Rapid Identification of Wilson's Disease Carriers by Denaturing High-Performance Liquid Chromatography

Background. Wilson's disease is an autosomal recessive disorder characterized by decreased biliary copper excretion and reduced copper incorporation into ceruloplasmin. The disease gene ATP7B maps to chromosome 13q14.3, contains 21 exons, and encodes a copper-transporting P-type ATPase. ATP7B m...

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Veröffentlicht in:Preventive medicine 2002-09, Vol.35 (3), p.278-284
Hauptverfasser: Weirich, Gregor, Cabras, Antonello D, Serra, Stefano, Coni, Pier P, Nurchi, Anna M, Faa, Gavino, Höfler, Heinz
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container_end_page 284
container_issue 3
container_start_page 278
container_title Preventive medicine
container_volume 35
creator Weirich, Gregor
Cabras, Antonello D
Serra, Stefano
Coni, Pier P
Nurchi, Anna M
Faa, Gavino
Höfler, Heinz
description Background. Wilson's disease is an autosomal recessive disorder characterized by decreased biliary copper excretion and reduced copper incorporation into ceruloplasmin. The disease gene ATP7B maps to chromosome 13q14.3, contains 21 exons, and encodes a copper-transporting P-type ATPase. ATP7B mutations are scattered over the entire gene, and scanning methods to detect mutation carriers are in demand. We have tested the usefulness of denaturing high-performance liquid chromatography for mutation detection in Wilson's disease. Methods. Genomic DNA from five Sardinian Wilson's disease families (32 individuals, 8 patients) was subjected to polymerase chain reactions for ATP7B exons 2–21 and the 5′ untranslated region. PCR products were analyzed by chromatography and by direct sequencing. Results. Three disease-causing mutations and seven sequence variants were detected by chromatography. Five patients were homozygotes for −441/−427del, and three were compound heterozygotes for V1146M plus 1512-13insT (N505X) and for −441/−427del plus V1146M, respectively. Eighteen unaffected individuals were mutation carriers. Sequence variants comprised V290V, A406S, L456V, R832K, A1140V, the novel K952R, and T991T. The novel intronic IVS18+6c>t change escaped detection by chromatography. Conclusions. Denaturing high-performance liquid chromatography is a dependable tool for ATP7B screening that is superior to traditional haplotyping. This method allows for fast, sensitive, and specific mutation detection and identification of carriers in Wilson's disease families.
doi_str_mv 10.1006/pmed.2002.1069
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Wilson's disease is an autosomal recessive disorder characterized by decreased biliary copper excretion and reduced copper incorporation into ceruloplasmin. The disease gene ATP7B maps to chromosome 13q14.3, contains 21 exons, and encodes a copper-transporting P-type ATPase. ATP7B mutations are scattered over the entire gene, and scanning methods to detect mutation carriers are in demand. We have tested the usefulness of denaturing high-performance liquid chromatography for mutation detection in Wilson's disease. Methods. Genomic DNA from five Sardinian Wilson's disease families (32 individuals, 8 patients) was subjected to polymerase chain reactions for ATP7B exons 2–21 and the 5′ untranslated region. PCR products were analyzed by chromatography and by direct sequencing. Results. Three disease-causing mutations and seven sequence variants were detected by chromatography. Five patients were homozygotes for −441/−427del, and three were compound heterozygotes for V1146M plus 1512-13insT (N505X) and for −441/−427del plus V1146M, respectively. Eighteen unaffected individuals were mutation carriers. Sequence variants comprised V290V, A406S, L456V, R832K, A1140V, the novel K952R, and T991T. The novel intronic IVS18+6c&gt;t change escaped detection by chromatography. Conclusions. Denaturing high-performance liquid chromatography is a dependable tool for ATP7B screening that is superior to traditional haplotyping. This method allows for fast, sensitive, and specific mutation detection and identification of carriers in Wilson's disease families.