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Journal of Clinical Laboratory Analysis logoLink to Journal of Clinical Laboratory Analysis
. 2006 Feb 8;20(1):1–7. doi: 10.1002/jcla.20091

Identification of the four most common β‐globin gene mutations in Greek β‐thalassemic patients and carriers by PCR‐SSCP: advantages and limitations of the method

Konstantinos V Kakavas 1,2, Argiris Noulas 2, Christos Chalkias 3, Christos Hadjichristodoulou 4, Ioannis Georgiou 5, Elena Georgatsou 1, Sophia Bonanou 1,
PMCID: PMC6807422  PMID: 16470532

Abstract

In the present study we investigated whether the single‐strand conformational polymorphism (SSCP) method could be employed to identify (rather than simply detect) the four most common β‐globin gene mutations in the Greek population: IVS‐I‐110, Cd39, IVS‐I‐1, and IVS‐I‐6. Using DNA from 50 β‐thalassemic patients and carriers, we amplified by PCR the appropriate 238‐bp region of the human β‐globin gene, analyzed the reaction products by nondenaturing polyacrylamide gel electrophoresis, and visualized the bands by silver staining. Single‐stranded DNA (ssDNA) fragments showed a reproducible pattern of bands that was characteristic of the mutations present. With the use of control samples containing six of the 10 possible combinations of the four most common β‐globin gene mutations, we were able to predict the mutations present in a quarter of the patients studied. Our predictions were confirmed independently by the amplification refractory mutation system (ARMS) method. We conclude that this non‐radioactive PCR‐SSCP method can be used to reliably identify mutations in patients, provided that suitable controls are available. Moreover, the method is easy to apply to the identification of mutations in carriers, which makes it particularly useful for population screening. J. Clin. Lab. Anal. 20:1–7, 2006. © 2006 Wiley‐Liss, Inc.

Keywords: single‐strand conformational polymorphism, β‐thalassemia, DNA mutational analysis, population characteristics


