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PRIORITIZING REGIONS OF CANDIDATE GENES FOR EFFICIENT MUTATION SCREENING Outline       Abstract Background Materials and Methods Results Discussion Conclusion Abstract  Complete sequence of human genome has altered search process for disease-causing mutations Previously, mostly rare diseases studied. Took years to analyze data  Now, rate-limiting step is screening patients and interpreting results    Tests hypothesis that disease-causing mutations are not uniformly distributed and can be predicted bioinformatically Developed prioritization of annotated regions (PAR) technique Abstract    Tested by analyzing 710 genes with 4,498 previously identified mutations Nearly 50% of disease-associated genes found after analyzing only 9% of complete coding sequence PAR found 90% of genes as containing at least one mutation using less than 40% of screening resources Background  When screening for mutations, researchers usually focus on coding sequence  Not enough to show relationship between mutation and disease  Ex.  Age-related macular degeneration Today’s techniques:  Single strand conformational polymorphism analysis (SSCP)  Denaturing high-performance liquid chromatography  Automated DNA sequencing Background  SSCP  Compares conformational differences in strands of DNA of the same length (1)  Denaturing high-performance liquid chromatography  Compares two or more chromosomes as a mixture of denatured and reannealed PCR amplicons, revealing the presence of a mutation by the differential retention of homo- and heteroduplex DNA on reversed-phase chromatography supports under partial denaturation (2) Background  Through own work, found disease-causing variations are not uniformly distributed throughout sequence  Ex. Bardet-Biedl: Restrict to patients with retinitis pigmentosa with ulnar polydactyl  Disease-causing mutations more likely lie in structural and functional regions Materials and Methods  List of 710 genes obtained via OMIM  Cross-referenced with transcripts in Ensembl Release NCBI31    Gene structure and annotated protein domains obtained from Ensembl Information on mutation locations obtained from OMIM Secondary structure prediction performed by nnPredict Materials and Methods  x = nucleotide position Ws = PAR window size Nx = No. distinct annotation elements W(i) = PAR window function  Af(x,j) = annotation function for    jth annotation at xth position    As(x,j) = annotation score for jth annotation at xth position Ao(x,j) = annotation scalar offset Am(j) = annotation multiplier for jth annotation feature Materials and Methods Materials and Methods   Impractical to perform manually for every gene in candidate set Graphic representation of gene structure of EFEMP1 gene and corresponding PAR values Materials and Methods   Regions in each gene were identified that maximized PAR function Primer pair positions selected consistent with default parameters of Primer3 until at least one mutation flanked Materials and Methods  Other methods used for comparison  Serial  Generates minimally overlapping primer pair positions for each exon with same PCR product size requirements  Models traditional screening approach  Examines complete coding sequence  Random  Selects region from any transcript without replacement  Continues to select with minimal overlap  Complete screening with laboratory information management system (LIMS) Results - Efficiency  PAR  Found  90% of mutations with 60% coverage Serial  Linear:  90% at 90%, 100% at 100% Random:  Fell short of identifying 100% of mutations Results Results – Figure 2  PAR  819 mutations identified in 350 distinct genes using a single best PAR-selected region per gene  Corresponds to 18% of mutations in approximately half the transcripts  Of 1,908,911 nucleotides, PAR selected only 168,980  One mutation was identified in 50% of genes with only 9% of total transcript screened Results Results – Figure 3  Serial  Linear relationship between screening resource utilization and number of genes  PAR  Identified 90% of genes with 60% reduction in screening resources  Only one primer pair in each transcript was evaluated and nearly 40% of transcripts found to contain at least one mutation Discussion  History of genetic screening  PCR  Lengthy clinical work  Therefore, always evaluated entire coding sequence in all patients  Explains current use of serial screening Discussion  Changes  More common diseases being analyzed  More available patients  Availability  Develop of genomic sequence PCR-based assay in less than a day with algorithms  More involvement from other professions (engineers, statisticians)  Supply tools to keep track of experiments  Realization that many disease-causing mutations do not affect coding sequences Discussion  Advantages of PAR  Effective use of gene annotation  Prioritizes gene segments for screening  Conservation of protein structure  Focus on gene segments vs. entire gene  Evident that likelihood of finding disease-causing variation in a gene falls with each exon screened with no positive result  Serial approach screens all no matter what  PAR screens a section with an average chance of finding mutation Conclusion    Consideration of parameters resulted in significantly higher discoveries per unit of effort Algorithm can be easily modified and expanded Most useful for large number of candidate genes in large number of patients Select best two or four regions in each candidate gene  Screen all as initial screening strategy  Additional screening based on findings from first round and PAR algorithm   Clear PAR approach is preferable to serial screening References   (1) "Single Strand Conformation Polymorphism." Wikipedia. 28 May 2008. 21 Sept. 2008 <http://en.wikipedia.org/wiki/single_strand_confo rmation_polymorphism>. (2) "Single Strand Conformation Polymorphism." Wikipedia. 28 May 2008. 21 Sept. 2008 <http://en.wikipedia.org/wiki/single_strand_confo rmation_polymorphism>.
 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                            