loss or damage in transit. The general method of shipment for each item is Airborne Express next afternoon service unless otherwise specified. However, Seller reserves the right, in its discretion, to determine the exact method of shipment. Seller reserves the right to make delivery in installments, all such installments to be separately invoiced and paid for when due per invoice, without regard to subsequent deliveries. Delay in delivery of any installment shall not relieve Buyer of Buyer's obligations to accept remaining deliveries. Immediately upon Buyer's receipt of any goods shipped hereunder, Buyer shall inspect the same and shall notify Seller in writing of any claims for shortages, defects or damages and shall hold the goods for Seller's written instructions concerning disposition. If Buyer shall fail to so notify Seller within five days after the goods have been received by Buyer, such goods shall conclusively be deemed to conform to the terms and conditions hereof and to have been irrevocably accepted by the Buyer. Seller shall not be liable for any loss, damage or penalty as a result of any delay in or failure to manufacture, deliver or otherwise perform hereunder due to any cause beyond Seller's reasonable control, including, without limitation, unsuccessful reactions, act of Buyer, embargo or other governmental act, regulation or request affecting the conduct of Seller's business, fire, explosion, accident, theft, vandalism, riot, acts of war, strikes or other labor difficulties, lightning, flood, windstorm or other acts of God, delay in transportation, or inability to obtain necessary labor, fuel, materials, supplies or power at current prices. 4. Allocation of goods - If Seller is unable for any reason to supply the total demands for goods specified in Buyer's order, Seller may allocate its available supply among any or all Buyers on such basis as Seller may deem fair and practical, without liability for any failure of performance which may result there from. 5. Payment - Terms of sale are net 30 days of date of invoice, unless otherwise stated. If the financial condition of Buyer results in the insecurity of Seller, in its sole and unfettered discretion, as to the ultimate collectability of the purchase price, Seller may, without notice to Buyer, delay or postpone the delivery of the products; and Seller, at its option, is authorized to change the terms of payment to payment in full or in part in advance of shipment of the entire undelivered balance of said products. In the event of default by Buyer in the payment of the purchase price or otherwise, of this or any other order, Seller, at its option, without prejudice to any other of Seller's lawful remedies, may defer delivery, cancel this Contract, or sell any undelivered products on hand for the account of Buyer and apply such proceeds as a credit, without set-off or deduction of any kind, against the contract purchase price, and Buyer agrees to pay the balance then due to Seller on demand. Buyer agrees to pay all costs, including, but not limited to, reasonable attorney and accounting fees and other expenses of collection resulting from any default by Buyer in any of the terms hereof. 6. Taxes and other charges - Any use tax, sales tax, excise tax, duty, custom, inspection or testing fee, or any other tax, fee or charge of any nature whatsoever imposed by any governmental authority, on or measured by the transaction between Seller and Buyer shall be paid by Buyer in addition to the prices quoted or invoiced. In the event Seller is required to pay any such tax, fee or charge, Buyer shall reimburse Seller therefore; or, in lieu of such payment, Buyer shall provide Seller at the time the order is submitted an exemption certificate or other document acceptable to the authority imposing the tax, fee or charge. 7. Pricing - Prices are subject to change without notice. Please inquire about volume discounts. Please call us for current prices if you require this information prior to placing your order. We guarantee our written domestic quotations for one (1) year. For guarantee information regarding quotations outside the US, please contact our distributor in your local area. When placing your order, please reference our quoted prices or our pro forma number. If you place your order by phone, we will confirm our current price at that time. 8. Price Changes - Shipment will be made promptly even if prices have been nominally increased. Price reductions will be automatically applied to your invoice. 9. Warranties - Seller warrants that its products shall conform to the description of such products as provided to Buyer by Seller through Seller's catalog, analytical data or other literature. THIS WARRANTY IS EXCLUSIVE, AND SELLER MAKES NO OTHER WARRANTY, EXPRESS OR IMPLIED, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE. Seller's warranties made in connection with this sale shall not be effective if Seller has determined, in its sole discretion, that Buyer has misused the products in any manner, has failed to use the products in accordance with industry standards and practices, or has failed to use the products in accordance with instructions, if any, furnished by Seller. Seller's sole and exclusive liability and Buyer's exclusive remedy with respect to products proved to Seller's satisfaction to be defective or nonconforming shall be replacement of such products without charge or refund of the purchase price, in Seller's sole discretion, upon the return of such products in accordance with Seller's instructions. SELLER SHALL NOT IN ANY EVENT BE LIABLE FOR INCIDENTAL, CONSEQUENTIAL OR SPECIAL DAMAGES OF ANY KIND RESULTING FROM ANY USE OR FAILURE OF THE PRODUCTS, EVEN IF SELLER HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGE INCLUDING, WITHOUT LIMITATION, LIABILITY FOR LOSS OF USE, LOSS OF WORK IN PROGRESS, DOWN TIME, LOSS OF REVENUE OR PROFITS, FAILURE TO REALIZE SAVINGS, LOSS OF PRODUCTS OF BUYER OR OTHER USE OR ANY LIABILITY OF BUYER TO A THIRD PARTY ON ACCOUNT OF SUCH LOSS, OR FOR ANY LABOR OR ANY OTHER EXPENSE, DAMAGE OR LOSS OCCASIONED BY SUCH PRODUCT INCLUDING PERSONAL INJURY OR PROPERTY DAMAGE UNLESS SUCH PERSONAL INJURY OR PROPERTY DAMAGE IS CAUSED BY SELLER'S GROSS NEGLIGENCE. All claims must be brought within one (1) year of shipment, regardless of their nature. - 11 - 10. Compliance with laws, regulations - Seller certifies that to the best of its knowledge its products are produced in compliance with applicable requirements of the Fair Labor Standards Act, as amended, and the Occupational Safety and Health Standards Act of 1970 and regulations, rules and orders issued pursuant thereto. 11. Buyer's use of products - Seller's products are intended primarily for laboratory research purposes and, unless otherwise stated on product labels, in Seller's catalog or in other literature furnished to Buyer, are not to be used for any other purposes, including but not limited to, in vitro diagnostic purposes, in foods, drugs, medical devices or cosmetics for humans or animals or for commercial purposes. Buyer acknowledges that the products have not been tested by Seller for safety and efficacy in food, drug, medical device, cosmetic, commercial or any other use, unless otherwise stated in Seller's literature furnished to Buyer. Buyer expressly represents and warrants to Seller that Buyer will properly test, use, manufacture and market any products purchased from Seller and/or materials produced with products purchased from Seller in accordance with the practices of a reasonable person who is an expert in the field and in strict compliance with all applicable laws and regulations, now and hereinafter enacted. Buyer further warrants to Seller that any material produced with products from Seller shall not be adulterated or misbranded within the meaning of the Federal Food, Drug and Cosmetic Act and shall not be materials which may not, under Sections 404, 505, or 512 of the Act, be introduced into interstate commerce. Buyer realizes that, since Seller's products are, unless otherwise stated, intended primarily for research purposes, they may not be on the Toxic Substances Control Act (TSCA) inventory. Buyer assumes responsibility to assure that the products purchased from Seller are approved for use under TSCA, if applicable. Buyer has the responsibility to verify the hazards and to conduct any further research necessary to learn the hazards involved in using products purchased from Seller. Buyer also has the duty to warn Buyer's customers and any auxiliary personnel (such as freight handlers, etc.) of any risks involved in using or handling the products. Buyer agrees to comply with instructions, if any, furnished by Seller relating to the use of the products and not misuse the products in any manner. If the products purchased from Seller are to be repackaged, relabeled or used as starting material or components of other products, Buyer will verify Seller's assay of the products. No products purchased from Seller shall, unless otherwise stated, be considered to be foods, drugs, medical devices or cosmetics. 12. Buyer's Representations and Indemnity - Buyer represents and warrants that it shall use all products ordered herein in accordance with Paragraph No. 9 "Buyer's Use of Products", and that any such use of products will not violate any law or regulation. Buyer agrees to indemnify and hold harmless Seller, its employees, agents, successors, officers, and assigns, from and against any suits, losses, claims, demands, liabilities, costs and expenses (including attorney and accounting fees) that Seller may sustain or incur as a result of any claim against Seller based upon negligence, breach of warranty, strict liability in tort, contract, or any other theory of law brought by Buyer, its officers, agents, employees, successors or assigns, by Buyer's customers, by end users, by auxiliary personnel (such as freight handlers, etc.) or by other third parties, arising out of, directly or indirectly, the use of Seller's products, or by reason of Buyer's failure to perform its obligations contained herein. Buyer shall notify Seller in writing within fifteen (15) days of Buyer's receipt of knowledge of any accident, or incident involving Seller's products which results in personal injury or damage to property, and Buyer shall fully cooperate with Seller in the investigation and determination of the cause of such accident and shall make available to Seller all statements, reports and tests made by Buyer or made available to Buyer by others. The furnishing of such information to Seller and any investigation by Seller of such information or incident report shall not in any way constitute any assumption of any liability for such accident or incident by Seller. 13. Patent disclaimer - Seller does not warrant that the use or sale of the products delivered under will not infringe the claims of any United States or other patents covering the product itself or the use thereof in combination with other products or in the operation of any process. 14. Returns - Goods may not be returned for credit except with Seller's permission, and then only in strict compliance with Seller's return shipment instructions. Any returned items may be subject to a 20% processing fee. 15. Technical Assistance - At Buyer's request, Seller may, at Seller's discretion, furnish technical assistance and information with respect to Seller's products. SELLER MAKES NO WARRANTIES OF ANY KIND OR NATURE, EXPRESS OR IMPLIED, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE, WITH RESPECT TO TECHNICAL ASSISTANCE OR INFORMATION PROVIDED BY SELLER OR SELLER'S PERSONNEL. ANY SUGGESTIONS BY SELLER REGARDING USE, SELECTION, APPLICATION OR SUITABILITY OF THE PRODUCTS SHALL NOT BE CONSTRUED AS AN EXPRESS WARRANTY UNLESS SPECIFICALLY DESIGNATED AS SUCH IN A WRITING SIGNED BY AN OFFICER OR OTHER AUTHORIZED REPRESENTATIVE OF SELLER. 16. Miscellaneous - Seller's failure to strictly enforce any term or condition of this order or to exercise any right arising hereunder shall not constitute a waiver of Seller's right to strictly enforce such terms or conditions or exercise such right thereafter. All rights and remedies under this order are cumulative and are in addition to any other rights and remedies Seller may have at law or in equity. Any waiver of a default by Buyer hereunder shall be in writing and shall not operate as a waiver of any other default or of the same default thereafter. If any provision of this Agreement shall be held to be invalid, illegal or unenforceable, the validity, legality and enforceability of the remaining provisions shall not be affected or impaired thereby. The paragraph headings herein are for convenience only; they form no part of the terms and conditions and shall not affect their interpretation. This Agreement shall be binding upon, inure to the benefit of, and be enforceable by, the parties hereto, and their respective heirs, personal representatives, successors and assigns. 17. Governing Law - All disputes as to the legality, interpretation, application, or performance of this order or any of its terms and conditions shall be governed by the laws of the State of New York including its conflict of laws principles. Each party to this order agrees that any dispute arising between them, which results in either party instituting court proceedings shall be litigated in either the Federal District Court for the New York area or in the Circuit Court for the City of Hawthorne. - 12 - Molecular Analysis of Genetic Diseases: An Overview - 13 - - 14 - Molecular Analysis of Genetic Diseases: An Overview Introduction Our present understanding of the molecular basis of genetic disorders is principally due to the recent clinical advances in recombinant DNA techniques. The revolution in development and implementation is now almost two decades in the making. Most of the molecular genetic techniques now in clinical use were previously limited to laboratories involved in basic research; currently, however, they are routinely available in service laboratories performing DNA diagnostics. This transition itselfmolecular technology from pure research to DNA service laboratories-is an extraordinary example of the impact of molecular genetics. As a result of these advances, it is imperative that physicians and other health care professionals who provide the clinical bridge between patient and laboratory possess a sound understanding of molecular diagnostic techniques. The revolution in recombinant DNA technology has improved our understanding of simple mutations as causes of disease. The molecular basis of genetic disorders is as varied as clinical medicine itself. The molecular etiology of disorders may be fundamentally straightforward, such as in sickle cell disease, which is the best understood and the first disease whose mutation was established at the DNA level. On the other hand, molecular genetics has delineated a whole new class of disease where anticipation is involved; that is, the phenomenon of apparently increasing disease severity in successive generations. Addressing the etiology of the more complex disorders that involve anticipation (e.g., fragile X syndrome, myotonic dystrophy, and Huntington’s disease) is often challenging. One must consider such variables as paternal versus maternal transmission of the mutant allele and the existence of additional factors, as noted in the association of Apo E4 allele with late-onset Alzheimer’s disease. Finally, the field of molecular genetics has been the motivating factor for approaches to molecular medical practice. Molecular technologies have propelled diagnostic medicine from a predominantly clinical specialty-dysmorphology-where physical diagnosis is key to direct evaluation of DNA and RNA and its impact on protein expression. In part, the Human Genome Project serves as a framework for the construction of these advances and holds the promise of unraveling the mystery of human genetics. Ultimately, the real achievements from this project will be the prevention and treatment of human genetic afflictions. None of this will be accomplished without the support of the medical community and the public; to do this, one must first appreciate the process of testing for diseases with a molecular basis. This review provides an avenue to greater understanding of these exciting developments. The recombinant DNA techniques presently used for the analysis of mutations are briefly explained. We present clinical examples as an introduction to the techniques most commonly employed in service laboratories: direct detection assays, where specific mutation is recognized, and indirect detection assays, useful for the deduction of an inheritance pattern where the actual mutation or its gene is not known but may be closely linked to known DNA polymorphisms. Human Genome, Polymorphisms, and Mutations The human genome is generally considered to consist of about 3 x 109 base pairs (bp) per haploid chromosomal complement, i.e., nearly 6 x 109 bp per diploid cell, encoded within the 22 autosomes, the X and Y sex chromosomes, and the mitochondrial genome. Just a glance at the human population makes it evident that a wide range of phenotypic variation exists between various races, ethnic groups, and other isolated groups. The human population is truly heterogeneous. These variations comprise not only phenotypic, but also genotypic differences- differences at the DNA level. For example, the wide variation of genotypes within blood groups ABO, MNSs, Rh, and the various forms (alleles) of other erythrocyte proteins have long been established. The molecular variations that result in protein differences are encoded at the DNA level and can be inherited. Variations such as these within normal genes and proteins (which are, parenthetically, not deleterious) are termed polymorphisms. In other words, polymorphisms represent two or more forms of functionally similar yet genetically distinct and structurally different forms of DNA. A specific chromosomal site (locus) is said to be polymorphic when there are two or more alleles with a frequency in the population of 1 % or greater. Those permanent changes in the DNA sequence that result in a disordered (disease) state are known as mutations (although, in the strictest sense, any permanent change in DNA sequence may correctly be termed a mutation); a mutation not causing a change in functional properties is termed a silent mutation and is equivalent to a polymorphism. Polymorphisms have been immensely valuable as genetic markers for gene mapping by linkage analysis and are used to both trace and deduce different inherited forms of alleles/genes in family studies. The primary causes of changes in DNA sequence are random error during DNA replication and the effects of environmental mutagens. The entire human genome is copied by replication during each cell division. It is surprising, therefore, that the end result of replication is relatively error free; in fact, virtually all (>99.9%) DNA replication errors are corrected by the "proofreading" property of DNA polymerases. Overall, the replication error is 10-10 per bp per cell division. Since the human diploid genome contains approximately 6 X 109 bp of DNA, new mutations introduced per cell division due to replication error are less than 1 new base pair mutation per cell division. During an adult's lifetime, there are approximately 1015 cell divisions; thus, thousands of new mutations could conceivably occur at nearly every base pair level of the DNA sequence. Fortunately, most mutations occur in somatic cells and are not inherited, as they would be in germ cells (sperm or egg). Only germ line mutations are passed on from generation to generation and are the basis of inherited disorders. Somatic cell mutations, although not inherited, may cause disease (e.g., cancer), depending on the type of mutation of a particular gene in a particular tissue. Understanding genetic polymorphism, mutation, and mutation rates helps us appreciate the existence of our molecular heterogeneity and allows us to examine the molecular approaches available to analyze the population variations. - 15 - Direct and Indirect Analysis Methods The choice of using direct methods for mutation analysis is restricted by our knowledge of the existence of a mutation and its type. The use of direct methods is clearly limited to the analysis of mutations that have previously been documented. In almost all cases, the gene responsible for a particular abnormality has already been identified. Sickle cell disease is an excellent example of direct DNA testing success; a discreet mutation is recognized and may be easily tested for in patients at risk, with virtually a 100% rate of detection. Direct methods cannot be used for disorders for which the gene has not been identified; instead, linkage with polymorphic markers is used to deduce the inheritance pattern of a particular allele. Until recently, linkage analysis was the sole technique for detecting most genetic disorders (e.g., Huntington's disease, cystic fibrosis, and myotonic dystrophy). On identification of a particular gene and etiologic mutations, direct analysis for each mutation can be performed. For example, in cystic fibrosis the ∆F508 mutation has a frequency of 74.5%; evaluating for this and the 15 other most "common" mutations gives a detection rate among North American whites of approximately 86%.1 Thus, direct detection still will not detect 100% of individuals with a cystic fibrosis allele. In Gaucher's disease, four mutations account for nearly 96% of the Gaucher's disease mutations in the Jewish population.2 In cases where there is a family history of a particular disease and direct analysis of mutations fails to detect any documented mutation, indirect analysis by linkage with polymorphic markers is usually a reliable alternative. Analysis of polymorphisms is successful if the polymorphism employed is closely associated with the disease allele within a family or if it is specifically not associated with a disease allele. Although such indirect detection techniques are useful, they also increase difficulty of analysis owing to (I) the need for testing several (often many) family members, (2) nonpaternity, or (3) parental polymorphisms uninformative at a particular locus. One strategy for nearly 100% detection of any particular disorder is the use of indirect detection when direct detection fails. In our cystic fibrosis example, after analysis of common mutations, linkage analysis of uncommon ("private") mutations-currently greater than 400--may be used if enough family members are available for study. Unfortunately, given the current limits on available technology, assay for all documented mutations that cause cystic fibrosis is impractical, due to the cost and labor involved. This is the basis for recommendations against general-population screening (i.e., in persons without affected first- degree family members). DNA Analysis Techniques Some techniques commonly used in DNA analysis are described briefly below. For detailed information, consult the appropriate references cited. An excellent source for all molecular genetics-related methods is the three-volume laboratory text by Sambrook, Fritsch, and Maniatis.3 DNA isolation One reason for the rapid application of molecular genetic techniques in DNA diagnostics has been the ease of obtaining DNA from virtually any tissue or fluid, owing to the stable nature of DNA and the small quantity required for most DNA diagnosis. DNA is present in all nucleated cells, and each cell contains DNA comprising the whole of an individual's genetic constitution. DNA can be extracted from blood (leukocytes), amniotic fluid (amniocytes), chorionic villi samples (CYS), and all other tissue types. Table 1 DNA Content Sample One cell Amount ~7 pg One plucked hair ~0.3 µg (300 ng) One shed hair ~0.1 ng One drop blood ~1.5 µg One drop semen ~10 µg 1 mL blood ~40 µg 1 mL amniotic fluid ~0.35 µg 1 mg chorionic villi ~1 µg One T25 flask cultured cells ~30 µg Human genome 3 billion bp (haploid) 1 µg genomic DNA 333,000 copies 10 ng 3,300 copies 6 pg Single copy of genome - 16 - The extraction procedure involves the collection of cells from the fluid by centrifugation,. followed by disruption of the cellular wall, then either digestion of all proteins by proteinase K or selective precipitation of proteins by salts. The DNA remains soluble, and the DNA-containing solution is mixed with organic solvent in the presence of salt to precipitate the DNA. The DNA is further purified in a few steps to yield pure DNA suitable for all types of manipulation. Purified DNA, in the absence of DNAses (enzymes that selectively break down DNA), is stable and can be stored in solution form at -20°C or -70°C. Repeated freeze-thaw cycles tend to break down high molecular genomic DNA into smaller fragments of 50 to 100 kb in size. Table 1 shows the approximate amount of DNA present in various tissue samples. A comparison is also given in terms of number of copies of the human genome to expect when sample content is termed in weight units. Hybridization analysis Hybridization is the basis of nearly all DNA diagnostic methods. The seminal discovery by Watson and Crick in 19534,5 established the double-stranded, helical structure of DNA as well as the A- T and G-C base pairings on which the principles of hybridization studies are founded. The specificity of complementary base pairing is such that a small oligonucleotide sequence (probe) will identify and hybridize to its complementary sequence. This hybridization process occurs in less than 30 seconds under appropriate conditions and is the principle behind the polymerase chain reaction (PCR), described in the next section. Hybridization detection methods can be divided arbitrarily into two groups: gross detection and nucleotide level detection. In gross detection, hybridization involves DNA probes greater than 200 bp in length (even though oligonucleotides can be used). The resolution achieved may relate to the detection of DNA fragments on a gel (bands) representing a particular size, such as in the restriction fragment length polymorphism (RFLP) used in assays for fragile X, or the absence of certain bands, representing deletions, as is employed in Duchenne's muscular dystrophy (DMD) testing. Gross detection is achieved using Southern blot analysis, a technique developed by E.M. Southern.6 It is a method based on hybridization of DNA probes in solution to complementary sequences immobilized on membrane after electrophoresis separation. Variations of this technique are Northern blot analysis, where RNA is bound to membranes after electrophoresis separation; Western blot analysis, an immunology-based assay; and dot blot analysis, where DNA or RNA is bound to membranes by direct application of the sample material without electrophoretic separation. These blot analysis methods are powerful tools for identifying gene sequences. In the context of DNA diagnostics, the aim is to locate a specific DNA fragment corresponding to a particular gene linked to a particular phenotype based on RFLP hybridization, using probes that are specific for the particular gene fragment or markers that detect the RFLP employed. The size of the probes used for Southern analysis is usually 200 bp or greater; however, probe size does not bear any direct effect on the hybridization. In Southern hybridization, conditions are such that the technology cannot discriminate between single base pair mismatches or small deletions--a limitation of the technique. To detect a particular fragment of human DNA, the genomic DNA is cut into small pieces with restriction endonucleases, bacterial enzymes that cleave DNA at specific sites based on its sequence specificity. The presence of these specific 6 to 8 bp sequences in the human genome is random; thus, digestion of genomic DNA with any restriction enzyme leads to the generation of millions of fragments of all sizes. No particular size is more enriched than another. To separate the differentsized fragments, the digested DNA is subjected to electrophoresis. Visualization of genomic DNA after digestion with restriction endonucleases and electrophoretic separation reveals a lane with a smear for each DNA sample. Transfer of the separated DNA to membranes capable of binding DNA is achieved either by capillary blotting techniques or by vacuum-assisted methods that accelerate transfers. The transferred and immobilized DNA, now affixed on the membrane, is a mirror image of that noted in the gel. Membrane hybridization with specifically labeled probes leads to the specific annealing/binding of the probe only to its complementary band. The hybridization is detected by autoradiography, in the case of radioactive probes, or by chemiluminescent method. For nucleotide level detection, hybridization conditions that can discriminate between single base-pair mismatches are used. This is usually performed with dot blot analysis, in which the probe size is 18 to 30 bp. These probes are called allele-specific oligonucleotides (ASOs), also commonly called oligos. ASO hybridization conditions are achieved by either adjusting the temperature of hybridization or by adjusting the salt concentration. ASO hybridization is rapidly gaining use in the detection of all single base-pair mutations as well as small deletions. The advantage of dot blot analysis is the large number of samples that may be processed simultaneously. The drawbacks of ASO hybridization are the use of radio-labeled probes and the requirement of thorough optimization of hybridization conditions to discriminate between single base-pair mismatches. As non-radioactive detection methods become more available, ASO techniques will rapidly become the principal method of detection for most mutations. The use of ASO will be discussed in the section on cystic fibrosis. - 17 - Polymerase chain reaction The polymerase chain reaction (PCR) is the single most commonly used procedure in molecular genetics. PCR was developed in 19857 and, due to its ability to amplify specific regions of DNA several million-fold, has since become the major contributing factor in the rapid pace of research in molecular genetics.8,9 PCR is based on the enzymatic amplification of a fragment of DNA that is flanked by two complementary, short, oligonucleotide primers whose sequence is known. These primers are designed such that each corresponds to one of the strands; the distance between these primers limits the amplification fragment size. PCR is also based on the property that in hybridization the primer, under specific conditions, will bind (hybridize, anneal) only to its cognate sequence in the DNA sample. This process is termed annealing. The annealing of the primer to target DNA is achieved by denaturing the target DNA through exposure to high temperature. Heat breaks the base-pair hydrogen bonds and results in a separation of the two DNA strands. Reducing the temperature favors base pairing/hybridization, which is equally competed for by the primers, present in excess. Once the primers are correctly annealed, DNA polymerase will elongate the primer by copying the template sequence. The two primers are both extended beyond the binding site, independent of each other, resulting in the synthesis of variablesize fragments complementary to the template DNA. The steps of denaturation, annealing, and elongation constitute one cycle. In one cycle, a copy of the target sequence is achieved. The second cycle of amplification yields four copies, and so forth. The amplification process occurs exponentially and can result in the amplification of a target sequence several million-fold. A routine PCR process consists of 20 to 30 cycles, requiring 2 to 3 hours and using an automated thermal cycling instrument. Under proper conditions, a unique gene sequence from the genome can be routinely amplified from 50 to 100 ng of target DNA. PCR has been used to amplify sequences from one cell (approximately 7 pg DNA) and a single hair (300 ng). The use of Taq DNA polymerase was crucial to the rapid and exponential popularity of the technique.10,11 Initially, when PCR was first introduced, a thermolabile DNA polymerase was used; unfortunately, the Warm denaturation temperatures (92°C to 94°C) inactivated the enzyme. Those active in the field may remember sitting in front of three water baths, adding aliquots of DNA polymerase after each annealing cycle, and transferring the tubes to another water bath. The heat-stable Taq DNA polymerase (an enzyme acquired from hot-spring bacteria) can withstand repetitive exposure to the warm temperatures employed in the thermal cycling process with little loss of activity, thereby eliminating the need to add more enzyme after each cycle. The use of Taq DNA polymerase also facilitated the introduction of automated DNA thermal cycler’s. The rapid amplification of sequences of specific portions of the gene spanning the site of the mutation coupled with other detection methods, has led to an expanded availability of DNA diagnostic methods in clinical medicine. For example, PCR can also be use for mRNA amplification by first making a complimentary DNA copy that serves as the target DNA. DNA complementary to mRNA is synthesized by the use of an enzyme called reverse transcriptase (RT); the process of using mRNA to make cDNA followed by PCR is called RT-PCR. RT-PCR is valuable when the exact mutation is not known and techniques for scanning mutations in short fragments is required, e.g., using single-strand conformation polymorphisms.3 - 18 - Polymorphism Analysis We earlier discussed the heterogeneity of the human genome. In this section we will examine how the application of these DNA polymorphisms may be exploited for linkage analysis in the detection of a genetic disorder. Two types of polymorphisms will be discussed: restriction fragment length polymorphisms (RFLPs), which have already been introduced, and microsatellite repeat polymorphisms. Both these techniques have contributed immensely to the human gene mapping effort. Although RFLP analysis has been in use for well over a decade, microsatellite repeat mapping is considerably more recent. Restriction fragment length polymorphism analysis RFLP analysis is based on the observation that changes in the DNA create or abolish cleavage sites for restriction endonucleases. Botstein et al12 first identified the existence of RFLPs and advocated their use as markers for linkage analysis. Since then, extensive screening of the human genome has been accomplished by digestion with various enzymes, followed by "probing" with specific cloned pieces of DNA. This methodology has established a data base, DNA markers, of polymorphic sites of differing fragment sizes obtained following specific enzymatic cleavage.13,14 As noted earlier, a specific chromosomal locus is termed polymorphic when there exist two or more alleles and each has a population frequency of greater than 1%. For RFLP analysis, polymorphic alleles are selected that will provide a heterozygote frequency of at least 20%. RFLPs are essential for the deduction of allelic inheritance, but are useful only when the parents are informative. The deduction of inheritance of a particular phenotype using a specifically linked polymorphism is complex, most commonly established by thorough and laborious effort in research-oriented laboratories. As noted earlier, RFLPs are most useful when methods of direct detection of common mutations have failed (presumably due to the presence of an undocumented private mutation). Indirect analysis made by deduction of allelic inheritance is demonstrated in Fig lB. Microsatellite repeat polymorphisms Microsatellite repeat polymorphism analysis is rapidly replacing the use of RFLPs for gene mapping. Microsatellite repeat polymorphisms are small repeats, e.g., CA (dinucleotide repeat), that are interspersed approximately every 30 to 50 kb within the human genome. Weber and May in 198915 demonstrated the existence of polymorphic microsatellites with alleles ranging from 4 to 11 bp. The abundance and the highly polymorphic nature of microsatellite repeat polymorphisms make it ideal for use as a mapping technique for allele inheritance patterns. Microsatellite repeat mapping technique involves PCR, usually in the presence of a radioactive label, followed by electrophoretic separation on a sequencing gel. Microsatellite repeat mapping is more versatile, powerful, and less time-consuming than RFLP. Clinical Applications of Molecular Genetics The following sections discuss the molecular genetics of several common inherited diseases. Also described are the methods of molecular analysis used to determine the presence of genetic mutations, which are in turn used to assess an individual's risk of developing the disease. The case presentation format illustrates the practical applications of molecular genetic technology. SICKLE CELL DISEASE CASE. A couple presents for genetic counseling because the mother, who is 10 weeks pregnant, has a child from a previous marriage affected with sickle cell disease. The father, a colonel in the army, is unavailable for testing due to his deployment with NATO forces in Bosnia. Although the child has experienced few crises, all have necessitated hospitalization and repeated blood transfusions. Recently, he demonstrated seropositivity to the human immunodeficiency virus (HIV). Molecular genetics The study of sickle cell anemia and other β-globin disorders holds special importance in the fields of medicine, physiology, biochemistry, and molecular genetics. During the early 1940s, several groups independently started working on the genetics and bio- chemistry of sickle cell anemia. In 1949, Neel16 showed that sickle cell anemia fits the pattern of a genetic disease and is caused by the presence of two copies of a recessive allele, thus causing the disease in the homozygous state. Later the same year, Pauling et al11 showed that hemoglobin in normal and sickle cell anemia patients differed by having different electrophoretic mobility and, thus, different chemical properties. In 1957, Ingraml8 analyzed the α- and β-globin chains of adult hemoglobin obtained from both normal subjects and patients with sickle cell anemia. In the latter group, he was unable to demonstrate changes in the hemoglobin a chains; however, he found that each β chain had an amino acid substitution at position 6, which resulted in a mutation from the normal ("wild-type") glutamic acid residue to valine. This was the first report of a mutation being identified at the protein level as a cause of an inherited disease; Ingram's work also made apparent the fact that subtle changes at the molecular level may lead to a clinically distinct disorder. β -Globin was the first gene to be cloned and completely sequenced. The glutamic-acid-to-valine substitution has now been further characterized, and the mutation at the DNA level has been established to be an A to T change in the second position of the codon of glutamic acid, i.e., GAG to GTG. The resulting mutant globin chain is termed hemoglobin S (HbS). Hemoglobin S is freely soluble when fully oxygenated. Under conditions of low oxygen tension, the red cells become grossly abnormal, assuming a sickle shape that leads to aggregation and hemolysis. Homozygous HbS is a serious hemoglobinopathy found almost exclusively in the black population. About 8% of African Americans are carriers--heterozygotes and about 0.2% are affected--homozygotes. Heterozygotes (sickle cell trait) are clinically normal, although their red cells will sickle when subjected to very low oxygen pressure in vitro.19 - 19 - DNA testing for the sickle cell mutation is accomplished by specific amplification of the region spanning the mutation, using polymerase chain reaction, followed by enzymatic cleavage of the amplified product. Sickle cell mutation eliminates a restriction endonuclease site (Dde I), and electrophoretic resolution of the fragment pattern reveals the presence or absence of the mutation. Clear diagnosis of normal, carrier, and homozygous DNA is readily achieved. Molecular analysis The example of sickle cell mutation detection illustrates how creation or abolition of a restriction endonuclease site may be due to a mutation. All mutations, however, are not as easily determined; for example, some mutations may not be in a DNA sequence region recognized by any known restriction endonuclease. In such cases, an artificial restriction site may be introduced by mismatch primer construction, which can then discriminate between wild-type normal and mutant sequence. This is discussed with examples under Gaucher's disease. In sickle cell disease, the A to T base mutation abolishes a cleavage site for restriction endonuclease Dde I and Mst II7 To detect the sickle cell mutation using the Dde I restriction enzyme, two specific oligonucleotide primers are used to amplify a 233 bp fragment within the β -globin gene by PCR. The A to T mutation and the Dde I site are in the middle of the fragment. After PCR amplification, the amplified product is subjected to restriction endonuclease Dde I digestion; only the βA-globin fragment is cut by Dde I to yield a 178 bp and a 55-bp fragment. Heterozygous individuals with both a βA - and a βS -allele will yield fragment patterns in which half the molecules cleave to 178 +55 bp and half fail to cleave, leaving a 233 bp fragment. Homozygous affected individuals will have only βS -globin, and thus the PCR-amplified 233 bp fragments from both alleles will have lost the Dde I site and will remain uncleaved. The PCR-amplified, Dde l-digested DNA is electrophoresed to resolve the fragments. Visual inspection of the gel for DNA fragment pattern reveals the presence or absence of the mutation in question. Clear diagnosis of normal, carrier, and homozygous DNA is achieved. Figure below shows the fragment pattern obtained for sickle cell using the above detection method. Alternate methods using allele-specific oligonucleotide and Southern blotting techniques with Mst 11- or Dde I-digested DNA and hybridization with a β-globin gene probe have also been reported.7,20,21 Hb-A: …TCCTGAGGAG… Hb-S: …TCCTGTGGAG… Hb-C: …TCCTAAGGAG… PCR Product Fragment Size 233 bp Fragment Sizes After Dde I Digestion A/A A/S S/S 178+55 bp 233+178+55 bp 233 bp Typical Sickle cell genotype analysis of PCR product digested with Dde I. Lane 1 is molecular weight markers. Lane 2 is undigested PCR product. Lanes 3, 4 and 6 is DNA with A/S geneotype. Lane 5 is A/A genotype DNA and Lane 7 represents DNA with S/S genotype. Mutation abolishes restriction site. - 20 - CYSTIC FIBROSIS CASE. A couple presents to your office for genetic counseling because the mother and their two only children have cystic fibrosis. They are hopeful about the possibility of having a child unaffected with this condition. Molecular genetics Cystic fibrosis is the most common recessive disorder affecting the white population, with a heterozygote frequency of approximately 1 in 25.19 Recently, the gene responsible for cystic fibrosis has been identified: the cystic fibrosis transmembrane conductance regulator (CFTR). Rapid characterization of the mutations and their frequency has made possible DNA testing for CF in at-risk families.1 A single mutation, termed ∆F508, accounts for nearly 75% of CF mutations in the whites of northern European descent (Table 2). This particular mutation is due to an in-frame deletion of three bases, resulting in the deletion of amino acid phenylalanine (F) at position 508.1 Most of the other mutations are single base changes resulting in amino acid substitution. Table 3 lists some of the mutations. The CFTR gene has been thoroughly characterized, and the position of most mutations in the gene in relation to protein structure/function have been established; details are beyond the scope of this discussion. Analysis of five of the most common mutations (see Table 3) accounts for about 85% in the white population.1 The frequency of ∆F508 mutation in Ashkenazic Jews is approximately 23%, whereas Wl282X mutation in exon 20 represents 60% of the mutations; Wl282X mutation leads to a truncated protein. The five mutations listed in the table for the Ashkenazic population account for nearly 96% to 98%.22 Molecular analysis Development of new mutation analysis methods for cystic fibrosis has been very active, primarily because of the high carrier rate and also due to carrier screening prospects. The traditional sample