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. 1997 Aug 1;25(15):3102–3109. doi: 10.1093/nar/25.15.3102

Multiplex fluorescence-based primer extension method for quantitative mutation analysis of mitochondrial DNA and its diagnostic application for Alzheimer's disease.

E Fahy 1, R Nazarbaghi 1, M Zomorrodi 1, C Herrnstadt 1, W D Parker 1, R E Davis 1, S S Ghosh 1
PMCID: PMC146869  PMID: 9224611

Abstract

A sensitive and highly reproducible multiplexed primer extension assay is described for quantitative mutation analysis of heterogeneous DNA populations. Wild-type and mutant target DNA are simultaneously probed in competitive primer extension reactions using fluorophor-labeled primers and high fidelity, thermostable DNA polymerases in the presence of defined mixtures of deoxy- and dideoxynucleotides. Primers are differentially extended and the resulting products are distinguished by size and dye label. Wild-type:mutant DNA ratios are determined from the fluorescence intensities associated with electrophoretically resolved reaction products. Multiple nucleotide sites can be simultaneously interrogated with uniquely labeled primers of different lengths. The application of this quantitative technique is shown in the analysis of heteroplasmic point mutations in mitochondrial DNA that are associated with Alzheimer's disease.

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Selected References

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  1. Anderson S., Bankier A. T., Barrell B. G., de Bruijn M. H., Coulson A. R., Drouin J., Eperon I. C., Nierlich D. P., Roe B. A., Sanger F. Sequence and organization of the human mitochondrial genome. Nature. 1981 Apr 9;290(5806):457–465. doi: 10.1038/290457a0. [DOI] [PubMed] [Google Scholar]
  2. Chomyn A., Martinuzzi A., Yoneda M., Daga A., Hurko O., Johns D., Lai S. T., Nonaka I., Angelini C., Attardi G. MELAS mutation in mtDNA binding site for transcription termination factor causes defects in protein synthesis and in respiration but no change in levels of upstream and downstream mature transcripts. Proc Natl Acad Sci U S A. 1992 May 15;89(10):4221–4225. doi: 10.1073/pnas.89.10.4221. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Davis R. E., Miller S., Herrnstadt C., Ghosh S. S., Fahy E., Shinobu L. A., Galasko D., Thal L. J., Beal M. F., Howell N. Mutations in mitochondrial cytochrome c oxidase genes segregate with late-onset Alzheimer disease. Proc Natl Acad Sci U S A. 1997 Apr 29;94(9):4526–4531. doi: 10.1073/pnas.94.9.4526. [DOI] [PMC free article] [PubMed] [Google Scholar] [Retracted]
  4. Ghosh S. S., Fahy E., Bodis-Wollner I., Sherman J., Howell N. Longitudinal study of a heteroplasmic 3460 Leber hereditary optic neuropathy family by multiplexed primer-extension analysis and nucleotide sequencing. Am J Hum Genet. 1996 Feb;58(2):325–334. [PMC free article] [PubMed] [Google Scholar]
  5. Greenwood A. D., Burke D. T. Single nucleotide primer extension: quantitative range, variability, and multiplex analysis. Genome Res. 1996 Apr;6(4):336–348. doi: 10.1101/gr.6.4.336. [DOI] [PubMed] [Google Scholar]
  6. Higuchi Y., Linn S. Purification of all forms of HeLa cell mitochondrial DNA and assessment of damage to it caused by hydrogen peroxide treatment of mitochondria or cells. J Biol Chem. 1995 Apr 7;270(14):7950–7956. doi: 10.1074/jbc.270.14.7950. [DOI] [PubMed] [Google Scholar]