Abbreviations
ARMS

amplification refractory mutation system

bp

base pair

DGGE

denaturing gradient gel electrophoresis

dHPLC

denaturing high‐performance liquid chromatography

dNTP

deoxynucleoside triphosphates

EDTA

ethylene diamine tetraacetic acid

IVS

intervening sequence

PCR

polymerase chain reaction

SDS

sodium dodecyl sulfate

ssDNA/dsDNA

single‐stranded/double‐stranded DNA

SSCP

single‐strand conformational polymorphism

TBE

Tris‐borate‐EDTA

TAE

Tris‐acetate‐EDTA

REFERENCES

  • 1. Weatherall DJ, Clegg JB, editors. The thalassemia syndromes. 3rd ed., Vol. 1 Blackwell Scientific Publications, Oxford; 1981. p. 221–319. [Google Scholar]
  • 2. Kazazian HH Jr, Dowling CA, Boehm CD, et al. Gene defects in β‐thalassemia and their prenatal diagnosis. Ann N Y Acad Sci 1990;612:1–5. [DOI] [PubMed] [Google Scholar]
  • 3. Olivieri NF. The β‐thalassemias. N Engl J Med 1999;341:99–109. [DOI] [PubMed] [Google Scholar]
  • 4. Kattamis C, Cheng HH, Reese AL, et al. Molecular characterization of β‐thalassaemia in 174 Greek patients with thalassaemia major. Br J Haematol 1990;74:342–346. [DOI] [PubMed] [Google Scholar]
  • 5. Loukopoulos D. Current status of thalassemia and sickle cell syndromes in Greece. Semin Hematol 1996;33:76–86. [PubMed] [Google Scholar]
  • 6. Georgiou I, Makis A, Chaidos A, et al. Distribution and frequency of β‐thalassemia mutations in northeastern and central Greece. Eur J Haematol 2003;70:75–78. [DOI] [PubMed] [Google Scholar]
  • 7. Saiki RK, Walch PS, Levenson CH, et al. Genetics analysis of amplified DNA with immobilized sequence‐specific oligonucleotide probes. Proc Natl Acad Sci USA 1989;86:6230–6234. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 8. Newton CR, Graham A, Heptinstal LE, et al. Analysis of many point mutations in DNA. The amplification refractory mutation system (ARMS). Nucleic Acids Res 1989;17:2503–2516. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 9. Myers M, Maniatis T, Lerman L. Detection and localization of single base changes by denaturing gradient gel electrophoresis. Methods Enzymol 1987;155:499–527. [DOI] [PubMed] [Google Scholar]
  • 10. Orita M, Iwahana H, Kanazawa H, Hayashi K, Sekiya T. Detection of polymorphisms of human DNA by gel electrophoresis as single‐strand conformation polymorphisms. Proc Natl Acad Sci USA 1989;86:2766–2770. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 11. Traeger‐Synodinos J, Old JM, Petrou M, Galano R. Best practice guidelines for carrier identification and prenatal diagnosis of haemoglopinopathies. European Molecular Genetics Quality Network 2002. (http://www.emqn.org).
  • 12. Foglieni B, Cremonesi L, Travi M, et al. β‐Thalassemia microelectronic chip: a fast and accurate method for mutation detection. Clin Chem 2004;501:73–79. [DOI] [PubMed] [Google Scholar]
  • 13. Colosimo A, Guida V, De Lucia A, et al. Reliability of DHPLC in mutational screening of β‐globin (HBB) alleles. Hum Mutat 2002;19:287–295. [DOI] [PubMed] [Google Scholar]
  • 14. Hayashi K, Yandell DW. How sensitive is PCR‐SSCP? Hum Mutat 1993;2:338–346. [DOI] [PubMed] [Google Scholar]
  • 15. Hongyo T, Buzard GS, Calvert RJ, Weghorst CM. “Cold SSCP”: a simple, rapid, and non‐radioactive method for optimized single‐strand conformation polymorphism analyses. Nucleic Acids Res 1993;21:3637–3642. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 16. Jaeckel S, Epplen J, Kauth M, Miterski B, Epplen C. Polymerase chain reaction‐‐single‐strand conformation polymorphism or how to detect reliably and efficiently each sequence variation in many samples and many genes. Electrophoresis 1998;19:3055–3061. [DOI] [PubMed] [Google Scholar]
  • 17. Miller SA, Dykes DD, Polesky HF. A simple salting out procedure for extracting DNA from human nucleated cells. Nucleic Acids Res 1988;16:1215. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 18. Sambrook J, Fritsch EF, Maniatis T, editors. Molecular cloning: a laboratory manual, commonly used electrophoresis buffers Table B12, B23. 2nd ed., Cold Spring Harbor Laboratory Press, USA; 1989. [Google Scholar]
  • 19. Merril CR. Silver staining of proteins and DNA. Nature 1990;343:779–780. [DOI] [PubMed] [Google Scholar]
  • 20. Old J, Varawalla N, Weatherall D. Rapid detection prenatal diagnosis of β‐thalassaemia studies in Indian and Cypriot populations in the UK. Lancet 1990;33:834–837. [DOI] [PubMed] [Google Scholar]
  • 21. Teschauer W, Mussack T, Braun A, Waldner H, Fink E. Conditions for single strand conformation polymorphism (SSCP) analysis with broad applicability: a study of the effects of acrylamide, buffer and glycerol concentrations in SSCP analysis of exons of the p53 gene. Eur J Clin Chem Clin Biochem 1996;34:125–131. [DOI] [PubMed] [Google Scholar]
  • 22. Ghanem N, Girodon E, Vidaud M, et al. A comprehensive scanning method for rapid detection of β‐globin gene mutations and polymorphisms. Hum Mutat 1992;1:229–239. [DOI] [PubMed] [Google Scholar]

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