for DNA is blood or amniotic fluid/culture for prenatal diagnosis. Recently, methods have been reported for DNA prepared from buccal brushing/swab, followed by multiplex PCR amplification and ASO hybridization.23,24 In this section we will discuss PCR/restriction and ASO methods. Nearly all the mutations analyzed in the evaluation of mutant CF alleles either create or abolish a restriction endonuclease site, with the exception of the ∆F508 mutation--a 3 bp deletion. To analyze the mutations, specific corresponding fragments of the CFTR gene are amplified by PCR. For the ∆F508 mutation, the product after PCR will be 3 bp shorter than the normal (wild-type) sequence. Electrophoresis of PCR-amplified fragments from homozygous normal, heterozygous, and homozygous ∆F508 will reveal fragment patterns in which the homozygous normal and the homozygous affected will manifest only one specific band of the amplified product. In heterozygotes (carrier) individuals there will be two fragments, one of which is 3 bp smaller than the other. The smaller fragment represents the ∆FS08deleted allele; the larger band represents the normal allele. In affected individuals-∆FSO8 homozygotes-- there will be a single band with the same mobility as the smaller band in the heterozygous sample. This single band actually represents two fragments of the same size traveling together, amplified from the two ∆FSO8-deleted allele segments. Analysis of the ∆FS08 mutation is straightforward, involving PCR specific for exon 10 ∆FSO8 mutation-spanning region, followed by polyacrylamide electrophoresis. The interpretation of the gel patterns is clear and reliable. For other mutations of the CFTR gene, the strategy is similar to that described above for sickle cell disease. Following specific PCR amplification, the PCR product is subjected to restriction endonuclease digestion to monitor cleavage of the DNA. Table 4 lists the different enzymes used and the expected fragmentsize products on electrophoresis. Table 2 Frequency of CF Carrier White Americans of European Descent 1 in 25 Ashkenazic Jews 1 in 29 Hispanic Americans 1 in 45 African Americans 1 in 60 Asian Americans 1 in 150 - 21 - Table 3 CF Mutation Analysis White (non-Jewish) Mutation Ashkenazic Jews W1282X (60%, exon 20) ∆F508 (75.8%, exon 10) G542X (2.7%, exon 11) ∆F508 (23%, exon 10) G551D (3.2%, exon 11) G542X (4%, exon 11) R553X (1.4%, exon 11) N1303K (4%, exon 21) N1303K (1.4%, exon 21) 3849-10 kb C-T (4%) Table 4 Cystic Fibrosis PCR/Restriction-Based DNA Analysis: Fragment Sizes PCR product Normal Homozygous Restriction (bp) (bp) (bp) enzyme ∆F508 Carrier (bp) 79/79 76/76 79/76 G542X Bst NI 114 90+24 114 114+90+24 G551D/R553X Hind II 114 55+59 114 114+55+59 N1303K Bst NI 60 40+20 60 60+40+20 W1282X Mnl I 473 178+172+123 301+172 301+178+172+123 CT3849 Hph I 437 349+88 222+127+88 349+222+127+88 Allele-specific oligonucleotide analysis Another powerful technique used for mutation detection is allele-specific oligonucleotide (ASO) hybridization.25 In this technique, small oligonucleotides in the size range of 18 to 26 bp are synthesized corresponding to the normal and mutant DNA sequence. The normal and mutant ASOs differ by only 1 bp. These oligonucleotides are usually end-labeled with 32P and used for very specific hybridization and washing conditions. Under appropriate conditions, the normal ASO will hybridize only to the wild-type sequence, and mutant ASO, only to the mutant sequence. The labeled ASOs are used as probes to hybridize with PCR-amplified DNA fragments corresponding to each mutation-spanning region. The DNA fragments are applied to a DNA-binding membrane in duplicate as dots or slots, using a special apparatus called a dot/slot blot apparatus. This apparatus has exact-size holes to make all applications uniform in size. The duplicate membranes are each hybridized to normal and mutant ASO; the result after hybridization is tabulated by scoring for absence or presence of hybridization with each ASO. Hybridization with only the normal ASO signifies the presence of normal sequence for that mutation; positive signal hybridization with both normal and mutant ASO indicates a heterozygous sample; and positive hybridization only with the mutant ASO signifies homozygous abnormal status. The use of ASO hybridization requires exact optimization of the melting temperature and washing conditions to discriminate between single base-pair hybridization. If properly performed, the ASO hybridization technique holds the most promise in terms of speed, ability to handle a large number of samples, and persample cost. GAUCHER'S DISEASE CASE. A teenager and her mother present to your clinic for counseling and therapy for osteonecrosis of the femoral head, noted on an admission radiograph during her recent hospitalization for anemia, thrombo- cytopenia, and hypersplenism. Her clinical symptoms predominantly include bone pain, which requires bed rest and absence from school. She has had two episodes of pneumonia, also requiring hospitalization. Molecular genetics Gaucher's disease is the most common glycolipid storage disease; it is due to a deficiency of glucocerebrosidase. Gaucher's disease has, in the Jewish population, an estimated heterozygote frequency of approximately 9%.2 The gene has been cloned and characterized. A pseudogene is also present, which complicates DNA analysis (discussed later). The four mutations listed in Table 5 account for approximately 96% of the Gaucher's disease mutations in the Jewish population.26 Mutation 1226G is the most common cause of Gaucher's disease in Jewish patients and is associated with mild, late-onset clinical phenotype. Only about one third of patients with the 1226G/1226G mutations have Gaucher's disease. Patients who are compound heterozygotes for mutations 1226G and 84GG have a more severe clinical disorder than those who are homozygous for the 1226G mutation. The median age at first onset of symptoms in patients with Gaucher's disease having the 1226G/1226G or the 1226G/84GG mutation is 30.5 years and 6 years, respectively. There has been no report of patients homozygous for the 84GG mutation, indicating that it would be a perinatal lethal condition. Mutation 1448C is associated with a more severe phenotype compared with the 1226G mutation. Patients with 1448C/I448C genotype generally manifest severe neuronopathic Gaucher's disease; patients with a homozygous IVS2 mutation are also severely affected. - 22 - Beutler and colleagues26 identified a total mutation frequency of approximately 0.031 in the Ashkenazi Jewish population. The frequency of the 1226G mutation is about 0.028, and that of the 84GG mutation is 0.0028. Thus, the frequency of alleles other than 1226G, 84GG, and 1448C would be 3.3% of the total, or 1 X 10-3. A Jewish couple who is negative for the 1226G, 84GG, and 1448C will therefore have only an approximately 1: 1,000,000 risk of having a child with Gaucher's disease. On the other hand, if one partner has one of the three "common" mutations and the other none of these three, then the risk will be increased to approximately 1: 1000. Molecular analysis DNA analysis for Gaucher's disease mutations is accomplished by specific PCR amplification, mismatched PCR (discussed below), followed by restriction endonuclease digestion and/or ASO hybridization. We previously discussed PCR followed by restriction endonuclease digestion and ASO. Here we will discuss a new method of mutation detection, mismatched PCR. Not all mutations result in the gain or loss of a restriction site. Such mutations therefore cannot be analyzed by PCR/restriction endonuclease method. ASO requires the use of radioactivity and thorough optimization. The mismatched PCR method was introduced by Beutler et al27 to overcome these difficulties. In this method, one of the primers for PCR is constructed in a way that the 3' end of the DNA strand adjacent to the site of the mutation and the internal sequence of the primer is altered so that a restriction endonuclease site will either be gained or lost once the PCR product is amplified. Gaucher's disease mutation 1226G (also known as N370S);in this mutation, an A is changed to a G at position 1226, leading to the substitution of the amino acid serine for asparagine. This mutation does not create or abolish a site for any known/commercially available restriction endonuclease. One of the PCR primers is constructed with a mismatch, as shown in Fig 3B. Primers with internal mismatches will hybridize to target sequences at optimized conditions, and elongation of this primer with a normal template wil1 result in the addition of an A residue; in the mutant template, a G residue will be added. The use of the mismatched primer in concert with a 1226G mutant template creates a new Xho I restriction endonuclease site (Table 6). Digestion of PCR products from normal and 1226G mutant templates is fol1owed by electrophoretic separation. The result wil1 be two fragments for the mutant product (it will be cleaved), whereas the normal product remains uncleaved, resulting in visualization of a single, higher molecular weight fragment. This technique is reliable, and it is performed in a fashion very similar to PCR, fol1owed by restriction endonuclease digestion. This mismatched PCR method may also be used for the 84GG Gaucher mutation.27 Table 5 Gaucher’s Disease Mutation Analysis Mutation Mutation Frequency 1226G (N370S) 75% (25% non-Jewish) 84GG 13% 1448C (L444P) 5% (40% non-Jewish) IVS2+1 3% Table 6 Gaucher’s Disease PCR/Restriction-Based DNA Analysis: Fragment Sizes PCR product Normal Homozygous Restriction (bp) (bp) (bp) enzyme 1226G Xho I 84GG 105 Carrier (bp) 105 89+16 105+89+16 75 57+18 75+57+18 Bsa BI 75 1448C (1st) Pst I 677 1448C (2nd) Nci I 102 102 57+45 102+57+45 IVS2+1 Hph I 357 141+117+99 240+117 240+141+117+99 - 23 - FRAGILE X SYNDROME CASE. A couple presents for genetic counseling because of a family history of mental retardation. The affected girls are described as "slow." Some of the boys in the family are "slower than the girls," some were hyperactive (autistic) as children, and some of the "slow" men are reported to have large, flat ears. Molecular genetics Identification of the FMRI gene and establishment of its expansion as the cause of fragile X syndrome led to the classification of a new class of mutation.28,29 Fragile X syndrome is associated with amplification of a triple-repeat CGG in the FMRI gene, the severity of the disease being related to the size of the amplification. The genetics of fragile X syndrome are complicated, but may be better understood if one groups the expanding mutations into two broad categories: premutations and full mutations. Premutations are found in normal transmitting males (NTMs), individuals who transmit the mutation to grandsons but are unaffected themselves, and carrier females. Premutations involve the amplification of the CGG triple repeat to approximately 70 to 200 copies. Numbers of repeats in this range are considered stable. Normal individuals possess less than approximately 50 copies of the triple repeat, and individuals with full mutations of the fragile X syndrome have 200 to 1000 copies of the CGG triple repeat. The size of expansion is heterogeneous within an individual and thus signifies somatic instability of the mutant allele. The mode of transmission of the fragile X mutation is unusual and makes both understanding the genetics and counseling patients difficult. Phenotypically normal males possessing a premutation are normal transmitting males, as noted above, and father-to-daughter transmission is not accompanied by expansion of the triple-repeat mutation. Thus, daughters of NTMs are never found to be affected. The change from premutation to full mutation occurs only in females and may be, through them, transmitted to their offspring. The risk of expansion of a premutation to a full mutation varies, depending on the size of the premutation. This new class of triple-repeat expansion mutation has now been documented in several other genetic disorders, including Huntington's disease and myotonic dystrophy.30 Molecular analysis The detection of DNA amplification/expansion regions may be accomplished by PCR and Southern hybridization. The following methods can be used for all disorders involving a variable increase in the size of a specific region of DNA. Analysis for the direct detection of fragile X mutation is based on the enzymatic amplification of a fragment containing the CGG repeat sequence of the FMRI gene, and it is most commonly performed with a modification of the amplification protocol published by Fu et al.31 This protocol detects the fragile X mutation by the size of the amplified product. An increase in size is correlated with the corresponding number of CGG repeats, following which a risk is calculated. The most common allele in the unaffected, normal population consists of 29 repeats, the range varying from 6 to 54 repeats. Premutations in fragile X families showing no phenotypic effect range in size from 52 to greater than 200 repeats; however, all alleles with greater than 52 repeats are meiotically unstable. PCR-based methods are fundamentally similar to those presented earlier in this article. The two primers are constructed such that they span the region of triple-repeat expansion; however, in the case of fragile X specifically, the nature of the mutation poses problems using normal PCR conditions: the CGG repeat may be hundreds to thousands of bases in length. All DNA polymerases, including Taq DNA polymerase, do not efficiently copy prolonged stretches of G residues. Therefore, in fragile X studies, an analog of G (7-deaza GTP) functions more efficiently and is therefore incorporated into the PCR reaction to achieve optimal amplification. Unfortunately, the use of 7 -deaza GTP mixtures precludes the staining of gels with ethidium bromide, minimizing visualization (7-deaza GTP containing DNA does not stain well). The poor staining is resolved by using radioactively labeled nucleotide, followed by autoradiography. Fragile X PCRProber™ Results Fragile X PCR blot. Lane 1 pre-mutation female; 30/60 CGG repeats. Non-radioactive detection, ~2 hr. exposure. Fragile X GeneProber™ Results Fragile X southern blot. Lane 1 affected female. Lanes 2, 3 & 5 are normal males. Lane 4 normal female. Non-radioactive detection, ~2hr. exposure - 24 - Fragile X PCR still does not give accurate results for full mutations due to the presence of massive CGG triplet expansions, because, as noted above, PCR does not amplify very large fragments containing repetitious G residues efficiently. Although normal and premutation PCR amplifications are reliable, all amplifications performed in our laboratory on subjects who may possess full mutations are run by both PCR and Southern hybridization techniques. The PCR results are obtained in 2 days; Southern blot hybridization studies require more time for complete results. Southern blot analysis for fragile X mutation detection involves the cleavage of DNA with enzymes Eco RI and Eag I and is based on the protocol published by Rousseau et al.32 The Rousseau method identifies the size of CGG repeat region and accomplishes this by hybridizing probe GLFX1 to DNA that has been previously double-digested with restriction enzymes Eco RI and Eag I. The sample is then blotted onto a membrane. In normal females two fragments are seen, a 2.8-kb fragment corresponding to the active X and a 5.2-kb fragment corresponding to the methylated, inactive X chromosome. Normal males exhibit only the 2.8- kb banding pattern. Affected males will have an amplified CGG repeat region with methylation, thus giving rise to fragments larger than the normal 5.2 kb. Premutations in both males and females will be seen as 2.9- to 3.3-kb fragments (normal, 2.8 kb) derived from the active X chromosome. Premutations in females derived from the inactive X will manifest fragments from 5.3 to 5.7 kb in length. Mosaicism is characterized by fragments appearing as a mixture of full mutation (methylated, larger than 5.7 kb) and unmethylated premutation (2.9 to 3.3 kb) fragments. DUCHENNE'S MUSCULAR DYSTROPHY CASE. The final case in your morning clinic is a 13-year-old boy who has been experiencing progressive muscular weakness and pseudohypertrophy of the calf muscles. His mother is concerned about recurrence risks for this condition in her future pregnancies. Molecular genetics The dystrophin gene is the largest gene thus far identified, being approximately 2300 kb (2.3 million base pairs) in size. Almost 50% of all patients with Duchenne's muscular dystrophy (DMD) have deletions in the dystrophin gene, likely due to its unusually large size. In addition, the dystrophin gene has an exceedingly great number of new mutations, also attributed to size. Finally, one third of these mutations are new, while those remaining are inherited through heterozygous females; DMD is lethal in males. Becker type muscular dystrophy (BMD) is an allelic form of DMD and is due either to mutations in the dystrophin gene, which do not cause total loss of protein function, or to deletions that do not cause change of reading frame. Frame-shift mutations are small deletions that cause a shift in the reading frame, leading to production of a truncated gene product. In-frame deletion on the other hand, result in the removal of a portion of the amino acid sequence, thereby allowing some retention of functional activity.19 Molecular Analysis The dystrophin gene has more than 70 exons. As a result, the usual approach to detecting base-pair level mutation is not practical. Therefore, with DMD, the initial goal is screening for deletions. Studies of regions where there is a high incidence of deletions have shown that 9 to 12 exons account for 80% to 90% of all dystrophin gene deletions. The detection method uses PCR amplification of these exons, a procedure termed multiplex PCR.33 In multiplex PCR, analysis of several pairs of primers, added in the same tube concurrently, allows independent gene sequence amplification. In DMD studies, 9 to 12 primer pairs are employed simultaneously. In a normal DNA template, PCR analysis with all primer pairs should yield a specific-size product; therefore, multiplex PCR allows analysis of each of the 9 to 12 exons by using primer pairs specific to each likely exon deletion in the dystrophin gene. As with traditional PCR, electrophoretic separation and visualization reveal the presence or absence of any given deletion being evaluated. Obviously, the design of the multiplex primer set is crucial for PCR to give reliable results. A few important considerations are: (1) The primers should not have extensive complementary region; (2) the melting temperature of all the primers should be in the same range, so that a specific annealing temperature could be selected; and (3) the specific PCR products are distinguishable in size. Individuals with a family history of DMD but lacking a specific, detectable deletion are tested by haplo-typing and linkage analysis, using a predefined set of both intragenic and flanking DNA markers. Linkage analysis requires the evaluation of the entire family to satisfactorily predict the inheritance pattern of the disease. - 25 - REFERENCES 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 1 Tsui LC Trends Genet 1992;8:392-398. Bcudcr E. Gaucher disease: New molecular approaches 10 diagnosis and treatnent. Science 1992;256:794-799. Sambrook J, Fritsch EF, Maniatis T. Molecu/ar Cloning A Laboratory Manual 2nd. ed.Cold Spring Harbor, NY: Cold Spring Harbor Laboratory Press; 1989. Watson JD, Crick FHC. Molecular structure of nucleic acids A structure for deoxyribose nucleic acid. Nature 1953;171:737-738. Watson JD, Crick FHC. Genetical implications of the structure of deoxyribonucleic acid. Nature 1953;171:964-967. Southern EM., Detection of specific sequences among DNA fragments separated by gel electrophoresis. J Mol Biol 1975;98:503-5 17. Saiki RK, Scharf SJ, Faloona F, Mullis KB, et aI. Enzymatic amplification of beta-globin sequences and restriction site analysis for diagnosis of sickle cell anemia. Science 1985;230:1350-1354. Mullis KB The unusual origin of the polymerase chain reaction. Sci Am 1990;262:56-65. Innis MA, Gelfand DH, Sninsky JJ.,White TJ. eds PCR Protocols: A Guide to Methods and Applications. New York, NY: Academic Press; 1990. Saiki RK. Gelfand DH. Stoffel S. ScharfSJ. et al Primer directed enzymatic amplification of DNA with a thermostable DNA polymerase Science 1988;239487-491. Chien A, Edgar DB, Trela JM Deoxyribonucleic acid polymerase from the extreme thermophile Thermus, aquaticus. J Bacterio 1976; 1271 550-1 557. Bolotein D. White R, Skolnick M, Davis R Construction of a genetic linkage map in man using restriction fragment length polymorphism Am J Hum G~n~11980;32314- 331. White R, Lalouel J-M Chromosomal mapping with DNA markers Sci Am 1988;25840-48. Weisscnbach J, Gyapay G, Dib C, Vignal A, et al A second generation linkage map of the human genome Nature 1992;359:794-801. Weber 1M, May PE Abundant class of human DNA polymorphisms which can be typed using the polymerase chain reaction Am J Hum Genet 1989;44388-396. Neel JY The inheritance of sickle cell anemia Science 1949; II 064-66. Pauling L, Hano HA, Singer SJ, Wells IC Sickle cell anemia, a molecular disease. Science 1949; II 0543-548. Ingram VM Gene mutations in human haemoglobins The chemical difference between normal and sickle cell hemoglobin Nature 1957; 180326-328. Thompson MW, Mcinnes RR, Willard IfF Genetics in Medicine Philadelphia, Pa WB Saunder.; 1991. Wu DY, UgolZoli L, Bijay PK, Wallace RB Allele-specific enzymatic amplification of β-globin genomic DNA for diagnosis of sickle cell anemia Proc Noll Acad Sci 1989;86:2757-2760. Conner BJ, Reyes AA. Morin C. ltakura M. et al Detection of sickle celllJ'-globin allele by hybridization with synthetic oligonucleotides Proc Noll Acad Sci 1983;80:278-282. Abeliovich D. Lavoo IP. Lorer I, Cohen T, et al Screening for five mutations detects 97% of cystic fibrosis (CF) chromosomes and ~cts a carrier frequency of 129 in the Jewish Ashkenazi population. Am J Hum Genel 1992;51951-956. Bombard AT, Bartholomew DW, Neeno T. Rigdoo DT Value of mouth-washings as a sow.:e for beterozygote DNA analysis by PCR: Comparison to peripheral blood Am JObsret Gyneco/l99I;I64(I):351. Ricbards B. Skoletsky J, Shuber A, Balfour R, et al. Multiplex PCR amplification from the CFTR gene using DNA prepared from buccal brushes/swabs. Hum Mol Genet 1993;2:159-163. 25.. Shuber AP, Skoletsky J, Stem R, Handelin B Efficient 12-mutation testing in the CFTR gene: A general model for complex mutation analysis Hum Mol G~net 1993;2:153-158. Beuder E, Nguyen NJ, Henneberger MW. Smolec 1M. et al. Gaucber disease: Gene frequencies in the Ashkenazi Jewish populatioo. Am J Hum Genet 1993;52:85-88. Beutler E, Gelbart T. West C. The facile detectioo of the nt 1226 mutation of gluco- cerebrosidase by "mismatched" PCR. Clio ChimAcla 1990;194:161-166. Yu S, Pritcbard M, K=ner E, et oJ. Fragile X genotype dIaracterized by an unstable regiooofDNA.Scimce 1991;252:1179-1181. K=ner EJ, Pritcbard M, Lynch M, et al. Mapping of DNA instability at the fragile X to a trinucleotide repeat sequence p(CCG).. Science 1991;2521711-1714 Caskey CT, Pizzuti A, Fu V-H, Fenwick R. et al. Triple repeat mutations in human disease. Science 1992;256:784-789. 31.. Fu Y-H, KubJ A, Pizzuti A, et al. Variation of the COG repeat at the fragile X site results in genetic instability Resolution of the Sherman paraOOx. C~I/ 1991;67:1047- 1058 Rousseau F. Heitz D, Biancalana V, et al. Di=t diagnosis by DNA analysis of the fragile X syndrome ofmentalretaldation. N £ngl J Med 1991;325:1673-1681. Cbamberlain JS. Gibbs RA, RWer JE, Nguyen PN. et al Deletioo screening of the DuchelUle muscular dystrophy locus via multiple DNA amplificatioo. Nuc/~ic Acids RcsI988;16:11141-11156. - 26 - Gene Detection Systems - 27 - - 28 - Gene Link Gene Detection Systems Introduction Our present understanding of the molecular basis of genetic disorders is principally due to the recent clinical advances in recombinant DNA techniques. The revolution in recombinant DNA technology has improved our understanding of simple mutations as causes of disease. The molecular basis of genetic disorders is as varied as clinical genetics itself. The molecular etiology of disorders may be fundamentally straightforward, such as in sickle cell disease, which is the best understood and the first disease whose mutation was established at the DNA level. On the other hand, molecular genetics has delineated a whole new class of disease where anticipation is involved; that is, the phenomenon of apparently increasing disease severity in successive generations. Addressing the etiology and molecular diagnosis of the more complex disorders that involve anticipation (e.g., Fragile X Syndrome, Myotonic Dystrophy, and Huntington’s Disease) is often challenging. The field of molecular genetics has been the motivating factor for approaches to clinical molecular genetics. The choice of using methods for mutation analysis is restricted by our knowledge of the existence of a mutation and its type and in parallel to the development of safe and sensitive new detection methods. Gene Link’s primary focus is in the development of facile non-radioactive detection methods. This product profile of Gene Link’s current gene detection product line spotlights chemiluminescent detection based products as well as conventional radioactive based methods. The gene detection systems can be divided into five broad groups based on detection methods: - 29 - Genemer™ Products: It comprises of primer pair for *PCR amplification of the fragment of interest and visualization of the product by gel electrophoresis and ethidium bromide staining. PCRProber™ Products: It comprises of primer pair for PCR amplification of the fragment of interest followed by Southern blot and chemiluminescent detection using an alkaline phosphatase oligonucleotide probe. GeneProber™ Products: A specific gene fragment probe for Southern blot based hybridization of genomic DNA. The GeneProber is available unlabeled for radioactive based methods and labeled with digoxigenin for chemiluminescent detection. GScan™ Products: It comprises of primer pair for PCR amplification of the fluorescently labeled fragment of interest for analysis using fluorescent genetic analyzers. Genemer™ Control DNA: These are cloned fragment of the mutation region of a particular gene for use with gene or mutation specific Genemer™ products. These control DNAs are ideal genotyping templates for optimizing and performing control amplification with unknown DNA. Non-radioactive detection methods based on hapten labeled, fluorescent labeled or directly labeled with alkaline phosphatase. - 30 - Fragile X Syndrome - 31 - - 32 - Fragile X Syndrome Background Fragile X syndrome is the most common form of inherited mental retardation. It affects approximately 1 in 1200 males and 1 in 2500 females. As suggested by the name, it is associated with a fragile site under specific cytogenetic laboratory conditions at position Xq27.3 (1). The inheritance pattern of fragile X puzzled geneticists, as it did not follow a clear X linked pattern. Approximately 20% of males who are carriers based on pedigree analysis do not manifest any clinical symptoms and are thus termed as Normal Transmitting Males (NTM), mental retardation is rare among the daughters of male carriers. Approximately 35% of female carriers have some mental impairment. Based on the above it has been proposed that there are two states of the mutation, one mutation range in which there is no clinical expression (premutation), which could change to the disease causing state predominantly when transmitted by a female (full mutation)(2). The fragile X syndrome gene (FMR-1, fragile X mental retardation ) was cloned in 1991 simultaneously by three groups (3-6). Soon the peculiar genetic mode of transmission was established and a new class of mutation came into existenceTrinucleotide repeats amplification. This explained the clinical state of ‘premutation’ and ‘full mutation’ as well as ‘anticipation’. The fragile X syndrome is caused by the amplification of CGG repeats, which is located in the 5’ region of the cDNA. The most common allele in the normal population consists of 29 repeats, the range varying from 6 to 54 repeats. Premutations in fragile X families showing no phenotypic effect range in size from 52 to over 200 repeats. All alleles with greater than 52 repeats are meiotically unstable with a mutation frequency of one. In general repeats up to 45 are considered normal, repeats above 50 to 200 are considered as premutation and above 200 as full mutation (3-7). The range between 4055 is considered even by most experienced clinical geneticists and molecular geneticists very difficult to interpret and is considered as a ‘gray zone’ with interpretations made on a case-by-case basis (8). - 33 - Trinucleotide Repeats in Human Genetic Disease Repeata Normal Lengthb Fragile XA (FRAXA) Fragile XE (FRAXE) Fragile XF(FRAXF) FRA16A Jacobsen Syndrome (FRA11B) Kennedy Syndrome (SMBA) Myotonic Dstrophy (DM) (CGG)n (CCG)n (CGG)n (CCG)n (CGC)n (CAG)n (CTG)n 6-52 4-39 7-40 16-49 11 14-32 5-37 Intermediate Length (Premulation)a,b 59-230 ? (31-61) ? ? 80 ? 50-80 Huntington disease (HD) Spinocerebellar ataxia 1 (SCA1) Spinocerebellar ataxia 2 (SCA2) Spinocerebellar ataxia 3 (SCA3) /Machado Joseph disease (MJD) Spinocerebellar ataxia 6 (SCA6) Spinocerebellar ataxia 7 (SCA7) Haw River syndrome (HRS; also DRPLA) Friedreich ataxia (FRDA) (CAG)n (CAG)n (CAG)n (CAG)n 10-34 6-39 14-31 13-44 36-39 None Reported None Reported None Reported 230-2,000 200-900 306-1,008 1,000-1,900 100-1,000 40-55 80-1,000; congenital, 2,000-3,000 40-121 40-81 34-59 60-84 (CAG)n (CAG)n (CAG)n 4-18 7-17 7-25 None Reported 28-35 ? 21-28 38-130 49-75 (GAA)n 6-29 ? (>34-40) 200-900 Disease Full Disease Lengthb Typically, repeats tracts contain sequence interruptions. See Pearson and Sinden (1998a) for a discussion of the sequence interruptions. b No. of triplet repeats. c A question mark (?) indicates potential mutagenic intermediate length, and an ellipsis (…) indicates none. Not all disease are associated with a permutation length repeats tract or permutation disease condition. a CGG TRINUCLEOTIDE REPEATS PERCENTAGE AND FRAGMENT SIZE CGG 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 bp 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 54 57 60 63 66 69 72 75 78 81 84 87 90 Size 223 226 229 232 235 238 241 244 247 250 253 256 259 262 265 268 271 274 277 280 283 286 289 292 295 298 301 304 307 310 % 0.18 0.18 0.35 6.32 0.18 0.88 6.14 2.63 0.88 1.4 0.88 2.28 18.78 38.77 CGG 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 bp 93 96 99 102 105 108 111 114 117 120 123 126 129 132 135 138 141 144 147 150 153 156 159 162 165 168 171 174 177 180 Size 313 316 319 322 325 328 331 334 337 340 343 346 349 352 355 358 361 364 367 370 373 376 379 382 385 388 391 394 397 400 % 7.02 3.51 1.23 0.53 0.7 1.05 0.35 0.53 1.23 1.23 0.35 0.7 0.7 0.18 0.18 0.18 0.18 0.35 - 34 - Molecular Analysis Fragile X genotyping can be done by direct PCR amplification of the CGG trinucleotide repeats region or by southern analysis. In most cases both methods are used to complement the results. Full mutations usually cannot be identified by PCR by most investigators and southern analysis is the preferred method to distinguish full mutations. The FMR-1 gene region containing the CGG trinucleotide repeats is flanked by Eco RI sites; and an Eag I and Nru I site in the CpG region. Full mutation has been shown to methylate the active gene too and thus it prevents NruI and Eag I restriction of DNA. Hybridization of southern blots of Eco RI and Nru I or Eag I double digested DNA clearly can distinguish between normal, premutation and full mutation genotypes. The size of the CGG repeats can be determined by PCR analysis and sizing preferably on a sequencing gel. The PCR products can be labeled fluorescently by using fluorescently labeled primers or with 35S or 32P followed by autoradiography. Another attractive alternative is to run a cold PCR reaction followed by blotting and hybridization with an alkaline phosphatase conjugated probe for non-radioactive detection. The detection of amplification/expansion of a region of DNA sequence can be detected by PCR and Southern, these methods can be used for all disorders involving increase in size of a region of DNA. DNA analysis for direct detection of fragile X mutation is based on enzymatic amplification of a fragment containing the CGG repeat sequence of the FMR-1 gene. This test detects the fragile X mutation by the size of the amplified product; an increase in size is correlated with the corresponding number of CGG repeats and a risk factor calculated. The most common allele in the normal population consists of 30 repeats, the range varying from 6 to 54 repeats. Premutations in fragile X families showing no phenotypic effect range in size from 52 to over 200 repeats. All alleles with greater than 52 repeats are meiotically unstable with a mutation frequency of one. PCR based methods are fundamentally similar. The two primers are constructed such that they span the region of trinucleotide repeat expansion. In the case of Fragile X specifically, the nature of the mutation poses problems using normal PCR conditions. In Fragile X, the repeat is of CGG which can be hundreds to thousands bases long. All DNA polymerases, including Taq DNA polymerase do not copy long stretches of G residues efficiently. An analog of G called 7-deaza GTP functions better and is partially replaced in the PCR reaction to achieve amplification. The use of 7 deaza GTP instead of G precludes the staining of gels with ethiduim bromide for visualization as 7 deaza GTP containing DNA does not stain well. This has been clasically resolved by using radioactively labeled nucleotide followed by autoradiography. Fragile X PCR still does not give accurate results for full mutations due to the inherent massive expansion and the inability of PCR to amplify very large fragments efficiently. All normal and premutation PCR amplification is reliable, but still is coupled with a Southern blot analysis. In our laboratory PCR is performed in addition to Southern blot analysis. The PCR results are obtained in 2 days followed by Southern blot results. All results from PCR are verifiable by Southern except full mutations which are not reliable with PCR. Southern blot analysis for Fragile X mutation detection involves the cleavage of DNA with enzyme Eco R I and Nru I or Eag I. This method detects the size of CGG repeats region by hybridization of probe GLFX1 or GLFXDig1 GeneProber™ to DNA that has been double digested with restriction enzymes Eco RI and Nru I or Eag I and blotted onto a membrane. In normal females two fragments are seen, a 2.8kb corresponding to the active X and a 5.2kb fragment corresponding to the methylated inactive X chromosome. Normal males exhibit only the 2.8kb banding pattern. Affected males will have an amplified CGG repeats region with methylation thus giving rise to fragments larger than the normal 5.7kb. Premutations in males and females will be seen as fragments from 2.9-3.3kb (normal 2.8kb) derived from the X chromosome. Premutations in females derived from the inactive X will give fragments from 5.3-5.7kb. Mosaicism is characterized by fragments appearing as a mixture of full mutation (methylated, larger than 5.7kb) and unmethylated premutation (2.9-3.3kb). Gene Link offers safe and reliable chemiluminescent detection methods as an alternate to radioactive based detection methods. PCR-Prober™, GScan™and GeneProber™ line of products replaces radioactive based methods. Detection Methods The choice of using methods for mutation analysis is restricted by our knowledge of the existence of a mutation and its type and in parallel to the development of safe and sensitive new detection methods. Gene Link’s primary focus is in the development of facile non-radioactive detection methods. This product profile of Gene Link’s current gene detection product line spotlights chemiluminescent detection based products as well as conventional radioactive based methods. The gene detection systems can be divided into five broad groups based on detection methods: - 35 - Genemer™: Genemer™ is comprised of a primer pair for PCR amplification of the CGG triple repeat spanning region and visualization of the product by gel electrophoresis and ethidium bromide staining. This product contains one tube containing 10 nmol of forward and reverse lyophilized primer. The quantity supplied is sufficient for 400 regular 50µl PCR reactions. The 10 nmol of primer when dissolved in 50µl water will give a solution of 200 µMolar i.e. 200 pmol/µl. PCRProber™ Products: PCRProber™ Alkaline Phosphatase labeled probe is for amplification and non-radioactive detection of Fragile X CGG trinucleotide repeat region amplified PCR product. The PCRProber™ kit comprises of a primer pair for PCR amplification of the Fragile X CGG trinucleotide repeat region followed by gel blot and chemiluminescent detection using the alkaline phosphatase oligonucleotide probe. GeneProber™ Products: A specific gene fragment probe for Southern blot based hybridization of genomic DNA. The GeneProber™ is available unlabeled for radioactive based methods and labeled with digoxigenin for chemiluminescent detection. One tube is supplied containing 500 ng of lyophilized GeneProber™ probe. The probe spans the Eco RI and Eag I sites of the FMR-1 gene. The quantity supplied is sufficient for at least 5 random prime labeling reactions using 100ng for each reaction. Gene Link recommends using 25ng probe for each labeling reaction. GScan™ Kits: GScan™ kits contain optimized PCR amplification reagents and a wide selection of fluorescent-labeled primers for genotyping after PCR using fluorescent genetic analyzer instrument(s). Included in these kits are ready to run control samples of various repeats of the triple repeat disorder kit. These control samples are for calibration with the molecular weight markers for accurate size determination of the amplified fragments. It is strongly recommended that the genotyping be followed up by using Southern blot detection methods when two alleles are not clearly discernable. Kit includes sufficient reagents for 100 reactions. Genemer™ Gscan™ Control DNA: PCR amplified HEX labeled fragment of the mutation region of a particular gene for use with gene or mutation specific Genemer™. These control DNA’s are ideal genotyping templates for optimizing and performing control amplification with unknown DNA. One tube is supplied containing 25 µl of lyophilized DNA segment of the specified CGG repeat fragment spanning the CGG repeat. Genemer™ Control DNA: These are cloned fragment of the mutation region of a particular gene for use with gene or mutation specific Genemer™ products. These control DNA’s are ideal genotyping templates for optimizing and performing control amplification with unknown DNA. One tube is supplied containing 500 ng of lyophilized DNA segment of the specified CGG repeat fragment spanning the CGG repeat. The quantity supplied is sufficient for 1000 regular 50 µl PCR reactions. Results and Interpretation Fragile X PCRProber™ Results Fragile X PCR blot. Lane 1 pre-mutation female; 30/60 CGG repeats. Non-radioactive detection, ~2 hr. exposure. Fragile X GeneProber™ Results Fragile X southern blot. Lane 1 affected female. Lanes 2, 3 & 5 are normal males. Lane 4 normal female. Non-radioactive detection, ~2hr. exposure - 36 - Fragile X GScan™ Results Fragile X PCR amplification of human genomic DNA using GLFX GScan 6-Fam labeled kit. Fragile X Molecular Analysis Results Interpretation Clinical Category Risk mutation will become full mutation in next generation Number of CGG repeats Size of fragment Fragment Size Normal (male/female) Female Carrier with small amplification Female carrier with significant amplification Female carrier with Large amplification Carrier male with premutation (NTM) Full Mutatiom (Male/Female) Carrier with Fragile X Mosaicism 0% moderate significant high 0% moderate to high can vary from 0100% 6-45 46-69 70-86 87-200 40-200 >200 18-135 138-207 210-258 260-600 120-600 >600 221-338 341-410 413-461 464-803 323-803 >803 40-200/ >200 120-600/ >600 323-803/ >803 - 37 - References: 1. Nelson, D.L. (1993) Growth Genetics and Hormone. 9:1-4. 2. Rousseau, F. et al. (1991) NEJM 325:1673-1681. 3. Verkerk, A. et al. (1991) Cell 65:905-914 4. Fu, Y.H et al. (1991) Cell 67:1047-1058. 5. Oberle, I. et al. (1991) Science 252:1097-1102. 6. Yu, S. et al. (1991) Science 252: 1179-1181. 7. Nelson, D.L. (1996) Growth Gen. and Hormone. 12:1-4. 8. Richards, R and Sutherland, G.R (1992) TIG 8: 249-255. Ordering Information Product Size Catalog No. Price, $ Fragile X GScan™ TET Kit 1 Kit 40-2004-15TT 650.00 Fragile X GScan™ HEX Kit 1 Kit 40-2004-15HX 650.00 Fragile X GScan™ 6-FAM Kit 1 Kit 40-2004-15FM 650.00 Fragile X GScan™ Cy3 Kit 1 Kit 40-2004-15C3 650.00 Fragile X GScan™ Cy5 Kit 1 Kit 40-2004-15C5 650.00 500 ng 40-2004-40 350.00 110 µl 40-2004-41 400.00 Fragile X GeneProber™ GLFX1 Probe unlabeled Fragile X CGG triple repeat spanning region unlabeled probe for radioactive labeling and Southern blot detection. Suitable for random primer labeling. Fragile X GeneProber™ GLFXDig1 Probe Digoxigenin labeled Fragile X CGG triple repeat spanning region digoxigenin labeled probe for non-radioactive Southern blot detection. Fragile X PCRProber ™ AP labeled probe Alkaline phosphatase labeled probe Fragile X PCRProber ™ Kit for non-radioactive detection Kit for performing non-radioactive PCR amplification based detection.