  7. Howell N., Bindoff L. A., McCullough D. A., Kubacka I., Poulton J., Mackey D., Taylor L., Turnbull D. M. Leber hereditary optic neuropathy: identification of the same mitochondrial ND1 mutation in six pedigrees. Am J Hum Genet. 1991 Nov;49(5):939–950. [PMC free article] [PubMed] [Google Scholar]
  8. Howell N., Xu M., Halvorson S., Bodis-Wollner I., Sherman J. A heteroplasmic LHON family: tissue distribution and transmission of the 11778 mutation. Am J Hum Genet. 1994 Jul;55(1):203–206. [PMC free article] [PubMed] [Google Scholar]
  9. Huang M. M., Arnheim N., Goodman M. F. Extension of base mispairs by Taq DNA polymerase: implications for single nucleotide discrimination in PCR. Nucleic Acids Res. 1992 Sep 11;20(17):4567–4573. doi: 10.1093/nar/20.17.4567. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Huoponen K., Juvonen V., Iitiä A., Dahlen P., Siitari H., Aula P., Nikoskelainen E., Savontaus M. L. Time-resolved fluorometry in the diagnosis of Leber hereditary optic neuroretinopathy. Hum Mutat. 1994;3(1):29–36. doi: 10.1002/humu.1380030106. [DOI] [PubMed] [Google Scholar]
  11. Johns D. R., Neufeld M. J. Pitfalls in the molecular genetic diagnosis of Leber hereditary optic neuropathy (LHON). Am J Hum Genet. 1993 Oct;53(4):916–920. [PMC free article] [PubMed] [Google Scholar]
  12. Johns D. R. Seminars in medicine of the Beth Israel Hospital, Boston. Mitochondrial DNA and disease. N Engl J Med. 1995 Sep 7;333(10):638–644. doi: 10.1056/NEJM199509073331007. [DOI] [PubMed] [Google Scholar]
  13. Juvonen V., Huoponen K., Syvänen A. C., Nikoskelainen E., Savontaus M. L. Quantification of point mutations associated with Leber hereditary optic neuroretinopathy by solid-phase minisequencing. Hum Genet. 1994 Jan;93(1):16–20. doi: 10.1007/BF00218906. [DOI] [PubMed] [Google Scholar]
  14. Kiechle F. L., Kaul K. L., Farkas D. H. Mitochondrial disorders. Methods and specimen selection for diagnostic molecular pathology. Arch Pathol Lab Med. 1996 Jun;120(6):597–603. [PubMed] [Google Scholar]
  15. Kobayashi M., Rappaport E., Blasband A., Semeraro A., Sartore M., Surrey S., Fortina P. Fluorescence-based DNA minisequence analysis for detection of known single-base changes in genomic DNA. Mol Cell Probes. 1995 Jun;9(3):175–182. doi: 10.1006/mcpr.1995.0027. [DOI] [PubMed] [Google Scholar]
  16. Kobayashi Y., Sharpe H., Brown N. Single-cell analysis of intercellular heteroplasmy of mtDNA in Leber hereditary optic neuropathy. Am J Hum Genet. 1994 Jul;55(1):206–209. [PMC free article] [PubMed] [Google Scholar]
  17. Krook A., Stratton I. M., O'Rahilly S. Rapid and simultaneous detection of multiple mutations by pooled and multiplex single nucleotide primer extension: application to the study of insulin-responsive glucose transporter and insulin receptor mutations in non-insulin-dependent diabetes. Hum Mol Genet. 1992 Sep;1(6):391–395. doi: 10.1093/hmg/1.6.391. [DOI] [PubMed] [Google Scholar]
  18. Leitner T., Halapi E., Scarlatti G., Rossi P., Albert J., Fenyö E. M., Uhlén M. Analysis of heterogeneous viral populations by direct DNA sequencing. Biotechniques. 1993 Jul;15(1):120–127. [PubMed] [Google Scholar]
  19. Li P., Moore J. F., Thompson J. N. Novel use of limited primer extension in detecting mutations in human iduronate 2-sulfatase gene. Biochem Mol Biol Int. 1995 May;35(6):1299–1305. [PubMed] [Google Scholar]
  20. Lin F. H., Lin R. A comparison of single nucleotide primer extension with mispairing PCR-RFLP in detecting a point mutation. Biochem Biophys Res Commun. 1992 Dec 15;189(2):1202–1206. doi: 10.1016/0006-291x(92)92332-r. [DOI] [PubMed] [Google Scholar]
