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Journal of Clinical Laboratory Analysis logoLink to Journal of Clinical Laboratory Analysis
. 1999 Jun 22;13(4):188–193. doi: 10.1002/(SICI)1098-2825(1999)13:4<188::AID-JCLA8>3.0.CO;2-G

Application of FTA® sample collection and DNA purification system on the determination of CTG trinucleotide repeat size by PCR‐based southern blotting

Kuang‐Ming Hsiao 1, Her‐Maw Lin 2, Huichin Pan 1, Tung‐Cheng Li 2, Sung‐Sheng Chen 5, Shuo‐Bin Jou 6, Ya‐Lan Chiu 3, Ming‐Fang Wu 1, Chyi‐Chyang Lin 1,4, Shuan‐You Li 1,
PMCID: PMC6807929  PMID: 10414599

Abstract

Myotonic dystrophy (DM) is caused by a CTG trinucleotide expansion mutation at exon 15 of the myotonic dystrophy protein kinase gene. The clinical severity of this disease correlates with the length of the CTG trinucleotide repeats. Determination of the CTG repeat length has been primarily relied on by Southern blot analysis of restriction enzyme‐digested genomic DNA. The development of PCR‐based Southern blotting methodology provides a much more sensitive and simpler protocol for DM diagnosis. However, the quality of the template and the high (G+C) ratio of the amplified region hamper the use of PCR on the diagnosis of DM. A modified PCR protocol to amplify different lengths of CTG repeat region using various concentrations of 7‐deaza‐dGTP has been reported (1). Here we describe a procedure including sample collection, DNA purification, and PCR analysis of CTG repeat length without using 7‐deaza‐dGTP. This protocol is very sensitive and convenient because only a small number of nucleate cells are needed for detection of CTG expansion. Therefore, it could be very useful in clinical and prenatal diagnosis as well as in prevalence study of DM. J. Clin. Lab. Anal. 13:188–193, 1999. © 1999 Wiley‐Liss, Inc.

Keywords: myotonic dystrophy, CTG trinucleotide repeat, DM diagnosis, PCR, FTA® Gene Guard System

REFERENCES

  • 1. Cheng S, Barcelo JM, Korneluk RG. Characterization of large CTG repeat expansions in myotonic dystrophy alleles using PCR. Hum Mutat 1996;7:304–310. Medline [DOI] [PubMed] [Google Scholar]
  • 2. Harper PS. Myotonic dystrophy, 2nd edition London: WB Saunders; 1989. [Google Scholar]
  • 3. Brook JD, McCurrach ME, Harley HG, et al. Molecular basis of myotonic dystrophy: expansion of a trinucleotide (CTG) repeat at the 3′ end of a transcript encoding a protein kinase family member. Cell 1992;68:799–808. Medline [DOI] [PubMed] [Google Scholar]
  • 4. Fu YH, Pizzuti A, Fenwick RG Jr., et al. An unstable triplet repeat in a gene related to myotonic muscular dystrophy. Science 1992;255:1256–1258. Medline [DOI] [PubMed] [Google Scholar]
  • 5. Mahadevan M, Tsilfidis C, Sabourin L, et al. Myotonic dystrophy mutation: an unstable CTG repeat in the 3′ untranslated region of the gene. Science 1992;255:1253–1255. Medline [DOI] [PubMed] [Google Scholar]
  • 6. Harley HG, Rundle SA, Reardon W, et al. Unstable DNA sequence in myotonic dystrophy. Lancet 1992;339:1125–1128. Medline [DOI] [PubMed] [Google Scholar]
  • 7. Harley HG, Rundle SA, MacMillan JC, et al. Size of the unstable CTG repeat sequence in relation to phenotype and parental transmission in myotonic dystrophy. Am J Hum Genet 1993;52:1164–1174. Medline [PMC free article] [PubMed] [Google Scholar]
  • 8. Hecimovic S, Barisic I, Muller A, et al. Expand long PCR for fragile X mutation detection. Clin Genet 1997;52:147–154. Medline [DOI] [PubMed] [Google Scholar]
  • 9. Petronis A, Heng HHQ, Tatuch Y, et al. Direct detection of expanded trinucleotide repeats using PCR and DNA hybridization techniques. Am J Med Genet 1996;67:85–91. Medline [DOI] [PubMed] [Google Scholar]
  • 10. Neitzel H. A routine method for the establishment of permanent growing lymphoblastoid cell lines. Hum Genet 1986;73:320–326. Medline [DOI] [PubMed] [Google Scholar]
  • 11. Monckton DG, Coolbaugh MI, Aashizawa KT, Siciliano MJ, Caskey CT. Hypermutable myotonic dystrophy CTG repeats in transgenic mice. Nature Genet 1997;15:193–196. Medline [DOI] [PubMed] [Google Scholar]
  • 12. Monckton DG, Wong LJC, Ashizawa T, Caskey CT. Somatic mosaicism, germline expansions, germline reversions and intergenerational reductions in myotonic dystrophy. Hum Mol Genet 1995;4:1–8. Medline [DOI] [PubMed] [Google Scholar]
  • 13. Mahadevan MS, Foitzik MA, Surh LC, Korneluk RG. Characterization and polymerase chain reaction (PCR) detection of an Alu deletion polymorphism in total linkage disequilibrium with myotonic dystrophy. Genomics 1993;15:446–448. Medline [DOI] [PubMed] [Google Scholar]
  • 14. Krahe R, Eckhart M, Ogunniyi AO, Osuntokun BO, Siciliano MJ, Ashizawa T. De novo myotonic dystrophy mutation in a Nigerian kindred. Am J Hum Genet 1995;56:1067–1074. Medline [PMC free article] [PubMed] [Google Scholar]
  • 15. Davies J, Yamagata H, Shelbourne P, et al. Comparison of the myotonic dystrophy associated CTG repeat in European and Japanese populations. J Med Genet 1992;29:766–769. Medline [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 16. Martorell L, Monckton DG, Gamez J, et al. Progression of somatic CTG repeat length heterogeneity in the blood cells of myotonic dystrophy patients. Hum Mol Genet 1998;7:307–312. Medline [DOI] [PubMed] [Google Scholar]
  • 17. Brown WT. The fragile X: progress toward solving the puzzle. Am J Hum Genet 1990;47:175–180. Medline [PMC free article] [PubMed] [Google Scholar]

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