(50 rxns) 12 µl 40-2004-31 400.00 5 blots [50 rxns] 40-2004-32 650.00 Fragile X Genemer™ (spanning CGG triple repeat region) 10 nmols 40-2004-10 100.00 Kit for amplification and radioactive detection of Fragile X CGG triple repeat region amplified PCR products using 35S or 32P. 1 Kit 40-2004-20 350.00 GLFX ~16 CGG repeat GScan Genemer™ Control DNA 25 µl 40-2004-01HX 175.00 GLFX ~29 CGG repeat GScan Genemer™ Control DNA 25 µl 40-2004-02HX 175.00 GLFX ~40 CGG repeat GScan Genemer™ Control DNA 25 µl 40-2004-03HX 175.00 GLFX Genemer™ Kit for Radioactive Detection GLFX ~16 CGG repeat Genemer™ Control DNA 500 ng 40-2004-01 175.00 GLFX ~29 CGG repeat Genemer™ Control DNA 500 ng 40-2004-02 175.00 GLFX ~40 CGG repeat Genemer™ Control DNA 500 ng 40-2004-03 175.00 GLFX ~60 CGG repeat Genemer™ Control DNA 500 ng 40-2004-04 175.00 GLFX ~90 CGG repeat Genemer™ Control DNA 500 ng 40-2004-05 175.00 - 38 - Huntington’s Disease - 39 - - 40 - Huntington’s Disease Background Huntington disease (HD) is an autosomal dominant, progressive neurodegenerative disorder with a prevalence rate of about 5-10 affected persons per 100,000 in most western populations. The disorder presents with motor impairment, cognitive deterioration, and psychiatric symptoms. HD is caused by a CAG trinucleotide expansion within the first exon of the ITI5 gene on chromosome 4p16. The expanded CAG repeats are translated into a polyglutamine tract in the Huntington protein, which is believed to cause a dominant gain of function, leading to neuronal dysfunction and neurodegeneration. The number of CAG repeats correlates inversely with the age of onset of symptoms. The American College of Medical Genetics/American Society of Human Genetics/ Huntington Disease Genetics Testing Working Group divided genotype/phenotype correlation in the following four categories for CAG repeat lengths: • • • • Normal allele, ≤ 26 CAG repeats, generating a normal phenotype; Intermediate allele, 27-35 CAG repeats, mutable normal allele generating a normal phenotype; HD allele with reduced penetrance, 36-39 CAG repeats, generating a normal or HD phenotype; HD allele, ≥ 40 CAG repeats, generating a HD phenotype. The CAG trinucleotide expansion is unstable and can lengthen during transmission from parents to offspring. Thus, the sage of onset can decrease from one generation to the next, a phenomenon known as anticipation. HD anticipation is more intense in paternal transmission. Molecular Analysis The detection of expansion of a region of DNA sequence can be detected by PCR and Southern blotting procedures. These methods can be used for all disorders involving increase in size of a region of DNA. DNA analysis for direct detection of CAG expansion in Huntington Disease is based on enzymatic amplification of a fragment containing the CAG repeat sequence in exon I of the HD gene. This test detects the CAG expansion by the size of the amplified product; an increase in size is correlated with the corresponding number of CAG repeats and a calculated risk factor. Normal individuals have repeat numbers of up to 30, while individuals with a high probability of developing HD carry more than 37 repeats. Individuals with 30-37 repeats have a high probability of passing on repeats in the pathological size range. Polymerase Chain Reaction (PCR) based methods are fundamentally similar. The two primers are constructed such that they span the region of the CAG trinucleotide repeat region. PCR is the most common method used to estimate the number of CAG repeats. Since the CAG repeats in the HD gene are immediately 5’ of a CCG repeat which is also polymorphic in length, the PCR product of this primer pair excludes the known adjacent polymorphic CCG repeat that can contribute to an inaccurate determination of HD gene CAG repeat sizes in individuals who may have an HD gene CAG repeat allele close to the normal/affected boundary. Table 2 lists the size of PCR fragment in basepairs (bp) that can be expected when using the CAG primer mix F that has been provided. The formula for determining PCR fragment size is 186 + 3n, where n= the number of CAG repeats. Amplification of CCG and CAG + CCG Regions Proximal to the 3’ end of the CAG trinucleotide repeat region is a second polymorphism that consists of a short sequence of 712 CCG trinucleotide repeats. As the presence of a second polymorphism would complicate the estimation of the CAG expansion, primers that amplify the CAG trinucleotide repeat region have been carefully designed to exclude the CCG trinucleotide repeat. However, when only a single allele is detected during amplification of the CAG repeat, inclusion of the CCG polymorphism becomes useful. Detection of a single allele could result from one of the following situations A.) the individual is homozygous for the CAG repeat; B.) a mutation in the region of primer binding precludes amplification of one allele; C.) one allele contains a very large CAG expansion that is not amenable to PCR amplification. Situations A and B can usually be resolved by amplification of the CAG + CCG region. Individuals that are homozygous for the CAG repeat may not be homozygous for the CCG repeat, thus allowing for detection of the second allele. To verify whether the individual is heterozygous for the CCG repeat, a primer mix for amplification of the CCG repeat region has been included in the kit. - 41 - For situation B, the mutations that interfere with primer binding have been shown to occur primarily in the 3’ region of the CAG repeat and affect the reverse CAG primer. The reverse primer used for amplification of the CAG + CCG region binds to the DNA downstream from the mutable area and results in detection of the second allele. In situation C both CAG and CAG + CCG amplification would detect only one allele. Detection of a second allele would be possible by amplification of the CCG region, but only if the individual were heterozygous for the CCG polymorphism. In the case of very large CAG expansions it is probably best to perform analysis by Southern blotting. Table 1. HD CAG Fragment F Expected Length * CAG(n) Fragment Size (bp) CAG(n) Fragment Size (bp) 1 189 36 294 2 192 37 297 3 195 38 300 4 198 39 303 5 201 40 306 6 204 45 321 7 207 50 336 8 210 55 351 9 213 60 366 10 216 65 381 11 219 70 396 12 222 75 411 13 225 80 426 14 228 85 441 15 231 90 456 16 234 95 471 17 237 100 486 18 240 105 501 19 243 110 516 20 246 115 531 21 249 120 546 22 252 125 561 23 255 130 576 24 258 135 591 25 261 140 606 26 264 145 621 27 267 150 636 28 270 155 651 29 273 160 666 30 276 165 681 31 279 170 696 32 282 175 711 33 285 180 726 34 288 185 741 35 291 190 756 *Size of PCR fragment in basepairs (bp) that can be expected when using the CAG primer mix F that has been provided. The formula for determining PCR fragment size is 186 + 3n, where n= the number of CAG repeats - 42 - *Table 2. HD CCG Fragment G Expected Length (CCG)n Fragment Size (bp) 7 163 8 166 9 169 10 172 11 175 12 178 *Above table lists the size of PCR fragment in base pairs (bp) that can be expected when using the CCG repeat region primer mix G that has been provided. The formula for determining PCR fragment size is 142 + 3n, where n= the number of CCG repeats. Table 3..Trinucleotide Repeats in Human Genetic Disease Repeata Normal Lengthb Fragile XA (FRAXA) Fragile XE (FRAXE) Fragile XF(FRAXF) FRA16A Jacobsen Syndrome (FRA11B) Kennedy Syndrome (SMBA) Myotonic Dstrophy (DM) (CGG)n (CCG)n (CGG)n (CCG)n (CGC)n (CAG)n (CTG)n 6-52 4-39 7-40 16-49 11 14-32 5-37 Intermediate Length (Premulation)a,b 59-230 ? (31-61) ? ? 80 ? 50-80 Huntington disease (HD) Spinocerebellar ataxia 1 (SCA1) Spinocerebellar ataxia 2 (SCA2) Spinocerebellar ataxia 3 (SCA3) /Machado Joseph disease (MJD) Spinocerebellar ataxia 6 (SCA6) Spinocerebellar ataxia 7 (SCA7) Haw River syndrome (HRS; also DRPLA) Friedreich ataxia (FRDA) (CAG)n (CAG)n (CAG)n (CAG)n 10-34 6-39 14-31 13-44 36-39 None Reported None Reported None Reported 230-2,000 200-900 306-1,008 1,000-1,900 100-1,000 40-55 80-1,000; congenital, 2,000-3,000 40-121 40-81 34-59 60-84 (CAG)n (CAG)n (CAG)n 4-18 7-17 7-25 None Reported 28-35 ? 21-28 38-130 49-75 (GAA)n 6-29 ? (>34-40) 200-900 Disease Full Disease Lengthb Typically, repeats tracts contain sequence interruptions. See Pearson and Sinden (1998a) for a discussion of the sequence interruptions. b No. of triplet repeats. c A question mark (?) indicates potential mutagenic intermediate length, and an ellipsis (…) indicates none. Not all disease are associated with a permutation length repeats tract or permutation disease condition. a - 43 - *Table 4. HD CAG + CCG Fragment H Expected Length (CCG)n (CAG)n 7 8 9 10 11 12 Fragment Size (bp) 5 208 211 214 217 220 223 10 223 226 229 232 235 238 15 238 241 244 247 250 253 20 253 256 259 262 265 268 25 268 271 274 277 280 283 30 283 286 289 292 295 298 35 298 301 304 307 310 313 40 313 316 319 322 325 328 45 328 331 334 337 340 343 50 343 346 349 352 355 358 55 358 361 364 367 370 373 60 373 376 379 382 385 388 65 388 391 394 397 400 403 70 403 406 409 412 415 418 75 418 421 424 427 430 433 80 433 436 439 442 445 448 85 448 451 454 457 460 463 90 463 466 469 472 475 478 95 478 481 484 487 490 493 100 493 496 499 502 505 508 105 508 511 514 517 520 523 110 523 526 529 532 535 538 115 538 541 544 547 550 553 120 553 556 559 562 565 568 125 568 571 574 577 580 583 130 583 586 589 592 595 598 135 598 601 604 607 610 613 140 613 616 619 622 625 628 145 628 631 634 637 640 643 150 643 646 649 652 655 658 155 658 661 664 667 670 673 160 673 676 679 682 685 688 165 688 691 694 697 700 703 170 703 706 709 712 715 718 175 718 721 724 727 730 733 180 733 736 739 742 745 748 185 748 751 754 757 760 763 190 763 766 769 772 775 778 195 778 781 784 787 790 793 200 793 796 799 802 805 808 *Above table lists the size of PCR fragment in base pairs (bp) that can be expected when using the primer mix H that amplifies the region that includes both the CAG and CCG repeats. The formula for determining PCR fragment size is 172 + 3(CAG)n + 3(CCG)n, where n is the number of trinucleotide repeats. Detection Methods The choice of using methods for mutation analysis is restricted by our knowledge of the existence of a mutation and its type and in parallel to the development of safe and sensitive new detection methods. Gene Link’s primary focus is in the development of facile non-radioactive detection methods. This product profile of Gene Link’s current gene detection product line spotlights chemiluminescent detection based products as well as conventional radioactive based methods. The gene detection systems can be divided into five broad groups based on detection methods: Genemer™: Genemer™ is comprised of a primer pair for PCR amplification of the CAG triple repeat spanning region and visualization of the product by gel electrophoresis and ethidium bromide staining. This product contains one tube containing 10 nmol of forward and reverse lyophilized primer. The quantity supplied is sufficient for 400 regular 50µl PCR reactions. The 10 nmol of primer when dissolved in 50µl water will give a solution of 200 µMolar i.e. 200 pmol/µl. - 44 - Genemer™ Kit: The Genemer™ kit is a complete easy-to-use kit for reliable genotyping of a gene fragment. This line of products is PCR based. The product includes a specific primer pair for gene or mutation specific amplification, optimized buffers and dNTPs and in most cases, control DNA. Kit includes sufficient reagents for 100 detections. PCRProber™ Products: PCRProber™ Alkaline Phosphatase labeled probe is for amplification and non-radioactive detection of CAG trinucleotide repeat region amplified PCR product. The PCRProber™ kit comprises of a primer pair for PCR amplification of the CAG trinucleotide repeat region followed by gel blot and chemiluminescent detection using the alkaline phosphatase oligonucleotide probe. GeneProber™: GeneProber™ is a specific gene fragment probe for Southern blot based hybridization of genomic DNA. The GeneProber™ is available unlabeled for radioactive based methods and labeled with **digoxigenin for chemiluminescent detection. One tube is supplied containing 500 ng of lyophilized GeneProber™ probe. The quantity supplied is sufficient for at least 5 random prime labeling reactions using 100ng for each reaction. Gene Link recommends using 25ng probe for each labeling reaction. GScan™ Kits: GScan™ kits contain optimized PCR amplification reagents and a wide selection of fluorescent-labeled primers for genotyping after PCR using fluorescent genetic analyzer instrument(s). Included in these kits are ready to run control samples of various repeats of the triple repeat disorder kit. These control samples are for calibration with the molecular weight markers for accurate size determination of the amplified fragments. It is strongly recommended that the genotyping be followed up by using Southern blot detection methods when two alleles are not clearly discernable. Kit includes sufficient reagents for 100 detections. Genemer™ GScan™ Control DNA: PCR amplified HEX labeled fragment of the mutation region of a particular gene for use with gene or mutation specific Genemer™. These control DNAs are ideal genotyping templates for optimizing and performing control amplification with unknown DNA. One tube is supplied containing 25 µl of lyophilized DNA segment of the specified CAG repeat fragment spanning the CAG repeat. Genemer™ Control DNA: These are cloned fragment of the mutation region of a particular gene for use with gene or mutation specific Genemer™ products. These control DNAs are ideal genotyping templates for optimizing and performing control amplification with unknown DNA. One tube is supplied containing 500 ng of lyophilized DNA segment of the specified CAG repeat fragment spanning the CAG repeat. The quantity supplied is sufficient for 1000 regular 50 µl PCR reactions. Huntington’s Disease Control DNA with 134 CAG repeats - 45 - Results and Interpretation The results obtained from the genetic analyzer will approximately show the fragment size amplified, based on these results an interpretation can be made about the genotype of the sample. It is known that there is an overlap between the normal and HD allele sizes. The repeat sizes obtained falling in the overlap region should be preferably repeated and possibly run with more samples from other family members. Individuals with 36 repeats can be affected, and individuals with 36-39 repeats can reach old age without developing HD. There is evidence that repeats in the 30-35 repeat range are prone to expansions at meiosis, so it may be wise to suggest prenatal diagnosis, where appropriate, for individuals carrying such expansions. References 1. 2. Kremer, B et al. (1993) N. ENG. J. Med. 330: 1401-1406 The American College of Medical Genetica/American Society of Human Genetics Huntington Disease Genetic Testing Working Group (1998) Am. J. Hum. Genet. 62: 000-000 3. Reiss O, Noerremoelle A, Soerensen SA, Epplen JT. Hum Mol Genet (1993) 2: 637-642. 4. Yu S, Fimmel A, Fung D, Trent RJ. Clin. Genet. (2000) 58: 469-472. 5. Williams LC, Hedge MR, Herrera G, Stapleton PM, Love DR. Mol. and Cell. Probes (1999) 13: 283-289. - 46 - Ordering Information Product Size Catalog No. Price, $ 1 Kit 40-2025-15TT 650.00 Huntington Disease GScan™ HEX Kit 1 Kit 40-2025-15HX 650.00 Huntington Disease GScan™ 6-FAM Kit 1 Kit 40-2025-15FM 650.00 Huntington Disease GScan™ Cy3 Kit 1 Kit 40-2025-15C3 650.00 Huntington Disease GScan™ Cy5 Kit 1 Kit 40-2025-15C5 650.00 500 ng 40-2025-40 350.00 110 µl 40-2025-41 400.00 Huntington Disease GScan™ TET Kit Huntington Disease GeneProber™ GLHD Probe unlabeled Huntington Disease CAG triple repeat spanning region unlabeled probe for radioactive labeling and Southern blot detection. Suitable for random primer labeling. Huntington Disease GeneProber™ GLHD Probe Digoxigenin labeled Huntington Disease CAG repeat spanning region digoxigenin labeled probe for nonradioactive detection Southern blot. Huntington Disease PCRProber ™ AP labeled probe Alkaline phosphatase labeled probe Huntington Disease PCRProber ™ Kit for non-radioactive detection Kit for performing non-radioactive PCR amplification based detection.(50 rxns) 12 µl 40-2025-31 400.00 5 blots [50 rxns] 40-2025-32 650.00 Huntington Disease Genemer™ (spanning CAG triple repeat region) 10 nmols 40-2025-10 100.00 1 Kit 40-2025-11 250.00 Kit for amplification and radioactive detection of Huntington Disease CAG triple repeat region amplified PCR products using 35S or 32P. 1 Kit 40-2025-20 350.00 GLHD 7 ~CAG repeat GScan Genemer™ Control DNA 25 µl 40-2025-05HX 175.00 GLHD 18 ~CAG repeat GScan Genemer™ Control DNA 25 µl 40-2025-01HX 175.00 GLHD 31 ~CAG repeat GScan Genemer™ Control DNA 25 µl 40-2025-07HX 175.00 GLHD 34 ~CAG repeat GScan Genemer™ Control DNA 25 µl 40-2025-02HX 175.00 GLHD 37 ~CAG repeat GScan Genemer™ Control DNA 25 µl 40-2025-08HX 175.00 GLHD 44 ~CAG repeat GScan Genemer™ Control DNA 25 µl 40-2025-03HX 175.00 GLHD 49 ~CAG repeat GScan Genemer™ Control DNA 25 µl 40-2025-09HX 175.00 GLHD 89 ~CAG repeat GScan Genemer™ Control DNA 25 µl 40-2025-04HX 175.00 GLHD 134 ~CAG repeat GScan Genemer™ Control DNA 25 µl 40-2025-61HX 175.00 GLHD 182 ~CAG repeat GScan Genemer™ Control DNA 25 µl 40-2025-62HX 175.00 GLHD 7 ~CAG repeat Genemer™ Control DNA 500 ng 40-2025-05 175.00 GLHD 18 ~CAG repeat Genemer™ Control DNA 500 ng 40-2025-01 175.00 GLHD 31 ~CAG repeat Genemer™ Control DNA 500 ng 40-2025-07 175.00 GLHD 34 ~CAG repeat Genemer™ Control DNA 500 ng 40-2025-02 175.00 GLHD 37 ~CAG repeat Genemer™ Control DNA 500 ng 40-2025-08 175.00 GLHD 44 ~CAG repeat Genemer™ Control DNA 500 ng 40-2025-03 175.00 GLHD 49 ~CAG repeat Genemer™ Control DNA 500 ng 40-2025-09 175.00 GLHD 89 ~CAG repeat Genemer™ Control DNA 500 ng 40-2025-04 175.00 GLHD 134 ~CAG repeat Genemer™ Control DNA 500 ng 40-2025-61 175.00 GLHD 182 ~CAG repeat Genemer™ Control DNA 500 ng 40-2025-62 175.00 Huntington Disease Genemer™ Kit (spanning CAG triple repeat region) GLHD Genemer™ Kit for Radioactive Detection - 47 - - 48 - Myotonic Dystrophy - 49 - - 50 - Myotonic Dystrophy Background Myotonic dystrophy (Dystrophia Myotonica, DM) is the most common form of adult onset muscular dystrophy. It is an autosomal dominant disorder with a prevalence of about 1 in 8000. The incidence varies from 1 in 475 in a region of Quebec to about 1 in 25,000 in European populations and is extremely rare in African populations. Clinical expression is highly variable and is related to age of onset. Onset of this disorder commonly occurs during young adulthood. However, it can occur at any age and is extremely variable in degree of severity. Myotonic dystrophy affects skeletal muscle and smooth muscle, as well as the eye, heart, endocrine system, and central nervous system. People with the mildest form of DM often go undiagnosed and usually cataracts and minimal muscle involvement are the only visible sign of the condition. The classical form of DM usually develops in early adult life and is characterized by progressive muscle stiffness and weakness. Congenital DM (CDM) is the most severe form of the disease and is almost always inherited from affected mothers. It presents in newborn babies who suffer from respiratory distress, hypotonia, motor and mental retardation and facial diplegia. Diagnosis can be difficult if the family history is not known because muscle wasting may not be apparent and cataracts and myotonia are absent. CDM patients who survive the neonatal period eventually learn to walk but 60-70% are mentally retarded. By the age of 10 they develop myotonia and in adulthood they develop the additional complications associated with adult onset disease. Identification of the mutation in DM The myotonic dystrophy gene locus and the underlying mutation were identified in 1992 (1-3). An expressed sequence called cDNA25 was shown to detect a two-allele EcoRI polymorphism (8.6kb and 9.8kb) on Southern blots of normal individuals. It also detects a larger variable fragment in DM patients, which can be up to 5kb longer than the larger, normal allele. When this fragment is transmitted from an affected parent, it often increases in size, correlating well with the severity of the disease in the affected child. The variable band can also show somatic heterogeneity in lymphocyte DNA that is seen as a diffuse smear on a Southern blot. The EcoRI polymorphism is due to the insertion or deletion of consecutive Alu repeats 5 kb distal to the unstable region – the 8.6kb allele contains two Alu repeats and the 9.8kb normal allele and the enlarged DM alleles are associated with five Alu repeats. The discovery of unstable DNA at the DM locus provided an explanation for the phenomenon of anticipation seen in DM. Sequence analysis of genomic clones spanning the expanded region revealed that the mutation causing the instability is a trinucleotide repeat (CTG) which is highly polymorphic in the normal population and which increases dramatically in length in DM patients. Number of CTG repeats Clinical Condition Symptoms 5-27 repeats Unaffected Normal 50-100 repeats Mild cataracts, slight muscle problems later on in life 100-1000 repeats Classical myotonia, muscle wasting, premature balding, gonadal atrophy, cardiac conduction defects 1000-4000 repeats Congenital hypotonia, mental retardation, facial diplegia There are no definite repeat size boundaries for the three clinical groups and there are overlaps between the groups. A trimodal distribution is observed in European populations, with (CTG)5 being the most frequently occurring allele, alleles of 11,12,13 and 14 make up the second mode and the final mode represents alleles of 19 and above. Meiotic instability The meiotic instability of the DM mutation has been shown to be dependent on the size of the parental repeat. For (CTG)n repeats of <0.5kb a positive correlation between the size of the repeat and inter-generational enlargement was found equally in male and female meioses but with CTG sequences of more than 0.5 kb observed that intergenerational variation was greater through female meioses (4). The tendency for a repeat to undergo contraction was observed almost exclusively in male meioses. It was found that the length of the CTG repeat expansion in DM patients was greater in DNA isolated from muscle than in lymphocyte DNA (5). Rare cases have been reported where expansion of the CTG repeats is not seen in individuals where the clinical symptoms are unequivocal and this may due to a deletion or point mutation as seen in some of the other triplet repeat disorders such as fragile X syndrome. The underlying mutations of DM are expansions of the CTG repeats located in the 3’ untranslated region (UTR) of the myotonic dystrophy protein kinase (DMPK) gene on chromosome 19q. Severity of the disease is correlated with the length of the repeat expansion. Normal individuals have from 5 to 30 repeat copies; mildly affected persons have at least 50 repeats, while more severely affected patients have expansion of the repeat-containing segment up to several kilobase pairs. Expansion is frequently observed in parent-to-child transmission, but extreme expansions are not transmitted through the male line. This explains: 1.) the occurrence of the severe congenital form is almost exclusively in the offspring of affected women; 2.) anticipation is commonly observed in affected families, that is, the disease demonstrates earlier onset and greater severity in each successive generation. The overall risk of having a congenitally affected child for any carrier woman is about 10%. If the woman has clinical signs of the condition, the risk of congenital myotonic dystrophy in offspring is 40% and this rises to 50% in subsequent pregnancies if an affected child has previously has been born. - 51 - Genotyping Molecular diagnosis of Myotonic Dystrophy involves a combination of direct PCR analysis and Southern blotting tests to determine the CTG-repeat number within the DMPK gene. PCR can identify CTG expansions between 5-200 CTG repeats. With larger expansions, Southern blot analysis of restriction fragments can be used for an accurate measure of the repeat size. Genomic DNA is digested with Bam HI or Pst I. The DNA blot is then hybridized with either GLDM1 or GLDM2 CTG repeat specific DNA probe. Trinucleotide Repeats in Human Genetic Disease Repeata Normal Lengthb Fragile XA (FRAXA) Fragile XE (FRAXE) Fragile XF(FRAXF) FRA16A Jacobsen Syndrome (FRA11B) Kennedy Syndrome (SMBA) Myotonic Dstrophy (DM) (CGG)n (CCG)n (CGG)n (CCG)n (CGC)n (CAG)n (CTG)n 6-52 4-39 7-40 16-49 11 14-32 5-37 Intermediate Length (Premulation)a,b 59-230 ? (31-61) ? ? 80 ? 50-80 Huntington disease (HD) Spinocerebellar ataxia 1 (SCA1) Spinocerebellar ataxia 2 (SCA2) Spinocerebellar ataxia 3 (SCA3) /Machado Joseph disease (MJD) Spinocerebellar ataxia 6 (SCA6) Spinocerebellar ataxia 7 (SCA7) Haw River syndrome (HRS; also DRPLA) Friedreich ataxia (FRDA) (CAG)n (CAG)n (CAG)n (CAG)n 10-34 6-39 14-31 13-44 36-39 None Reported None Reported None Reported 230-2,000 200-900 306-1,008 1,000-1,900 100-1,000 40-55 80-1,000; congenital, 2,000-3,000 40-121 40-81 34-59 60-84 (CAG)n (CAG)n (CAG)n 4-18 7-17 7-25 None Reported 28-35 ? 21-28 38-130 49-75 (CAA)n 6-29 ? (>34-40) 200-900 Disease Full Disease Lengthb Typically, repeats tracts contain sequence interruptions. See Pearson and Sinden (1998a) for a discussion of the sequence interruptions. b No. of triplet repeats. c A question mark (?) indicates potential mutagenic intermediate length, and an ellipsis (…) indicates none. Not all disease are associated with a permutation length repeats tract or permutation disease condition. a Molecular Analysis The direct analysis of CTG repeats in the DMPK gene (chromosomal locus 19q13) is clinically available. An increased number of CTG repeats is identified in essentially 100% of patients with DM. The number of CTG repeats ranges from 5 to 37 in normal alleles. GTG repeat lengths in the range from about 38 to 49 are considered "premutations." Persons with CTG expansions in the premutation range have not been reported as having developed symptoms, but their children are at risk of inheriting a larger repeat size. Persons with CTG repeat length greater than 50 are frequently symptomatic. Myotonic Dystrophy genotyping can be done by direct PCR amplification of the CTG trinucleotide repeats region or by Southern analysis. In most cases both methods are used to complement the results. Congenital mutations usually cannot be identified by PCR and southern analysis is the preferred method to distinguish full mutations. The size of the CTG repeats can be determined by PCR analysis and sizing preferably on a sequencing gel. The PCR products can be either labeled with 35S or 32P followed by autoradiography. Another attractive alternate is to run a cold PCR reaction followed by blotting and hybridization with an alkaline phosphatase conjugated probe for non-radioactive detection Southern blot analysis for Myotonic Dystrophy mutation detection involves the cleavage of DNA with either Bam HI or Pst Ienzyme This method detects the size of CTG repeats region by hybridization of probe GLDM1 or GLDM2 to DNA that has been digested with the appropriate restriction enzyme and blotted onto a membrane. The CTG repeat in the normal range yields a ~1377 bp with Bam HI and a ~1136 bp with Pst I digested DNA. Detection Methods The choice of using methods for mutation analysis is restricted by our knowledge of the existence of a mutation and its type and in parallel to the development of safe and sensitive new detection methods. Gene Link’s primary focus is in the development of facile non-radioactive detection methods. This product profile of Gene Link’s current gene detection product line spotlights chemiluminescent detection based products as well as conventional radioactive based methods. The gene detection systems can be divided into five broad groups based on detection methods: - 52 - Genemer™: Genemer™ is comprised of a primer pair for PCR amplification of the CTG triple repeat spanning region and visualization of the product by gel electrophoresis and ethidium bromide staining. This product contains one tube containing 10 nmol of forward and reverse lyophilized primer. The quantity supplied is sufficient for 400 regular 50µl PCR reactions. The 10 nmol of primer when dissolved in 50µl water will give a solution of 200 µMolar i.e. 200 pmol/µl. Genemer™ Kit: The Genemer™ kit is a complete easy-to-use kit for reliable genotyping of a gene fragment. This line of products is PCR based. The product includes a specific primer pair for gene or mutation specific amplification, optimized buffers and dNTPs and in most cases, control DNA. Kit includes sufficient reagents for 100 detections. PCRProber™ Products: PCRProber™ Alkaline Phosphatase labeled probe is for amplification and non-radioactive detection of CTG trinucleotide repeat region amplified PCR product. The PCRProber™ kit comprises of a primer pair for PCR amplification of the CTG trinucleotide repeat region followed by gel blot and chemiluminescent detection using the alkaline phosphatase oligonucleotide probe. GeneProber™: GeneProber™ is a specific gene fragment probe for Southern blot based hybridization of genomic DNA. The GeneProber™ is available unlabeled for radioactive based methods and labeled with **digoxigenin for chemiluminescent detection. One tube is supplied containing 500 ng of lyophilized GeneProber™ probe. The quantity supplied is sufficient for at least 5 random prime labeling reactions using 100ng for each reaction. Gene Link recommends using 25ng probe for each labeling reaction. GScan™ Kits: GScan™ kits contain optimized PCR amplification reagents and a wide selection of fluorescent-labeled primers for genotyping after PCR using fluorescent genetic analyzer instrument(s). Included in these kits are ready to run control samples of various repeats of the triple repeat disorder kit. These control samples are for calibration with the molecular weight markers for accurate size determination of the amplified fragments. It is strongly recommended that the genotyping be followed up by using Southern blot detection methods when two alleles are not clearly discernable. Kit includes sufficient reagents for 100 detections. Genemer™ Gscan Control DNA: PCR amplified HEX labeled fragment of the mutation region of a particular gene for use with gene or mutation specific Genemer™. These control DNAs are ideal genotyping templates for optimizing and performing control amplification with unknown DNA. One tube is supplied containing 25 µl of lyophilized DNA segment of the specified CTG repeat fragment spanning the CTG repeat. Genemer™ Control DNA: These are cloned fragment of the mutation region of a particular gene for use with gene or mutation specific Genemer™ products. These control DNAs are ideal genotyping templates for optimizing and performing control amplification with unknown DNA. One tube is supplied containing 500 ng of lyophilized DNA segment of the specified CTG repeat fragment spanning the CTG repeat. The quantity supplied is sufficient for 1000 regular 50 µl PCR reactions. Myotonic Dystrophy Genemer Control DNA containg 129 CTG repeats - 53 - Results and Interpretation - Amplified fragment of ~144bp contains 12 CTG repeats. Run control samples to compare results. DM PCRProber™ Results References: 1. 2. 3. 4. 5. 6. 7. Fu YH, Pizzuti A, Fenwick RG Jr, King J, Rajnarayan S, Dunne PW, Dubel J, Nasser GA, Ashizawa T, de Jong P, et al. (1992) An unstable triplet repeat in a gene related to myotonic muscular dystrophy. Science 255: 1256-1258. Aslanidis et al. (1992) Cloning of the essential myotonic dystrophy region and mapping of the putative defect. Nature 355: 548-551. Brook et al. (1992) Molecular basis of myotonic dystrophy: expansion of a trinucleotide (CTG) repeat at the 3-prime end of a transcript encoding a protein kinase family member. Cell 68: 799-808. Lavedan et al. (1993) Myotonic dystrophy: size- and sex-dependent dynamics of CTG meiotic instability, and somatic mosaicism. Am. J. Hum. Genet. 52: 875-883. Anvret et al. ((1993) Larger expansions of the CTG repeat in muscle compared to lymphocytes from patients with myotonic dystrophy. Human Molecular Genetics 2:1397-1400. Mathieu J, Allard P, Potvin L, Prevost C, Begin P (1999) A 10-year study of mortality in a cohort of patients with myotonic dystrophy. Neurology 52:1658-62 Redman JB, Fenwick RG Jr, Fu YH, Pizzuti A, Caskey CT (1993) Relationship between parental trinucleotide GCT repeat length and severity of myotonic dystrophy in offspring. JAMA 269:1960-5 - 54 - Ordering Information Size Catalog No. Price, $ Myotonic Dystrophy GScan™ TET Kit Product 1 Kit 40-2026-15TT 650.00 Myotonic Dystrophy GScan™ HEX Kit 1 Kit 40-2026-15HX 650.00 Myotonic Dystrophy GScan™ 6-FAM Kit 1 Kit 40-2026-15FM 650.00 Myotonic Dystrophy GScan™ Cy3 Kit 1 Kit 40-2026-15C3 650.00 Myotonic Dystrophy GScan™ Cy5 Kit 1 Kit 40-2026-15C5 650.00 500 ng 40-2026-40 350.00 110 µl 40-2026-41 400.00 Myotonic Dystrophy GeneProber™ GLDM1 Probe unlabeled Myotonic Dystrophy CTG triple repeat spanning region unlabeled probe for radioactive labeling and Southern blot detection. Suitable for random primer labeling. Myotonic Dystrophy GeneProber™ GLDMDig2 Probe Digoxigenin labeled. Myotonic dystrophy CTG triple repeat spanning region digoxigenin labeled probe for Southern blot non-radioactive detection of Pst I digested DNA. Myotonic Dystrophy PCRProber ™ AP labeled probe Alkaline phosphatase labeled probe Myotonic Dystrophy PCRProber ™ Kit for non-radioactive detection Kit for performing non-radioactive PCR amplification based detection.(50 rxns) 12 µl 40-2026-31 400.00 5 blots [50 rxns] 40-2026-32 650.00 Myotonic Dystrophy Genemer™ (spanning CTG triple repeat region) 10 nmols 40-2026-10 100.00 1 Kit 40-2026-11 250.00 1 Kit 40-2026-20 350.00 GLDM 12 ~CTG repeat GScan Genemer™ Control DNA 25 µl 40-2026-01HX 175.00 GLDM 45 ~CTG repeat GScan Genemer™ Control DNA 25 µl 40-2026-02HX 175.00 GLDM 93 ~CTG repeat GScan Genemer™ Control DNA 25 µl 40-2026-03HX 175.00 GLDM 129 ~CTG repeat GScan Genemer™ Control DNA 25 µl 40-2026-04HX 175.00 Myotonic Dystrophy Genemer™ Kit (spanning CTG triple repeat region) GLDM Genemer™ Kit for Radioactive Detection Kit for amplification and radioactive detection of Myotonic Dystrophy CTG triple repeat region amplified PCR products using 35S or 32P. GLDM 182 ~CTG repeat GScan Genemer™ Control DNA 25 µl 40-2026-05HX 175.00 GLDM ~12 CTG repeat Genemer™ Control DNA 500 ng 40-2026-01 175.00 GLDM ~45 CTG repeat Genemer™ Control DNA 500 ng 40-2026-02 175.00 GLDM ~93 CTG repeat Genemer™ Control DNA 500 ng 40-2026-03 175.00 GLDM ~129 CTG repeat Genemer™ Control DNA 500 ng 40-2026-04 175.00 GLDM ~182 CTG repeat Genemer™ Control DNA 500 ng 40-2026-05 175.00 - 55 - - 56 - Friedreich’s Ataxia - 57 - - 58 - Friedreich’s Ataxia Background Friedreich’s ataxia (FRDA [MIM 229300], NM_181425) is an autosomal recessive neurodegenerative disorder characterized by a progressive loss of voluntary muscle coordination (ataxia). The disorder affects upper and lower limbs, and the head and neck. FRDA is characterized clinically by progressive gait and limb ataxia; signs of upper motoneuron dysfunction including dysarthria, areflexia, and loss of the senses of position and vibration; cardiomyopathy; diabetes mellitus; and secondary skeletal abnormalities. Most patients develop hypertrophic cardiomyopathy and skeletal abnormalities, and some become diabetic (1,2). These symptoms progress with age, such that most patients become wheelchair-bound by their late twenties and die by their mid-thirties most commonly of congestive heart failure. Some of the other symptoms include muscle weakness, loss of pressure and position sense in the arms and legs, speech problem and heart disease. Unlike some neurological diseases, FRDA does not affect mental capacity. See recent reviews (3,4). Although rare, FRDA is the most prevalent inherited ataxia, affecting about 1-2 in every 50,000 individuals. It is usually diagnosed in childhood between the ages of 5 and 15. The majority (~98%) of patients with FRDA are homozygous for a GAA repeat expansion within the first intron of frataxin gene. The remaining patients are compound heterozygotes for the GAA expansion and for point mutations within the X25 gene. In normal alleles, the repeat varies in size between 7 and 30 units, whereas in mutated alleles the repeat length ranges from 100 to more than 1000 units. Generally, the milder forms or late onset of the disease are associated with shorter expansions. FRDA is caused by degeneration of nerve tissue in the spinal cord and of nerves that extend to peripheral areas such as the arms and legs. The disorder is associated with an unstable expansion of GAA repeats in the first intron of the FRDA gene, called X25, on chromosome 9q13. The encoded protein, frataxin, is located in mitochondria and reduced in FRDA patients. It is suggested that FRDA is the result of mitochondrial iron overload leading to excess production of free radicals, which results in cellular damage and death. The majority (>95%) of patients with FRDA are homozygous for large expansions of a GAA triplet repeat sequence (66 1800 triplets) located within the first intron of the gene X25, which encodes the protein frataxin (2). The expansion causes a severe reduction in the levels of frataxin, a 210 amino acid protein that is targeted to mitochondrial matrix and that appears to play a crucial role in iron homeostasis. The severity of the disease is directly correlated with the length of the expansion. A very small minority of patients are compound heterozygotes for the GAA expansion and for point mutations within the X25 gene. Chamberlain and coworkers have recently summarized all point mutations described to date (5). Frataxin RNA levels were severely reduced lymphoblast cell lines of patients with FRDA who were homozygous for the GAA expansion. Several groups have demonstrated that the GAA-repeat expansion interferes with transcription. It has been show by various groups that the GAA Triplet Repeat Expansion acts as an Impediment to Transcription (3). Genetically, FRDA belongs to a class of neurodegenerative disorders in which the underlying gene, FRDA, carries an unstable trinucleotide-repeat sequence. At least eight other members of this class have been identified, including HD and many types of spinocerebellar ataxia. However, key genetic features separate FA from the other trinucleotide-repeat disorders. First, the sequence of the trinucleotide repeat in the FRDA1 gene is GAA (2), whereas a CAG repeat occurs in the other trinucleotideassociated ataxias, and other repeats (CTG or CGG) are seen in other trinucleotide diseases. Second, the GAA repeat of FRDA is located in the first intron and is therefore noncoding, whereas the CAG repeat in HD and the spinocerebellar ataxias always occurs within an exon and encodes glutamine. The third difference is that FRDA is inherited in a recessive manner, and multiple lines of evidence suggest that loss of function leads to the disease. In contrast, in the other trinucleotide-repeat disorders, whether the repeat occurs in an expressed DNA sequence or in a 3' untranslated sequence, the mutation is inherited in a dominant manner, and it is a gain of function of the affected protein or RNA that perturbs cell physiology. The severity of the disease correlates with decreased FRDA expression and with the length of the hyperexpansive repeat. Normally, this gene, which encodes the protein frataxin, contains <39 GAA repeats, but in patients with FRDA, this locus contains 66 1,700 repeat units. This hyperexpansion results in marked decreases in frataxin mRNA levels, thought to result from the formation of an unusual non-β DNA structure inhibiting transcription (3). More than 95% of patients with FRDA are homozygous for the GAA hyperexpansion, although the alleles are polymorphic in the number of GAA repeats. Studies have shown a correlation between the length of the GAA expansion on the smaller allele and severity of disease (1). An inverse correlation between GAA expansion size and frataxin protein levels has been observed in lymphoblast cell lines from patients with FRDA (3). Together, these findings suggest that lack of frataxin protein in critical tissues leads to FRDA. The remaining 5% of patients with FRDA are compound heterozygotes for the GAA expansion on one allele and carry point mutations within FRDA1 on the other allele. The most common disease-causing point mutation in frataxin is I154F (numbering based on the initiator methionine of the predicted open reading frame [ORF]), prevalent in some southern Italian families. Those individuals carrying this missense mutation on one allele, together with the hyperexpansion on the other allele, are indistinguishable in disease severity when compared with homozygous relatives who carry the GAA triplet expansion on both alleles (4). Another missense mutation in frataxin, G130V, compounded with a hyperexpansive allele, is associated with a milder and more slowly progressive disease course (3). - 59 - Trinucleotide Repeats in Human Genetic Disease Repeata Normal Lengthb Fragile XA (FRAXA) Fragile XE (FRAXE) Fragile XF(FRAXF) FRA16A Jacobsen Syndrome (FRA11B) Kennedy Syndrome (SMBA) Myotonic Dstrophy (DM) (CGG)n (CCG)n (CGG)n (CCG)n (CGC)n (CAG)n (CTG)n 6-52 4-39 7-40 16-49 11 14-32 5-37 Intermediate Length (Premulation)a,b 59-230 ? (31-61) ? ? 80 ? 50-80 Huntington disease (HD) Spinocerebellar ataxia 1 (SCA1) Spinocerebellar ataxia 2 (SCA2) Spinocerebellar ataxia 3 (SCA3) /Machado Joseph disease (MJD) Spinocerebellar ataxia 6 (SCA6) Spinocerebellar ataxia 7 (SCA7) Haw River syndrome (HRS; also DRPLA) Friedreich ataxia (FRDA) (CAG)n (CAG)n (CAG)n (CAG)n 10-34 6-39 14-31 13-44 36-39 None Reported None Reported None Reported 230-2,000 200-900 306-1,008 1,000-1,900 100-1,000 40-55 80-1,000; congenital, 2,000-3,000 40-121 40-81 34-59 60-84 (CAG)n (CAG)n (CAG)n 4-18 7-17 7-25 None Reported 28-35 ? 21-28 38-130 49-75 (GAA)n 6-29 ? (>34-40) 200-900 Disease Full Disease Lengthb Typically, repeats tracts contain sequence interruptions. See Pearson and Sinden (1998a) for a discussion of the sequence interruptions. No. of triplet repeats. c A question mark (?) indicates potential mutagenic intermediate length, and an ellipsis (…) indicates none. Not all disease are associated with a permutation length repeats tract or permutation disease condition.a b Meiotic instability and Somatic Variation in GAA Expansion Length The GAA expansion shows intergenerational variation in length, with evidence for changes in the prezygotic and postzygotic stages. Studies have shown that the expanded alleles seen in patients arose from a small pool of uninterrupted "large normal" alleles referred to as "premutations." Interruptions within the pure GAA triplet repeats impeded these large normal alleles from expanding into disease-causing alleles. De Michele et al. (10) have noted that premutation alleles can undergo large expansions in a single generation. Expanded GAA repeats can expand or contract when transmitted through the female germline. In contrast, contractions are favored in male transmission. This is attributed to postzygotic mechanisms, because shorter expansions are seen in sperm DNA when compared with lymphocyte DNA (prezygotic mechanism). However, evidence for postzygotic variation in repeat number has also been suggested, because the degree of repeat contraction in the sperm is greater than that actually seen in intergenerational transmission and because the overall length of expanded alleles is shorter in homozygous versus heterozygous carriers. The formation of unexpected parallel duplex has been shown in GAA and TTC trinucleotide repeats of Friedreich's ataxia (11). This presumably interferes with normal transcription activity. Genotyping Molecular diagnosis of Friedreich’s Ataxia is available. It involves a combination of direct PCR analysis and Southern blotting tests to determine the GAA-repeat number within the FRDA gene. PCR can identify GAA expansions between 5-200 GAA repeats. With larger expansions, Southern blot analysis of restriction fragments can be used for an accurate measure of the repeat size. Genomic DNA is double digested with Pst I and Bgl II. The DNA blot is then hybridized with FRDA-GL3 DNA probe. Molecular Analysis The direct analysis of GAA repeats in the FRDA gene (chromosomal locus 9q13) is clinically available. An increased number of GAA repeats is identified in essentially 100% of patients with FRDA. The number of GAA repeats ranges from 5 to <30 in normal alleles. GAA repeat lengths in the range from about >30-49 are considered "premutations." Persons with GAA expansions in the premutation range have not been reported as having developed severe symptoms, but their children are at risk of inheriting a larger repeat size. Persons with GAA repeat length greater than 50 are frequently symptomatic. Friedreich’s Ataxia genotyping can be done by direct PCR amplification of the GAA trinucleotide repeats region or by Southern analysis. In most cases both methods are used to complement the results. Full mutations usually cannot be identified by PCR and southern analysis is the preferred method to distinguish full mutations. - 60 - The size of the GAA repeats can be determined by PCR analysis and sizing preferably on a sequencing gel. The PCR products can be either labeled with 35S or 32P followed by autoradiography. Another attractive alternate is to run a cold PCR reaction followed by blotting and hybridization with an alkaline phosphatase conjugated probe for non-radioactive detection Southern blot analysis for Friedreich’s Ataxia mutation detection involves the cleavage of genomic DNA with Pst I and Bgl II enzyme This method detects the size of GAA repeats region by hybridization of probe FRDA-GL3 to DNA that has been digested with the appropriate restriction enzyme and blotted onto a membrane. The GAA repeat in the normal range yields a ~1084 bp. Detection Methods The choice of using methods for mutation analysis is restricted by our knowledge of the existence of a mutation and its type and in parallel to the development of safe and sensitive new detection methods. Gene Link’s primary focus is in the development of facile non-radioactive detection methods. This product profile of Gene Link’s current gene detection product line spotlights chemiluminescent detection based products as well as conventional radioactive based methods. The gene detection systems can be divided into five broad groups based on detection methods: Genemer™: Genemer™ is comprised of a primer pair for PCR amplification of the CAA triple repeat spanning region and visualization of the product by gel electrophoresis and ethidium bromide staining. This product contains one tube containing 10 nmol of forward and reverse lyophilized primer. The quantity supplied is sufficient for 400 regular 50µl PCR reactions. The 10 nmol of primer when dissolved in 50µl water will give a solution of 200 µMolar i.e. 200 pmol/µl. Genemer™ Kit: The Genemer™ kit is a complete easy-to-use kit for reliable genotyping of a gene fragment. This line of products is PCR based. The product includes a specific primer pair for gene or mutation specific amplification, optimized buffers and dNTPs and in most cases, control DNA. Kit includes sufficient reagents for 100 detections. PCRProber™ Products: PCRProber™ Alkaline Phosphatase labeled probe is for amplification and non-radioactive detection of CAA trinucleotide repeat region amplified PCR product. The PCRProber™ kit comprises of a primer pair for PCR amplification of the CAA trinucleotide repeat region followed by gel blot and chemiluminescent detection using the alkaline phosphatase oligonucleotide probe. GeneProber™: GeneProber™ is a specific gene fragment probe for Southern blot based hybridization of genomic DNA. The GeneProber™ is available unlabeled for radioactive based methods and labeled with **digoxigenin for chemiluminescent detection. One tube is supplied containing 500 ng of lyophilized GeneProber™ probe. The quantity supplied is sufficient for at least 5 random prime labeling reactions using 100ng for each reaction. Gene Link recommends using 25ng probe for each labeling reaction. GScan™ Kits: GScan™ kits contain optimized PCR amplification reagents and a wide selection of fluorescent-labeled primers for genotyping after PCR using fluorescent genetic analyzer instrument(s). Included in these kits are ready to run control samples of various repeats of the triple repeat disorder kit. These control samples are for calibration with the molecular weight markers for accurate size determination of the amplified fragments. It is strongly recommended that the genotyping be followed up by using Southern blot detection methods when two alleles are not clearly discernable. Kit includes sufficient reagents for 100 detections. Genemer™ Gscan Control DNA: PCR amplified HEX labeled fragment of the mutation region of a particular gene for use with gene or mutation specific Genemer™. These control DNAs are ideal genotyping templates for optimizing and performing control amplification with unknown DNA. One tube is supplied containing 25 µl of lyophilized DNA segment of the specified CAA repeat fragment spanning the CAA repeat. Genemer™ Control DNA: These are cloned fragment of the mutation region of a particular gene for use with gene or mutation specific Genemer™ products. These control DNAs are ideal genotyping templates for optimizing and performing control amplification with unknown DNA. One tube is supplied containing 500 ng of lyophilized DNA segment of the specified CAA repeat fragment spanning the CAA repeat. The quantity supplied is sufficient for 1000 regular 50 µl PCR reactions. Results and Interpretation - Amplified fragment of ~150bp contains 10 GAA repeats. - Run control samples to compare results. Number of GAA repeats Clinical Condition Symptoms 5-30 repeats Unaffected Normal ?34-40 repeats Mild Premutation 200-900 repeats Severe Full mutation - 61 - References 1. Durr, A, Cossee M, Agid Y, Campuzano V, Mignard C, Penet C, Mandel JL, et al (1996) Clinical and genetic abnormalities in patients with Friedreich's ataxia. New Engl J Med 335:1169 1175. 