Multiplex SNaPshot Genotyping for Detecting Loss of Heterozygosity in the Mismatch-Repair Genes MLH1 and MSH2 in Microsatellite-Unstable Tumors

In the workup of patients with suspected hereditary nonpolyposis colorectal cancer (HNPCC), detection of loss of heterozygosity (LOH) could help pinpoint the mismatch-repair (MMR) gene carrying the germline mutation, but analysis of microsatellite markers has proved unreliable for this purpose. We d...

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Veröffentlicht in:Clinical chemistry (Baltimore, Md.) Md.), 2008-11, Vol.54 (11), p.1844-1854
Hauptverfasser: Bujalkova, Maria, Zavodna, Katarina, Krivulcik, Tomas, Ilencikova, Denisa, Wolf, Brigitte, Kovac, Michal, Karner-Hanusch, Judith, Heinimann, Karl, Marra, Giancarlo, Jiricny, Josef, Bartosova, Zdena
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container_end_page 1854
container_issue 11
container_start_page 1844
container_title Clinical chemistry (Baltimore, Md.)
container_volume 54
creator Bujalkova, Maria
Zavodna, Katarina
Krivulcik, Tomas
Ilencikova, Denisa
Wolf, Brigitte
Kovac, Michal
Karner-Hanusch, Judith
Heinimann, Karl
Marra, Giancarlo
Jiricny, Josef
Bartosova, Zdena
description In the workup of patients with suspected hereditary nonpolyposis colorectal cancer (HNPCC), detection of loss of heterozygosity (LOH) could help pinpoint the mismatch-repair (MMR) gene carrying the germline mutation, but analysis of microsatellite markers has proved unreliable for this purpose. We developed a simple, low-cost method based on single-nucleotide polymorphism (SNP) genotyping and capillary electrophoresis for the assessment of LOH at 2 MMR loci simultaneously. We used the Applied Biosystems SNaPshot Multiplex Kit with meticulously selected primers to assess 14 common SNPs in MLH1 [mutL homolog 1, colon cancer, nonpolyposis type 2 (E. coli)] and MSH2 [mutS homolog 2, colon cancer, nonpolyposis type 1 (E. coli)] and optimized the protocol for DNA isolated from peripheral blood and fresh/frozen or archival microsatellite-unstable tumors from patients with confirmed (n = 42) or suspected (n = 25) HNPCC. The 42 tumors from patients with confirmed MLH1 or MSH2 germline mutations were used to validate the method's diagnostic accuracy against results obtained with DNA sequencing or multiplex ligation-dependent probe amplification. The SNaPshot assay provided better detection of certain SNPs than DNA sequencing. The MLH1 and MSH2 SNP marker sets were informative in 82% and 76% of the 67 cases analyzed, respectively. The new assay displayed 100% specificity for detecting LOH and predicted the location of the germline mutation in 40% of the cases (54% of those involving MLH1, 22% in MSH2). Our SNP-based method for detecting LOH in MLH1 and MSH2 is simple to perform with instruments available in most clinical genetics laboratories. It can be a valuable addition to protocols now used to guide mutational screening of patients with suspected HNPCC.
doi_str_mv 10.1373/clinchem.2008.108902
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We developed a simple, low-cost method based on single-nucleotide polymorphism (SNP) genotyping and capillary electrophoresis for the assessment of LOH at 2 MMR loci simultaneously. We used the Applied Biosystems SNaPshot Multiplex Kit with meticulously selected primers to assess 14 common SNPs in MLH1 [mutL homolog 1, colon cancer, nonpolyposis type 2 (E. coli)] and MSH2 [mutS homolog 2, colon cancer, nonpolyposis type 1 (E. coli)] and optimized the protocol for DNA isolated from peripheral blood and fresh/frozen or archival microsatellite-unstable tumors from patients with confirmed (n = 42) or suspected (n = 25) HNPCC. The 42 tumors from patients with confirmed MLH1 or MSH2 germline mutations were used to validate the method's diagnostic accuracy against results obtained with DNA sequencing or multiplex ligation-dependent probe amplification. The SNaPshot assay provided better detection of certain SNPs than DNA sequencing. 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ispartof Clinical chemistry (Baltimore, Md.), 2008-11, Vol.54 (11), p.1844-1854
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subjects Adaptor Proteins, Signal Transducing - genetics
Analytical, structural and metabolic biochemistry
Base Pair Mismatch - genetics
Base Sequence
Biological and medical sciences
Cancer
Colorectal carcinoma
Colorectal Neoplasms, Hereditary Nonpolyposis - genetics
Deoxyribonucleic acid
DNA
DNA Primers
DNA Repair - genetics
E coli
Fundamental and applied biological sciences. Psychology
Genes
Genetic testing
Genetics
Genotype
Humans
Investigative techniques, diagnostic techniques (general aspects)
Loss of Heterozygosity
Mass spectrometry
Medical sciences
Methods
Mutation
MutL Protein Homolog 1
MutS Homolog 2 Protein - genetics
Nuclear Proteins - genetics
Polymerase Chain Reaction
Polymorphism, Single Nucleotide
Roles
Sensitivity and Specificity
Studies
title Multiplex SNaPshot Genotyping for Detecting Loss of Heterozygosity in the Mismatch-Repair Genes MLH1 and MSH2 in Microsatellite-Unstable Tumors
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