  21. Luft R. The development of mitochondrial medicine. Proc Natl Acad Sci U S A. 1994 Sep 13;91(19):8731–8738. doi: 10.1073/pnas.91.19.8731. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Mashima Y., Saga M., Hiida Y., Oguchi Y., Wakakura M., Kudoh J., Shimizu N. Quantitative determination of heteroplasmy in Leber's hereditary optic neuropathy by single-strand conformation polymorphism. Invest Ophthalmol Vis Sci. 1995 Jul;36(8):1714–1720. [PubMed] [Google Scholar]
  23. McKhann G., Drachman D., Folstein M., Katzman R., Price D., Stadlan E. M. Clinical diagnosis of Alzheimer's disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's Disease. Neurology. 1984 Jul;34(7):939–944. doi: 10.1212/wnl.34.7.939. [DOI] [PubMed] [Google Scholar]
  24. Mossman D., Somoza E. ROC curves, test accuracy, and the description of diagnostic tests. J Neuropsychiatry Clin Neurosci. 1991 Summer;3(3):330–333. doi: 10.1176/jnp.3.3.330. [DOI] [PubMed] [Google Scholar]
  25. Nikiforov T. T., Rendle R. B., Goelet P., Rogers Y. H., Kotewicz M. L., Anderson S., Trainor G. L., Knapp M. R. Genetic Bit Analysis: a solid phase method for typing single nucleotide polymorphisms. Nucleic Acids Res. 1994 Oct 11;22(20):4167–4175. doi: 10.1093/nar/22.20.4167. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Petruzzella V., Chen X., Schon E. A. Is a point mutation in the mitochondrial ND2 gene associated with Alzheimer's disease. Biochem Biophys Res Commun. 1992 Jul 15;186(1):491–497. doi: 10.1016/s0006-291x(05)80834-4. [DOI] [PubMed] [Google Scholar]
  27. Picketts D. J., Cameron C., Taylor S. A., Deugau K. V., Lillicrap D. P. Differential termination of primer extension: a novel, quantifiable method for detection of point mutations. Hum Genet. 1992 May;89(2):155–157. doi: 10.1007/BF00217115. [DOI] [PubMed] [Google Scholar]
  28. Richter C., Park J. W., Ames B. N. Normal oxidative damage to mitochondrial and nuclear DNA is extensive. Proc Natl Acad Sci U S A. 1988 Sep;85(17):6465–6467. doi: 10.1073/pnas.85.17.6465. [DOI] [PMC free article] [PubMed] [Google Scholar]
  29. Shoubridge E. A. Mitochondrial DNA diseases: histological and cellular studies. J Bioenerg Biomembr. 1994 Jun;26(3):301–310. doi: 10.1007/BF00763101. [DOI] [PubMed] [Google Scholar]
  30. Shumaker J. M., Metspalu A., Caskey C. T. Mutation detection by solid phase primer extension. Hum Mutat. 1996;7(4):346–354. doi: 10.1002/(SICI)1098-1004(1996)7:4<346::AID-HUMU9>3.0.CO;2-6. [DOI] [PubMed] [Google Scholar]
  31. Tabor S., Richardson C. C. A single residue in DNA polymerases of the Escherichia coli DNA polymerase I family is critical for distinguishing between deoxy- and dideoxyribonucleotides. Proc Natl Acad Sci U S A. 1995 Jul 3;92(14):6339–6343. doi: 10.1073/pnas.92.14.6339. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. Wallace D. C. Mitochondrial genetics: a paradigm for aging and degenerative diseases? Science. 1992 May 1;256(5057):628–632. doi: 10.1126/science.1533953. [DOI] [PubMed] [Google Scholar]
  33. Wei X., Ghosh S. K., Taylor M. E., Johnson V. A., Emini E. A., Deutsch P., Lifson J. D., Bonhoeffer S., Nowak M. A., Hahn B. H. Viral dynamics in human immunodeficiency virus type 1 infection. Nature. 1995 Jan 12;373(6510):117–122. doi: 10.1038/373117a0. [DOI] [PubMed] [Google Scholar]

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