2. Campuzano V, Montermini L, Moltó MD, Pianese L, Cossée M, Cavalcanti F, Monros E, et al (1996) Friedreich's ataxia: autosomal recessive disease caused by an intronic GAA triplet repeat expansion. Science 271:1423 1427. 3. Patel PI and Grazia Isaya G (2001) Friedreich Ataxia: From GAA Triplet Repeat Expansion to Frataxin Deficiency. Am. J. Hum. Genet., 69:15-24. 4. Simon A. B. Knight, S.A.B; Kim, R;Pain,D and Dancis,A. (1999) The Yeast Connection to Friedreich Ataxia. Am. J. Hum. Genet., 64:365-371. 5. Monrόs, E. et al. (1997) Am. J. Hum. Genet. 61: 101-110. 6. Castro, M. et al. (2000) Hum. Genet. 106: 86-92. 7. Pook MA, Al Mahdawi SA, Thomas NH, Appleton R, Norman A, Mountford R, Chamberlain S (2000) Identification of three novel frameshift mutations in patients with Friedreich's ataxia. J Med Genet 37:E38. 8. Bradley JL, Blake JC, Chamberlain S, Thomas PK, Cooper JM, Schapira AH (2000) Clinical, biochemical and molecular genetic correlations in Friedreich's ataxia. Hum Mol Genet 9:275 282. 9. Ohshima K, Montermini L, Wells RD, Pandolfo M (1998) Inhibitory effects of expanded GAA.TTC triplet repeats from intron I of the Friedreich ataxia gene on transcription and replication in vivo. J Biol Chem 273:14588 14595 10. Bidichandani SI, Ashizawa T, Patel PI (1998) The GAA triplet-repeat expansion in Friedreich ataxia interferes with transcription and may be associated with an unusual DNA structure. Am J Hum Genet 62:111 121. 11. Bradley JL, Blake JC, Chamberlain S, Thomas PK, Cooper JM, Schapira AH (2000) Clinical, biochemical and molecular genetic correlations in Friedreich's ataxia. Hum Mol Genet 9:275 282. 12. De Michele G, Cavalcanti F, Criscuolo C, Pianese L, Monticelli A, Filla A, Cocozza S (1998) Parental gender, age at birth and expansion length influence GAA repeat intergenerational instability in the X25 gene: pedigree studies and analysis of sperm from patients with Friedreich's ataxia. Hum Mol Genet 7:1901 1906 13. LeProust EM, Pearso CE, Sinden RR, Gao X (2000) Unexpected formation of parallel duplex in GAA and TTC trinucleotide repeats of Friedreich's ataxia. J Mol Biol 302:1063 1080. - 62 - Ordering Information Product Size Catalog No. Price, $ 1 Kit 40-2027-15TT 650.00 Friedreich’s Ataxia GScan™ HEX Kit 1 Kit 40-2027-15HX 650.00 Friedreich’s Ataxia GScan™ 6-FAM Kit 1 Kit 40-2027-15FM 650.00 Friedreich’s Ataxia GScan™ Cy3 Kit 1 Kit 40-2027-15C3 650.00 Friedreich’s Ataxia GScan™ Cy5 Kit 1 Kit 40-2027-15C5 650.00 500 ng 40-2027-40 350.00 110 µl 40-2027-41 400.00 Friedreich’s Ataxia GScan™ TET Kit Friedreich’s Ataxia GeneProber™ FRDA-GL3 Probe unlabeled Friedreich’s Ataxia GAA triple repeat spanning region unlabeled probe for radioactive labeling and Southern blot detection. Suitable for random primer labeling. Friedreich Ataxia GeneProber™ FRDA-GL3 Probe Digoxigenin labeled Friedreich Ataxia GAA triple repeat spanning region digoxigenin labeled probe for Southern blot non-radioactive detection. Friedreich’s Ataxia PCRProber ™ AP labeled probe Alkaline phosphatase labeled probe Friedreich’s Ataxia PCRProber ™ Kit for non-radioactive detection Kit for performing non-radioactive PCR amplification based detection.(50 rxns) 12 µl 40-2027-31 400.00 5 blots [50 rxns] 40-2027-32 650.00 Friedreich’s Ataxia Genemer™ (spanning GAA triple repeat region) 10 nmols 40-2027-10 100.00 1 Kit 40-2027-11 250.00 Kit for amplification and radioactive detection of Friedreich’s Ataxia GAA triple repeat region amplified PCR products using 35S or 32P. 1 Kit 40-2027-20 350.00 GLFRDA ~64 GAA repeat GScan™ Genemer Control DNA 25 µl 40-2027-01HX 175.00 GLFRDA ~102 GAA repeat GScan™ Genemer Control DNA 25 µl 40-2027-02HX 175.00 GLFRDA ~110 GAA repeat GScan™ Genemer Control DNA 25 µl 40-2027-03HX 175.00 GLFRDA ~125 GAA repeat GScan™ Genemer Control DNA 25 µl 40-2027-04HX 175.00 GLFRDA ~9 GAA repeat Gscan™ Genemer Control DNA 25 µl 40-2027-05HX 175.00 GLFRDA ~64 GAA repeat Genemer™ Control DNA 500 ng 40-2027-01 175.00 GLFRDA ~102 GAA repeat Genemer™ Control DNA 500 ng 40-2027-02 175.00 GLFRDA ~110 GAA repeat Genemer™ Control DNA 500 ng 40-2027-03 175.00 GLFRDA ~125 GAA repeat Genemer™ Control DNA 500 ng 40-2027-04 175.00 GLFRDA ~9 GAA repeat Genemer™ Control DNA 500 ng 40-2027-05 175.00 Friedreich’s Ataxia Genemer™ Kit (spanning GAA triple repeat region) FRDA Genemer™ Kit for Radioactive Detection - 63 - - 64 - Spinal and Bulbar Muscular Atrophy (SBMA)/Kennedy’s Disease - 65 - - 66 - Spinal and Bulbar Muscular Atrophy (SBMA)/Kennedy’s Disease Background Spinal and bulbar muscular atrophy (SBMA), also called Kennedy’s disease, is an X-linked form of motor neuron disease that affects male only. The disease is adult onset and characterized by progressive muscle wasting, loss of motor neurons in the spinal cord and brainstem, and partial androgen insensitivity. SBMA is caused by a dynamic mutation in the first exon of the androgen receptor gene, involving a CAG trinucleotide repeat. The CAG repeat encodes a run of glutamine residues near the amino terminus of the protein, which is involved in the modulation of transcription activation. While the expansion mutation causes some loss of transcriptional activity by the androgen receptor, the predominant effect of expansion is probably a toxic gain of function, similar to the mechanism of other polyglutamine expansion diseases. The trinucleotide repeat of exon 1 is polymorphic in the normal population, with the size varying between 11 and 33. In patients with SBMA, the expanded repeat ranges in number from 38 to 72. As with the other repeat expansion diseases, the longer the repeat the earlier the onset of the disease. SBMA occurs in less than 1/50,000 live male births and appears to be much more common in the Japanese population than in any other ethnic group due to a founder effect. Table 3..Trinucleotide Repeats in Human Genetic Disease Repeata Normal Lengthb Fragile XA (FRAXA) Fragile XE (FRAXE) Fragile XF(FRAXF) FRA16A Jacobsen Syndrome (FRA11B) Kennedy Syndrome (SMBA) Myotonic Dstrophy (DM) (CGG)n (CCG)n (CGG)n (CCG)n (CGC)n (CAG)n (CTG)n 6-52 4-39 7-40 16-49 11 14-32 5-37 Intermediate Length (Premulation)a,b 59-230 ? (31-61) ? ? 80 ? 50-80 Huntington disease (HD) Spinocerebellar ataxia 1 (SCA1) Spinocerebellar ataxia 2 (SCA2) Spinocerebellar ataxia 3 (SCA3) /Machado Joseph disease (MJD) Spinocerebellar ataxia 6 (SCA6) Spinocerebellar ataxia 7 (SCA7) Haw River syndrome (HRS; also DRPLA) Friedreich ataxia (FRDA) (CAG)n (CAG)n (CAG)n (CAG)n 10-34 6-39 14-31 13-44 36-39 None Reported None Reported None Reported 230-2,000 200-900 306-1,008 1,000-1,900 100-1,000 40-55 80-1,000; congenital, 2,000-3,000 40-121 40-81 34-59 60-84 (CAG)n (CAG)n (CAG)n 4-18 7-17 7-25 None Reported 28-35 ? 21-28 38-130 49-75 (GAA)n 6-29 ? (>34-40) 200-900 Disease Full Disease Lengthb Typically, repeats tracts contain sequence interruptions. See Pearson and Sinden (1998a) for a discussion of the sequence interruptions. b No. of triplet repeats. c A question mark (?) indicates potential mutagenic intermediate length, and an ellipsis (…) indicates none. Not all disease are associated with a permutation length repeats tract or permutation disease condition. a Genotyping SBMA can be rapidly diagnosed by performing PCR amplification of the CAG repeat region of the androgen gene, followed by agarose gel electrophoresis of the amplified fragments to determine their size. The SBMA Genemer flanks the CAG repeat and generates a PCR product of 222 + 3n bp (n = number of CAG repeats). This test can be used to identify affected individuals, heterozygote females and pre-symptomatic males. - 67 - Detection Methods The choice of using methods for mutation analysis is restricted by our knowledge of the existence of a mutation and its type and in parallel to the development of safe and sensitive new detection methods. Gene Link’s primary focus is in the development of facile non-radioactive detection methods. This product profile of Gene Link’s current gene detection product line spotlights chemiluminescent detection based products as well as conventional radioactive based methods. The gene detection systems can be divided into five broad groups based on detection methods: Genemer™: Genemer™ is comprised of a primer pair for PCR amplification of the amplification of the fragment of interest and visualization of the product by gel electrophoresis and ethidium bromide staining. This product contains one tube containing 10 nmol of forward and reverse lyophilized primer. The quantity supplied is sufficient for 400 regular 50µl PCR reactions. The 10 nmol of primer when dissolved in 50µl water will give a solution of 200 µMolar i.e. 200 pmol/µl. Genemer™ Kit: The Genemer™ kit is a complete easy-to-use kit for reliable genotyping of a gene fragment. This line of products is PCR based. The product includes a specific primer pair for gene or mutation specific amplification, optimized buffers and dNTPs and in most cases, control DNA. Kit includes sufficient reagents for 100 detections. PCRProber™ Products: PCRProber™ Alkaline Phosphatase labeled probe is for amplification and non-radioactive detection of CAG trinucleotide repeat region amplified PCR product. The PCRProber™ kit comprises of a primer pair for PCR amplification of the CAG trinucleotide repeat region followed by gel blot and chemiluminescent detection using the alkaline phosphatase oligonucleotide probe. GeneProber™: GeneProber™ is a specific gene fragment probe for Southern blot based hybridization of genomic DNA. The GeneProber™ is available unlabeled for radioactive based methods and labeled with **digoxigenin for chemiluminescent detection. One tube is supplied containing 500 ng of lyophilized GeneProber™ probe. The quantity supplied is sufficient for at least 5 random prime labeling reactions using 100ng for each reaction. Gene Link recommends using 25ng probe for each labeling reaction. GScan™ Kits: GScan™ kits contain optimized PCR amplification reagents and a wide selection of fluorescent-labeled primers for genotyping after PCR using fluorescent genetic analyzer instrument(s). Included in these kits are ready to run control samples of various repeats of the triple repeat disorder kit. These control samples are for calibration with the molecular weight markers for accurate size determination of the amplified fragments. It is strongly recommended that the genotyping be followed up by using Southern blot detection methods when two alleles are not clearly discernable. Kit includes sufficient reagents for 100 detections. Genemer™ Gscan Control DNA: PCR amplified HEX labeled fragment of the mutation region of a particular gene for use with gene or mutation specific Genemer™. These control DNAs are ideal genotyping templates for optimizing and performing control amplification with unknown DNA. One tube is supplied containing 25 µl of lyophilized DNA segment of the specified CAG repeat fragment spanning the CAG repeat. Genemer™ Control DNA: These are cloned fragment of the mutation region of a particular gene for use with gene or mutation specific Genemer™ products. These control DNAs are ideal genotyping templates for optimizing and performing control amplification with unknown DNA. One tube is supplied containing 500 ng of lyophilized DNA segment of the specified CAG repeat fragment spanning the CAG repeat. The quantity supplied is sufficient for 1000 regular 50 µl PCR reactions. Results and Interpretation Normal individuals have ≤33 CAG repeats. For an individual with 20 CAG repeats, a 288-bp PCR product would be expected from the PCR reaction. A general formula, 222 + 3n bp, can be applied to calculate other sizes of CAG repeats, where n represents the number of CAG repeats. References: 1. H MacLean, et al. (1996) Journal of the Neurological Sciences 135: 149-157. 2. S Igarashi, et al. (1992) Neurology 42(12): 2300-2302. - 68 - Ordering Information Product Size Catalog No. Price, $ 500 ng 40-2032-40 350.00 Kennedy Disease (SBMA) GeneProber™ GLSBMA Probe unlabeled Kennedy Disease CAG triple repeat spanning region unlabeled probe for radioactive labeling and Southern blot detection. Suitable for random primer labeling. Kennedy Disease (SBMA) GeneProber™ GLSBMA Probe Digoxigenin labeled Kennedy Disease CAG triple repeat spanning region digoxigenin labeled probe for non-radioactive Southern blot detection. CAG repeat PCRProber ™ Kit (spanning triple repeat region) Kit for performing PCR amplification and chemiluminescent based detection for all CAG triple repeat disorders. CAG repeat PCRProber ™ AP labeled probe Alkaline phosphatase labeled probe 110 µl 40-2032-41 400.00 5 blots [50 rxns] 40-20XX-32 650.00 12 µl 40-20XX-31 400.00 Kennedy Disease Genemer™ 10 nmols 40-2032-10 100.00 1 Kit 40-2032-11 250.00 Kit for amplification and radioactive detection of Kennedy Disease CAG triple repeat region amplified PCR products using 35S or 32P. 1 Kit 40-2032-20 350.00 Kennedy Disease GScan™ TET Kit 1 Kit 40-2032-15TT 650.00 Kennedy Disease GScan™ HEX Kit 1 Kit 40-2032-15HX 650.00 Kennedy Disease GScan™ 6-FAM Kit 1 Kit 40-2032-15FM 650.00 Kennedy Disease GScan™ Cy3 Kit 1 Kit 40-2032-15C3 650.00 Kennedy Disease GScan™ Cy5 Kit 1 Kit 40-2032-15C5 650.00 Kennedy (SBMA) ~23 CAG repeat GScan Genemer™ Control DNA 25 µl 40-2032-01HX 175.00 Kennedy Disease (SBMA) ~23 CAG repeat Genemer™ Control DNA 500 ng 40-2032-01 175.00 Kennedy Disease (SBMA) Genemer™ Kit Kennedy Disease Genemer™ Kit for Radioactive Detection - 69 - - 70 - Rh (RhD gene exon 10 specific) (Rh Ee and Cc exon 7 specific) - 71 - - 72 - Rh (RhD gene exon 10 specific) (Rh Ee and Cc exon 7 specific) Background The Rh based blood grouping is termed positive or negative based on the presence or absence of the D antigen. Rh alloimmunization in Rh negative pregnant women is of concern because of the potential for the fetus to develop hemolytic disease of newborns and autoimmune diseases. Anemia leading to hydrops, perinatal death, or both occurs in 25% of fetuses sensitized to the RhD antigen in the absence of optimal management. In utero diagnosis and treatment considerably improves the condition with survival rates greater than 75% in severely affected fetuses. However these invasive therapies may be unnecessary in some cases if the fetal Rh status were known prenatally. A method of determining fetal Rh status early in pregnancy is now possible by DNA analysis of amniotic cells (1). The Rh blood group locus consists of two related structural genes, D and CcEe. These highly homologous genes which share greater than 96% identity in their coding region have been cloned and the molecular basis of the Rh blood group established (2). The RhD-positive and RhD-negative polymorphism is associated with the presence or the absence of the D gene (there is no ‘d’ gene). The C/c and E/e antigens are encoded by a unique gene. The E/e associated nucleotide polymorphism results in one amino acid substitution at position 226 (proline to alanine), whereas the C/c antigenic polymorphism consists of six nucleotide substitutions leading to four amino acid changes at position 16 (Cys16Trp), 60 (Ile60Leu), 68 (Ser68Asn) and 103 (Ser103Pro). DNA analysis for Rh genotype loci specifically amplifies DNA fragments for the RhD and RhCcEe gene. Due to the high sensitivity and specificity of the test at the DNA level, occasionally the results may not match those obtained by serologic methods. The test will type individuals as RhD positive who are Du low grade status serologically (3-5), this is due to the absence of the gene product at the protein level due to partial deletions. The total error rate should be less than 1%. Detection Methods The choice of using methods for mutation analysis is restricted by our knowledge of the existence of a mutation and its type and in parallel to the development of safe and sensitive new detection methods. Gene Link’s primary focus is in the development of facile non-radioactive detection methods. This product profile of Gene Link’s current gene detection product line spotlights chemiluminescent detection based products as well as conventional radioactive based methods. The gene detection systems can be divided into five broad groups based on detection methods: Genemer™: Genemer™ is comprised of a primer pair for PCR amplification of amplification of the fragment of interest and visualization of the product by gel electrophoresis and ethidium bromide staining. This product contains one tube containing 10 nmol of forward and reverse lyophilized primer. The quantity supplied is sufficient for 400 regular 50 µl PCR reactions. The 10 nmol of primer when dissolved in 50µl water will give a solution of 200 µMolar i.e. 200 pmol/µl. Genemer™ Kit: The Genemer™ kit is a complete easy-to-use kit for reliable genotyping of a gene fragment. This line of products is PCR based. The product includes a specific primer pair for gene or mutation specific amplification, optimized buffers and dNTPs and in most cases, control DNA. Kit includes sufficient reagents for 100 detections. - 73 - Genemer™ Control DNA: These are cloned fragment of the mutation region of a particular gene for use with gene or mutation specific Genemer™ products. These control DNAs are ideal genotyping templates for optimizing and performing control amplification with unknown DNA. One tube is supplied containing 500 ng of lyophilized DNA segment of the specified region. The quantity supplied is sufficient for 1000 regular 50 µl PCR reactions. Results and Interpretation The primers A1/A2 will give 136 bp PCR product specific for Rh EeCc gene exon 7 (Catalog No. 40-2003-10) and primers A3/A4 will give 186 bp PCR product specific for Rh D gene exon 10 (Catalog No. 40-2002-10). Can perform multiplex of A1/A2 & A3/A4 as shown in the figure below. Figure. Lane 1 is molecular weight markers. Lanes 2-4 represent PCR from a Rh D positive DNA and Lanes 5-7 represent PCR from Rh D negative DNA. Lanes 2, 5 & 7 PCR product of A1/A2 amplification, lanes 3 from A3/A4 amplification. Lane 4 is a multiplex of A1/A2 and A3/A4 amplification. RhD negative- 136 bp only; RhD positive- both 136 & 186 bp. References 1. Bennet, P.R., et al. (1993) Prenatal determination of fetal RhD type by DNA amplification. NEJM 329:607-610. 2. Mouro, I., et al. (1993) Molecular genetic basis of the human Rhesus blood group system. Nature Genetics 5:62-65. 3. Simsek, S., Bleeker, P.M., Borne, A.. E.G. (1994) Prenatal determination of fetal RhD type. NEJM 330:795. 4. Bennet, P., Warwick,R. and Carton, J-P. (1994) Prenatal determination of fetal RhD type. NEJM 330:795-796. 5. Westhoff,C.M. and Wylie, D.E. (1994) Identification of a new RhD-specific mRNA from K562 cells. Blood 84:3098-3100 by the polymerase chain reaction. Hum. Genet. 82:271-274 *The polymerase chain reaction (PCR) process is covered by patents owned by Hoffmann-La Roche. A license to perform is automatically granted by the use of authorized reagents. Ordering Information Product Size Catalog No. Price, $ RhD (RhD gene exon 10 specific) Genemer™ 10 nmol 40-2002-10 100.00 Rh EeCc (Rh Ee and Cc exon 7 specific) Genemer™ 10 nmol 40-2003-10 100.00 RhD (RhD gene exon 10 specific) Genemer™ Kit 1 Kit 40-2002-11 200.00 Rh EeCc (Rh Ee and Cc exon 7 specific) Genemer™ Kit 1 Kit 40-2003-11 200.00 RhD (RhD gene exon 10 specific) Genemer™ Control DNA 500 ng 40-2002-01 115.00 Rh EeCc (Rh Ee and Cc exon 7 specific) Genemer™ Control DNA 500 ng 40-2003-01 115.00 - 74 - SRY, X and Y - 75 - - 76 - SRY, X and Y Background The human sex determining region on the Y chromosome has been identified and the gene has been termed as SRY. Mutations in the SRY gene have been found in XY females. Sex reversal in XY females results from the failure of the testis determination or differentiation pathways. Some XY females with gonadal dysgenesis have lost the SRY gene from the Y chromosome by terminal exchange between the sex chromosome or by other deletions or mutations affecting activity (1,2). DNA analysis for a specific region of SRY together with alphoid repeat regions of the X and Y chromosome is used for accurate sex determination (in the absence of mutations involving SRY), and in the characterization of X-linked genetic diseases, Y chromosome anomalies such as XY females with gonadal dysgenesis, and for XO/XY mosaicism in patients with Turner syndrome. The DNA test involves the amplification of specific regions of X, Y and SRY. The presence of amplified product directly indicates the presence of the cognate DNA fragments on the chromosome. Normal XX females will amplify only X chromosome specific fragment showing double intensity as compared with amplification from normal XY male. SRY and Y fragments will only be amplified from individuals with a Y chromosome. Normal PCR amplified fragment size SRY 422 bp X chromosome 130 bp Y chromosome 170 bp Detection Methods The choice of using methods for mutation analysis is restricted by our knowledge of the existence of a mutation and its type and in parallel to the development of safe and sensitive new detection methods. Gene Link’s primary focus is in the development of facile non-radioactive detection methods. This product profile of Gene Link’s current gene detection product line spotlights chemiluminescent detection based products as well as conventional radioactive based methods. The gene detection systems can be divided into five broad groups based on detection methods: Genemer™: Genemer™ is comprised of a primer pair for PCR amplification of amplification of the fragment of interest and visualization of the product by gel electrophoresis and ethidium bromide staining. This product contains one tube containing 10 nmol of forward and reverse lyophilized primer. The quantity supplied is sufficient for 400 regular 50 µl PCR reactions. The 10 nmol of primer when dissolved in 50µl water will give a solution of 200 µMolar i.e. 200 pmol/µl. Genemer™ Kit: The Genemer™ kit is a complete easy-to-use kit for reliable genotyping of a gene fragment. This line of products is PCR based. The product includes a specific primer pair for gene or mutation specific amplification, optimized buffers and dNTPs and in most cases, control DNA. Kit includes sufficient reagents for 100 detections. Genemer™ Control DNA: These are cloned fragment of the mutation region of a particular gene for use with gene or mutation specific Genemer™ products. These control DNAs are ideal genotyping templates for optimizing and performing control amplification with unknown DNA. One tube is supplied containing 500 ng of lyophilized DNA segment of the specified region. The quantity supplied is sufficient for 1000 regular 50 µl PCR reactions. Results and Interpretation -Normal female DNA should only amplify X specific fragment. -Normal male DNA should amplify all fragments (SRY, X & Y) Figure 1. SRY, X and Y PCR amplification gel profile. Lane 1, molecular weight marker. Lanes 2-4 male DNA, lanes 5-7 female DNA. Lanes 2 and 5 SRY amplification, lanes 3 and 6 X amplification, lanes 4 and 7 Y amplification. Note the absence of amplification of SRY and Y from female DNA (lanes 5 & 7). - 77 - Figure 2. A screen shot from a Cepheid Real Time PCR using SRY and X Genemer™ specific TaqMan and Molecular Beacons References 1. 1. 2. Berta et al. (1990) Genetic evidence equating SRY and the testis-determining factor. Nature 348:448-451. Jager et al. (1990) A human XY female with frame shift mutation in the candidate testis-determining gene SRY. Nature 348:452-453. Witt, M. & Erickson, R.P. (1989) A rapid method for detection of Y-chromosome DNA from dried blood specimens by the polymerase chain reaction. Hum. Genet. 82:271-274. - 78 - Ordering Information Product Size Catalog No. Price, $ 10 nmols 40-2020-10 100.00 X alphoid repeat Genemer™ 10 nmols 40-2021-10 100.00 Y alphoid repeat Genemer™ 10 nmols 40-2022-10 100.00 SRY (sex determining region on Y) Genemer™ Kit 1 Kit 40-2020-11 200.00 X alphoid repeat Genemer™ Kit 1 Kit 40-2021-11 200.00 SRY (sex determining region on Y) Genemer™ Y alphoid repeat Genemer™ Kit 1 Kit 40-2022-11 200.00 SRY (sex determining region on Y) Genemer™ Control DNA 500 ng 40-2020-01 115.00 X alphoid repeat Genemer™ Control DNA 500 ng 40-2021-01 115.00 Y alphoid repeat Genemer™ Control DNA 500 ng 40-2022-01 115.00 - 79 - - 80 - Sickle Cell - 81 - - 82 - Sickle Cell Background Sickle cell anemia is an autosomal recessive disease. The hemoglobin beta, delta and gamma chain genes are on Chromosome 11 and the alpha chains are coded on Chromosome 16. The beta variants such as Hb S, Hb C, and Hb D all occur from mutations on Chromosome 11. The cause of the disorder sickle cell anemia is due to a single base change of A to T in the β globin chain resulting in the substitution of amino acid glutamine to valine at the sixth position. The resulting mutant globin chain is termed as the Hb S. Hemoglobin S is freely soluble when fully oxygenated, under conditions of low oxygen tension the red cells become grossly abnormal assuming a sickle shape leading to aggregation and hemolysis. Homozygous Hb S is a serious hemoglobinopathy found almost exclusively in the Black population. About 8% of American Blacks are carriers and about 0.2% are affected. Heterozygotes (sickle cell trait) are clinically normal, although their red cells will sickle when subjected to very low oxygen pressure in vitro. Hemoglobin C (Hb C) is due to a single base change of G to A leading to a substitution of lysine for glutamic acid in the sixth position of the β globin chain. Hb C occurs in higher frequency in individuals with heritage from Western Africa, Italy, Greece, Turkey, and the Middle East. There is shortened red cell survival in Hb C homozygotes and sickling complications in compound heterozygotes for Hb S and Hb C. Molecular Analysis DNA analysis for the sickle cell mutation is done by specific amplification of the DNA region spanning the mutation using polymerase chain reaction followed by enzymatic cleavage of the amplified product. Sickle cell mutation abolishes a restriction endonuclease site (Dde I). Electrophoretic resolution of the fragment pattern reveals the presence or absence of the mutation. Clear genotyping of normal, carrier and homozygous DNA is achieved. Sequence Information Hb-A: …TCCTGAGGAG… Hb-S: …TCCTGTGGAG… Hb-C: …TCCTAAGGAG… Detection Methods The choice of using methods for mutation analysis is restricted by our knowledge of the existence of a mutation and its type and in parallel to the development of safe and sensitive new detection methods. Gene Link’s primary focus is in the development of facile non-radioactive detection methods. This product profile of Gene Link’s current gene detection product line spotlights chemiluminescent detection based products as well as conventional radioactive based methods. The gene detection systems can be divided into five broad groups based on detection methods: Genemer™: Genemer™ is comprised of a primer pair for PCR amplification of amplification of the fragment of interest and visualization of the product by gel electrophoresis and ethidium bromide staining. This product contains one tube containing 10 nmol of forward and reverse lyophilized primer. The quantity supplied is sufficient for 400 regular 50 µl PCR reactions. The 10 nmol of primer when dissolved in 50µl water will give a solution of 200 µMolar i.e. 200 pmol/µl. Genemer™ Kit: The Genemer™ kit is a complete easy-to-use kit for reliable genotyping of a gene fragment. This line of products is PCR based. The product includes a specific primer pair for gene or mutation specific amplification, optimized buffers and dNTPs and in most cases, control DNA. Kit includes sufficient reagents for 100 detections. Genemer™ Control DNA: These are cloned fragment of the mutation region of a particular gene for use with gene or mutation specific Genemer™ products. These control DNAs are ideal genotyping templates for optimizing and performing control amplification with unknown DNA. One tube is supplied containing 500 ng of lyophilized DNA segment of the specified region. The quantity supplied is sufficient for 1000 regular 50 µl PCR reactions. - 83 - Results And Interpretation Mutation abolishes restriction site. PCR Product Fragment Size 233 bp Fragment Sizes After Dde I Digestion A/A A/S S/S 178+55 bp 233+178+55 bp 233 bp Figure 1. Typical Sickle cell genotype analysis of PCR product digested with Dde I. Lane 1 is molecular weight markers. Lane 2 is undigested PCR product. Lanes 3, 4 and 6 is DNA with A/S geneotype. Lane 5 is A/A genotype DNA and Lane 7 represents DNA with S/S genotype. References: Saiki et al. (1985) Science 230:1350-1354 Wu et al. (1989) PNAS 86:2757-2760 Conner et al. (1983) PNAS 80:278-282 1. 2. 3. Ordering Information Product Size Catalog No. Price, $ 10 nmols 40-2001-10 100.00 1 Kit 40-2001-11 200.00 Sickle Cell HbA Genemer™ Control DNA 500 ng 40-2001-01 115.00 Sickle Cell HbS Genemer™ Control DNA 500 ng 40-2001-02 115.00 Sickle Cell HbC Genemer™ Control DNA 500 ng 40-2001-03 115.00 Sickle Cell Genemer™ Sickle Cell Genemer™ Kit - 84 - Cystic Fibrosis - 85 - - 86 - Cystic Fibrosis Background Cystic Fibrosis (CF) is the most common recessive disorder affecting Caucasians of European descent with a carrier frequency of 1 in 25. The frequency of these mutations is given below in the table on the left. Mutations at the CF locus occur in other racial and ethnic groups as shown below in the table on the right. Genemers™ are available for the five most frequent mutation listed. CF Mutation Frequency Caucasian Non-Jewish Ashkenazic Jews Mutation Frequency Mutation Frequency 75.8% W1282X 60% ∆F508 G551D 3.2% 23% ∆F508 G542X 2.7% G542X 4% R553X 1.4% N1303K 4% N1303K 1.4% 3849+10kb 4% C→T Total ~84% Total ~95% Frequency of CF Carriers Caucasian Americans of European 1 in 25 descent Ashkenazic Jews 1 in 29 Hispanic Americans 1 in 45 African Americans 1 in 60 Asian Americans 1 in 150 Detection Methods The choice of using methods for mutation analysis is restricted by our knowledge of the existence of a mutation and its type and in parallel to the development of safe and sensitive new detection methods. Gene Link’s primary focus is in the development of facile non-radioactive detection methods. This product profile of Gene Link’s current gene detection product line spotlights chemiluminescent detection based products as well as conventional radioactive based methods. The gene detection systems can be divided into five broad groups based on detection methods: Genemer™: Genemer™ is comprised of a primer pair for PCR amplification of amplification of the fragment of interest and visualization of the product by gel electrophoresis and ethidium bromide staining. This product contains one tube containing 10 nmol of forward and reverse lyophilized primer. The quantity supplied is sufficient for 400 regular 50 µl PCR reactions. The 10 nmol of primer when dissolved in 50µl water will give a solution of 200 µMolar i.e. 200 pmol/µl. Genemer™ Kit: The Genemer™ kit is a complete easy-to-use kit for reliable genotyping of a gene fragment. This line of products is PCR based. The product includes a specific primer pair for gene or mutation specific amplification, optimized buffers and dNTPs and in most cases, control DNA. Kit includes sufficient reagents for 100 detections. Genemer™ Control DNA: These are cloned fragment of the mutation region of a particular gene for use with gene or mutation specific Genemer™ products. These control DNAs are ideal genotyping templates for optimizing and performing control amplification with unknown DNA. One tube is supplied containing 500 ng of lyophilized DNA segment of the specified region. The quantity supplied is sufficient for 1000 regular 50 µl PCR reactions. Results and Interpretation Mutation PCR Product ∆F508 G542X G551D/R553X N1303K 114 114 60 Bst I Hind II Bst NI N/N fragment size(s), bp 79/79 90+24 59+55 40+20 W1282X 473 Mnl I 178+172+123 CT3849 437 Hph I 349+88 Restriction Enzyme N/M fragment size(s), bp 79/76 114+90+24 114+59+55 60+40+20 301+178+172+12 3 349+222+127+88 M/M fragment size(s), bp 76/76 114 114 114 301+ 172 222+127+88 References: Kerem et al. (1990) PNAS. 87: 8447-8451 (caucasian mutation primers) Abeliovich et. al (1992) AJHG 51:951-956 (CT+10kb mutation) Shoshani et al. (1992) AJHG 50: 222-228 (W1282X,mutation) Ng et al. (1991) Hum. Genet. 87:613-617 - 87 - Ordering Information Product Size Catalog No. Price, $ Cystic Fibrosis ∆F508 Genemer™ 10 nmols 40-2029-11 100.00 Cystic Fibrosis G542X Genemer™ 10 nmols 40-2010-12 100.00 Cystic Fibrosis W1282X Genemer™ 10 nmols 40-2011-13 100.00 Cystic Fibrosis R553X Genemer™ 10 nmols 40-2012-14 100.00 Cystic Fibrosis G551D Genemer™ 10 nmols 40-2013-15 100.00 Cystic Fibrosis CT3849+10kb Genemer™ 10 nmols 40-2014-16 100.00 Cystic Fibrosis N1303K Genemer™ 10 nmols 40-2015-17 100.00 *The polymerase chain reaction (PCR) process is covered by patents owned by Hoffmann-La Roche. A license to perform is automatically granted by the use of authorized reagents. - 88 - Tay Sachs Disease - 89 - - 90 - Tay Sachs Disease Background Tay-Sachs disease (TSD) is an autosomal recessive disorder caused by several different mutations in the HEX A gene, encoding the α-subunit of β-hexosaminidase A (Hex A). Tay-Sachs disease, which is prevalent in the Ashkenazi Jewish population with a 3% carrier frequency, is the prototype of human GM2-gangliosidosis due to the defective α-subunit. Diminished catabolism of GM2 ganglioside leads to the lysosomal accumulation of the undegraded glycolipid in neurons. Clinically the disease presents in varying degrees of severity as related to the extent of hexosaminidase A deficiency. Tay-Sachs disease is classified as classic infantile or adult-onset. This classification relates to the type of mutation present. Two mutations found in the infantile TSD are the Exon 11 and the Intron 12 mutations, together representing 91% of TSD mutations. Both of these mutations lead to deficiency of α-chain mRNA. The mutation in exon 11 4 bp insertion, leads to a nonsense mutation 9 bases from the insertion site. This would theoretically lead to a truncated protein product, and in fact no mRNA is detected. In the intron 12 mutation, the splice junction site is altered causing aberrant splicing and leading to the deficiency of α-chain mRNA. Both these mutations result in little or no protein product and the clinical phenotype of classic infantile Tay-Sachs disease. The adult-onset TSD mutation in Exon 7 is a point mutation (G to A), leading to the substitution of amino acid glycine at position 269 for serine (G269S). This mutation affects the active site causing a drastic reduction in catalytic activity which results in the delayed appearance of TSD. The exon 7 mutation is relatively rare and accounts for about 3% of TSD patients. Pseudodeficiency is used to denote healthy individuals who have deficient Hex A enzymatic activity when synthetic substrates are used, but normal activity with the natural substrate. The mutation responsible for pseudodeficiency has been identified. Compound heterozygotes with a pseudodeficiency allele and other mutant alleles have been identified. Mutations 1-3 in the table constitute approximately 62% of the non-Jewish mutations; 4-5 constitute approximately 38% of the non-Jewish mutations. DNA analysis for the following four mutations are performed for the Ashkenazic Jewish population. The frequency of these mutations is given below. TAY-SACHS MUTATION ANALYSIS Mutation 1277insTATC (Exon 11, 4 bp insertion; infantile classic) 1421+1G→C (Intron12, splice junction; infantile) Frequency (Jewish) 73% 18% G269S (Exon 7, G→A; adult onset) 3% R247W (739C→T, pseudodeficiency allele) 2% R249W (745C→T, pseudodeficiency allele) 3% (non-Jewish) Detection Methods The choice of using methods for mutation analysis is restricted by our knowledge of the existence of a mutation and its type and in parallel to the development of safe and sensitive new detection methods. Gene Link’s primary focus is in the development of facile non-radioactive detection methods. This product profile of Gene Link’s current gene detection product line spotlights chemiluminescent detection based products as well as conventional radioactive based methods. The gene detection systems can be divided into five broad groups based on detection methods: Genemer™: Genemer™ is comprised of a primer pair for PCR amplification of amplification of the fragment of interest and visualization of the product by gel electrophoresis and ethidium bromide staining. This product contains one tube containing 10 nmol of forward and reverse lyophilized primer. The quantity supplied is sufficient for 400 regular 50 µl PCR reactions. The 10 nmol of primer when dissolved in 50µl water will give a solution of 200 µMolar i.e. 200 pmol/µl. Genemer™ Kit: The Genemer™ kit is a complete easy-to-use kit for reliable genotyping of a gene fragment. This line of products is PCR based. The product includes a specific primer pair for gene or mutation specific amplification, optimized buffers and dNTPs and in most cases, control DNA. Kit includes sufficient reagents for 100 detections. Genemer™ Control DNA: These are cloned fragment of the mutation region of a particular gene for use with gene or mutation specific Genemer™ products. These control DNAs are ideal genotyping templates for optimizing and performing control amplification with unknown DNA. One tube is supplied containing 500 ng of lyophilized DNA segment of the specified region. The quantity supplied is sufficient for 1000 regular 50 µl PCR reactions. - 91 - Interpretation of Results Mutation 1277insTATC (Exon 11, 4 bp insertion; infantile classic) 1421+1G→C (Intron12, splice junction; infantile) G269S (Exon 7, G→A; adult onset) R247W (739C→T, pseudodeficiency allele) PCR Product Normal Homo 159 159 163 135 120+15 85+35+15 190 75+59+34+16+8 73+67+34+16 161 146+15 105+41+15 Carrier 159+163 120+85+35+15 All (Carrier & homo) 146+105+41+15 *The polymerase chain reaction (PCR) process is covered by patents owned by Hoffmann-La Roche. A license to perform is automatically granted by the use of authorized reagents. References: 1. Myerowitz,R. (1988) PNAS 85:3955-3959. ( Intron 12, splice junction) 2. Myerowitz, R. & Costigan, F.C. (1988) JBC 263:18587-18589. (Exon 11, 4 bp insertion) 3. Ruth, N. & Proia, R. (1989) Science 243:1471-1475. (Exon 7, G269S) 4. Paw,B., Kaback,M. & Neufeld, E. (1989) PNAS 86:2413-2417. (Exon 7, G269S) 5. Grebner, E. & Tomczak, J. (1991) AJHG 48:604-607. (Distribution of mutations) 6.Triggs-Raine et al. (1992) AJHG 51:793-801. (Pseudodeficiency allele) Ordering Information Size Catalog No. Price, $ Tay-Sachs disease 1277insTATC Genemer™ Product 10 nmols 40-2028-11 100.00 Tay-Sachs disease 1421+1G→C Genemer™ 10 nmols 40-2028-12 100.00 Tay-Sachs disease G269S Genemer™ 10 nmols 40-2028-13 100.00 Tay-Sachs disease R247W Genemer™ 10 nmols 40-2028-14 100.00 - 92 - Gaucher’s Disease - 93 - - 94 - Gaucher’s Disease Introduction Gaucher disease (GD) is caused by deficient activity of the lysosomal enzyme glucosylceramidase and the resultant accumulation of its undegraded substrate, glucosylceramide (GL1) and other glycolipids.. Gaucher disease is suspected in individuals with characteristic bone involvement, visceral and hematologic changes, or CNS involvement. Mutation analysis of the GBA gene (chromosomal locus 1q21) is available for the common gene mutations. In families in which the diseasecausing mutations are known, molecular testing can be used to accurately identify carriers. DNA analysis for the following seven Gaucher disease mutations are performed for the Ashkenazic Jewish population. The frequency of these mutations is given below. GAUCHER’S DISEASE MUTATION ANALYSIS Mutation 1226G (N370S) 84GG 1448C Frequency (Non-jewish) 75% (25% non-jewish) 13% (L444P) 5% (40% non-jewish) 1604A (R496H) 1% 1297T (V394L) rare 1504T (R463C) (Non-jewish) IVS2+1 3% The mutations listed above account for ~97% of the Gaucher disease mutations in the Jewish population.(Beutler et. al. Am. J. Hum. Genet. (1993) 52:85-88). DNA analysis for these mutations is based on specific PCR amplification, mismatched PCR followed by restriction digestion and/or allele specific oligonucleotide hybridization. Mutation 1226G is the most common cause of Gaucher disease in Jewish patients and is associated with a mild late-onset clinical phenotype. Only about one third individuals with 1226G/1226G genotype manifest symptoms. Patients who are compound heterozygotes for mutation 1226G and 84GG have a more severe clinical disorder than those who are homozygous for the 1226G mutation. The median age of first symptoms in 1226G/1226G is 30.5 yrs. compared to 6 years for 1226G/84GG. No patients homozygous for for 84GG mutation have been reported probably indicating this genotype would be lethal before birth. Mutation 1448C is associated with a more severe disease as compared to 1226G. A 1448C/1448C genotype predicts a severe form of neuropathic Gaucher disease as does the IVS2 muatation. Beutler's analysis of mutation frequency of all Gaucher mutations is about 0.031 in the Ashkenazi Jewish population, and the frequency of the 1226G mutation to be about 0.028 and that of the 84GG mutation 0.0028. Therefore the frequency of all alleles other than 1226G, 84GG and 1448C would be 3.3% of the total, or 1x10-3. A Jewish couple who is negative for the 1226G, 84GG and 1448C will have only 1 in about 1,000,000 risk of having a affected. Whereas, if one partner has one of the three mutations and the other none of these three, the risk will be 1:1000. The estimated carrier frequency for Gaucher disease in Ashkenazic Jewish individual is 1/11. Molecular analysis DNA analysis for Gaucher's disease mutations is accomplished by specific PCR amplification, mismatched PCR (discussed below), followed by restriction endonuclease digestion and/or ASO hybridization. We previously discussed PCR followed by restriction endonuclease digestion and ASO. Here we will discuss a new method of mutation detection, mismatched PCR. Not all mutations result in the gain or loss of a restriction site. Such mutations therefore cannot be analyzed by PCR/restriction endonuclease method. ASO requires the use of radioactivity and thorough optimization. The mismatched PCR method was introduced by Beutler et al27 to overcome these difficulties. In this method, one of the primers for PCR is constructed in a way that the 3' end of the DNA strand adjacent to the site of the mutation and the internal sequence of the primer is altered so that a restriction endonuclease site will either be gained or lost once the PCR product is amplified. The example given in Fig 3A is for Gaucher's disease mutation 1226G (also known as N370S). In this mutation, an A is changed to a G at position 1226, leading to the substitution of the amino acid serine for asparagine. This mutation does not create or abolish a site for any known/commercially available restriction endonuclease. - 95 - One of the PCR primers is constructed with a mismatch, as shown in Fig 3B. Primers with internal mismatches will hybridize to target sequences at optimized conditions, and elongation of this primer with a normal template wil1 result in the addition of an A residue; in the mutant template, a G residue will be added. The use of the mismatched primer in concert with a 1226G mutant template creates a new Xho I restriction endonuclease site (Table 6). Digestion of PCR products from normal and 1226G mutant templates is fol1owed by electrophoretic separation. The result wil1 be two fragments for the mutant product (it will be cleaved), whereas the normal product remains uncleaved, resulting in visualization of a single, higher molecular weight fragment. This technique is reliable, and it is performed a fashion very similar to PCR, fol1owed by restriction endonuclease digestion. This mismatched PCR method may also be used for the 84GG Gaucher mutation.27 Detection Methods The choice of using methods for mutation analysis is restricted by our knowledge of the existence of a mutation and its type and in parallel to the development of safe and sensitive new detection methods. Gene Link’s primary focus is in the development of facile non-radioactive detection methods. This product profile of Gene Link’s current gene detection product line spotlights chemiluminescent detection based products as well as conventional radioactive based methods. The gene detection systems can be divided into five broad groups based on detection methods: Genemer™: Genemer™ is comprised of a primer pair for PCR amplification of amplification of the fragment of interest and visualization of the product by gel electrophoresis and ethidium bromide staining. This product contains one tube containing 10 nmol of forward and reverse lyophilized primer. The quantity supplied is sufficient for 400 regular 50 µl PCR reactions. The 10 nmol of primer when dissolved in 50µl water will give a solution of 200 µMolar i.e. 200 pmol/µl. Genemer™ Kit: The Genemer™ kit is a complete easy-to-use kit for reliable genotyping of a gene fragment. This line of products is PCR based. The product includes a specific primer pair for gene or mutation specific amplification, optimized buffers and dNTPs and in most cases, control DNA. Kit includes sufficient reagents for 100 detections. Genemer™ Control DNA: These are cloned fragment of the mutation region of a particular gene for use with gene or mutation specific Genemer™ products. These control DNAs are ideal genotyping templates for optimizing and performing control amplification with unknown DNA. One tube is supplied containing 500 ng of lyophilized DNA segment of the specified region. The quantity supplied is sufficient for 1000 regular 50 µl PCR reactions. Results and Interpretation 1226G 84GG 1448C IVS2+1 1604A 1297T 1504T Mutation (N370S) PCR Product 105 75 102 357 170 69 775 (L444P) (R496H) (V394L) (R463C) Normal 105 75 102 141+117+99 170 69 615 +150 Homo 89+16 57+18 57+45 240+117 128 +42 49+22 775 Carrier 105+89+16 75+57+18 102+57+45 240+141+117+99 170 +128 +42 69 +47 +22 775+615+160 *The polymerase chain reaction (PCR) process is covered by patents owned by Hoffmann-La Roche. A license to perform is automatically granted by the use of authorized reagents. References: 1. Beutler et.al. Clin. Chim. Acta (1990) 194:161-166. 2. Beutler et. al. PNAS (1991) 88:10544-10547. 3. Zimran...Beutler Lancet (1989) 349-352. 4. Beutler Science (1992) 256:794-799. 5. Horowitz, M. and Zimran,A Human Mutation (1994) 3:1-11 Ordering Information Product Size Catalog No. Price, $ Gaucher 1226G (N370S) Genemer™ 10 nmols 40-2047-12 100.00 Gaucher 84GG Genemer™ 10 nmols 40-2047-13 100.00 Gaucher 1448C (L444P) Genemer™ 10 nmols 40-2047-14 100.00 Gaucher IVS2+1 Genemer™ 10 nmols 40-2047-15 100.00 Gaucher 1604A (R496H) Genemer™ 10 nmols 40-2047-16 100.00 Gaucher 1297T (V394L) Genemer™ 10 nmols 40-2047-17 100.00 Gaucher 1504T (R463C) Genemer™ 10 nmols 40-2047-18 100.00 - 96 - Gene Detection Systems By Product Line - 97 - - 98 - GeneProber™ The GeneProber™ product line is based on the chemiluminescent Southern blot detection method. Gene Link’s non-radioactive detection systems for genotyping of triple repeat disorders are rapid, reliable and as sensitive as the 32P labeled southern blots. No more decayed probes and radioactive exposure. Kits are available for reliable genotyping of the following triple repeat mutation group disorders. GeneProber™ Unlabeled Probes Product Fragile X GeneProber™ GLFX1 Probe unlabeled Fragile X CGG triple repeat spanning region unlabeled probe for radioactive labeling and Southern blot detection. Suitable for random primer labeling. Size Catalog No. Price, $ 500 ng 40-2004-40 350.00 500 ng 40-2025-40 350.00 500 ng 40-2026-40 350.00 500 ng 40-2026-39 350.00 500 ng 40-2026-38 350.00 500 ng 40-2027-40 350.00 500 ng 40-2032-40 350.00 Huntington Disease GeneProber™ GLHD Probe unlabeled Huntington Disease CAG triple repeat spanning region unlabeled probe for radioactive labeling and Southern blot detection. Suitable for random primer labeling. Myotonic Dystrophy GeneProber™ GLDM1 Probe unlabeled. Myotonic dystrophy CTG triple repeat spanning region unlabeled probe for radioactive labeling and Southern blot detection of Bam HI digested DNA. Suitable for random primer labeling. Myotonic Dystrophy GeneProber™ GLDM2 Probe unlabeled. Myotonic dystrophy CTG triple repeat spanning region unlabeled probe for radioactive labeling and Southern blot detection of Pst I digested DNA. Suitable for random primer labeling. Myotonic Dystrophy GeneProber™ GLDM3 Probe unlabeled. Myotonic dystrophy CTG triple repeat spanning region unlabeled probe for radioactive labeling and Southern blot detection. Suitable for random primer labeling. Friedreich Ataxia GeneProber™ FRDA-GL3 Probe unlabeled Friedreich Ataxia GAA triple repeat spanning region unlabeled probe for radioactive labeling and Southern blot detection. Suitable for random primer labeling. Kennedy Disease (SBMA) GeneProber™ GLSBMA Probe unlabeled Kennedy Disease CAG triple repeat spanning region unlabeled probe for radioactive labeling and Southern blot detection. Suitable for random primer labeling. - 99 - GeneProber™ Digoxigenin Labeled Probes Product Fragile X GeneProber™ GLFXDig1 Probe Digoxigenin labeled Fragile X CGG triple repeat spanning region digoxigenin labeled probe for nonradioactive Southern blot detection. Huntington Disease GeneProber™ GLHD Probe Digoxigenin labeled Huntington Disease CAG repeat spanning region digoxigenin labeled probe for nonradioactive detection Southern blot. Myotonic Dystrophy GeneProber™ GLDMDig2 Probe Digoxigenin labeled. Myotonic dystrophy CTG triple repeat spanning region digoxigenin labeled probe for Southern blot non-radioactive detection of Pst I digested DNA. Friedreich Ataxia GeneProber™ GLFRDA Probe Digoxigenin labeled Friedreich Ataxia GAA triple repeat spanning region digoxigenin labeled probe for Southern blot non-radioactive detection. Kennedy Disease (SBMA) GeneProber™ GLSBMA Probe Digoxigenin labeled Kennedy Disease CAG triple repeat spanning region digoxigenin labeled probe for non-radioactive Southern blot detection. Size Catalog No. Price, $ 110 µl 40-2004-41 400.00 110 µl 40-2025-41 400.00 110 µl 40-2026-41 400.00 110 µl 40-2027-41 400.00 110 µl 40-2032-41 400.00 - 100 - PCRProber™ Gene Detection Kits Gene Link’s PCRProber™ Kit is based on PCR amplification followed by Southern blot chemiluminescent detection using an Alkaline Phosphatase labeled oligonucleotide probe. This kit is a safe and sensitive alternate to radioactive-based detection methods. The amplified products are resolved on a sequencing polyacrylamide gel, and then blotted and processed for chemiluminescent detection. The PCRProber™ Kit is simple and robust for routine triple repeat detection of greater than 100 repeats of all triple repeat disorders listed, except Fragile X. The CGG repeat in Fragile X can be detected up to ~50 repeats. It is strongly recommended that the genotyping be followed up by using Southern blot detection methods when two alleles are not clearly discernable. Quantity supplied is 1 kit [100 rxns]. PCRProber ™ Kits Product Fragile X PCRProber™ Kit (spanning triple repeat region) Kit for performing PCR amplification and chemiluminescent based detection. Huntington Disease PCRProber ™ Kit (spanning triple repeat region) Kit for performing PCR amplification and chemiluminescent based detection. Myotonic PCRProber™ Kit (spanning triple repeat region) Kit for performing PCR amplification and chemiluminescent based detection. Friedreich Ataxia PCRProber ™ Kit (spanning triple repeat region) Kit for performing PCR amplification and chemiluminescent based detection. CAG repeat PCRProber™ Kit (spanning triple repeat region) Kit for performing PCR amplification and chemiluminescent based detection for all CAG triple repeat disorders. Size Catalog No. Price, $ 1 kit 40-2004-32 650.00 1 kit 40-2025-32 650.00 1 kit 40-2026-32 650.00 1 kit 40-2027-32 650.00 1 kit 40-20XX-32 650.00 PCRProber ™ Alkaline Phosphatase Labeled Probes Product Fragile X PCRProber™ AP labeled probe Alkaline phosphatase labeled probe Huntington Disease PCRProber™ AP labeled probe Alkaline phosphatase labeled probe Myotonic Dystrophy PCRProber™ AP labeled probe Alkaline phosphatase labeled probe Friedreich Ataxia PCRProber™ AP labeled probe Alkaline phosphatase labeled probe CAG repeat PCRProber™ AP labeled probe Alkaline phosphatase labeled probe Size Catalog No. Price, $ 12 µl 40-2004-31 400.00 12 µl 40-2025-31 400.00 12 µl 40-2026-31 400.00 12 µl 40-2027-31 400.00 12 µl 40-20XX-31 400.00 - 101 - Genemer™ The Genemer™ product line is PCR based. The product includes a specific primer pair for gene or mutation specific amplification. Easy to use, reliable genotyping kits are available with control DNA. Genemer products are available for the gene fragment and disorder listed. Specialized optimized conditions may be required for certain triple repeat disorder amplifications. Gene Link recommends the Genemer™ kits for researchers who have not established their own optimized amplification conditions. The Genemer™ kits contain optimized buffers and primers. This product contains one tube containing 10 nmols of forward and reverse lyophilized primer. The quantity supplied is sufficient for 400 regular 50µl PCR reaction. The 10 nmols of primer when dissolved in 50µl water will give a solution of 200 µMolar i.e. 200 pmole/µl. Genemer™ Product Size Catalog No. Sickle Cell Genemer™ 10 nmols 40-2001-10 RhD (RhD gene exon 10 specific) Genemer™ 10 nmols 40-2002-10 Rh EeCc (Rh Ee and Cc exon 7 specific) Genemer™ 10 nmols 40-2003-10 Fragile X (spanning CGG triple repeat region) Genemer™ 10 nmols 40-2004-10 SRY (sex determining region on Y) Genemer™ 10 nmols 40-2020-10 X alphoid repeat Genemer™ 10 nmols 40-2021-10 Y alphoid repeat Genemer™ 10 nmols 40-2022-10 Huntington Disease (spanning CAG triple repeat region) Genemer™ 10 nmols 40-2025-10 Myotonic Dystrophy (spanning CTG triple repeat region) Genemer™ 10 nmols 40-2026-10 Friedreich’s Ataxia (spanning GAA triple repeat region) Genemer™ 10 nmols 40-2027-10 Cystic Fibrosis (various mutations) Genemer™ 10 nmols 40-2029-XX Kennedy Disease Genemer™ 10 nmols 40-2032-10 Gaucher (various mutations) Genemer Kit 10 nmols 40-2047-XX *Please visit www.genelink.com for other Genemer™ not listed here Price, $ 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 - 102 - Genemer™ Kits The Genemer™ kit is a complete easy-to-use kit for reliable genotyping of a gene fragment. This line of products is PCR based. The product includes a specific primer pair for gene or mutation specific amplification, optimized buffers and dNTPs and in most cases, control DNA. These kits contain specialized and optimized conditions that are required for amplification of large repeats in certain triple repeat disorder amplifications. Gene Link recommends these Genemer™ kits for researchers who have not established their own optimized amplification conditions. Gene Link has developed a series of PCR systems capable of routinely amplifying greater than 150 CAG repeats for Huntington and other CAG triple repeat disorders. The PCR system is thus capable to detect all CAG triple repeat disorders. This system uses regular Taq polymerase. Amplified fragments are resolved by convenient agarose gel electrophoresis and ethidium bromide staining. It is to be emphasized that accurate size determination should be done on polyacrylamide sequencing gel or a fluorescent genetic analyzer using GeneProber™, PCRProber™, or GScan™ kits. Genemer™ kits are available for the gene fragment and disorders listed below. Kit includes sufficient reagents for 100 detections. Genemer™ Kits Product Size Catalog No. Price, $ Fragile X (spanning CGG triple repeat region) available as GeneProber™, PCRProber™, or GScan™ kits Huntington Disease (spanning CAG triple repeat region) Genemer Kit 1 Kit 40-2025-11 250.00 Myotonic Dystrophy (spanning CTG triple repeat region) Genemer Kit 1 Kit 40-2026-11 250.00 Friedreich’s Ataxia (spanning GAA triple repeat region) Genemer Kit 1 Kit 40-2027-11 250.00 Kennedy Disease (SBMA) Genemer Kit 1 Kit 40-2032-11 250.00 Sickle Cell Genemer Kit 1 Kit 40-2001-11 200.00 RhD (RhD gene exon 10 specific) Genemer Kit 1 Kit 40-2002-11 200.00 Rh EeCc (Rh Ee and Cc exon 7 specific) Genemer Kit 1 Kit 40-2003-11 200.00 SRY (sex determining region on Y) Genemer Kit 1 Kit 40-2020-11 200.00 X alphoid repeat Genemer Kit 1 Kit 40-2021-11 200.00 Y alphoid repeat Genemer Kit 1 Kit 40-2022-11 200.00 Cystic Fibrosis (various mutations) Genemer Kit 1 Kit 40-2029-XXK 200.00 Gaucher (various mutations) Genemer Kit 1 Kit 40-2047-XXK 200.00 *Please visit www.genelink.com for other Genemer™ Kits not listed here - 103 - Genemer™ Radioactive Detection Kits Gene Link strongly recommends the use of non-radioactive gene detection systems. Consider switching to Gene Link’s product line of non-radioactive detection systems. Genemer™ kits are also available for conventional radioactive-based detection methods. A Radioactive component is not present in these kits. Genemer™ kits are complete easy-to-use kits for reliable genotyping of a gene fragment. This line of products is PCR based. The product includes a specific primer pair for gene or mutation specific amplification, optimized buffers and dNTPs and in most cases control DNA. These kits contain specialized and optimized conditions that are required for amplification of large repeats in certain triple repeat disorder amplifications. Gene Link has developed a series of PCR systems capable of routinely amplifying greater than 150 CAG repeats for Huntington and other CAG triple repeat disorders. The PCR system is thus capable to detect all CAG triple repeat disorders. This system uses regular Taq polymerase. It is to be emphasized that accurate size determination should be done on polyacrylamide sequencing gel. Genemer™ radioactive use kits are available for the gene fragment and disorder listed below. Kit includes sufficient reagents for 100 detections. Genemer™ Radioactive Detection Kits Product Fragile X Genemer™ Kit for Radioactive Detection Kit for amplification and radioactive detection of Fragile X CGG triple repeat region amplified PCR products using 35S or 32P. Huntington Disease Genemer™ Kit for Radioactive Detection Kit for amplification and radioactive detection of Huntington Disease CAG triple repeat region amplified PCR products using 35S or 32P. Myotonic Dystrophy Genemer™ Kit for Radioactive Detection Kit for amplification and radioactive detection of Myotonic Dystrophy CTG triple repeat region amplified PCR products using 35S or 32P. Friedreich’s Ataxia Genemer™ Kit for Radioactive Detection Kit for amplification and radioactive detection of Friedreich’s Ataxia GAA triple repeat region amplified PCR products using 35S or 32P. Kennedy Disease Genemer™ Kit for Radioactive Detection Kit for amplification and radioactive detection of Kennedy Disease CAG triple repeat region amplified PCR products using 35S or 32P. Size Catalog No. Price, $ 1 Kit 40-2004-20 350.00 1 Kit 40-2025-20 350.00 1 Kit 40-2026-20 350.00 1 Kit 40-2027-20 350.00 1 Kit 40-2032-20 350.00 Please visit www.genelink.com for other Genemer™ Kits not listed here - 104 - GScan™ Gene Detection Kits Genotyping using this kit requires use of the appropriate fluorescent genetic analyzer instrument(s) and software capable of detection of fluorescently labeled fragments of varying lengths. These kist has been optimized for an ABI310 genetic analyzer. Gene Link’s GScan™ gene detection kits are safe, convenient and sensitive, and afford automated compilation of data. The kits contain optimized PCR amplification reagents and a wide selection of fluorescent-labeled primers for genotyping after PCR using fluorescent genetic analyzer instrument(s). Included in these kits are ready to run control samples of various repeats of the triple repeat disorder kit. These control samples are for calibration with the molecular weight markers for accurate size determination of the amplified fragments. The GScan kits are simple and robust for routine triplerepeat detection of greater than 100 repeats of all triple repeat disorders listed, except Fragile X. The CGG repeat in Fragile X can be detected up to ~50 repeats. It is strongly recommended that the genotyping be followed up by using Southern blot detection methods when two alleles are not clearly discernable. Kit includes sufficient reagents for 100 detections. GScan™ Gene Detection Kits Product Size Fragile X GScan TET Kit 1 Kit Fragile X GScan HEX Kit 1 Kit Fragile X GScan 6-FAM Kit 1 Kit Fragile X GScan Cy3 Kit 1 Kit Fragile X GScan Cy5 Kit 1 Kit Huntington Disease GScan TET Kit 1 Kit Huntington Disease GScan HEX Kit 1 Kit Huntington Disease GScan 6-FAM Kit 1 Kit Huntington Disease GScan Cy3 Kit 1 Kit Huntington Disease GScan Cy5 Kit 1 Kit Myotonic Dystrophy GScan TET Kit 1 Kit Myotonic Dystrophy GScan HEX Kit 1 Kit Myotonic Dystrophy GScan 6-FAM Kit 1 Kit Myotonic Dystrophy GScan Cy3 Kit 1 Kit Myotonic Dystrophy GScan Cy5 Kit 1 Kit Friedreich’s Ataxia GScan TET Kit 1 Kit Friedreich’s Ataxia GScan HEX Kit 1 Kit Friedreich’s Ataxia GScan 6-FAM Kit 1 Kit Friedreich’s Ataxia GScan Cy3 Kit 1 Kit Friedreich’s Ataxia GScan Cy5 Kit 1 Kit Kennedy Disease GScan TET Kit 1 Kit Kennedy Disease GScan HEX Kit 1 Kit Kennedy Disease GScan 6-FAM Kit 1 Kit Kennedy Disease GScan Cy3 Kit 1 Kit Kennedy Disease GScan Cy5 Kit 1 Kit Please visit www.genelink.com for other GScan™ Kits Catalog No. 40-2004-15TT 40-2004-15HX 40-2004-15FM 40-2004-15C3 40-2004-15C5 40-2025-15TT 40-2025-15HX 40-2025-15FM 40-2025-15C3 40-2025-15C5 40-2026-15TT 40-2026-15HX 40-2026-15FM 40-2026-15C3 40-2026-15C5 40-2027-15TT 40-2027-15HX 40-2027-15FM 40-2027-15C3 40-2027-15C5 40-2032-15TT 40-2032-15HX 40-2032-15FM 40-2032-15C3 40-2032-15C5 not listed here. Price, $ 650.00 650.00 650.00 650.00 650.00 650.00 650.00 650.00 650.00 650.00 650.00 650.00 650.00 650.00 650.00 650.00 650.00 650.00 650.00 650.00 650.00 650.00 650.00 650.00 650.00 - 105 - GScan™ Genemer Control DNA PCR amplified HEX labeled fragment of the mutation region of a particular gene for use with gene or mutation specific Genemer™. These control DNAs are ideal genotyping templates for optimizing and performing control amplification with unknown DNA. The size of the triple repeats has been determined by sequencing and gel electrophoresis. The stability of size repeats upon cloning and amplification has NOT been determined. Thus, the size should be considered approximate and there is no claim for each fragment to contain the exact number of triple repeats. These control DNAs are sold with the expressed condition that these NOT be used for exact triple repeat size determination of DNA of unknown genotype. These control DNA should be used for calibration and determining the performance of specific Genemer™ kits. Product Size Catalog No. GLFX ~16 CGG repeat GScan Genemer Control DNA; HEX labeled 25 µl 40-2004-01HX GLFX ~29 CGG repeat GScan Genemer Control DNA; HEX labeled 25 µl 40-2004-02HX GLFX ~40 CGG repeat GScan Genemer Control DNA; HEX labeled 25 µl 40-2004-03HX GLHD 7 ~CAG repeat GScan Genemer Control DNA; HEX labeled 25 µl 40-2025-05HX GLHD 18 ~CAG repeat GScan Genemer Control DNA; HEX labeled 25 µl 40-2025-01HX GLHD 31 ~CAG repeat GScan Genemer Control DNA; HEX labeled 25 µl 40-2025-07HX GLHD 34 ~CAG repeat GScan Genemer Control DNA; HEX labeled 25 µl 40-2025-02HX GLHD 37 ~CAG repeat GScan Genemer Control DNA; HEX labeled 25 µl 40-2025-08HX GLHD 44 ~CAG repeat GScan Genemer Control DNA 25 µl 40-2025-03HX GLHD 49 ~CAG repeat GScan Genemer Control DNA 25 µl 40-2025-09HX GLHD 89 ~CAG repeat GScan Genemer Control DNA 25 µl 40-2025-04HX GLHD 116 ~CAG repeat GScan Genemer Control DNA 25 µl 40-2025-06HX GLHD 134 ~CAG repeat GScan Genemer Control DNA 25 µl 40-2025-61HX GLHD 182 ~CAG repeat GScan Genemer Control DNA 25 µl 40-2025-62HX GLDM 12 ~CTG repeat GScan Genemer™ Control DNA 25 µl 40-2026-01HX GLDM 45 ~CTG repeat GScan Genemer™ Control DNA 25 µl 40-2026-02HX GLDM 93 ~CTG repeat GScan Genemer™ Control DNA 25 µl 40-2026-03HX GLDM 129 ~CTG repeat GScan Genemer™ Control DNA 25 µl 40-2026-04HX GLDM 182 ~CTG repeat GScan Genemer™ Control DNA 25 µl 40-2026-05HX GLFRDA ~64 GAA repeat GScan Genemer Control DNA 25 µl 40-2027-01HX GLFRDA ~102 GAA repeat GScan Genemer Control DNA 25 µl 40-2027-02HX GLFRDA ~110 GAA repeat GScan Genemer Control DNA 25 µl 40-2027-03HX GLFRDA ~125 GAA repeat GScan Genemer Control DNA 25 µl 40-2027-04HX GLFRDA ~9 GAA repeat GScan Genemer Control DNA 25 µl 40-2027-05HX Kennedy (SBMA) ~23 CAG repeat GScan Genemer Control DNA 25 µl 40-2032-01HX Please visit www.genelink.com for other GScan Genemer™ Controls not listed here Price, $ 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 Huntington’s Disease Control DNA with 134 CAG repeats - 106 - Genemer™ Control DNA These are cloned fragment of the mutation region of a particular gene for use with gene or mutation specific Genemer™ products. These control DNAs are ideal genotyping templates for optimizing and performing control amplification with unknown DNA. The size of the triple repeats has been determined by sequencing and gel electrophoresis. The stability of size repeats upon cloning and amplification has NOT been determined. Thus, the size should be considered approximate and there is no claim for each fragment to contain the exact number of triple repeats. These control DNAs are sold with the expressed condition that these NOT be used for exact triple repeat size determination of DNA of unknown genotype. The control DNA should be used for determining the performance of specific Genemer™ and PCRProber™ Gene Link products. Product Size Catalog No. GLFX ~16 CGG repeat Genemer Control DNA 500 ng 40-2004-01 GLFX ~29 CGG repeat Genemer Control DNA 500 ng 40-2004-02 GLFX ~40 CGG repeat Genemer Control DNA 500 ng 40-2004-03 GLFX ~60 CGG repeat Genemer Control DNA 500 ng 40-2004-04 GLFX ~90 CGG repeat Genemer Control DNA 500 ng 40-2004-05 GLHD ~7 CAG repeat Genemer Control DNA 500 ng 40-2025-05 GLHD ~18 CAG repeat Genemer Control DNA 500 ng 40-2025-01 GLHD ~31 CAG repeat Genemer Control DNA 500 ng 40-2025-07 GLHD ~34 CAG repeat Genemer Control DNA 500 ng 40-2025-02 GLHD ~37 CAG repeat Genemer Control DNA 500 ng 40-2025-08 GLHD ~44 CAG repeat Genemer Control DNA 500 ng 40-2025-03 GLHD ~49 CAG repeat Genemer Control DNA 500 ng 40-2025-09 GLHD ~89 CAG repeat Genemer Control DNA 500 ng 40-2025-04 GLHD ~116 CAG repeat Genemer Control DNA 500 ng 40-2025-06 GLHD ~134 CAG repeat Genemer Control DNA 500 ng 40-2025-61 GLHD ~182 CAG repeat Genemer Control DNA 500 ng 40-2025-62 GLDM ~12 CTG repeat Genemer™ Control DNA 500 ng 40-2026-01 GLDM ~45 CTG repeat Genemer™ Control DNA 500 ng 40-2026-02 GLDM ~93 CTG repeat Genemer™ Control DNA 500 ng 40-2026-03 GLDM ~129 CTG repeat Genemer™ Control DNA 500 ng 40-2026-04 GLDM ~182 CTG repeat Genemer™ Control DNA 500 ng 40-2026-05 GLFRDA ~64 GAA repeat Genemer Control DNA 500 ng 40-2027-01 GLFRDA ~102 GAA repeat Genemer Control DNA 500 ng 40-2027-02 GLFRDA ~110 GAA repeat Genemer Control DNA 500 ng 40-2027-03 GLFRDA ~125 GAA repeat Genemer Control DNA 500 ng 40-2027-04 GLFRDA ~9 GAA repeat Genemer Control DNA 500 ng 40-2027-05 Kennedy Disease (SBMA) ~23 CAG repeat Genemer Control DNA 500 ng 40-2032-01 Sickle Cell HbA Genemer Control DNA 500 ng 40-2001-01 Sickle Cell HbS Genemer Control DNA 500 ng 40-2001-02 Sickle Cell HbC Genemer Control DNA 500 ng 40-2001-03 RhD (RhD gene exon 10 specific) Genemer Control DNA 500 ng 40-2002-01 Rh EeCc (Rh Ee and Cc exon 7 specific) Genemer Control DNA 500 ng 40-2003-01 SRY (sex determining region on Y) Genemer Control DNA 500 ng 40-2020-01 X alphoid repeat Genemer Control DNA 500 ng 40-2021-01 Y alphoid repeat Genemer Control DNA 500 ng 40-2022-01 Please visit www.genelink.com for other Genemer™ Control DNA not listed here. Hb-A: …TCCTGAGGAG… Hb-S: …TCCTGTGGAG… Price, $ 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 175.00 115.00 115.00 115.00 115.00 115.00 115.00 115.00 115.00 Hb-C: …TCCTAAGGAG… *The polymerase chain reaction (PCR) process is covered by patents owned by Hoffmann-La Roche. A license to perform is automatically granted by the use of authorized reagents. **Boehringer Mannheim/Roche holds exclusive rights to digoxigenin labeling. Digoxigenin oligo labeling is offered under license from Roche. Extensive digoxigenin labeling techniques and detection methods are available from Roche Prices subject to change without notice. All Gene Link products are for research use only. - 107 - - 108 - GENETIC TOOLS AND REAGENTS - 109 - - 110 - RT-PCRmer™ RT-PCRmerTM are primer pairs for specific amplification of cDNA. ß-actin is ubiquitously expressed and serves as a positive control for northern and other expression studies. ß-actin RT-PCRmerTM is generally used as controls for measuring cDNA synthesis efficiency by reverse transcription and as controls for mRNA (cDNA) quantitative expression studies. ß-actin RTPCRmerTM are supplied as a lyophilized powder in aliquots of 10nmoles. The 10nmoles of primer when dissolved in 500µl sterile water or TE will give a solution of 20µMolar i.e. 20pmoles/µl. The quantity supplied is sufficient for at least 400 regular 25µl PCR reaction* for ethidium bromide stained visualization. This primer set will amplify a fragment of 289 bp from human and rat cDNA. The fragments can be distinguished from rat or human source by digestion with Pvu II; the rat amplified 289 bp fragment is digested to give a 132 and 157 fragments whereas the human amplified fragment is not digested due to the absence of the Pvu II (1). The product is supplied as a lyophilized powder, after reconstitution store at -20oC. Oligo purity is greater than 98% as determined by denaturing polyacrylamide gel electrophoresis. RT-PCRmer™ Product Catalog No. Quantity Price $ RT-PCRmer; Human beta actin RT-PCRmer; Rat beta actin 40-1001-10 40-1002-10 10 nmols 10 nmols 100.00 RT-PCRmer; Mouse beta actin 40-1003-10 40-1004-10 10 nmols 100.00 10 nmols 100.00 40-1005-10 40-1002-00 10 nmols 100.00 10 nmols 100.00 RT-PCRmer; beta 2 microglobulin RT-PCRmer; GAPDH H/M/R RT-PCRmer; Beta actin control PCR mix (human & t) 100.00 *Please see our First Strand cDNA section for related products. OligoProber™ OligoProber™ are specific oligonucleotide probes for hybridization to its cognate species. These are specially suited for use in conjunction with RT-PCRmers™, as the complementary sequence lies in the amplified sequence. The OligoProber™ can also be used for all northern blots. OligoProber™ are available for use as hybridization probes with either 5’OH for 32P labeling or with 3’ biotin for non-radioactive detection. The OligoProber™ is supplied as a lyophilized powder in aliquots of 2nmoles. The 2 nmoles of primer when dissolved in 100µl sterile water or TE will give a solution of 20 µMolar i.e. 20 pmoles/µl. Oligo purity is greater than 98% as determined by denaturing polyacrylamide gel electrophoresis. Reference 1. du Breuil, R. M., Patel, J.M. and Mendelow, B.V. (1993) PCR methods and applications. 3:57-59. OligoProber™ Catalog No. Quantity Price $ TM Product 40-1101-02 2 nmols 55.00 TM 40-1102-02 2 nmols 55.00 TM 40-1103-02 2 nmols 55.00 40-1105-02 2 nmols 55.00 OligoProber ; Biotinylated Human beta actin 40-1111-02 2 nmols 150.00 OligoProberTM; Biotinylated Rat beta actin 40-1112-02 2 nmols 150.00 40-1113-02 2 nmols OligoProber ; Human beta actin OligoProber ; Rat beta actin OligoProber ; Mouse beta actin OligoProberTM; GAPDH H/M/R TM 150.00 OligoProber ; Biotinylated Mouse beta actin TM OligoProber ; Biotinylated GAPDH H/M/R 40-1115-02 2 nmols 150.00 *The polymerase chain reaction (PCR) process is covered by patents owned by Hoffmann-La Roche. A license to perform is automatically granted by the use of authorized reagents. TM - 111 - Omni-Ladder™ Unlabeled DNA Molecular Weight Markers Omni-Marker™ Universal and Low are unlabeled DNA markers containing a blend of fragments ranging from 50 base pairs to 10 kb. The universal contains fragments of the following sizes; 10 kb, 8 kb, 6 kb, 4 kb, 3 kb,2 kb, 1.55, 1.4 kb, 1 kb, 750 bp, 500 bp, 400 bp kb, all the bands and “low” version contains fragments from 50 bp to 2kb. The low Omni-Marker™ is ideal for routine PCR gels. A loading of 5 µl is sufficient per lane. Omni-Marker™ Universal unlabeled Omni-Marker™ Low unlabeled Fragment Size 10 kb 8 kb 6 kb 4 kb 3 kb 2 kb 1.55 kb 1.40 kb 1.00 kb 750 bp 500 bp 400 bp 300 bp 200 bp 100 bp 50 bp Fragment Size 2 kb 1.55 kb 1.40 kb 1.00 kb 750 bp 500 bp 400 bp 300 bp 200 bp 100 bp 50 bp Approx. conc. 30 ng 30 ng 45 ng 60 ng 85 ng 150 ng 100 ng 100 ng 120 ng 30 ng 60 ng 20 ng 40 ng 30 ng 20 ng 15 ng Approx. conc. 150 ng 100 ng 100 ng 120 ng 30 ng 60 ng 20 ng 40 ng 30 ng 20 ng 15 ng The gel picture shows the fragments obtained by electrophoresing in 1.5% agarose gel. The low and universal Omni-Markers are provided premixed with or without dye. The marker and dye both contain 0.02% sodium azide. Molecular Weight Markers Product Catalog No. Size Price $ Omni-Marker™ Universal unlabeled 40-3005-01 100 µl 15.00 Omni-Marker™ Universal unlabeled 40-3005-05 500 µl 50.00 Omni-Marker™ Universal unlabeled 40-3005-10 1 ml 90.00 Omni-Marker™ Low unlabeled 40-3006-01 100 µl 15.00 Omni-Marker™ Low unlabeled 40-3006-05 500 µl 50.00 Omni-Marker™ Low unlabeled 40-3006-10 1 ml 90.00 * Normal recommended loading per lane is 5 µl . Shipped at room temperature. Store at -20oC 112 Omni-Ladder™ Labeled DNA Molecular Weight Markers Omni-Marker™ dye labeled, Alkaline Phosphatase, biotin and digoxigenin labeled MW Markers are also available. Omni-Marker™ Dye Labeled MW Markers Product Catalog No. Size* Price $ Omni-Marker™ GScan-1 Tamra labeled 50 bp-1kb 40-3061-01 100 µl 95.00 Omni-Marker™ GScan-1 Tamra labeled 50 bp-1kb 40-3061-05 500 µl 395.00 Omni-Marker™ GScan-2 Tamra labeled 50 bp- 600 bp 40-3062-01 100 µl 95.00 Omni-Marker™ GScan-2 Tamra labeled 50 bp- 600 bp 40-3062-05 500 µl 395.00 Omni-Marker™ GScan-1 Tet labeled 50 bp-1kb 40-3071-01 100 µl 95.00 Omni-Marker™ GScan-1 Tet labeled 50 bp-1kb 40-3071-05 500 µl 395.00 Omni-Marker™ GScan-2 Tet labeled 50 bp- 600 bp 40-3072-01 100 µl 95.00 Omni-Marker™ GScan-2 Tet labeled 50 bp- 600 bp 40-3072-05 500 µl 395.00 o *A loading of 0.5µl is suggested. Shipped at room temperature. Store at -20 C Loading Buffers Gene Link also supplies loading buffers. We recommend Orange G for very low molecular weight DNA, as it usually runs around the 20-30bp range on 1% agarose. Bromophenol Blue /Xylene Cyanol DNA loading buffer is better for DNA of larger molecular weight. Loading Buffers Product Catalog No. Size Price $ 5X BPB/XC non-denaturing loading buffer 40-3002-01 100 µl 5.00 5X BPB/XC non-denaturing loading buffer 40-3002-10 1ml 10.00 5X Orange G/XC non-denaturing loading buffer 40-3004-01 100 µl 5.00 5X Orange G/XC non-denaturing loading buffer 40-3004-10 1ml 10.00 2X BPB/XC Sequencing loading buffer 40-5027-01 100 µl 5.00 2X BPB/XC Sequencing loading buffer 40-5027-10 1ml 10.00 113 Omni-Pure™ DNA & RNA Purification Systems Facile and rapid purification of DNA and RNA from varied sources can be performed using the Omni-Pure™ series of DNA, RNA and plasmid purification system. ♦Omni-Pure™ Genomic DNA Purification System Each purification sample volume is specially geared towards the desired downstream application. A sample volume of 300 µl is recommended for human blood samples yielding on average from 5-15 µg of high molecular weight and high quality genomic DNA for 2 restriction digestions for Southern blot analysis. The yield is sufficient for hundreds of PCR amplification reactions. Product manual contains detailed protocol for extraction of genomic DNA from tissues and other bodily fluids. Genomic DNA purified using 300µl human blood. ♦Omni-Pure™ Viral DNA & RNA Purification Systems Pathogen infection by either DNA or RNA viruses can be easily detected using molecular diagnostic methods using the DNA or RNA extracted by these systems. Rapid purification systems for extraction of viral DNA or RNA from human bodily fluids including blood for detection of Viral DNA or RNA are captured on special membranes and then eluted in a low volume for direct use in qualitative and quantitative amplification protocols for detection of pathogen. Viral DNA purification and amplification using zero, 1, 10, 100ng. ♦ Omni-Pure™ Microbial DNA Purification System The microbial DNA purification system is ideal for DNA purification of pathogen DNA. An example is mycobacterium tuberculosis; purification of MTB genomic DNA for sputum and other bodily fluids are rapidly performed in less than 30 minutes using this system. The pathogen DNA can be directly used for qualitative and quantitative amplification protocols for detection of pathogen. ♦ Omni-Pure™ Plasmid DNA Purification System Microbial DNA purification followed by amplification of a specific fragment. Mini-preps of plasmid extraction are achieved in less than 30 minutes using these kits. The purified DNA is of high quality suitable for all molecular biology applications including direct use in fluorescent automated sequencing methods. Purification can be performed with a maximum of 3 ml of cells yielding up to 20 µg of purified DNA. Convenient spin column method for ease of use and scale up by using multiple columns. Plasmid purification using 3 ml cultures 114 Omni-Pure™ DNA & RNA Purification Systems Product Catalog No. Size* (Purifications) Price $ Omni-Pure™ Genomic DNA Purification System 40-4010-01 100 75.00 Omni-Pure™ Genomic DNA Purification System 40-4010-05 500 210.00 Omni-Pure™ Genomic DNA Purification System 40-4010-10 1000 350.00 Omni-Pure™ Viral DNA Purification System 40-3720-01 100 220.00 Omni-Pure™ Viral DNA Purification System 40-3720-05 500 880.00 Omni-Pure™ Viral DNA Purification System 40-3720-50 1000 1400.00 Omni-Pure™ Microbial DNA Purification System 40-3700-01 100 175.00 Omni-Pure™ Microbial DNA Purification System 40-3700-05 500 700.00 Omni-Pure™ Microbial DNA Purification System 40-3700-10 1000 1120.00 Omni-Pure™ Viral RNA Purification System 40-3650-01 100 175.00 Omni-Pure™ Viral RNA Purification System 40-3650-05 500 700.00 Omni-Pure™ Viral RNA Purification System 40-3650-10 1000 1120.00 Omni-Pure™ Plasmid DNA Purification System 40-4020-01 100 95.00 Omni-Pure™ Plasmid DNA Purification System 40-4020-05 500 375.00 Omni-Pure™ Plasmid DNA Purification System 40-4020-10 1000 595.00 *Sample volume for each purification system varies. Each purification yield sufficient quantity for desired applications. Related Products Omni-Clean™ Gel DNA Purification and Concentration Systems Product Catalog No. Size* (Purifications) Price $ Omni-Clean™ Gel DNA Beads Purification System 40-4110-10 100 95.00 Omni-Clean™ Gel DNA Beads Purification System 40-4110-50 500 380.00 Omni-Clean™ Gel DNA Spin Column Purification System 40-4120-10 100 110.00 Omni-Clean™ Gel DNA Spin Column Purification System 40-4120-50 500 440.00 Omni-Clean™ DNA Concentration System 40-4130-10 100 110.00 40-4130-50 500 440.00 Omni-Clean™ DNA Concentration System *Unit of size is purification performed Omni-Marker™ unlabeled DNA molecular weight markers* Product Catalog No. Size* (Purifications) Price $ Omni-Marker™ Universal unlabeled 40-3005-01 100 µl 15.00 Omni- Marker™ Universal unlabeled 40-3005-05 500 µl 50.00 Omni-Marker™ Universal unlabeled 40-3005-10 1 ml 90.00 Omni- Marker™ Low unlabeled 40-3006-01 100 µl 15.00 Omni-Marker™ Low unlabeled 40-3006-05 500 µl 50.00 Omni- Marker™ Low unlabeled 40-3006-10 1 ml 90.00 * The markers are provided ready to load containing BPB/XC dyes. A loading of 5µl/well is suggested. Prices subject to change without notice. All Gene Link products are for research use only. 115 Omni-Clean™ Gel DNA Purification & Concentration Systems Facile and rapid purification and concentration of DNA excised from gels and for DNA concentration for sequencing and genotyping. The Omni-Clean™ System complement’s the Omni-Pure™ DNA purification system product line. ♦ Omni-Clean™ System Gel DNA Beads Purification This system utilizes specialized beads which minimizes shearing of large molecular weight genomic DNA. This system is thus ideal for large fragments. The binding capacity is almost 20µg per purification. Purified DNA is suitable for all molecular biology applications. Lane 1 is plasmid extracted using Omni-Pure™plasmid purification system. Lane 2 is the lower fragment gel purified using the Omni-Clean™ gel bead based purification system. ♦ Omni-Clean™ Gel DNA Column Purification System The spin column based gel DNA purification system yields ultra clean DNA without the possibility of carry over of beads during the pipeting process. The binding capacity is almost 20µg per column. Purified DNA is suitable for all molecular biology applications. Lane 2 and 3 are fragments excised from agarose gel and purified using the Omni-Clean™ column based purification system. ♦ Omni-Clean™ DNA Concentration System Concentration of dilute DNA samples by ethanol precipitation is tedious and there is inevitable salt carry over. The Omni-Clean™ DNA concentration system takes less than 15 minutes and yields ultra high quality DNA suitable for all molecular biology applications. This system is recommended for regular ultra purification in addition to concentration. DNA concentrated using this system yields fail safe data for automated sequencing and genotyping. Electropherograms of typical DNA purified using the OmniClean™ DNA concentration system 116 Omni-Clean™ Gel DNA Purification and Concentration Systems Product Catalog No. Size* (Purifications) Price $ Omni-Clean™ Gel DNA Beads Purification System 40-4110-10 100 95.00 Omni-Clean™ Gel DNA Beads Purification System 40-4110-50 500 380.00 Omni-Clean™ Gel DNA Spin Column Purification System 40-4120-10 100 110.00 Omni-Clean™ Gel DNA Spin Column Purification System 40-4120-50 500 440.00 Omni-Clean™ DNA Concentration System 40-4130-10 100 110.00 Omni-Clean™ DNA Concentration System 40-4130-50 500 440.00 *Unit of size is purification performed Related Products Omni-Pure™ DNA & RNA Purification Systems Product Catalog No. Size* (Purifications) Price $ Omni-Pure™ Genomic DNA Purification System 40-4010-01 100 75.00 Omni-Pure™ Genomic DNA Purification System 40-4010-05 500 210.00 Omni-Pure™ Genomic DNA Purification System 40-4010-10 1000 350.00 Omni-Pure™ Viral DNA Purification System 40-3720-01 100 220.00 Omni-Pure™ Viral DNA Purification System 40-3720-05 500 880.00 Omni-Pure™ Viral DNA Purification System 40-3720-50 1000 1400.00 Omni-Pure™ Microbial DNA Purification System 40-3700-01 100 175.00 Omni-Pure™ Microbial DNA Purification System 40-3700-05 500 700.00 Omni-Pure™ Microbial DNA Purification System 40-3700-10 1000 1120.00 Omni-Pure™ Viral RNA Purification System 40-3650-01 100 175.00 Omni-Pure™ Viral RNA Purification System 40-3650-05 500 700.00 Omni-Pure™ Viral RNA Purification System 40-3650-10 1000 1120.00 Omni-Pure™ Plasmid DNA Purification System 40-4020-01 100 95.00 Omni-Pure™ Plasmid DNA Purification System 40-4020-05 500 375.00 Omni-Pure™ Plasmid DNA Purification System 40-4020-10 1000 595.00 *Sample volume for each purification system varies. Each purification yield sufficient quantity for desired applications. Omni-Marker™ unlabeled DNA molecular weight markers* Product Catalog No. Size* (Purifications) Price $ Omni-Marker™ Universal unlabeled 40-3005-01 100 µl 15.00 Omni- Marker™ Universal unlabeled 40-3005-05 500 µl 50.00 Omni-Marker™ Universal unlabeled 40-3005-10 1 ml 90.00 Omni- Marker™ Low unlabeled 40-3006-01 100 µl 15.00 Omni-Marker™ Low unlabeled 40-3006-05 500 µl 50.00 Omni- Marker™ Low unlabeled 40-3006-10 1 ml 90.00 * The markers are provided ready to load containing BPB/XC dyes. A loading of 5µl/well is suggested. Prices subject to change without notice. All Gene Link products are for research use only. 117 Guinea Pig First Strand cDNA Background First strand cDNA is useful for amplifying a particular cDNA using PCR. The PCR reaction must be optimized using varying amounts of the cDNA. This optimization is particularly important when the target mRNA species is of low abundance. The protocol given is for amplifying β-actin as a control to validate the quality of the ‘first strand cDNA’ supplied. The PCR conditions to amplify the target cDNA will be based on the primers selected. It should be noted that specific sequence primers as well as degenerate sequence primers can be used successfully to amplify the target sequence. The first strand cDNA has been prepared from freshly obtained tissue and appropriately frozen during transportation. RNA was extracted using the widely used and published method (1). Oligo dT has been used to prime the synthesis of the first strand using Moloney Murine leukemia Virus (MMLV) Reverse Transcriptase. The amount supplied, 5 µg (lyophilized) first strand cDNA and 200µl of β-actin control PCR mix, is sufficient for at least 50 amplifications. Each lot is tested for amplification of β-actin cDNA. An amplified fragment of 289 bp. Lane 1 is molecular weight markers. Lanes 2-6 are β-actin control PCR product from brain, liver, intestine, skeletal muscle and spleen. References 1. Chomczynski,P. and Sacchi, N. (1987) Anal. Biochem. 162:156-159. First Strand cDNA Catalog No. Size Price $ Guinea pig first strand pooled cDNA 10-2100-05 5µg 425.00 Guinea pig first strand cDNA, Brain 10-2101-05 5µg 425.00 Guinea pig first strand cDNA, Heart 10-2102-05 5µg 425.00 Product Guinea pig first strand cDNA, Liver 10-2103-05 5µg 425.00 Guinea pig first strand cDNA, Kidney 10-2104-05 5µg 425.00 Guinea pig first strand cDNA, Intestine 10-2105-05 5µg 425.00 Guinea pig first strand cDNA, Skeletal muscle 10-2106-05 5µg 425.00 Guinea pig first strand cDNA, Lungs 10-2107-05 5µg 425.00 Guinea pig first strand cDNA, Spleen 10-2108-05 5µg 425.00 Guinea pig first strand cDNA, Ovaries 10-2109-05 5µg 425.00 Guinea pig first strand cDNA, Pancreas 10-2110-05 5µg 425.00 Guinea pig first strand cDNA, Eye 10-2111-05 5µg 425.00 118 Omni-cDNA™ Pooled First Strand cDNA First strand cDNA is useful for amplifying a particular cDNA using PCR. The PCR reaction must be optimized using varying amounts of the cDNA. This optimization is particularly important when the target mRNA species is of low abundance. The protocol given is for amplifying β-actin as a control to validate the quality of the ‘first strand cDNA’ supplied. The PCR conditions to amplify the target cDNA will be based on the primers selected. It should be noted that specific sequence primers as well as degenerate sequence primers can be used successfully to amplify the target sequence. The first strand cDNA has been prepared from pooled and or amplified mRNA obtained from different tissues. These are not from cultured cell lines. The various tissues vary, but are representative of different organs and tissue types. These include lung, heart, brain, spleen, skeletal muscle, smooth muscle, ovaries, pancreas, liver and kidney. There is lot to lot variation but an overall representation of tissue type is maintained. Oligo dT has been used to prime the synthesis of the first strand using Moloney Murine leukemia Virus (MMLV) Reverse Transcriptase or AMV reverse transcriptase. The amount supplied is sufficient for at least 50 amplifications. Each lot is tested for amplification of β-actin cDNA. Omni-cDNA™ pooled first strand size distribution is from ~5kb to 200bp. These can also be used for cloning mRNA of interest by RT-PCR. A 1.3 kb and a ~500bp amplified cDNA fragment of p53 is shown in the figure. β-actin amplified fragment of 289 bp. Lane 1 is molecular weight markers. Lanes 2-5 are β-actin control PCR product from guinea pig, human, mouse and rat pooled first strand Omni-cDNA™. p53 cDNA amplification from human Omni-mRNA™ pooled reference mRNA. Lane 1, molecular weight markers; lanes 2 and 4, ~1.3kb 5’ end fragment of p53; lane 3 and 5, ~500 bp of middle portion of p53. Lanes 2-3 and 4-5 represent reproducible different preparations. First Strand pooled cDNA Product Catalog No. Size Price $ Omni-cDNA™ Human first strand pooled cDNA 10-0100-05 5µg 425.00 Omni-cDNA™ Mouse first strand pooled cDNA 10-0200-05 5µg 425.00 Omni-cDNA™ Rat first strand pooled cDNA 10-0300-05 5µg 425.00 Omni-cDNA™ Guinea Pig first strand pooled cDNA 10-2100-05 5µg 425.00 119 Omni-mRNA™ pooled reference mRNA Gene Link introduces Omni-mRNA™ pooled reference mRNA. Commercially available for the first time, Omni-mRNA™ is a unique blend of amplified high-quality mRNA purified from various tissues. Using the same reference mRNA in different microarray experiments provides a common denominator for accurate and reproducible comparison of gene expression data. In addition, use of the same reference mRNA among different research groups allows inter-laboratory comparisons as well. Gene Link recommends using pooled reference mRNA as a reference sample in any multicolor hybridization experiment using cDNA or oligonucleotide microarrays. p53 cDNA amplification from human OmnimRNA™ pooled reference mRNA. Lane 1, molecular weight markers; lanes 2 and 4, ~1.3kb 5’ end fragment of p53; lane 3 and 5, ~500 bp of middle portion of p53. Lanes 2-3 and 4-5 represent reproducible different preparations. Omni-mRNA™ pooled reference mRNA are compatible with all commercially available labeling systems. Other applications of pooled reference mRNA include RNA ELISA, Quantigene, HPSA, and a number of other RNA amplification/detection systems. Omni-mRNA™ pooled reference mRNA size distribution is from ~5kb to 200bp. These can also be used for cloning mRNA of interest by RT-PCR. A 1.3 kb and a ~500bp amplified cDNA fragment of p53 is shown in the figure. Guinea Pig β-actin amplification. An amplified fragment of 289 bp. Lane 1 is molecular weight markers. Lanes 2-6 are β-actin control PCR product from brain, liver, intestine, skeletal muscle and spleen first strand cDNA. Omni-mRNA™ amplified pooled reference mRNA Quantity supplied 50 µg in 25 µg x 2 tubes is sufficient for direct hybridization of 20 microarrays Product Human Omni-mRNA™ amplified pooled reference mRNA Catalog No. Size Price $ 08-0100-50 50µg (25µg x 2 tubes) 395.00 Mouse Omni-mRNA™ amplified pooled reference mRNA 08-0200-50 50µg (25µg x 2 tubes) 395.00 Rat Omni-mRNA™ amplified pooled reference mRNA 08-0300-50 50µg (25µg x 2 tubes) 395.00 Guinea Pig Omni-mRNA™ amplified pooled reference mRNA 08-2100-50 50µg (25µg x 2 tubes) 395.00 120 Omni-Array™ Amplification Kits When the availability of total RNA becomes the limiting factor in performing certain experimental procedures, the Omni-RNA Amplification Kit provides a rapid and simple procedure for the generation of usable amounts of high quality sense or antisense strand RNA. The amplified RNA is suitable for microarrays, RT-PCR, cloning, in vitro transcription, and a multitude of other applications. Using this amplification protocol, microgram quantities of sense or antisense RNA can be produced from as little as 2 ng of total RNA in a single round of amplification. The Omni-Array system offers the user two protocols for amplification of sense or antisense strand RNA depending on the initial amount of total RNA present. A single round protocol is sufficient to generate > 10µg of sense or antisense strand RNA from 100 ng of total RNA. When the initial amount of total RNA is less than 100 ng, a two round amplification protocol is recommended. Using two rounds of amplification, > 10 µg of sense or Antisense strand RNA can be generated from as little as 2 ng of total RNA. The single round protocol can easily be performed in less than 1 day while the 2 round protocol requires approximately 1 ½ days. Omni-Array™ Amplification Strategy Omni-Array™ mRNA Amplification Kits Catalog No. Size Price $ Omni-Array ™ Sense strand mRNA amplification kit, 2 ng Version Product 08-0011-02 10 rxns 495.00 Omni-Array ™ Antisense strand mRNA amplification kit, 2ng Version 08-0021-02 10 rxns 495.00 121 122 Appendix 123 124 Amino Acid Abbreviations Amino acid 3 letter abrv. 1 letter abrv. MW Alanine Ala A 89 Arginine Arg R 174 Asparagine Asn N 132 Aspartic Acid Asp D 133 Cysteine Cys C 121 Glutamic Acid Glu E 147 Glutamine GlN Q 146 Glycine Gly G 75 Histidine His H 155 Isoleucine Ile I 131 Leucine Leu L 131 Lysine Lys K 146 Methionine Met M 149 Phenylalanine Phe F 165 Proline Pro P 115 Serine Ser S 105 Threonine Thr T 119 Tryptophan Trp W 204 Tyrosine Tyr Y 181 Valine Val V 117 125 The Standard DNA Genetic Code First Position (5' end) T C A T C A G TTT Phe [F] TCT Ser [S] TAT Tyr [Y] TGT Cys [C] T TTC Phe [F] TCC Ser [S] TAC Tyr [Y] TGC Cys [C] C TTA Leu [L] TCA Ser [S] TAA Stop [end] TGA Stop [end] A TTG Leu [L] TCG Ser [S] TAG Stop [end] G TGG Trp [W] CTT Leu [L] CCT Pro [P] CAT His [H] CGT Arg [R] T CTC Leu [L] CCC Pro [P] CAC His [H] CGC Arg [R] C CTA Leu [L] CCA Pro [P] CAA Gln [Q] CGA Arg [R] A CTG Leu [L] CCG Pro[P] CAG Gln [Q] CGG Arg [R] G ATT Ile [I] ACT Thr [T] AAT Asn [N] AGT Ser [S] T ATC Ile [I] ACC Thr [T] AAC Asn [N] AGC Ser [S] C ATA Ile [I] ACA Thr [T] AAA Lys [K] AGA Arg [R] A ACG Thr [T] AAG Lys [K] AGG Arg [R] G ATG Met [M] Start G Third Position (3' end) Second Position GTT Val [V] GCT Ala [A] GAT Asp [D] GGT Gly [G] T GTC Val [V] GCC Ala [A] GAC Asp [D] GGC Gly [G] C GTA Val [V] GCA Ala [A] GAA Glu [E] GGA Gly [G] A GTG Val [V] GCG Ala [A] GAG Glu [E] GGG Gly [G] G Start Codon Stop Codon Nonpolar Side Chain Uncharged Polar Side Chain Charged Polar Side Chain IUB Standard Amino Acid Codes [A] Ala: Alanine [C] Cys: Cysteine [D] Asp: Aspartic acid [E] Glu: Glutamic acid [F] Phe: Phenylalanine [G ] Gly: Glycine [H] His: Histidine [I] Ile: Isoleucine [K] Lys: Lysine [L] Leu: Leucine [M] Met: Methionine [N] Asn: Asparagine [P] Pro: Proline [Q] Gln: Glutamine [R] Arg: Arginine [S] Ser: Serine [T] Thr: Threonine [V] Val: Valine [W] Trp: Tryptophan [Y] Tyr: Tyrosine 126 Common Conversions of Nucleic Acids Molar Conversions 1µg of 1000 bp DNA = 1.52pmol 1µg of pUC18/19 DNA (2686 bp) = 0.57pmol 1µg of pBR322 DNA (4361 bp) = 0.35pmol 1µg of SV40 DNA (5243 bp) = 0.29pmol 1µg of PhiX174 DNA (5386 bp) = 0.28pmol 1µg of M13mp18/19 DNA (7250 bp) = 0.21pmol 1µg of lambda phage DNA (48502 bp) = 0.03pmol 1pmol of 1000 bp DNA = 0.66µg 1pmol of pUC18/19 DNA (2686 bp) = 1.77µg 1pmol of pBR322 DNA (4361 bp) = 2.88µg 1pmol of SV40 DNA (5243 bp) = 3.46µg 1pmol of PhiX174 DNA (5386 bp) = 3.54µg 1pmol of M13mp18/19 DNA (7250 bp) = 4.78µg 1pmol of lambda phage DNA (48502 bp) = 32.01µg Spectrophotometric Conversions 1 A260 of dsDNA = 50µg/ml = 0.15mM (in nucleotides) 1 A260 of ssDNA = 33µg/ml = 0.1mM (in nucleotides) 1 A260 of ssRNA = 40µg/ml = 0.12mM (in nucleotides) 1mM (in nucleotides) of dsDNA = 6.7 A260 units 1mM (in nucleotides) of ssDNA = 10.0 A260 units 1mM (in nucleotides) of ssRNA = 8.3 A260 units The average MW of a deoxyribonucleotide base = 333 Daltons The average MW of a ribonucleotide base = 340 Daltons Reference 1. Sambrook, J. et al,. (1989) Molecular Cloning. A Laboratory Manual, Cold Spring Harbor Laboratory. Cold Spring Harbor, N.Y. 127 Estimation of Ends (3’ or 5’) Concentration Circular DNA pmol ends = pmol DNA x number of cuts x 2 Linear DNA pmol ends = pmol DNA x (number of cuts x 2 + 2) 1µg of 1000 bp DNA = 3.04pmol ends 1µg of linear pUC18/19 DNA = 1.14pmol ends 1µg of linear pBR322 DNA = 0.7pmol ends 1µg of linear SV40 DNA = 0.58pmol ends 1µg of linear PhiX174 DNA = 0.56pmol ends 1µg of linear M13mp18/19 DNA = 0.42pmol ends 1µg of lambda phage DNA = 0.06pmol end Common Conversions of Oligonucleotides Molecular Weight MW = 333 x N Concentration of Oligonucleotides C (µM or pmol/µl) = A260 / (0.01 x N) C (ng/ml) = (A260 x MW) / (0.01 x N) MW - molecular weight, Da A260 - absorbance at 260nm N - number of bases Melting Temperature of Duplex DNA and Oligonucleotides For Duplex Oligonucleotide shorter than 25 bp (1) Tm = 2(A+T) + 4(C+G) A, T, C, G - number of respective bases. Presence of m5C in oligonucleotide increases the melting temperature of duplex. m4C and m6A have an opposite effect (2, 3). For Duplex DNA longer than 25 bp (4) Tm=81.5°C+16.6log(MNaCl)+0.41(%GC)-(500/N)-0.65(%formamide) N - number of bp MNaCl - molar concentration of NaCl References 1. Thein, S.L., Wallance, R.B., Human Genetic Diseases: a practical approach, IRL Press, Herndon, Virginia, 33-50, 1986. 2. Butkus, V., Klimasauskas, S., Petrauskiene, L., Maneliene, Z., Janulaitis, A., Minchenkova, L.E. and Schyolkina, A.K., Nucleic Acids Res., 20, 8467-8478, 1987. 3. Jurgaitis, A., Butkus, V., Klimasauskas, S., Janulaitis, A., Bioorganicheskaya Khimiya, 14, 158-165, 1988. 4. Bolton, E.T., McCarthy, B.J., Proc. Natl. Acad. Sci. USA 48, 1390-1397, 1962. 128 Commonly Used Media, Stock Solutions and Buffers Growth Media Stock Solutions LB Medium, per liter: Tryptone Yeast extract NaCl H2 O Adjust pH to 7.0 10g Ammonium acetate 5g H2O 10g to 1 liter 10g CaCl2x2H2O 5g H2O 5g to 1 liter 12g 24g 4ml to 900ml Ficoll 400 Polyvinylpyrrolidone Bovine serum albumin H2 O Filter sterilize and store at 20°C in 25ml aliquots. SOB Medium (1 liter) with the addition of 20ml filter sterilized 1M glucose. Na2EDTAx2H2O H2 O Adjust pH to 8.0 with 10M NaOH H2 O M9 Minimal Medium, per liter: 10mg/ml Ethidium Bromide: 5X M9 Salts, per liter: 200ml to 1 liter 2ml 20ml 0.1ml Ethidium bromide H2 O Mix well and store at 4°C in dark. CAUTION: Ethidium bromide is a mutagen and must be handled carefully. 1M KCl: 175.3g (3M) 88.2g (0.3M) to 800ml 20X SSPE, per liter: 10g 10g 10g to 500ml NaCl NaH2PO4xH2O Na2EDTA H2 O Adjust pH to 7.4 with 10M NaOH H2O to 1 liter 175.3g (3M) 27.6g (0.2M) 7.4g (0.02M) to 800ml 5X SDS Electrophoresis Buffer, per liter: 15.45g Tris base to 100ml Glycine SDS H2 O Dilute to 1X or 2X for working solution, as appropriate. Store up to 1 month at 0°C to 4°C. Do not adjust the pH of the solution, as the solution is pH 8.3 when diluted. 0.5M EDTA (ethylenediamine tetraacetic acid) (pH 8.0): SOC Medium, per liter: 5X M9 salts Sterile H2O 1M MgSO4 20% glucose 1M CaCl2 147g NaCl to 1 liter Na3citratexH2O H2 O Adjust pH to 7.0 with 1M HCl H2O to 1 liter 1M Dithiothreitol (DTT): 20g DTT 5g H2O 0.5g Store at -20°C 10ml to 900ml 80g 2g 14.4g 2.4g to 800ml to pH 7.4 to 1 liter 20X SSC, per liter: 100X Denhardt Solution: SOB Medium, per liter: Tryptone Yeast extract NaCl 250mM KCl H2 O Adjust pH to 7.0 and add H2O to 990ml. Autoclave, cool to room temperature and add 10ml of sterile solution of 1M MgCl2 before use. 385.4g NaCl to 500ml KCl Na2HPO4 KH2PO4 H2 O HCl H2 O 1M CaCl2: Terrific Broth Medium, per liter: Tryptone Yeast extract Glycerol Add H2O Autoclave, cool to 60°C or less before adding 100ml of filter sterilized 10X TB phosphate (0.17M KH2PO4, 0.72M K2HPO4). 10X Stock Phosphate-buffered Saline (PBS), per liter: 10M Ammonium Acetate: Low Salt LB Medium, per liter: Tryptone Yeast extract NaCl H2 O Adjust pH to 7.0 Buffers 15.1g 72.0g 5.0g to 1 liter 50X TAE (Tris/acetate/EDTA) Electrophoresis Buffer, per liter: 186.1g to 700ml (~50ml) to 1 liter Tris base Glacial acetic acid 0.5M EDTA (pH 8.0) H2 O Adjust pH to ~8.5 242g 57.1ml 100ml to 1 liter 10X TBE (Tris/borate/EDTA) Electrophoresis Buffer, per liter: 0.2g Tris base to 20ml Boric acid 0.5M EDTA (pH 8.0) H2 O 108g 55g 40ml to 1 liter 10X TPE (Tris/phosphate/EDTA) 129 Electrophoresis Buffer, per liter: Na2HPO4x7H2O KH2PO4 NaCl NH4Cl 64g KCl 15g H2O 2.5g 5g Additives to to to to MgCl2x6H2O 50µg/ml H2O 20µg/ml 30µg/ml 12µg/ml Galactosides: X-Gal IPTG to 20µg/ml to 0.1mM Media containing agar or agarose: 108g 15.5ml 40ml to 1 liter TE (Tris/EDTA) Buffer, pH 7.4, 7.6 or 8.0, per liter: 1M MgCl2: Antibiotics: Ampicillin Chloramphenicol Kanamycin Tetracycline Agar (for plates) Agar (for top agar) Agarose (for plates) Agarose (for top agarose) 74.6g Tris base to 1 liter Phosphoric acid (85%) 0.5M EDTA (pH 8.0) 40ml 20.3g 1M Tris, pH 7.4, 7.6 or 8.0 to 100ml 0.5M EDTA (pH 8.0) H2 O 10ml (10mM) 2ml (1mM) to 1 liter 1M MgSO4: 15g 7g 15g 7g per per per per liter MgSO4x7H2O liter H2O liter liter 24.6g to 100ml 5M NaCl: NaCl H2 O 292g to 1 liter 10M NaOH: NaOH H2 O 400g to 1 liter 1M Tris-HCl [tris(hydroxymethyl)aminomethane]: Tris base H2 O Adjust to desired pH with concentrated HCl. Mix and add H2O to 1 liter 121g to 800ml 3M Sodium Acetate (pH 5.2 and 7.0) (1): Sodium acetate. 3H2O H2O. Adjust the pH to 5.2 with glacial acetic acid or adjust the pH to 7.0 with dilute acetic acid. Mix and add H2O to 1 liter 408.1g to 800ml References 1. Sambrook, J., Fritch, E.F., Maniatis, T.,Molecular Cloning: A Laboratory Manual, second edition, Cold Spring Harbor Laboratory Press, Cold Spring Harbor, NY, A.1-B.25, 1989. 2. Current Protocols in Molecular Biology, vol. 1 (Ausubel, F.M., et al., ed.), John Wiley & Sons, Inc., Brooklyn, New York, 1.1.1-1.1.4, 1999. 3. Current Protocols in Molecular Biology, vol. 4 (Ausubel, F.M., et al., ed.), John Wiley & Sons, Inc., Brooklyn, New York, A.2.1-A.2.6, 1999. 130 DNA Migration in Agarose and Polyacrylamide Gels Recommended Gel Percentages for Separation of Linear DNA Agarose gel,% 0.5 Gel,% Range of separation,bp 1,000-30,000 Polyacrylamide gel,% 3.5 Range of separation,bp 100-1,000 0.7 800-12,000 5.0 80-500 1.0 500-10,000 8.0 60-400 1.2 400-7,000 12.0 40-200 1.4 200-4,000 20.0 5-100 2.0 50-2,000 Dye Migration in Polyacrylamide Non-denaturing Gels Bromophenol blue Xylene cyanol (Size of the fragmen in nucleotides) 460 3.5 100 5.0 65 260 8.0 45 160 12.0 20 70 15.0 15 60 20.0 12 45 Gel,% 5.0 Dye Migration in Polyacrylamide Denaturing Gels Bromophenol blue Xylene cyanol (Size of the fragments in nucleotides) 35 140 6.0 26 106 8.0 19 75 10.0 12 55 20.0 8 28 Reference 1. Sambrook, J., et al., Molecular Cloning. A Laboratory Manual, Cold Spring Harbor Laboratory. Cold Spring Harbor, N.Y., 1989. DNA Size Migration with Sample Loading Dyes Agarose Xylene cyanol Bromophenol Orange G concentration,% blue 0.7-1.7 ~4000bp ~300bp ~50bp 2.5-3.0 ~800bp ~100bp ~30bp 131 International System of Unit Prefixes Prefix Symbol Multiple exa (E) 10E18 peta (P) 10E15 tera (T) 10E12 giga (G) 10E9 mega (M) 10E6 kilo (k) 10E3 hecto (h) 10E2 deka (da) 10E1 deci (d) 10E-1 centi (c) 10E-2 milli (m) 10E-3 micro (µ) 10E-6 nano (n) 10E-9 pico (p) 10E-12 femto (f) 10E-15 atto (a) 10E-18 132 Physical Constants of the Nucleoside Triphosphates and Related Compounds Compound MW lambdamax*,nm ec** ATP 507 259 15400 CTP 483 271 9000 GTP 523 253 13700 UTP 484 262 10000 dATP 491 259 15200 dCTP 467 271 9300 dGTP 507 253 13700 dTTP 482 267 9600 ddATP 475 261 15200 ddCTP 451 281*** 13100 ddGTP 491 253 13600 ddTTP 466 267 9600 NAD 664 260 18000 NADH 665 338**** NADP 743 260 18000 NADPH 745 260 18000 6200 * determined at pH 7.0 ** extinction coefficient (absorbance at lambdamax for 1M solution at pH 7.0) *** determined at pH 2.0 **** determined at pH 10.0 Conversion Formula C = A / e x 10E3 C - mM concentration of compounds A - observed absorbance at lambdamax e - extinction coefficient 133 Physical Properties of Some Common Radioisotopes Radioisotope Half-life Specific Activity (MBq/mmol) 32 14.3 days 10E2-10E7 P 25.4 days 10E2-10E7 S 87.4 days 10-10E7 33 35 P 131 I 8.06 days 10E3-10E5 125 I 60 days 10E3-10E7 C 5730 years 10-10E3 H 12.43 years 10E3-10E6 14 3 Summary of Useful Conversion 1Becquerel (Bq) = 1 disintegration per second = 2.7x10E-11Curies (Ci) 1Ci = 3.7x10E10Bq = 37GBq = 2.22x10E12 disintegrations per minute (dpm) 1mCi = 37MBq = 2.22x10E9dpm 1µCi = 37kBq = 2.22x10E6dpm 1GBq = 27mCi 1MBq = 27µCi 1kBq = 27nCi 134 Size and MW of Various Nucleic Acids Nucleic acid Length in bases or base pairs MW, Daltons 75 2.5 x 10E4 120 3.6 x 10E4 16S rRNA 1700 5.5 x 10E5 18S rRNA 1900 6.1 x 10E5 23S rRNA 3700 1.2 x 10E6 28S rRNA 4800 1.6 x 10E6 pBR322 DNA 4361 2.8 x 10E6 SV40 5243 3.5 x 10E6 PhiX174 5386 3.6 x 10E6 Adenovirus 2 (Ad2) 35937 2.8 x 10E7 Lambda phage 48502 3.1 x 10E7 Escherichia coli 4.7 x 10E6 3.1 x 10E9 Saccharomyces cerevisiae 1.5 x 10E7 9.9 x 10E9 Dictyostelium discoideum 5.4 x 10E7 3.6 x 10E10 Arabidopsis thaliana 7.0 x 10E7 4.6 x 10E10 Caenorhabditis elegans 8.0 x 10E7 5.3 x 10E10 Drosophila melanogaster 1.4 x 10E8 9.2 x 10E10 Gallus domesticus (chicken) 1.2 x 10E9 7.9 x 10E11 Mus musculus (mouse) 2.7 x 10E9 1.8 x 10E12 Rattus norvegicus (rat) 3.0 x 10E9 2.0 x 10E12 Xenopus laevis 3.1 x 10E9 2.0 x 10E12 Homo sapiens 3.3 x 10E9 2.2 x 10E12 Zea mays 3.9 x 10E9 2.6 x 10E12 Nicotiana tabacum 4.8 x 10E9 3.2 x 10E12 RNA tRNA (E.coli) 5S rRNA DNA Reference 1. Ausubel, F.M., et al., Current Protocols in Molecular Biology, John Wiley and Sons, New York, 1988. 135 Temperature Dependence of the pH for Commonly Used Buffers Buffer System pKa/20°C [Delta]pKa/10°C MES 6.15 -0.110 ADA 6.60 -0.110 PIPES 6.80 -0.085 ACES 6.90 -0.200 BES 7.15 -0.160 MOPS 7.20 -0.013 TES 7.50 -0.200 HEPES 7.55 -0.140 TRICINE 8.15 -0.210 TRIS 8.30 -0.310 BICINE 8.35 -0.180 GLYCYLGLYCINE 8.40 -0.280 Reference 1. Good, N.E., Biochemistry 5, 467-476, 1986. Temperature Dependence of the pH of 50mM Tris-HCl Solutions 4°C 25°C 37°C 8.1 7.5 7.2 8.2 7.6 7.3 8.3 7.7 7.4 8.4 7.8 7.5 8.5 7.9 7.6 8.6 8.0 7.7 8.7 8.1 7.8 8.8 8.2 7.9 8.9 8.3 8.0 9.0 8.4 8.1 9.1 8.5 8.2 9.2 8.6 8.3 9.3 8.7 8.4 9.4 8.8 8.5 136 DNA Extinction Coefficients Nucleotide (A260 / mol) A 15.4 T 8.7 G 11.5 C 7.4 I 7.2** I 10.7* Neighbors (A260 / mol) AA 13.7 AT 11.4 AG 12.5 AC 10.6 AI 9.3** AN 12.2* TA 11.7 TT 8.4 TG 9.5 TC 8.1 TI 8.1** TN 9.4* GA 12.60 GT 10.0 GG 10.8 GC 8.8 GI 8.8** GN 10.5* CA 10.6 CT 7.6 CG 9.0 CC 7.3 CI 7.2** CN 8.6* IA 9.3** IT 8.4** IG 8.8** IC 7.1** II 6.8** IN 8.4* NA 12.1* NT 9.4* NG 9.4* NC 8.7* NI 8.7* NN 9.9* Handbook of Biochemistry and Molecular Biology (1975) Fasman G.D., ed., 3rd edition, Nucleic Acids - Vol. 1, pp 589, CRC Press, Cleveland, OH. 137 MW and TM Calculation Base BaseAbbreviation MW EC DeoxyAdenosine A 313.21 15.4 DeoxyCytosine C 289.19 7.4 DeoxyGuanosine G 329.21 11.5 Thymidine T 304.2 8.7 Inosine I 314.2 7.2 A+G+T+C N 308.95 10.70 A+G R 321.21 13.45 C+T Y 296.69 8.05 A+C M 301.2 11.40 G+T K 316.7 10.10 G+C S 309.2 9.45 A+T W 308.71 12.05 A+T+C H 302.2 10.5 G+T+C B 307.53 9.20 G+A+T D 315.54 11.86 G+A+C V 310.53 11.43 phosphate P 79.98 0 Other X 0 0 deoxy uridine U 290.17 9.9 Notes add mw of the Modification 138 Formulas for Oligonucleotides Size= Total number of bases. %GC= (G+C)/Size mw = (A x 313.2) + (C x 289.19 ) + (G x 329.21 ) + (T x 304.2 ) + (I x 314.2 ) + (N x 308.95 ) + (R x 321.21 ) + (Yx 296.69 ) + (M x 301.2) + (K x 316.7 ) + (S x 309.2 ) + (W x 308.71 ) + (H x 302.2 ) + (B x 307.53 ) + (D x315.54 ) + (V x 310.53 ) + (P x 79.98 ) + (U x 290.17 ) –62 Tm For Oligos shorter than 25 bp = 2(A+T) + 4 (C+G) For longer oligos: Reference Bolton, Et and McCarthy, B.J. (1962) PNAS 48: 139-1397 Tm=81.5 – 16.6 + (0.41 x %GC)) – 600 / size EC = Formula for Tm Calculation Tm = 81.5 + 16.6 x Log10[Na+] + 0.41 (%GC) – 600/size [Na+] is set to 100 mM Example: 5’-ATGCATGCATGCATGCATG3’ 20mer; GC=50%; AT= 50% Tm = 81.5 + 16.6 x Log10[0.100] + 0.41 x 50 – 600/20 Tm = 81.5 - 16.6 + 0.41 x 50 – 600/20 Tm = 81.5 - 16.6 + 20.5 – 30 Tm = 64.9 + 20.5 – 30 Tm = 85.40 – 30 Tm = 55.4oC Tm for same oligo using 2(A+T) + 4 (C+G) = 2(5+5) + 4(5+5) = 2(10) + 4(10) = 20+ 40 = 60oC Form Degenerate Bases in Sequence Follow IUB single letter nomenclature for degenerate/mixed bases. The use of inosine is recommended to reduce the number of degeneracies. For degenerate (mixed bases) positions use the following IUB codes R=A+G Y=C+T M=A+C K=G+T S=G+C W=A+T H=A+T+C B=G+T+C D=G+A+T V=G+A+C N=A+C+G+T. Inosine=I 139 Media for Bacterial Culture LB Broth An all purpose media for the growth of bacterial culture Tryptone (casein Peptone) 10.0 g/L Yeast Extract 5.0 g/L Nacl 5.0 g/L LB Agar Plates An all purpose media for the growth of bacteria on plates Tryptone (casein Peptone) 10.0 g/L Yeast Extract 5.0 g/L Nacl 5.0 g/L Agar 15 g/L Terrific Broth Highly enriched culture media Tryptone (casein Peptone) 12.0 g/L Yeast Extract 24.0 g/L K2HPO4 9.4 g/L KH2PO4 2.2 g/L Sterilize and then add Glycerol 8 ml/L SOB Media for competent cell manipulation Tryptone (casein Peptone) 20.0 g/L Yeast Extract 5.0 g/L Nacl 0.5 g/L MgSO4 5.0 g/L SOC Media for the initial propagation of cells after transformation Tryptone (casein Peptone) 20.0 g/L Yeast Extract 5.0 g/L Nacl 0.5 g/L MgSO4 5.0 g/L Glucose 3.6 g/L 140 Antibiotics Ampicillin Inhibits cell wall synthesis enzymes Stock Solution 40 mg/ml in H2O Use at 40µg/ml (ie.1µl of stock/ml medium) Tetracycline Binds to 30s ribosomal subunit. Inhibits ribosomal translocation Stock Solution 10 mg/ml in 50%EtOH Use at 10-30µg/ml (ie.1-3 µl of stock/ml medium) Note: Tetracycline HCl can be dissolved in water Chloramphenicol Binds to 50s ribosomal subunit and inhibits protein synthesis Stock Solution 20 mg/ml in 50%EtOH Use at 20-30µg/ml (ie.2-3µl of stock/ml medium) Kanamycin Binds to ribosomal components and inhibits protein synthesis Stock Solution 10 mg/ml in H2O Use at 10µg/ml (ie.1µl of stock/ml medium) 141 Protocols 142 Genomic DNA Purification Genomic DNA is usually extracted from blood. A simple procedure is given below that purifies ~10 µg DNA from 300 µl blood using a 30 minute procedure. Omni-Pure™ Genomic DNA Purification System Catalog Number: 40-4010-01 Rapid DNA Purification Protocol for 300 µl Whole Blood A. Initial Preparation 1. Label two sets of 1.5 ml tubes per sample. 2. Add 900 µl GD-1 solution (RBC Lysis Solution) to one tube for each sample. 3. Add 300 µl Isopropanol (2-propanol) to one tube for each sample. Cap the tubes. B. Cell Lysis 1. To the tube containing 900 µl GD-1 solution (RBC Lysis Solution) using a filter tip pipet transfer 300 µl whole blood. Cap and gently mix by inversion. Incubate for 1-3 minutes at room temperature. Mix by inversion a few times during this incubation period. Incubate longer for fresh blood cells as they are intact and not lysed already. 2. Centrifuge at 3 K rpm for 20 seconds to pellet the white blood cells. A reddish white pellet should be clearly visible. Decant and discard supernatant leaving behind the last few droplets. Do not totally remove the supernatant. 3. Completely resuspend the white blood cell pellet by vigorously vortexing the tube. Ensure that the pellet is completely resuspended. 4. To the resuspended cells add 300 µl GD-2 solution (Cell Lysis Solution). Mix by gentle vortexing. You will notice release of DNA by the thickening of the liquid in the sample. Samples may be stored at this stage for processing later. It has been shown that the samples are stable in Cell Lysis Solution for at least 2 years at room temperature. C. Protein Precipitation 1. Add 100 µl GD-3 solution (Protein Precipitation Solution) to the sample in cell lysis solution. 2. Vortex vigorously at for 20 seconds. Small particles of brown color will be appear and be visible at this stage. 3. Centrifuge at 5 K rpm for 1 minute to pellet the precipitated proteins. A clearly visible brown pellet containing proteins should be collected at the bottom of the tube. D. DNA Precipitation 1. Decant the supernatant containing the DNA to a new appropriately labeled tube (see initial preparation above) containing 300 µl 100% Isopropanol (2-propanol). 2. Mix the sample by inversion until a visible white floating DNA strand-particle is identified. 30-40 mixing by inversion is usually sufficient. 3. Centrifuge at 6 K rpm for 1 minute to collect the DNA as a pellet. A white DNA pellet should be clearly visible. 4. Decant supernatant and place tube inverted on a clean Kimwipe™ tissue paper to drain the remaining supernatant. 5. To remove residual salts, add 300 µl of 70% ethanol. Vortex gently. 6. Centrifuge at 6 K rpm for 1 minute to collect the DNA as a pellet. Gently take out the tubes so that the pellet is not dislodged. While holding the tube, rotate tube so that you can watch the pellet. Now carefully decant the ethanol, keeping an eye on the pellet so that it does not flow away. 7. Place tube inverted on a clean Kimwipe™ tissue paper to drain the remaining ethanol. 8. Air dry the DNA pellet. Do not use vacuum. E. DNA Reconstitution & Use 1. Add 100 µl of GD-4 solution (DNA Reconstitution Solution). Vortex gently. Incubate at 60°C for 5 minutes to facilitate dissolution or keep overnight at room temperature. 2. Store DNA at 4 °C. For long-term storage, place sample at –20 °C or –80 °C. 3. Average yield of 10 µg is expected from 300 µl blood DNA. The range is between 5 µg to 15 µg. 4. The 100 µl of purified DNA obtained will have an average concentration of ~ 100 ng/µl. 5. For PCR amplification use 1-2 µl. 6. Use 100 µl for restriction digestion followed by Southern blot analysis. 7. It is convenient to perform multiple 300 µl blood DNA purification instead of scaling up the procedure. 143 Gel Electrophoresis of DNA Gel electrophoresis of PCR products is the standard method for analyzing reaction quality and yield. PCR products can range up to 10 kb in length, but the majority of amplifications are at 1 kb and below. Agarose electrophoresis is the classical method to analyze amplification products from 150 bp to greater than 10 kb. Polyacrylamide gel electrophoresis should be used for resolution of short fragments in the range of 100 bp to 500 bp when discrimination of as small as a 10 bp difference is required. PAGE gels for PCR products formulated with the amount of cross-linker chosen to give pore sizes optimal for the size of DNA fragment desired. Gels are most often stained in ethidium bromide, even though the fluorescence of this stain is quenched by polyacrylamide, which decreases sensitivity 2-5 fold. This decrease in sensitivity generally does not present a problem, because most PCR reactions yield product levels in the microgram range, and ethidium will detect as little as 1/10 of this amount. Polyacrylamide gels can be stained by silver staining for more sensitive detection. Agarose Gel Electrophoresis of DNA Agarose gels are typically run at 20 to 150V. The upper voltage limit is the amount of heat produced. At room temperature about 5 Watts is correct for a minigel (Volts x Amps = Watts). At low voltages migration is linearly proportional to voltage, but long DNA molecules migrate relatively faster in stronger fields. Migration is inversely proportional to the log of the fragment length; a log function also governs migration rate and gel concentration (0.5 to 2% for most purposes). Furthermore, supercoiled / circular DNA molecules migrate at different rates from linear molecules; single-stranded DNA and RNA migrate at similar rates, but usually faster than double-stranded DNA of the same length. Salt in the samples increases conductivity and, hence, migration rate. The buffers used for most neutral agarose gels (the gel itself and the solution in which it lies) is 1 x TAE or 1 x TBE. Agarose powder is added to the buffer at room temperature, heated in a microwave and boiled slowly until the powder has dissolved. Cast the gel on a horizontal surface once the agarose has been cooled to ca. 60° C (just cool enough to hold) and add 0.1 µg of ethidium bromide solution for each ml of gel volume. At times, during removal of the comb, it is possible to tear the bottom of the sample wells gels, which results in sample leakage upon loading. This can be avoided by removing the comb after the gel has been placed in the running buffer. • Use TAE buffer for most molecular biology agarose gel electrophoresis. 1 X TAE Buffer Agarose Gel Electrophoresis Buffer 40 mM Tris-Acetate pH 7.8 1 mM EDTA 1 X TBE Agarose and Polyacrylamide Gel Electrophoresis Buffer 0.089 M Tris 0.089 M Boric Acid 0.002 M EDTA Spectrophotometric Determination of DNA Concentration & Estimation by Agarose Gel Electrophoresis Measuring the optical density (OD) or absorbance at 260 nm (A260) in a UV spectrophotometer is a relatively accurate method for calculating the concentration of DNA in an aqueous solution if a standard curve is meticulously prepared. An A260 of 1, using a 1 cm path length, corresponds to a DNA concentration of 50 µg/ml for double stranded DNA, 40 µg/ml for RNA and 33 µg/ml for oligonucleotides. However, this method is not suitable for determining concentrations of dilute solutions of DNA, as the sensitivity of this method is not very high. For reliable readings, the concentration of double stranded DNA must be greater than 1 µg/ml. A simple, inexpensive method for the estimation of nanogram quantities of DNA is described in the following section. We recommend the use of agarose gel electrophoresis for routine approximate determination of DNA concentration. The amount of DNA in sample may be estimated by running the sample alongside standards containing known amounts of the same-sized DNA fragment. In the presence of ethidium bromide staining, the amount of sample DNA can be visually estimated by comparing the band intensity with that of the known standards. Ethidium bromide is a carcinogen. Follow Health and Safety Procedures established by your institution. Follow proper Hazardous Material Disposal procedures established by your institution. An unknown amount of a 4 kb DNA fragment (U) was run alongside known quantities (indicated in nanograms) of the same DNA fragment. As estimated by visual comparison with the known standards, the unknown sample contained 240-320 ng of DNA. •Use 0.1 µg of ethidium bromide solution for each ml of gel volume. 144 Polymerase Chain Reaction PCR Components and Analysis PCR buffer conditions vary and it is imperative to optimize buffer conditions for each amplification reaction. At Gene Link most amplification reactions have been optimized to work with the following standard buffer condition, unless otherwise indicated. dNTP Concentration Standard dNTP concentration of 0.2 mM of each base is used. See section on PCR additives when dNTP concentration is changed. MgCl2 Concentration The concentration of Mg++ will vary from 1-5 mM, depending upon primers and substrate. Since Mg2+ ions form complexes with dNTPs, primers and DNA templates, the optimal concentration of MgCl2 has to be selected for each experiment. Low Mg2+ ions result in a low yield of PCR product, and high concentrations increase the yield of nonspecific products and promote mis-incorporation. Lower Mg2+ concentrations are desirable when fidelity of DNA synthesis is critical. The recommended range of MgCl2 concentration is 1-4 mM, under the standard reaction conditions specified. At Gene Link, using the standard PCR buffer with KCl, a final dNTP concentration of 0.2 mM, a MgCl2 concentration of 1.5 is used in most cases. If the DNA samples contain EDTA or other chelators, the MgCl2 concentration in the reaction mixture should be raised proportionally. Given below is an MgCl2 concentration calculation and addition table using a stock solution of 25 mM MgCl2. Standard Gene Link PCR Buffer Composition 10 X PCR buffer 1 X PCR buffer 100 mM Tris-HCl pH 8.3 500 mM KCl 15 mM MgCl2 0.01% Gelatin 10 mM 50 mM 1.5 mM 0.001% 2.0 mM dNTP Stock Solution Preparation* Component Volume 100 mM dGTP 100 µl 100 mM dATP 100 µl 100 mM dTTP 100 µl 100 mM dCTP 100 µl Water 4.6 ml Total Volume 5 ml *Aliquot and freeze MgCl2 Concentration & Addition Table Final concentration of MgCl2 in 50 µl reaction mix, (mM) 1.0 1.25 1.5 1.75 2.0 2.5 3.0 4.0 Volume of 25 mM MgCl2, µl Primer Concentration The final concentration of primers in a PCR reaction is usually 0.5 to 1 µM (micromolar). This is equivalent to 0.5 to 1 pmol/µl. For a 100 µl reaction you would add 50 to 100 pmols. At Gene Link we use 0.5 pmol/µl in the final PCR. Genemer™ Reconstitution Stock Primer Mix: Dissolve the supplied 10 nmols of lyophilized Genemer™ in 100 µl sterile TE. The 10 nmols of primers when dissolved in 100 µl will give a solution of 100 µM i.e. 100 pmols/µl. 2 2.5 3 3.5 4 5 6 8 Always use filter barrier pipette tips to prevent cross contamination TE Buffer pH 7.5 Composition 1 X TE Buffer pH 7.5 10 mM Tris-HCl pH 7.5 1 mM EDTA Primer Mix: Prepare a 10 pmols/µl Primer Mix solution by a ten fold dilution of the stock primer mix. Example: Add 180 µl sterile TE to a new tube, to this tube add 20 µl of primer stock solution. Label this tube as Primer Mix 10 pmols/µl. Amplification Thermal Cycling Hot Start: It is essential to have a ‘Hot Start’ profile for amplification of any fragment from a complex template like human genomic DNA. Taq polymerase has low activity at room temperature and it is essential to minimize any mis-priming in the first cycle of amplification. A typical hot start profile is given below. Various enzyme preparations are available which are activated by heat in the first cycle. A simple hot start protocol is given below that can be used with regular Taq polymerase. See the • Program your thermal cycler instrument with an amplification profile prior to beginning the amplification protocol. Consult your appropriate instrument manufacturer’s manual. Typical PCR Premix (/50µl) 145 section on PCR additives for amplification of products from high GC content templates. Hot Start Time & Temperature Step Cycles Initial 95 oC for 5 minutes 1 Denaturation Annealing 60 oC Hold Infinity Hold Comments: Add Taq premix while on hold. Amplification File The initial denaturation step at 94 oC for 30 seconds is sufficient for all templates. The number of cycles is usually set to 30 and is sufficient to amplify 1-10 µg of product depending on the initial concentration of template. A higher number of cycles from 35-45 cycles may be used, but internal priming on the product and over amplification of unwanted bands often result from over-cycling. Generally, it is better to focus on optimizing reaction conditions than to go beyond 35 cycles. Typical Amplification File Step Temperature Time Cycles Denaturation 94 oC 30 sec. 30 Annealing * 30 sec. Elongation 72 oC 30 sec. Fill in Extension 72 oC 7 minutes 1 Hold 4 oC Infinity Hold Based on the Tm of the primers. Usually varies from 50 oC to 65 oC Component 10 x PCR Buffer 2.0 mM dNTP mix (each) Primer Mix (10 pmol/µl each) or 2.5µl of 10 pmol/µl of individual primer (final 25 pmol of each primer/50µl) H2 O Volume 5 µl 5 µl 2.5 µl Total Volume 50 µl 37.5 µl PCR reaction (/50µl) Component Volume PCR premix 45 µl 100ng/µl diluted DNA 1 µl Hot start and then add Taq premix 5 µl Taq Premix EM (/50µl) Component Volume PCR Premix 6 µl Taq polymerase (5 u/µl) 0.25µl Add 5 µl/50 µl rxn after initial denaturation. Use 2.5 units of Taq for 100 µl reactions. Taq is usually supplied at a concentration of 5 units/µl PCR Premix Preparation (PP) Component 1 X 50 µl Rxn. Sterile Water 10 X PCR Buffer 2.0 mM dNTP 10 pmol/µl Primer Mix Taq Enzyme Mix (EM) 32 µl 4.5 µl 5 µl 2.5 µl 5 µl Template DNA (~500 ng) 1-2 µl 10 X 50 µl Rxns. 320 µl 45 µl 50 µl 25 µl 50 µl Add 1-2 µl DNA to each tube Total Volume 50 µl Keep on ice during set up. After adding template start PCR File • The PCR premix preparation protocol is written considering that more than one amplification reaction will be performed at the same time. If only one reaction is planned then there is no need to prepare the Taq Enzyme Mix (EM). Gene Link PCR Buffer 1 X PCR Buffer 10 mM Tris-HCl pH 8.3 50 mM KCl 1.5 mM MgCl2 0.001% Gelatin Yield and Kinetics The target will be amplified by up to 106 fold in a successful reaction, but the amplification will usually plateau at 1-10 µg. Thus, 1 pg of target sequence in the reaction is a good place to begin. PCR reactions produce product in a nonlinear pattern. Amplification follows a typical exponential curve until some saturation point is reached. Generally products will not be further amplified once 1-5 µg has been generated. Saturation by one product of a reaction does not always prevent further amplification of other generally unwanted products. Over-cycling may decrease the quality of an otherwise good reaction. When first optimizing a reaction, it is advisable to take samples every 5 or 10 cycles to determine the number of cycles actually needed. 146 PCR Additives DNA polymerases need to elongate rapidly and accurately to function effectively in vivo and in vitro, yet certain DNA regions appear to interfere with their progress. One common problem is pause sites, at which DNA polymerase molecules cease elongation for varying lengths of time. Many strong DNA polymerase pauses are at the beginnings of regions of strong secondary structure such as template hairpins (1). Taq polymerase used in PCR suffers the same fate and GC-rich DNA sequences often require laborious work to optimize the amplification assay. The GC-rich sequences possess high thermal and structural stability, presumably because the high duplex melting temperature that permits stable secondary structures to form, thus preventing completion of a faithful replication (2). Nucleotide analog 7-deaza dGTP is effective in reducing the secondary structure associated with GC rich region by reducing the duplex stability (4). Betaine, DMSO and formamide reduces the Tm and the complex secondary structure, thus the duplex stability (1-5). Tetramethyl ammonium chloride (TMAC) actually increases the specificity of hybridization and increases the Tm. The use of TMAC is recommended in PCR conditions using degenerate primers. These PCR additives and enhancing agents have been used to increase the yield, specificity and consistency of PCR reactions. These additives may have beneficial effects on some amplification and it is impossible to predict which agents will be useful in a particular context and therefore they must be empirically tested for each combination of template and primers. Additive 7-deaza-2'-deoxyguanosine; 7-deaza dGTP Betaine (N,N,N-trimethylglycine = [carboxymethyl]trimethylammo nium) BSA (bovine serum albumin) DMSO (dimethyl sulfoxide) Formamide Non-ionic detergents e.g. Triton X-100, Tween 20 or Nonidet P-40 (NP-40) TMAC (tetramethylammonium chloride) PCR Additives Purpose & Function GC rich region amplification. Reduce the stability of duplex DNA Concentration Totally replace dGTP with 7-deaza dGTP; or use 7-deaza dGTP: dGTP at 3:1 Reduces Tm facilitating GC rich region amplification. Reduces duplex stability Use 3.5M to 0.1M betaine. Be sure to use Betaine or Betaine (mono)hydrate and not Betaine HCl. BSA has proven particularly useful when attempting to amplify ancient DNA or templates, which contain PCR inhibitors such as melanin. DMSO is thought to reduce secondary structure and is particularly useful for GC rich templates. BSA concentration of 0.01 µg/µl to 0.1 µg/ µl can be used. Reduces secondary structure and is particularly useful for GC rich templates. Non-ionic detergents stabilise Taq polymerase and may also supress the formation of secondary structure. TMAC is used to reduce potential DNARNA mismatch and improve the stringency of hybridization reactions. It increases Tm and minimizes mis-pairing. DMSO at 2-10% may be necessary for amplification of some templates, however 10% DMSO can reduce Taq polymerase activity by up to 50% so it should not be used routinely. Formamide is generally used at 1-5%. Do not exceed 10%. 0.1-1% Triton X-100, Tween 20 or NP-40 may increase yield but may also increase non-specific amplification. As little as 0.01% SDS contamination of the template DNA (leftover from the extraction procedure) can inhibit PCR by reducing Taq polymerase activity to as low as 10%, however, inclusion of 0.5% Tween-20 or -40 will effectively neutralize this effect. TMAC is generally used at a final concentration of 15-100 mM to eliminate nonspecific priming. ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● 147 Purification of PCR Product Various purification methods are available for the purification of PCR products. The selection of a particular method over another is based on the downstream application and the initial robustness of the amplification. Usually no further purification is required for most cloning experiments if a single fragment is amplified, whereas for sequencing applications the amplified product should be purified from the primers and any other minor amplification products. The preferred method of purification of an amplified fragment is the excision of the fragment band after agarose gel electrophoresis. This method yields the purification of a single fragment; as such care should be taken to excise a gel piece containing a single electrophoretically resolved fragment. The Omni-Clean™ Purification System available from Gene Link can be used for this purpose. Catalog No. 40-4110-10 for bead based system; 40-4120-10 for spin column based system and 404130-10 for DNA concentration. Please refer to product insert for detailed protocol or visit www.genelink.com. A. Purification of DNA from gel slices using glass beads. Provides purified single fragment. [Omni-Clean™ Gel DNA Beads Purification System; Catalog No. 40-4110-10] Protocol 1. By weight, determine the volume of the excised DNA fragment. 2. Add 3 volumes of NaI solution and heat to 55 °C. Visually determine the dissolution of gel pieces. 3. Add 1 µl of glass bead suspension per µg of DNA and vortex. 4. Centrifuge at 2K rpm for 20 seconds to pellet glass bead/DNA complex. Discard supernatant. 5. Re-suspend pellet in 400 µl Omni-Clean™ wash buffer. Centrifuge at 2K rpm for 20 seconds and discard wash buffer. 6. Pipet out any remaining buffer in the tube. 7. Add 25 µl water or TE; re-suspend pellet and centrifuge at 2K rpm for 20 seconds. 8. The supernatant contains the purified DNA. Using a pipet, collect the supernatant and transfer to a new appropriately labeled tube. B. Purification of DNA from gel slices using spin column. Provides purified single fragment. [Omni-Clean™ Gel DNA Spin Column Purification System; Catalog No. 40-4120-50] Protocol 1. By weight, determine the volume of the excised DNA fragment. 2. Add 3 volumes of NaI solution and heat to 55 °C. Visually determine the dissolution of gel pieces. 3. Add the above solution to the spin column assembled on a collection tube. 4. Let the solution flow by gravity or centrifuge at 2K rpm for 20 seconds. Discard flow through collected in the collection tube. 5. Add 400 µl Omni-Clean™ wash buffer to the spin column. Centrifuge at 2K rpm for 2 minutes and discard wash buffer collected in the collection tube. 6. Replace the collection tube with a new appropriately labeled 1.5ml tube. 7. Add 25 µl water or TE to the spin column. Let sit for 3 minutes. 8. Centrifuge at 2K rpm for 2 minutes. 9. The collection tube contains the purified DNA. C. Purification of DNA from solution using glass beads. Provides removal of salts, primers and dNTP. [Omni-Clean™ DNA Beads Concentration System; Catalog No. 40-4130-10] Protocol 1. Determine volume of DNA solution and add 3 volumes of NaI solution. 2. Add 1 µl of glass bead suspension per µg of DNA. 3. Centrifuge at 2K rpm for 20 seconds to pellet glass bead/DNA complex. Discard supernatant. 4. Re-suspend pellet in 400 µl Omni-Clean™ wash buffer. 5. Centrifuge at 2K rpm for 20 seconds and discard wash buffer. 6. Pipet out any remaining buffer in the tube. 7. Add 25 µl water or TE; re-suspend pellet and centrifuge at 2K rpm for 20 seconds. 8. The supernatant contains the purified DNA. Using a pipet, collect the supernatant and transfer to a new appropriately labeled tube. D. Purification of DNA from solution using spin column. Provides removal of salts, primers and dNTP. [Omni-Clean™ DNA Spin Column Concentration System; Catalog No. 40-4140-10] Protocol 1. Determine volume of DNA solution and add 3 volumes of NaI solution. 2. Add the above solution to the spin column assembled on a collection tube. 3. Let the solution flow by gravity or centrifuge at 2K rpm for 20 seconds. Discard flow through collected in the collection tube. 4. Add 400 µl Omni-Clean™ wash buffer to the spin column. Centrifuge at 2K rpm for 2 minutes and discard wash buffer collected in the collection tube. 148 5. 6. 7. 8. Replace the collection tube with a new appropriately labeled 1.5ml tube. Add 25 µl water or TE to the spin column. Let sit for 3 minutes. Centrifuge at 2K rpm for 2 minutes. The collection tube contains the purified DNA. PEG Precipitation Primers and salts are efficiently removed by a simple PEG precipitation. This method is recommended for downstream DNA sequencing application. This method is generally used for plasmid DNA. Protocol 1. To 50 µl of amplified PCR reaction add 6.0 µl of 5 M NaCl and 40 µl of 13% (w/v) PEG 8000. Incubate the mixture on ice for 20-30 minutes. 2. Collect the DNA precipitate by centrifugation at maximum speed for 15 minutes at 4 °C in a microfuge. Carefully remove the supernatant by gentle aspiration. The pellet of DNA is translucent and generally invisible at this stage. 3. Rinse the pellet with 500 µl of 70% ethanol. The precipitate changes to a milky-white color and becomes visible. 4. Carefully pour off the 70% ethanol. Rinse the DNA pellet once more with 70% ethanol. Store the tube in an inverted position at room temperature until the last visible traces of ethanol have evaporated. 5. Dissolve the DNA in 20 µl of H20. 6. Run an aliquot on an agarose gel to confirm the presence of the correct amplified product. The purified DNA is sequence grade and can be used directly for sequencing. Primers and salts are efficiently removed by gel filtration using Sephadex G-50. This method is recommended for downstream DNA sequencing application. Protocol 1. Hydrate Sephadex G-50 ahead of time in sterile water or TE (10mM Tris pH 8, 1 mM EDTA). Take out from fridge if already stored hydrated. Bring to room temperature. 2. Assemble a spin column on a collection tube. 3. Add 700 µl of hydrated Sephadex G-50 to each spin column, initiate flow using rubber bulb or any other method. 4. Allow flowing by gravity till there is no more fluid left above the Sephadex G-50 bed. Discard flow through from the collection tube. 5. Spin the spin column placed inside the collection tube for 2 minutes at 3 K rpm. 6. Change collection tube to new 1.5 ml tube appropriately labeled with sample name. 7. Apply up to 50 µl sample gently to the G-50 bed of the column. 8. Spin for 2 minutes at 3 K rpm. 9. Purified sample is collected in the collection tube. The eluent collected in the 1.5 ml tube is free of salts and primers shorter than 35-40mer. References 1. Kovarova, M; and Draber, P; (2000) New Specificity and yield enhancer for polymerase chain reactions (2000) Nucl. Acids. Res. 28: e70. 2. Henke, W., Herdel, K., Jung, K., Schnorr, D. and Stefan A. Loening, S. (1997) Betaine improves the PCR amplification of GC-rich DNA sequences. Nucl. Acids Res. 25: 3957-3958. 3. Daniel S. Mytelka, D.S., and Chamberlin, M.J.,(1996) Analysis and suppression of DNA polymerasepauses associated with a trinucleotide consensus. Nuc. Acids Res.,. 24:2774–278. 4. Keith, J. M., Cochran, D.A.E., Lala, G.H., Adams, P., Bryant, D.and Mitchelson, K.R. (2004) Unlocking hidden genomic sequence. Nucl. Acids Res. 32: e35. 5. Owczarzy, R., Dunietz, I., Behlke, M.A., Klotz, I.M. and Joseph A. Walder. (2003) Thermodynamic treatment of oligonucleotide duplex–simplex equilibria. PNAS, 100:14840-14845. 149 CHEMILUMINESCENT BLOT IMAGING WITH X-RAY FILM Exposure Time Exposure of the chemiluminescent blot to X-ray film has to be empirically determined initially for the correct duration. An initial exposure for 5 minutes reveals the duration length for the next exposure. Gene Link recommends the following initial exposure time. 5 minutes for PCR-Prober™ product line. Overnight for Gene-Prober™ product line. X-Ray Film Emission of light on blue sensitive X-ray film results in a detectable image upon development. Make sure the film cassettes and developer trays are clean. Prefer using glass dishes, plastic dishes tend to have slight imperfections that lead to scratching of membranes. Lay the protected blot target side up in the sheet in the cassette. Film must always be protected from light. In addition, film is sensitive to temperature, moisture, electrical charge and chemicals. You may want to put a small notch or bend in the film corner as a reference to orient the blot. Use only red light in the film presence. After exposure, continue processing the film in the dark. Place the film on the blot and close the cassette and expose for 5 minute or longer. Always handle the film from the edges with clean, dry hands. For the cleanest films, only handle the film at the edge. Use clean, dry hands to handle the film. Rinse film with water before and after fixing step. Gene Link recommends the use of blue sensitive X-ray films. We use Kodak X-OMAT or Fuji Super-RX films. Film Developer and Fixer Follow manufacturer's recommendations for dilution of the developer and fixer chemistries. Gene Link uses Kodak chemistry. The developer is GBX, Sigma #P-7042 and the fixer is GBX, Sigma #P-7167. We dilute 20 ml of the concentrates to 100 ml with distilled water. Prepare fresh developer and fixer with quality water as specified on the label. Dissolved minerals or particulate may cause noise or loss of signal. Do not use developer that has turned brown or fixer that has a slimy feel. The developer will oxidize and turn brown if left exposed to air. If you plan to reuse the chemicals throughout the day or next day, place the prepared chemicals in enclosed bottles between use to minimize oxidation. Be aware that signal may be sacrificed by using older developing chemistries. Manual Film Developing Place film in developer for one minute with gentle shaking. Rinse extensively with water. Place in fixer for 30 seconds with gentle shaking. Rinse with water for 30 seconds. Make sure not to contaminate the developer with fixer because it will inactivate the developer. If the developer has been contaminated with fixer, it may have a slimy feel. It will not be able to generate signal on the exposed film. Insufficient fixing or contaminated fixing solutions will result in poor image development, film discoloration and image fading. Developing Machines Developing machines are very useful for high-volume film users. They use the same chemicals in larger volumes than with manual processing. The machine lines and tanks must be kept clean and the developing chemistries should be made fresh. 150 Genetic Glossary 151 152 Genetic Glossary Achondroplasia: The most common and well known form of short limbed dwarfism characterized by a normal trunk size with disproportionally short arms and legs, and a disproportionally large head; autosomal dominant condition. Advanced maternal age: Women over age 34 (age 35 at delivery) at increased risk for nondisjunction trisomy in fetus. Affected: An individual who manifests symptoms of a particular condition. Alcoholism: A chronic and progressive condition characterized by the inability to control the consumption of alcohol. Allele: An alternative form of a gene; any one of several mutational forms of a gene. Allele frequency: (synonym: gene frequency) The proportion of individuals in a population who have inherited a specific gene mutation or variant. Allele-specific oligonucleotide testing: (synonyms: ASO, ASO testing) The detection of a specific mutation using a synthetic segment of DNA approximately 20 base pairs in length (an oligonucleotide) that binds to and hence identifies the complementary sequence in a DNA sample. Allelic heterogeneity: (synonym: molecular heterogeneity) Different mutations in the same gene at the same chromosomal locus that cause a single phenotype. Allelic variant of unknown significance: An alteration in the normal sequence of a gene, the significance of which is unclear until further study of the genotype and corresponding phenotype in a sufficiently large population; complete gene sequencing often identifies numerous (sometimes hundreds) allelic variants for a given gene. Alternate paternity: (synonyms: false paternity, nonpaternity) The situation in which the alleged father of a particular individual is not the biological father. Alu repetitive sequence: The most common dispersed repeated DNA sequence in the human genome accounting for 5% of human DNA. The name is derived from the fact that these sequences are cleaved by the restriction endonuclease Alu. Amino acid sequence: The linear order of the amino acids in a protein or peptide. Amniocentesis: Prenatal diagnosis method using cells in the amniotic fluid to determine the number and kind of chromosomes of the fetus and, when indicated, perform biochemical studies. Amniocyte: Cells obtained by amniocentesis. Amplification: Any process by which specific DNA sequences are replicated disproportionately greater than their representation in the parent molecules. Analyte: A complex biological component of an enzymatic reaction; a substance that is typically measured in a Biochemical/Metabolic specialty laboratory that is absent, reduced in quantity, or increased in quantity, as a result of an abnormality in a metabolic pathway. Alpha-fetoprotein (AFP): A protein excreted by the fetus into the amniotic fluid and from there into the mother's bloodstream through the placenta. Aneuploidy: State of having variant chromosome number (too many or too few). (i.e. Down syndrome, Turner syndrome). Angelman syndrome: A condition characterized by severe mental deficiency, developmental delay and growth deficiency, puppet-like gait and frequent laughter unconnected to emotions of happiness. Aneuploidy: The occurrence of one or more extra or missing chromosomes leading to an unbalanced chromosome complement, or, any chromosome number that is not an exact multiple of the haploid number. Anticipation: The tendency in certain genetic disorders for individuals in successive generations to present at an earlier age and/or with more severe manifestations; often observed in disorders resulting from the expression of a trinucleotide repeat mutation that tends to increase in size and have a more significant effect when passed from one generation to the next. Apert syndrome: A condition caused by the premature closure of the sutures of the skull bones, resulting in an altered head shape, with webbed fingers and toes. Autosomal dominant. Artificial insemination: The placement of sperm into a female reproductive tract or the mixing of male and female gametes by other than natural means. Ashkenazi Jewish: (synonym: Eastern European Jewish) The Eastern European Jewish population primarily from Germany, Poland, and Russia, as opposed to the Sephardic Jewish population primarily from Spain, parts of France, Italy, and North Africa. Autosomal: Refers to any of the chromosomes other than the sex-determining chromosomes (i.e., the X and Y) or the genes on these chromosomes. Autosomal dominant: Describes a trait or disorder in which the phenotype is expressed in those who have inherited only one copy of a particular gene mutation (heterozygotes); specifically refers to a gene on one of the 22 pairs of autosomes (non-sex chromosomes). 153 Autosomal recessive: Describes a trait or disorder requiring the presence of two copies of a gene mutation at a particular locus in order to express observable phenotype; specifically refers to genes on one of the 22 pairs of autosomes (non-sex chromosomes). Autosome: A nuclear chromosome other than the X- and Y-chromosomes. Autoradiograph: A photographic picture showing the position of radioactive substances in tissues. Bacteriophage: A virus whose host is a bacterium; commonly called phage. Barr body: The condensed single X-chromosome seen in the nuclei of somatic cells of female mammals. base pair a pair of hydrogen-bonded nitrogenous bases (one purine and one pyrimidine) that join the component strands of the DNA double helix. Base sequence: A partnership of organic bases found in DNA and RNA; adenine forms a base pair with thymine (or uracil) and guanine with cytosine in a double-stranded nucleic acid molecule. Baysian analysis: A mathematical method to further refine recurrence risk taking into account other known factors. Becker muscular dystrophy: X-linked condition characterized by progressive muscle weakness and wasting; manifests later in life with progression less severe than Duchenne muscular dystrophy. Carrier: An individual who has a recessive, disease-causing gene mutation at a particular locus on one chromosome of a pair and a normal allele at that locus on the other chromosome; may also refer to an individual with a balanced chromosome rearrangement. Carrier rate: (synonym: carrier freqency) The proportion of individuals in a population who have a single copy of a specific recessive gene mutation. Carrier testing: (synonyms: carrier detection, heterozygote testing) Testing used to identify usually asymptomatic individuals who have a gene mutation for an autosomal recessive or X-linked recessive disorder. cDNA: Complementary DNA produced from a RNA template by the action of RNA- dependent DNA polymerase. Centimorgan: A unit of genetic distance, between two loci on a chromosome. Symbol, cM. The morgan is not used, only the centimorgan. The genetic distance between two loci is 1 cM if their statistically corrected recombination frequency is 1%; the genetic distance in centimorgans is numerically equal to the recombination frequency expressed as a percentage. Typically a genetic distance of 1 cM corresponds to a physical distance of roughly one million base pairs.The centimorgan is named for Thomas Hunt Morgan (1866–1945), who won a Nobel Prize for his work on the genetics of fruit flies. Centromere: A region of a chromosome to which spindle traction fibers attach during mitosis and meiosis; the position of the centromere determines whether the chromosome is considered an acrocentric, metacentric or telomeric chromosome. Charcot-Marie Tooth disease: A condition characterized by degeneration of the motor and sensory nerves that control movement and feeling in the arm below the elbow and the leg below the knee; transmitted in autosomal dominant, autosomal recessive and X-linked forms. Chorionic villus sampling: An invasive prenatal diagnostic procedure involving removal of villi from the human chorion to obtain chromosomes and cell products for diagnosis of disorders in the human embryo. Chromosome: Physical structure consisting of a large DNA molecule organized into genes and supported by proteins called chromatin. Chromosome banding: A technique for staining chromosomes so that bands appear in a unique pattern particular to the chromosome. Cis configuration: (synonyms: cis, coupling) Term which indicates that an individual who is heterozygous at two neighboring loci has the two mutations in question on the same chromosome. Cleft lip/palate: Congenital condition with cleft lip alone, or with cleft palate; cause is thought to be multifactorial. Clone: An identical copy of a DNA sequence or entire gene; one or more cells derived from and identical to a single ancestor cell; to isolate a gene or specific sequence of DNA. Coding region: (synonym: open reading frame) All exons of a gene that contribute to the protein product(s) of the gene. Codon: In DNA or RNA, a sequence of three nucleotides that codes for a certain amino acid or signals the termination of translation (stop or termination codon). Compound heterozygote: An individual who has two different abnormal alleles at a particular locus, one on each chromosome of a pair; usually refers to individuals affected with an autosomal recessive disorder. Conformation-sensitive gel electrophoresis: (synonym: CSGE) A type of mutation scanning in which a segment of DNA is screened for mismatch pairing between normal and mutated base pairsCodon -- a sequence of three nucleotides in mRNA that specifies an amino acid. Consanguinity: Genetic relationship. Consanguineous individuals have at least one common ancestor in the preceding few generations. Congenital: Present from birth, but not necessarily genetic. Conservative change: An amino acid change that does not affect significantly the function of the protein. Contiguous genes: Genes physically close on a chromosome that when acting together express a phenotype. 154 Consanguinity: Genetic relatedness between individuals descended from at least one common ancestor. Cosmids: Plasmid vectors designed for cloning large fragments of eukaryotic DNA; the vector is a plasmid into which phage lambda cohesive end sites have been inserted. Consultand: The individual (not necessarily affected) who presents for genetic counseling and through whom a family with an inherited disorder comes to medical attention. Contiguous gene syndrome: (synonyms: contiguous gene deletion syndrome, microdeletion syndrome) A constellation of findings caused by a small chromosome deletion or duplication that spans two or more adjacent genes. Cosegregation: The inclusion of two or more linked genes on a chromosome in the same gamete leading to their transmission together. Cornelia de Lange syndrome: Condition involving growth deficiency, significant developmental delay, anomalies of the extremities and a characteristic facial appearance. CpG islands: Areas of multiple CG repeats in DNA. Cri-du-chat syndrome: A chromosomal condition (monosomy 5p). Name comes from the distinctive mewing cry of affected infants; characterized by significant mental deficiency, low birthweight, failure to thrive and short stature; deletion of a small section of the short arm of chromosome 5. Crossing over: (synonym: recombination) The exchange of a segment of DNA between two homologous chromosomes during meiosis leading to a novel combination of genetic material in the offspring. Crossovers: The exchange of genetic material between two paired chromosome during meiosis. Cryptic chromosome translocation: A chromosome translocation or rearrangement detected by special techniques (e.g., fluorescent in situ hybridization [FISH], telomeric detection) because it is too small to be seen with conventional cytogenetic techniques. Cystic fibrosis: An autosomal recessive genetic condition of the exocrine glands, which causes the body to produce excessively thick, sticky mucus that clogs the lungs and pancreas, interfering with breathing and digestion. Cytogenetics: The study of the structure, function, and abnormalities of human chromosomes de novo mutation: (synonyms: de novo gene mutation, new gene mutation, new mutation) An alteration in a gene that is present for the first time in one family member as a result of a mutation in a germ cell (egg or sperm) of one of the parents or in the fertilized egg itself Degenerate codon: A codon that specifies the same amino acid as another codon. Deletion: Absence of a segment of DNA; may be as small as a single base or as large as one or more genes Deletion mapping: The use of overlapping deletions to localize the position of an unknown gene on a chromosome or linkage map. Denaturing gradient gel electrophoresis: (synonym: DGGE) Identification of mutations by electrophoresis of double-stranded DNA samples through a denaturing gradient, such as urea. Certain mutations affect the migration pattern by changing the point in the gel at which the DNA denatures; mutant sequences can be distinguished from wild-type sequences by comparing the electrophoretic pattern. Densitometry: Method of identifying gene dosage or expression by measurement of light absorption on an autoradiogram (film) of a band (or spot) representing a DNA, RNA, or protein sample; useful in detecting duplication mutations and heterozygous deletion mutations Derivative chromosome: Term used to denote an abnormal chromosome consisting of segments from two or more chromosomes joined together as the result of a translocation, insertion, or other rearrangement DGGE: (synonym: denaturing gradient gel electrophoresis) Identification of mutations by electrophoresis of double-stranded DNA samples through a denaturing gradient, such as urea. Certain mutations affect the migration pattern by changing the point in the gel at which the DNA denatures; mutant sequences can be distinguished from wild-type sequences by comparing the electrophoretic pattern. Diagnostic testing: Testing designed to confirm or exclude a known or suspected genetic disorder in a symptomatic individual or, prenatally, in a fetus at risk for a certain genetic condition Diploid: The normal number of chromosomes in a somatic cell; in humans, 46 chromosomes (22 pairs of autosomes and two sex chromosomes). Direct DNA analysis: (synonym: direct DNA) The use of mutation analysis, mutation scanning, sequence analysis, or other means of molecular genetic testing to detect a genetic alteration associated with a specific disorder; direct DNA analysis is possible only when the gene (or genes) or genomic region associated with a disorder is known Disease-causing mutation: A gene alteration that causes or predisposes an individual to a specific disease. DMD: Duchenne muscular dystrophy. DNA: (synonym: Deoxyribonucleic acid) The molecule which encodes the genes responsible for the structure and function of an organism and allows for transmission of genetic information from one generation to the next Disease: Any deviation from the normal structure or function of any part, organ, or system of the body that is manifested by a characteristic set of symptoms and signs whose pathology and prognosis may be known or unknown. 155 DNA banking: The process through which DNA is extracted from any of a number of possible cell sources and stored indefinitely by freezing or refrigerating for future testing; done when a specific test is not presently available or when the decision to have testing has not been made DNA-based testing: (synonyms: DNA testing, molecular genetic testing) Testing that involves the analysis of DNA, either through linkage analysis, sequencing, or one of several methods of mutation detection. DNA hybridization: A technique for selectively binding specific segments of single-stranded (ss) DNA or RNA by base pairing to complementary sequences on ssDNA molecules that are trapped on a nitrocellulose filter. DNA probe: Any biochemical used to identify or isolate a gene, a gene product, or a protein. DNA sequencing: "Plus and minus" or "primed synthesis" method, developed by Sanger, DNA is synthesized in vitro in such a way that it is radioactively labeled and the reaction terminates specifically at the position corresponding to a given base; the "chemical" method, ssDNA is subjected to several chemical cleavage protocols that selectively make breaks on one side of a particular base. Domain: A specific region or amino acid sequence in a protein associated with a particular function or corresponding segment of DNA. Dominant: Alleles that determine the phenotype displayed in a heterozygote with another (recessive) allele. Dominant negative mutation: A mutation whose gene product adversely affects the normal, wild-type gene product within the same cell, usually by dimerizing (combining) with it. In cases of polymeric molecules, such as collagen, dominant negative mutations are often more deleterious than mutations causing the production of no gene product (null mutations or null alleles). Dosage analysis: Method of measuring the quantity of a variety of analytes, including DNA, RNA, and protein, by comparison with a known standard; can be used to determine the number of copies of a sequence of DNA (i.e., to test for duplication and deletion mutations) either by visual comparison of band intensity or numerical quantification by densitometry. If extra copies of a gene are present, intensity is greater than 100% on a gel or film; whereas, if one copy of the gene is missing, the intensity is approximately 50%. Double heterozygote: An individual who is heterozygous for a mutation at each of two separate genetic loci. Down syndrome: A type of mental deficiency due to trisomy (three copies) of autosome 21, a translocation of 21 or mosaicism. Duchenne/Becker muscular dystrophy: The most common and severe form of muscular dystrophy; transmitted as an X-linked trait. X-linked recessive. Symptoms include onset at 2-5 years with difficulty with gait and stairs, enlarged calf muscles, progression to wheelchair by adolescence, shortened life span. Duplication: The presence of an extra segment of DNA, resulting in redundant copies of a portion of a gene, an entire gene, or a series of genes, usually caused by unequal crossing-over during gene replication when gametes are formed in meiosis. Dysmorphology: The clinical study of malformation syndromes. Dystonia: Neurologic condition involving repeated twisting and movement. Involves a variety of muscle groups. Intelligence not effected. Three forms: childhood - autosomal dominant, autosomal recessive, adult-acquired. Dwarfism: Conditions of short stature with adult height under 4'10" as adult, usually with normal intelligence and lifespan. Ehlers Danlos Syndrome connective tissue condition including problems with tendons, ligaments, skin, bones, cartilage, and membranes surrounding blood vessels and nerves. Symptoms include joint laxity, elastic skin, dislocations. Many forms: autosomal dominant, autosomal recessive, X-linked forms. ELSI: Ethical, legal and social implications (of HGP). Endonuclease: An enzyme that breaks the internal phosphodiester bonds in a DNA molecule. Enzyme assay: Measurement of enzyme activity with a particular substrate; can be assessed in a variety of ways including quantification of the end product or colorimetric analysis. Erythrocytes: The hemoglobin-containing cell found in the blood of vertebrates. Euchromatin: The chromatin that shows the staining behavior characteristic of the majority of the chromosomal complement. Eugenics: The improvement of humanity by altering its genetic composition by encouraging breeding of those presumed to have desirable genes. Euploid: Any chromosome number that is a multiple of the haploid number. Exon: Coding sequence of DNA present in mature messenger RNA; DNA initially transcribed to messenger RNA consists of coding sequences (exons) and non-coding sequences (introns). Introns are spliced out of the messenger RNA prior to translation, leaving only the exons to ultimately encode the amino acid product. Exons: Portion of a gene included in the transcript of a gene and survives processing of the RNA in the cell nucleus to become part of a spliced messenger of a structural RNA in the cell cytoplasm; an exon specifies the amino acid sequence of a portion of the complete polypeptide. Exon scanning: The process by which certain exons (coding regions within a gene), under highest suspicion to contain a specific mutation, are subjected to testing via conformation sensitive gel electrophoresis (CSGE), single-stranded conformational-polymorphism (SSCP), denaturing gradient gel electrophoresis (DGGE), or other means deemed most appropriate, to confirm the presence of a mutation before use of further testing, such as sequencing, to delineate the exact nature of the mutation; used to expedite analysis when the disorder in question can be caused by numerous possible mutations within a gene. 156 Ethics: The study of fundamental principles which defines values and determines moral duty and obligation. False negative result: A test result which indicates that an individual is unaffected and/or does not have a particular gene mutation when he or she is actually affected and/or does have a gene mutation; i.e., a negative test result in an affected individual. False paternity: (synonyms: alternate paternity, nonpaternity) The situation in which the alleged father of a particular individual is not the biological father. False positive result: A test result which indicates that an individual is affected and/or has a certain gene mutation when he or she is actually unaffected and/or does not have the mutation; i.e., a positive test result in a truly unaffected individual. Familial: A phenotype that occurs in more than one family member; may have genetic or non-genetic etiology. Family history: The genetic relationships and medical history of a family; when represented in diagram form using standardized symbols and terminology, usually referred to as a pedigree. Family-specific mutation: In a family, the sequence alteration observed that causes or predisposes to a particular disease; the mutation may be rare or common. Fetal alcohol syndrome: A link between excessive alcohol consumption during pregnancy and birth defects; characteristics include small head and eyes, folds of the skin that obscure the inner juncture of the eyelids, short, upturned nose, and thin lips. First-degree relative: Any relative who is one meiosis away from a particular individual in a family (i.e., parent, sibling, offspring). FISH: (synonym: fluorescent in situ hybridization) A technique used to identify the presence of specific chromosomes or chromosomal regions through hybridization (attachment) of fluorescently-labeled DNA probes to denatured chromosomal DNA. Examination under fluorescent lighting detects the presence of the hybridized fluorescent signal (and hence presence of the chromosome material) or absence of the hybridized fluorescent signal (and hence absence of the chromosome material). FISH-interphase: A technique used to identify the presence of specific chromosomes or chromosomal regions through hybridization of fluorescent labeled DNA probes to denatured chromosomal DNA. Examination under fluorescent lighting detects the presence of the hybridized fluorescent signal (and hence presence of the chromosome material) or absence of the hybridized fluorescent signal (and hence absence of the chromosome material). With interphase FISH, probes are introduced directly to the interphase cell. Interphase FISH is often used for rapid detection of specific types of aneuploidy in fetal cells and for the detection of certain deletions, duplications and other abnormalities in tumor cells. In contract to metaphase FISH, interphase FISH does not permit visualization of the actual chromosomes; therefore, certain structural rearrangements or aneuploidy will not be detected. FISH-metaphase: A technique used to identify the presence of specific chromosomes or chromosomal regions through hybridization of fluorescent labeled DNA probes to denatured chromosomal DNA. Examination under fluorescent lighting detects the presence of the hybridized fluorescent signal (and hence presence of the chromosome material) or absence of the hybridized fluorescent signal (and hence absence of the chromosome material). With metaphase FISH, cells progress through the division process until metaphase, when chromosomes are condensed and can be individually distinguished. In contrast to interphase FISH, metaphase FISH permits visualization of the actual chromosomes as well as the general location of the abnormality on the chromosome. 5' – end: The end of a polynucleotide with a free (or phosphorylated or capped) 5' - hydroxyl group; transcription/translation begins at this end. Flanking marker: An identifiable, polymorphic region of DNA (i.e., marker) located to the side of a gene (i.e., flanking), as opposed to an intragenic marker which is located within the gene itself. Flanking markers are used in linkage analysis to track the coinheritance of the gene in question. Flanking microsatellite analysis: The use of highly variable repetitive sequences found in microsatellite regions adjacent to genes or other areas of interest as markers for linkage analysis, DNA fingerprinting, or other diagnostic application Fluorescent in situ hybridization: (synonym: FISH) A technique used to identify the presence of specific chromosomes or chromosomal regions through hybridization (attachment) of fluorescently-labeled DNA probes to denatured chromosomal DNA. Examination under fluorescent lighting detects the presence of the hybridized fluorescent signal (and hence presence of the chromosome material) or absence of the hybridized fluorescent signal (and hence absence of the chromosome material). Founder effect: A gene mutation observed in high frequency in a specific population due to the presence of that gene mutation in a single ancestor or small number of ancestors Frameshift mutation: (synonyms: out-of-frame deletion, out-of-frame mutation) An insertion or deletion involving a number of base pairs that is not a multiple of three and consequently disrupts the triplet reading frame, usually leading to the creation of a premature termination (stop) codon and resulting in a truncated protein product. Fragile sites: A non-staining gap of variable width that usually involves both chromatids and is always at exactly the same point on a specific chromosome derived from an individual or kindred. Fragile-X syndrome: X-linked trait; the second most common identifiable cause of genetic mental deficiency. Gamete: An haploid cell.gel electrophoresis the process by which nucleic acids (DNA or RNA) or proteins are separated by size according to movement of the charged molecules in an electrical field. Gametogenesis: (synonyms: oogenesis, spermatogenesis) The meiotic process by which mature gametes (ova and sperm) are formed. Oogenesis refers specifically to the production of ova and spermatogenesis to the production of sperm. 157 Gene: The basic unit of heredity, consisting of a segment of DNA arranged in a linear manner along a chromosome. A gene codes for a specific protein or segment of protein leading to a particular characteristic or function. Gene amplification: Any process by which specific DNA sequences are replicated disproportionately greater than their representation in the parent molecules; during development, some genes become amplified in specific tissues. Gene conversion: The transfer of DNA sequences between two homologous genes, most often by unequal crossing over during meiosis; can be a mechanism for mutation if the transfer of material disrupts the coding sequence of the gene or if the transferred material itself contains one or more mutations. Gene product: Genes are transcribed into segments of RNA (ribonucleic acid), which are translated into proteins. Both RNA and proteins are products of the expression of the gene. Gene symbol: A unique abbreviation of a gene name consisting of italicized uppercase Latin letters and Arabic numbers formally assigned by the by HUGO Gene Nomenclature Committee after a gene has been identified (Note: a putative gene may be referred to by its locus name prior to its identification). Gene therapy: Experimental treatment of a genetic disorder by replacing, supplementing, or manipulating the expression of abnormal genes with normally functioning genes. Gene transfer: The transfer of genetic material, ranging from a small segment of DNA to the entire genome, from a human cell to another type of cell in culture in order to study the frequency with which known genetic markers are transferred together to the recipient genome; used to determine the physical proximity of genetic markers in the human genome; also used to study gene expression and regulation. Genetic counseling: A process, involving an individual or family, comprising: evaluation to confirm, diagnose, or exclude a genetic condition, malformation syndrome, or isolated birth defect; discussion of natural history and the role of heredity; identification of medical management issues; calculation and communication of genetic risks; provision of or referral for psychosocial support. Genetic linkage map: A chromosome map showing the relative positions of the known genes on the chromosomes of a given species. Genetic screening: Testing groups of individuals to identify defective genes capable of causing hereditary conditions. Genetic variation: A phenotypic variance of a trait in a population attributed to genetic heterogeneity. Genetic predisposition: (synonym: genetic susceptibility) Increased susceptibility to a particular disease due to the presence of one or more gene mutations associated with an increased risk for the disease and/or a family history that indicates an increased risk for the disease. Genome: The complete DNA sequence, containing all genetic information and supporting proteins, in the chromosomes of an individual or species. Gene map: The linear arrangement of mutable sites on a chromosome as deduced from genetic recombination experiments. Genotype: The genetic constitution of an organism or cell; also refers to the specific set of alleles inherited at a locus. Genotype-phenotype correlation: The association between the presence of a certain mutation or mutations (genotype) and the resulting pattern of abnormalities (phenotype). Genotyping: Testing that reveals the specific alleles inherited by an individual; particularly useful for situations in which more than one genotypic combination can produce the same clinical presentation, as in the ABO blood group, where both the AO and AA genotypes yield type A blood. Germ cell: A sex cell or gamete (egg or spermatozoan).Haldane equation Haldane's law: the generalization that if first generation hybrids are produced between two species, but one sex is absent, rare, or sterile, that sex is the heterogamic sex. Germline: The cell line from which egg or sperm cells (gametes) are derived Germline mosaicism: Two or more genetic or cytogenetic cell lines confined to the precursor (germline) cells of the egg or sperm; formerly called gonadal mosaicism Germline mutation: The presence of an altered gene within the egg or sperm (germ cell), such that the altered gene can be passed to subsequent generations Gonadal mosaicism: See germline mosaicism. Haploid: Half the diploid or normal number of chromosomes in a somatic cell; the number of chromosomes in a gamete (egg or sperm) cell, which in humans is 23 chromosomes, one chromosome from each chromosome pair Haploinsufficiency: The situation in which an individual who is heterozygous for a certain gene mutation or hemizygous at a particular locus, often due to a deletion of the corresponding allele, is clinically affected because a single copy of the normal gene is incapable of providing sufficient protein production as to assure normal function. Haplotype analysis: Molecular genetic testing to identify a set of closely linked segments of DNA; used in linkage analysis or when a given trait is in linkage disequilibrium with a marker or set of markers. Hardy-Weinberg Law: The concept that both gene frequencies and genotype frequencies will remain constant from generation to generation in an infinitely large, interbreeding population in which mating is at random and there is no selection, migration or mutation. Hemizygous: The situation in which an individual has only one member of a chromosome pair or chromosome segment rather than the usual two; refers in particular to X-linked genes in males who under normal circumstances have only one X chromosome. 158 Hemophilia: A sex-linked disease in humans in which the blood-clotting process is defective. Heterogeneity: The production of identical or similar phenotypes by different genetic mechanisms. Heteroplasmy: The situation in which, within a single cell, there is a mixture of mitochondria (energy producing cytoplasmic organelles), some containing mutant DNA and some containing normal DNA. Heterozygote: An individual who has two different alleles at a particular locus, one on each chromosome of a pair; one allele is usually normal and the other abnormal HGP: Human Genome Project. HHMI: Howard Hughes Medical Institute. High-resolution chromosome studies: Analysis of the number and structure of the chromosomes when cell division has been arrested and the chromosomes stained at an early stage (pro-metaphase) of mitosis. The chromosomes of a high resolution study appear longer and reveal 7001200 bands, allowing more detailed analysis of the chromosome structure, as opposed to the typical 300-600 bands observed with routine metaphase banding. Homologous chromosomes: (synonym: homologs) The two chromosomes from a particular pair, normally one inherited from the mother and one from the father, containing the same genetic loci in the same order. Homozygote: An individual who has two identical alleles at a particular locus, one on each chromosome of a pair. Hotspot mutation region: DNA sequences of high susceptibility to mutation due to some inherent instability, tendency toward unequal crossing over, or chemical predisposition to single nucleotide substitutions; region where mutations are observed with greater frequency. Homologous chromosomes -- chromosomes that pair during meiosis; each homologue is a duplicate of one chromosome from each parent. Housekeeping genes: Those genes expressed in all cells because they provide functions needed for sustenance of all cell types. Huntington disease: A disease characterized by irregular, spasmodic involuntary movements of the limbs and facial muscles, mental deterioration and death, usually within 20 years of the onset of symptoms. A CAG triple repeat disorder. Hybridization: The pairing of a single-stranded, labeled probe (usually DNA) to its complementary sequence. Ichthyosis: Any of several hereditary or congenital skin conditions; skin of affected individuals has a dry, scaly appearance. Imprinting: The process by which maternally and paternally derived chromosomes are uniquely chemically modified leading to different expression of a certain gene or genes on those chromosomes depending on their parental origin. Incomplete penetrance -- the gene for a condition is present, but not obviously expressed in all individuals in a family with the gene. In-frame mutation: A mutation that does not cause a shift in the triplet reading frame; such mutations can, however, lead to the synthesis of an abnormal protein product. Informativeness: In linkage analysis, the ability to distinguish between maternally-inherited and paternally-inherited DNA markers (polymorphisms) within or near a given gene of interest Informed consent: Permission given by an individual to proceed with a specific test or procedure, with an understanding of the risks, benefits, limitations, and potential implications of the procedure itself and its results Insertion: A chromosome abnormality in which material from one chromosome is inserted into another nonhomologous chromosome; a mutation in which a segment of DNA is inserted into a gene or other segment of DNA, potentially disrupting the coding sequence In situ hybridization: Hybridization of a labeled probe to its complementary sequence within intact, banded chromosomes. Interfamilial variability: Variability in clinical presentation of a particular disorder among affected individuals from different families Intermediate allele: (synonym: premutation) In disorders caused by trinucleotide repeat expansions, an abnormally large allele that is not associated with clinical symptoms but that can expand into a full mutation when transmitted to offspring (full mutations are associated with clinical symptoms of the disorder) Intrafamilial variability: Variability in clinical presentation of a particular disorder among affected individuals within the same immediate or extended family Intragenic marker: An identifiable, polymorphic region of DNA (i.e., marker) located within a gene (i.e., intragenic), as opposed to a flanking marker, which is located on either side of a gene. Intragenic markers are used in linkage analysis to track the coinheritance of the gene in question. Intron: Non-coding sequence of DNA removed from mature messenger RNA prior to translation. DNA initially transcribed to messenger RNA consists of coding sequences (exons) and non-coding sequences (introns); introns are spliced out of the messenger RNA prior to translation, leaving only the exons to ultimately encode the amino acid product. Introns: A segment of DNA (between exons) that is transcribed into nuclear RNA, but are removed in the subsequent processing into mRNA. 159 Intronic mutation: A mutation (usually a base substitution) within an intron that creates an alternative splice site that competes with the normal splice sites during RNA processing. Such a mutation results in a proportion of mature messenger RNA with improperly spliced intron sequences. Inversion: A chromosomal rearrangement in which a segment of a chromosome has inverted from end to end, and re-inserted into the chromosome at the same breakage site. Balanced inversions (in which no net loss or gain of genetic material occurs) are usually not associated with phenotypic abnormalities, however, in some cases, gene disruptions at the breakpoints can cause adverse phenotypic effects, including some known genetic diseases. Unbalanced inversions (in which loss or gain of chromosome material occurs) nearly always yield an abnormal phenotype. Isochromosome: A metacentric chromosome produced during mitosis or meiosis when the centromere splits transversely instead of longitudinally; the arms of such chromosome are equal in length and genetically identical, however, the loci are positioned in reverse sequence in the two arms. Isoelectric focusing: Method of mutation detection by which proteins are separated according to the pH at which their net charge is zero (isoelectric point); often used in conjunction with a western blot to allow identification of wild-type versus mutant protein products. A DNA sequence alteration resulting in an amino acid substitution can change the isoelectric point of a protein. Isoforms: The protein products of different versions of messenger RNA created from the same gene by employing different promoters, which causes transcription to skip certain exons. Since the promoters are tissue-specific, different tissues express different protein products of the same gene. Isolated: An abnormality that occurs in the absence of other systemic involvement. Karyotype: A photographic representation of the chromosomes of a single cell, cut and arranged in pairs based on their banding pattern and size according to a standard classification Kindred: An extended family; term often used in linkage studies to refer to large families. Klinefelter syndrome: An endocrine condition caused by a an extra X-chromosome (47,XXY); characterized by the lack of normal sexual development and testosterone, leading to infertility and adjustment problems if not detected and treated early. Lligase: An enzyme that functions in DNA repair. Linkage: The greater association in inheritance of two or more nonallelic genes than is to be expected from independent assortment; genes are linked because they reside on the same chromosome. Linkage analysis: (synonym: indirect DNA analysis) Testing DNA sequence polymorphisms (normal variants) that are near or within a gene of interest to track within a family the inheritance of a disease-causing mutation in a given gene. Linkage disequilibrium: In a population, co-occurrence of a specific DNA marker and a disease at a higher frequency than would be predicted by random chance. Locus: The physical site or location of a specific gene on a chromosome. Locus heterogeneity: The situation in which mutations in genes at different chromosomal loci cause the same phenotype Locus name: An informally assigned abbreviation used in the process of mapping to designate a putative gene prior to gene identification; once the gene is identified. The locus name is generally replaced by a formally assigned gene symbol (which often differs from the locus name). Lod score: Logarithm of the odd score; a measure of the likelihood of two loci being within a measurable distance of each other. Loss of heterozygosity: (synonym: LOH) At a particular locus heterozygous for a deleterious mutant allele and a normal allele, a deletion or other mutational event within the normal allele renders the cell either hemizygous (one deleterious allele and one deleted allele) or homozygous for the deleterious allele Lyonization: (synonym: X-chromosome inactivation) The phenomenon in females by which one X chromosome (either maternally derived or paternally derived) is randomly inactivated in early embryonic cells, with fixed inactivation in all descendant cells; first described by the geneticist Mary Lyon. Manifesting carrier: An individual who has, at a particular locus, a recessive, disease-causing allele on one chromosome and a normal allele on the other chromosome and who manifests some symptoms of the disorder; generally refers to female carriers of an X-linked recessive mutation who are clinically affected, although the phenotype is usually less severe as compared to males with the same mutation. Mapped gene: (synonym: mapped phenotype) A gene or phenotype whose relative position on a segment of DNA or on a chromosome has been established. Marfan syndrome: Autosomal dominant condition of connective tissue; affects the skeletal, ocular and cardiovascular systems. Marker: An identifiable segment of DNA (e.g., RFLP, VNTR, microsatellite) with enough variation between individuals that its inheritance and coinheritance with alleles of a given gene can be traced; used in linkage analysis. Marker chromosome: A small chromosome containing a centromere occasionally seen in tissue culture, often in a mosaic state (present in some cells but not in others). A marker chromosome may be of little clinical significance or, if it contains material from one or both arms of another chromosome, may create an imbalance for whatever genes are present; assessment to establish clinical significance, particularly if found in a fetal karyotype, is often difficult. Maternal contamination: The situation which occurs in prenatal testing in which a sample of chorionic villus, amniotic fluid, or umbilical blood becomes contaminated with maternal (usually blood) cells, which can confound interpretation of the results of genetic analysis. 160 Meiosis: The doubling of gametic chromosome number. Methylation: The attachment of methyl groups to DNA at cytosine bases; correlated with reduced transcription of the gene and thought to be the principal mechanism in X-chromosome inactivation and imprinting. Methylation analysis: Testing that evaluates the methylation status of a gene (attachment of methyl groups to DNA cytosine bases); genes that are methyalted are not expressed; methylation plays a role in X-chromosome inactivation and imprinting. Methylmalonic acidemia -- a group of conditions characterized by the inability to metabolize methylmalonic acid or by a defect in the metabolism of Vitamin B12. Microdeletion syndrome: (synonym: contiguous gene deletion syndrome) A syndrome caused by a chromosomal deletion spanning several genes that is too small to be detected under the microscope using conventional cytogenetic methods. Depending on the size of the deletion, other techniques, such as FISH or other methods of DNA analysis can sometimes be employed to identify the deletion. Microsatellite: (synonyms: satellite DNA, short tandem repeats) Repetitive segments of DNA two to five nucleotides in length (dinucleotide/trinucleotide/tetranucleotide/pentanucleotid e repeats), scattered throughout the genome in non-coding regions between genes or within genes (introns), often used as markers for linkage analysis because of the naturally occurring high variability in repeat number between individuals. These regions are inherently unstable and susceptible to mutations. Microsatellite instability: (synonyms: MSI, replication error phenotype, RER) The presence of a discrepancy between the size of microsatellites in DNA from tumor tissue compared to nontumor tissue from the same person, resulting from mutations in a gene in the DNA mismatch repair pathway (MMR) that would normally correct these errors. Mismatch repair mechanism: (synonym: mismatch repair) The DNA 'proof-reading' system controlled by certain genes that identifies, excises, and corrects errors in the pairing of the bases during DNA replication. Mutations in the genes responsible for this mechanism can lead to certain genetic diseases and some forms of cancer. Missense mutation: A single base pair substitution that results in the translation of a different amino acid at that position. Mitochondrial DNA: The mitochondrial genome consists of a circular DNA duplex, with 5 to 10 copies per organelle. Mitochondrial inheritance: Mitochondria, cytoplasmic organelles that produce the energy source ATP for most chemical reactions in the body, contain their own distinct genome; mutations in mitochondrial genes are responsible for several recognized syndromes and are always maternally inherited since ova contain mitochondria, whereas sperm do not. Mitosis: Nuclear division. Mode of inheritance: (synonyms: inheritance pattern, pattern of inheritance) The manner in which a particular genetic trait or disorder is passed from one generation to the next. Autosomal dominant, autosomal recessive, X-linked dominant, X-linked recessive, multifactorial, and mitrochondrial inheritance are examples. Molecular genetic testing: (synonyms: DNA testing, DNA-based testing, molecular testing) Testing that involves the analysis of DNA, either through linkage analysis, sequencing, or one of several methods of mutation detection. Monosomy: The presence of only one chromosome from a pair; partial monosomy refers to the presence of only one copy of a segment of a chromosome. Mosaicism: Within a single individual or tissue, the occurrence of two or more cell lines with different genetic or chromosomal constitutions. mRNA: Messenger RNA; an RNA molecular that functions during translation to specify the sequence of amino acids in a nascent polypeptide. Multifactorial: A characteristic influenced in its expression by many factors, both genetic and environmental. Multifactorial inheritance: (synonym: polygenic) The combined contribution of one or more often unspecified genes and environmental factors, often unknown, in the causation of a particular trait or disease. Mutation: (synonyms: sequence alteration, splicing mutation) Any alteration in a gene from its natural state; may be benign (commonly referred to as a "polymorphism"), pathogenic, or of unknown significance. Mutation analysis: Testing for the presence of a specific mutation (e.g., Glu6Val for sickle cell anemia), a specific type of mutation (e.g., the trinucleotide repeat expansion associated with spinocerebellar ataxia type 1, deletions associated with Duchenne muscular dystropy), or set of mutations (e.g., a panel of mutations for cystic fibrosis), as opposed to complete gene sequencing or mutation scanning, which detect most mutations in the tested region. Mutation scanning: A process by which a segment of DNA is screened via one of a variety of methods to identify variant gene region(s). Variant regions are further analyzed (by sequence analysis or mutation analysis) to identify the sequence alteration. Myotonic dystrophy: A combination of progressive weakening of the muscles and muscle spasms or rigidity, with difficulty relaxing a contracted muscle; inherited as an autosomal dominant trait. A CTG triple repeat disorder. Negative predictive value: The likelihood that an individual with a negative test result is actually unaffected and/or does not have the particular gene mutation in question. Neurofibromatosis: One of the most common single gene conditions affecting the human nervous system; in most cases, "cafe au lait" spots, are the only symptom; inherited as an autosomal dominant trait, with 50% being new mutations. 161 Newborn screening: Testing done within days of birth to identify infants at increased risk for a specific genetic disorder so that treatment can begin as soon as possible; when a newborn screening result is positive, further diagnostic testing is usually required to confirm or specify the results and counseling is offered to educate the parents. Nonsense mutation: A single base pair substitution that prematurely codes for a stop in amino acid translation (stop codon). Noonan syndrome: A condition characterized by short stature and ovarian or testicular dysfunction, mental deficiency, and lesions of the heart. Northern analysis: A technique for transferring electrophoretically resolved RNA segments from an agarose gel to a nitrocellulose filter paper sheet via capillary action. Northern blot: (synonym: northern blotting analysis) The separation of sequences or fragments of RNA, partially digested by endonucleases, on an electrophoretic gel. Novel mutation: A distinct gene alteration that has been newly discovered; not the same as a 'new' or 'de novo' mutation. Nucleotide: A molecule consisting of a nitrogenous base (adenine, guanine, thymine, or cytosine in DNA; adenine, guanine, uracil, or cytosine in RNA), a phosphate group, and a sugar (deoxyribose in DNA; ribose in RNA). DNA and RNA are polymers of many nucleotides. Null allele: A mutation that results in either no gene product or the absence of function at the phenotypic level. Obligate carrier: (synonym: obligate heterozygote) An individual who may be clinically unaffected but who must carry a gene mutation based on analysis of the family history; usually applies to disorders inherited in an autosomal recessive and X-linked recessive manner. Obligate heterozygote: (synonym: obligate heterozygote) An individual who may be clinically unaffected but who must carry a gene mutation based on analysis of the family history; usually applies to disorders inherited in an autosomal recessive and X-linked recessive manner. Oligonucleotide: (synonym: Oligo) A short stretch of DNA; usually 15 to 250 nucleotide long. The word oligo is used interchangeably with “primers” used for PCR or sequencing. Open reading frame: (synonym: ORF) All exons of a gene that contribute to the protein product(s) of the gene. Oncogenes: Genes involved in cell cycle control (growth factors, growth factor regulator genes, etc), a mutation can lead to tumor growth. Osteogenesis imperfecta: A condition also known as brittle bone disease; characterized by a triangular shaped face with yellowish brown teeth, short stature and stunted growth, scoliosis, high pitched voice, excessive sweating and loose joints. Paracentric inversion: An inversion in which the breakpoints are confined to one arm of a chromosome; the inverted segment does not span the centromere. Parent-of-origin studies: An analysis used to determine whether a particular chromosome or segment of DNA was inherited from an individual's mother or father; helpful in the diagnosis of disorders in which imprinting or uniparental disomy is a possible underlying etiological mechanism. Parentage testing: (synonyms: maternity testing, paternity testing) The process through which DNA sequences from a particular child and a particular adult are compared to estimate the likelihood that the two individuals are related; DNA testing can reliably exclude but cannot absolutely confirm an individual as a biological parent. Parthenogenesis: The development of an individual from an egg without fertilization. PCR: (synonym: polymerase chain reaction) A procedure that produces millions of copies of a short segment of DNA through repeated cycles of: 1) denaturation, 2) annealing, and 3) elongation; PCR is a very common procedure in molecular genetic testing and may be used to: 1) generate a sufficient quantity of DNA to perform a test (e.g., sequence analysis, mutation scanning), or 2) may be a test in and of itself (e.g., allele-specific amplification, trinucleotide repeat quantification). Pedigree: A diagram of the genetic relationships and medical history of a family using standard symbols and terminology Penetrance: The proportion of individuals with a mutation causing a particular disorder who exhibit clinical symptoms of that disorder; most often refers to autosomal dominant conditions. Pericentric inversion: An inversion in which the breakpoints occur on both arms of a chromosome. The inverted segment spans the centromere. Phenotype: The observable physical and/or biochemical characteristics of the expression of a gene; the clinical presentation of an individual with a particular genotype Physical map: Map where the distance between markers is the actual distance, such as the number of base pairs. Phenotyping: Diagnostic testing and inference of a particular genotype based on clinical or biochemical presentation (phenotype) of the individual, such as measurement of alpha-1-antitrypsin level, which is greatly reduced in individuals homozygous for the Z allele. With the advent of DNA-based testing, direct mutation analysis (genotyping) is becoming more widely available for many disorders. PKU: Phenylketonuria, an enzyme deficiency condition characterized by the inability to convert one amino acid, phenylalanine, to another, tyrosine, resulting in mental deficiency. plasmid double-stranded, circular, bacterial DNA into which a fragment of DNA from another organism can be inserted. Pleiotropy: The phenomenon of variable phenotypes for a number of distinct and seemingly unrelated phenotypic effects. Point mutation: An alteration in DNA sequence caused by a single nucleotide base change, insertion, or deletion. 162 Polycystic kidney disease (PKD): A group of conditions characterized by fluid filled sacs that slowly develop in both kidneys, eventually resulting in kidney malfunction. Polygenic: A condition caused by the additive contributions of mutations in multiple genes at different loci. Polymerase: Any enzyme that catalyzes the formation of DNA or RNA from deoxyribonucleotides or ribonucleotides. Polymerase chain reaction (PCR): A procedure that produces millions of copies of a short segment of DNA through repeated cycles of: 1) denaturation, 2) annealing, and 3) elongation; PCR is a very common procedure in molecular genetic testing and may be used to: 1) generate a sufficient quantity of DNA to perform a test (e.g., sequence analysis, mutation scanning), or 2) may be a test in and of itself (e.g., allelespecific amplification, trinucleotide repeat quantification). Polymorphism: (synonym: polymorphis allele) Natural variations in a gene, DNA sequence, or chromosome that have no adverse effects on the individual and occur with fairly high frequency in the general population. Polyploidy: An increase in the number of haploid sets (23) of chromosomes in a cell. Triploidy refers to three whole sets of chromosomes in a single cell (in humans, a total of 69 chromosomes per cell); tetraploidy refers to four whole sets of chromosomes in a single cell (in humans, a total of 92 chromosomes per cell). Population risk: (synonym: background risk) The proportion of individuals in the general population who are affected with a particular disorder or who carry a certain gene; often discussed in the genetic counseling process as a comparison to the patient's personal risk given his or her family history or other circumstances. Positional cloning: (synonym: reverse genetics) The cloning or identification of a gene for a particular disease based on its location in the genome, determined by a collection of methods including linkage analysis, genomic (physical) mapping, and bioinformatics, when no information about the biochemical basis of the disease is known; distinguished from the more common strategy of gene cloning beginning with a known protein product, determining its amino acid sequence, and using that information to isolate the gene. Positive predictive value: (synonym: PPV) The likelihood that an individual with a positive test result actually has the particular gene in question, is affected, or will develop the disease. Post-zygotic event: A mutational event or abnormality in chromosome replication/segregation that occurs after fertilization of the ovum by the sperm, often leading to mosaicism (two or more genetically distinct cell lines within the same organism). Prader-Willi syndrome: A condition characterized by obesity and insatiable appetite, mental deficiency, small genitals, and short stature. May be deletion of #15 chromosome. Predisposition: To have a tendency or inclination towards something in advance. Predisposing mutation: (synonym: susceptibility gene) A gene mutation that increases an individual's susceptibility or predisposition to a certain disease or disorder. When such a mutation is inherited, development of symptoms is more likely but not certain. Predispositional testing: Testing of an asymptomatic individual in whom the discovery of a gene mutation indicates that eventual development of findings related to a specific diagnosis is likely but not certain. A negative result may not exclude the possibility of future development of the disease from other causes. Preimplantation diagnosis: (synonym: preimplantation testing) A procedure used to decrease the chance of a particular genetic condition for which the fetus is specifically at risk by testing one cell removed from early embryos conceived by in vitro fertilization and transferring to the mother's uterus only those embryos determined not to have inherited the mutation in question. Premutation: (synonym: intermediate allele) In disorders caused by trinucleotide repeat expansions, an abnormally large allele that is not associated with clinical symptoms but that can expand into a full mutation when transmitted to offspring (Full mutations are associated with clinical symptoms of the disorder). Prenatal diagnosis: (synonym: prenatal testing) Testing performed during pregnancy to determine if a fetus is affected with a particular disorder. Chorionic villus sampling (CVS), amniocentesis, periumbilical blood sampling (PUBS), ultrasound, and fetoscopy are examples of procedures used either to obtain a sample for testing or to evaluate fetal anatomy. Presymptomatic testing: Testing of an asymptomatic individual in whom the discovery of a gene mutation indicates certain development of findings related to a specific diagnosis at some future point. A negative result excludes the diagnosis. Presymptomatic diagnosis: Diagnosis of a genetic condition before the appearance of symptoms. Primer: A short stretch of DNA (oligonucleotide) used in the polymerase chain reaction to initiate DNA synthesis at a particular location. Private mutation: (synonym: unique mutation) A rare disease-causing mutation observed in a few families. Probability: The long term frequency of an event relative to all alternative events, and usually expressed as decimal fraction. Proband: (synonyms: index case, propositus) The affected individual through whom a family with a genetic disorder is ascertained; may or may not be the consultand (the individual presenting for genetic counseling). Probe: A specific, pre-fabricated sequence of DNA or RNA, labeled by one of several methods, used to detect the presence of a complimentary sequence by binding (hybridizing) to it. Prognosis: Prediction of the course and probable outcome of a disease. Promoter region: A specific region just upstream from a gene that acts as a binding site for transcription factors and RNA polymerase during the 163 initiation of transcription. Protein analysis: One of several different testing methods that reveals either the structure or function of a particular protein product. Protein functional assay: Measurement of the rate of a chemical reaction that takes place in the presence of an enzyme contained in a sample taken from an individual. Reduced enzymatic activity may indicate carrier status or the diagnosis of a particular genetic disease Protein truncation testing: (synonym: PTT) Means of identifying the shortened (truncated) proteins that result from mutations that specifically cause premature termination of mRNA translation. Proteus syndrome: A condition characterized by distorted asymmetric growth of the body and enlarged head, enlarged feet, multiple nevi on the skin; mode of inheritance is unknown. Predictive testing: Testing offered to asymptomatic individuals with a family history of a genetic disorder and a potential risk of eventually developing the disorder. Pseudogene: A copy of a gene that usually lacks introns and other essential DNA sequences necessary for function. Pseudogenes, though genetically similar to the original functional gene, are not expressed and often contain numerous mutations. Radiosensitivity testing: (synonyms: colony survival essay, CSA) Testing specific to ataxia-telangiectasia (A-T) and other disorders in which cells are particularly sensitive to ionizing radiation; demonstrates colony formation of a blood lymphocyte cell line following irradiation, which is abnormal in approximately 99% of patients with clinically diagnosed A-T, though the sensitivity of such testing in light of a suspected but unsure diagnosis of A-T has not yet been documented. Reading frame: (synonym: exon) A sequence of messenger RNA that is translated into an amino acid chain, three bases at a time, each triplet sequence coding for a single amino acid. Rearrangement: A structural alteration in a chromosome, usually involving breakage and reattachment of a segment of chromosome material, resulting in an abnormal configuration; examples include inversion and translocation. Recessive: A gene that is phenotypically manifest in the homozygous state but is masked in the presence of a dominant allele. Reciprocal translocation: A segment of one chromosome is exchanged with a segment of another chromosome of a different pair. Recombination: (synonym: crossing over) The exchange of a segment of DNA between two homologous chromosomes during meiosis leading to a novel combination of genetic material in the offspring. Recurrence risk: The likelihood that a trait or disorder present in one family member will occur again in other family members in the same or subsequent generations. Reflex testing: Follow-up testing automatically initiated when certain test results are observed in the laboratory; used to clarify or elaborate on primary test results. Repeat sequences: The length of a nucleotide sequence that is repeated in a tandem cluster. Replication analysis: (synonyms: replication banding, X-chromosome inactivation study, XCI) A cytogenetic technique that uses specialized banding procedures (replication banding) to identify the late-replicating (inactive) X chromosome in cells. Because it is less complicated, less expensive, and less subjective, molecular testing is now used more commonly than replication analysis for X-chromosome inactivation studies. Restriction fragment length polymorphism: (synonym: RFLP) Natural (polymorphic) variation in DNA sequence between an individual that abolishes or creates endonuclease restriction (cutting) sites, resulting in DNA fragments of different lengths when DNA is digested by an endonuclease. Restriction fragment length polymorphism analysis: (synonyms: RFLP analysis, RFLP testing) Fragment of DNA of predictable size resulting from digestion (cutting) of a strand of DNA by a given restriction enzyme. DNA sequence alterations (mutations) that destroy or create the sites at which a restriction enzyme cuts DNA change the size (and number) of DNA fragments resulting from digestion by a given restriction enzyme. Restriction site: A sequence of DNA that is recognized by an endonuclease (a protein that cuts DNA) as a site at which the DNA is to be cut. Retinitis pigmentosa: Group of hereditary ocular disorders with progressive retinal degeneration. Autosomal dominant, autosomal recessive, and x-linked forms. Retinoblastoma: A childhood malignant cancer of the retina of the eye. Reverse transcriptase: A viral enzyme used to make cDNA from mRNA. RFLP: Restriction fragment length polymorphism; variations occurring within a species in the length of DNA fragments generated by a species endonuclease. Ribosomal protein: One of the ribonucleoprotein particles that are the sites of translation. Risk assessment: Calculation of an individual's risk, employing appropriate mathematical equations, of having inherited a certain gene mutation, of developing a particular disorder, or of having a child with a certain disorder based upon analysis of multiple factors including family medical history and ethnic background. RNA: (synonym: ribonucleic acid) The molecule synthesized from the DNA template; contains the sugar ribose instead of deoxyribose, which is present in DNA; three types of RNA exist, messenger RNA (mRNA), transfer RNA (tRNA), and ribosomal RNA (rRNA) 164 Robertsonian translocation: The joining of two acrocentric chromosomes at the centromeres with loss of their short arms to form a single abnormal chromosome; acrocentric chromosomes are the Y chromosome and chromosome numbers 13, 14, 15, 21, and 22 Rubinstein-Taybi syndrome: Condition with multiple congenital anomalies including: mental deficiency, broad thumbs, small head, broad nasal bridge and beaked nose. Sanger sequence: "Plus and minus" or "primed synthesis" method; DNA is synthesized so it is radioactively labeled and the reaction terminates specifically at the position corresponding to a given base. Second-degree relative: Any relative who is two meioses away from a particular individual in a pedigree; a relative with whom one quarter of an individual's genes is shared (i.e., grandparent, grandchild, uncle, aunt, nephew, niece, half-sibling) Segregation: The separation of the homologous chromosomes and their random distribution to the gametes at meiosis Selection: The process of determining the relative share allotted individuals of different genotypes in the propagation of a population; the selective effect of a gene can be defined by the probability that carriers of the gene will reproduce. Sensitivity: The frequency with which a test yields a positive result when the individual being tested is actually affected and/or has the gene mutation in question Sequence alteration: (synonym: mutation) Any alteration in a gene from its natural state; may be benign (commonly referred to as a "polymorphism"), pathogenic, or of unknown significance Sequence analysis: (synonyms: gene sequencing, sequencing) Process by which the nucleotide sequence is determined for a segment of DNA Sex determination: The mechanism in a given species by which sex is determined; in many species sex is determined at fertilization by the nature of the sperm that fertilizes the egg. Sickle cell anemia: An hereditary, chronic form of hemolytic anemia characterized by breakdown of the red blood cells; red blood cells undergo a reversible alteration in shape when the oxygen tension of the plasma falls slightly and a sickle-like shape forms. Simplex case: A single occurrence of a disorder in a family Single-stranded conformational polymorphism: (synonym: SSCP) A type of mutation scanning; the identification of abnormally migrating singlestranded DNA segments on gel electrophoresis Sister chromatid exchange: (synonym: SCE) Exchange of genetic material between the two chromatids of a single chromosome during the cell division process; similar to crossing-over (recombination), except that the exchange involves the two sister chromatids of a single chromosome, whereas crossing-over refers to exchange of genetic material between the two homologous chromosomes of a chromosome pair Somatic cell hybrid: Hybrid cell line derived from two different species; contains a complete chromosomal complement of one species and a partial chromosomal complement of the other; human/hamster hybrids grow and divide, losing human chromosomes with each generation until they finally stabilize, the hybrid cell line established is then utilized to detect the presence of genes on the remaining human chromosome. Somatic mutation: A mutation occurring in any cell that is not destined to become a germ cell; if the mutant cell continues to divide, the individual will come to contain a patch of tissue of genotype different from the cells of the rest of the body. Southern blotting: A technique for transferring electrophoretically resolved DNA segments from an agarose gel to a nitrocellulose filter paper sheet via capillary action; the DNA segment of interest is probed with a radioactive, complementary nucleic acid, and its position is determined by autoradiography. Specificity: The frequency with which a test yields a negative result when the individual being tested is actually unaffected and/or does not have the gene mutation in question Spina bifida: A congenital condition that results from altered fetal development of the spinal cord, part of the neural plate fails to join together and bone and muscle are unable to grow over this open section. Splice-site mutation: A mutation that alters or abolishes the specific sequence denoting the site at which the splicing of an intron takes place. Such mutations result in one or more introns remaining in the mature messenger RNA and can disrupt the generation of the protein product Splicing: (synonym: splicing mutation) The process by which introns, non-coding regions, are excised out of the primary messenger RNA transcript and exons (i.e., coding regions) are joined together to generate mature messenger RNA Sporadic: The chance occurrence of a disorder or abnormality that is not likely to recur in a family SSCP: (synonym: single-stranded conformational polymorphism) A type of mutation scanning; the identification of abnormally migrating singlestranded DNA segments on gel electrophoresis Subtelomeric FISH screen: Uses DNA probes that are specific for the subtelomeric areas on the long arm and short arm of each chromosome, allowing for the detection of cryptic and submicroscopic subtelomeric deletions and translocations, a significant cause of moderate to severe mental retardation Subtelomeric region: The chromosomal region just proximal to the telomere (end of the chromosome) composed of highly polymorphic repetitive DNA sequences that are typically situated adjacent to gene-rich areas. Microdeletions and subtle rearrangements that disrupt genes in the subtelomeric regions can cause mental retardation; use of fluorescent in situ hybridization (FISH) to evaluate subtelomeric regions is usually required for detection of these abnormalities. 165 Supernumary chromosome: A small chromosome containing a centromere occasionally seen in tissue culture, often in a mosaic state (present in some cells but not in others). A marker chromosome may be of little clinical significance or, if it contains material from one or both arms of another chromosome, may create an imbalance for whatever genes are present; assessment to establish the clinical significance, particularly if found in a fetal karyotype, is often difficult. Susceptibility gene: A gene mutation that increases the likelihood that an individual will develop a certain disease or disorder. When such a mutation is inherited, development of symptoms is more likely but not certain Syndrome: A recognizable pattern or group of multiple signs, symptoms or malformations that characterize a particular condition; syndromes are thought to arise from a common origin and result from more than one developmental error during fetal growth. Tay-Sachs disease: A fatal degenerative disease of the nervous system due to a deficiency of hexosamidase A, causing mental deficiency, paralysis, mental deterioration, and blindness; found primarily but not exclusively among Ashkenazi Jews. Autosomal recessive. Telomere: The segment at the end of each chromosome arm that consists of a series of repeated DNA sequences that regulate chromosomal replication at each cell division. Some of the telomere is lost each time a cell divides, and eventually, when the telomere is gone, the cell dies. Teratogens: Any agent that raises the incidence of congenital malformations. 3' – end: The end of a polynucleotide with a free (or phosphorylated) 3' - hydroxyl group. Trait: Any detectable phenotypic property of an organism. Trans configuration: (synonym: repulsion) Term that indicates that an individual who is heterozygous at two neighboring loci has the two mutations in question on each of the two homologous chromosomes Transcription: The formation of an RNA molecule upon a DNA template by complementary base pairing. Transcription factor: (synonym: zinc finger protein) A protein that aids in the activation and regulation of transcription, in which messenger RNA is synthesized from the DNA template; zinc finger proteins are one type of transcription factor. Transduction: The transfer of bacterial genetic material from one bacterium to another using a phage as a vector. Transferase: Enzymes that catalyze the transfer of functional groups between donor and acceptor molecules. Transgenic organism: One into which a cloned genetic material has been experimentally transferred, a subset of these foreign gene express themselves in their offspring. Turner syndrome a chromosomal condition in females (usually 45,XO) due to monosomy of the X- chromosome; characterized by short stature, failure to develop secondary sex characteristics, and infertility. Translation: The formation of a polypeptide chain in the specific amino acid sequence directed by the genetic information carried by mRNA. Translocation: (synonym: chromosome rearrangement) A chromosome alteration in which a whole chromosome or segment of a chromosome becomes attached to or interchanged with another whole chromosome or segment, the resulting hybrid segregating together at meiosis; balanced translocations (in which there is no net loss or gain of chromosome material) are usually not associated with phenotypic abnormalities, although gene disruptions at the breakpoints of the translocation can, in some cases, cause adverse effects, including some known genetic disorders; unbalanced translocations (in which there is loss or gain of chromosome material) nearly always yield an abnormal phenotype Trinucleotide repeat: Sequences of three nucleotides repeated in tandem on the same chromosome a number of times. A normal, polymorphic variation in repeat number with no clinical significance commonly occurs between individuals; however, repeat numbers over a certain threshold can, in some cases, lead to adverse effects on the function of the gene, resulting in genetic disease. Triplet code: A code in which a given amino acid is specified by a set of three nucleotides. Trisomy: The presence of a single extra chromosome, yielding a total of three chromosomes of that particular type instead of a pair. Partial trisomy refers to the presence of an extra copy of a segment of a chromosome. Trisomy rescue: The phenomenon in which a fertilized ovum initially contains 47 chromosomes (i.e., is trisomic), but loses one of the trisomic chromosomes in the process of cell division such that the resulting daughter cells and their descendants contain 46 chromosomes, the normal number Tumor suppressor gene: Genes that normally function to restrain the growth of tumors; the best understood case is for hereditary retinoblastoma. Unaffected: An individual who does not manifest any symptoms of a particular condition Unequal crossing over: Mispairing and exchange of DNA between genetically similar, nonhomologous chromosome regions that results in duplication or deletion of DNA in each daughter cell Uniparental disomy: (synonym: UPD) The situation in which both members of a chromosome pair or segments of a chromosome pair are inherited from one parent and neither is inherited from the other parent; uniparental disomy can result in an abnormal phenotype in some cases Uniparental disomy study: (synonyms: UPD analysis, UPD study) Testing used to identify if specific chromosomes or chromosomal segments are maternally or paternally derived; can aid in confirming the clinical diagnosis of certain disorders for which UPD is a possible underlying etiology Variable expressivity: Variation in clinical features (type and severity) of a genetic disorder between affected individuals, even within the same family 166 Variable number tandem repeats: (synonym: VNTR) Linear arrangement of multiple copies of short repeated DNA sequences that vary in length and are highly polymorphic, making them useful as markers in linkage analysis VNTR: Variable number tandem repeats; any gene whose alleles contain different numbers of tandemly repeated oligonucleotide sequences. Vector: A self-replicating DNA molecule that transfers a DNA segment between host cells. Von Hippel-Lindau syndrome: An autosomal dominant condition characterized by the anomalous growth and proliferation of blood vessels on the retina of the eye and the cerebellum of the brain; cysts and cancers in the kidneys, pancreas, and adrenal glands. Western blot: The separation of proteins on an electrophoretic gel for identification by immunological techniques Western blotting analysis: A technique used to identify a specific protein; the probe is a radioactively labeled antibody raised against the protein in question. Wild-type allele: The normal, as opposed to the mutant, gene or allele X-chromosome inactivation: (synonyms: lyonization, XCI) In females, the phenomenon by which one X chromosome (either maternally or paternally derived) is randomly inactivated in early embryonic cells, with fixed inactivation in all descendant cells; first described by the geneticist Mary Lyon X-inactivation: The repression of one of the two X-chromosomes in the somatic cells of females as a method of dosage compensation; at an early embryonic stage in the normal female, one of the two X-chromosomes undergoes inactivation, apparently at random, from this point on all descendent cells will have the same X-chromosome inactivated as the cell from which they arose, thus a female is a mosaic composed of two types of cells, one which expresses only the paternal X-chromosome, and another which expresses only the maternal X-chromosome. X-chromosome inactivation study: (synonym: XCI study) Molecular genetic testing to assess the relative proportion of methylated (inactive) X chromosomes to unmethylated (active) X chromosomes; used to determine if X-chromosome inactivation is random or skewed X-linked dominant: Describes a dominant trait or disorder caused by a mutation in a gene on the X chromosome. The phenotype is expressed in heterozygous females as well as in hemizygous males (having only one X chromosome); affected males tend to have a more severe phenotype than affected females. X-linked lethal: A disorder caused by a dominant mutation in a gene on the X chromosome that is observed almost exclusively in females because it is almost always lethal in males who inherit the gene mutation X-linked recessive: A mode of inheritance in which a mutation in a gene on the X chromosome causes the phenotype to be expressed in males who are hemizygous for the gene mutation (i.e., they have only one X chromosome) and in females who are homozygous for the gene mutation (i.e., they have a copy of the gene mutation on each of their two X chromosomes). Carrier females who have only one copy of the mutation do not usually express the phenotype, although differences in X-chromosome inactivation can lead to varying degrees of clinical expression in carrier females XYY syndrome: Genetic condition in males with extra Y chromosome (in 1 in 1000 male births). Symptoms: tall stature (over 6'), may including sterility, developmental delay, learning problems. YAC: Yeast artificial chromosome; a linear vector into which a large fragment of DNA can be inserted; the development of YAC's in 1987 has increased the number of nucleotides that can be cloned. Zygosity testing: The process through which DNA sequences are compared to assess whether individuals born from a multiple gestation (twins, triplets, etc.) are monozygotic (identical) or dizygotic (fraternal); often used to identify a suitable donor for organ transplantation or to estimate disease susceptibility risk if one sibling is affected Zoo blot: Northern analysis of mRNA from different organisms. 167 For latest product information and for placing orders visit www.genelink.com Telephone 1-800-GENE-LINK (1-800-436-3546) (914) 769-1192 Fax 1-888-GENE-LINK (1-888-436-3546) (914) 769-1193 E-mail Customer Service Sales Custom Oligo Orders Technical Support Sequencing/Genotyping All orders [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] Distributors Taiwan Middle East (Excl. Israel & Kuwait) Pakistan Watson Biotechnology Co., Ltd. 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