</description><identifier>ISSN: 0091-7435</identifier><identifier>EISSN: 1096-0260</identifier><identifier>DOI: 10.1006/pmed.2002.1069</identifier><identifier>PMID: 12202071</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adenosine Triphosphatases - genetics ; Adenosine Triphosphatases - isolation &amp; purification ; ATP7B ; Carrier State - diagnosis ; Cation Transport Proteins - genetics ; Cation Transport Proteins - isolation &amp; purification ; Chromatography, High Pressure Liquid - methods ; Copper - metabolism ; Copper-transporting ATPases ; denaturing high-performance liquid chromatography ; Exons ; Female ; Hepatolenticular Degeneration - genetics ; Humans ; Italy ; Male ; mutation screening ; Polymerase Chain Reaction ; Sensitivity and Specificity ; Wilson's disease</subject><ispartof>Preventive medicine, 2002-09, Vol.35 (3), p.278-284</ispartof><rights>2002 American Health Foundation and Elsevier Science (USA)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c340t-64b06c93ff7d28e538b2dab9c13d53407083ec676bf9693b73775870d18f2ed13</citedby><cites>FETCH-LOGICAL-c340t-64b06c93ff7d28e538b2dab9c13d53407083ec676bf9693b73775870d18f2ed13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1006/pmed.2002.1069$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12202071$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Weirich, Gregor</creatorcontrib><creatorcontrib>Cabras, Antonello D</creatorcontrib><creatorcontrib>Serra, Stefano</creatorcontrib><creatorcontrib>Coni, Pier P</creatorcontrib><creatorcontrib>Nurchi, Anna M</creatorcontrib><creatorcontrib>Faa, Gavino</creatorcontrib><creatorcontrib>Höfler, Heinz</creatorcontrib><title>Rapid Identification of Wilson's Disease Carriers by Denaturing High-Performance Liquid Chromatography</title><title>Preventive medicine</title><addtitle>Prev Med</addtitle><description>Background. Wilson's disease is an autosomal recessive disorder characterized by decreased biliary copper excretion and reduced copper incorporation into ceruloplasmin. The disease gene ATP7B maps to chromosome 13q14.3, contains 21 exons, and encodes a copper-transporting P-type ATPase. ATP7B mutations are scattered over the entire gene, and scanning methods to detect mutation carriers are in demand. We have tested the usefulness of denaturing high-performance liquid chromatography for mutation detection in Wilson's disease. Methods. Genomic DNA from five Sardinian Wilson's disease families (32 individuals, 8 patients) was subjected to polymerase chain reactions for ATP7B exons 2–21 and the 5′ untranslated region. PCR products were analyzed by chromatography and by direct sequencing. Results. Three disease-causing mutations and seven sequence variants were detected by chromatography. Five patients were homozygotes for −441/−427del, and three were compound heterozygotes for V1146M plus 1512-13insT (N505X) and for −441/−427del plus V1146M, respectively. Eighteen unaffected individuals were mutation carriers. Sequence variants comprised V290V, A406S, L456V, R832K, A1140V, the novel K952R, and T991T. The novel intronic IVS18+6c&gt;t change escaped detection by chromatography. Conclusions. Denaturing high-performance liquid chromatography is a dependable tool for ATP7B screening that is superior to traditional haplotyping. This method allows for fast, sensitive, and specific mutation detection and identification of carriers in Wilson's disease families.</description><subject>Adenosine Triphosphatases - genetics</subject><subject>Adenosine Triphosphatases - isolation &amp; purification</subject><subject>ATP7B</subject><subject>Carrier State - diagnosis</subject><subject>Cation Transport Proteins - genetics</subject><subject>Cation Transport Proteins - isolation &amp; purification</subject><subject>Chromatography, High Pressure Liquid - methods</subject><subject>Copper - metabolism</subject><subject>Copper-transporting ATPases</subject><subject>denaturing high-performance liquid chromatography</subject><subject>Exons</subject><subject>Female</subject><subject>Hepatolenticular Degeneration - genetics</subject><subject>Humans</subject><subject>Italy</subject><subject>Male</subject><subject>mutation screening</subject><subject>Polymerase Chain Reaction</subject><subject>Sensitivity and Specificity</subject><subject>Wilson's disease</subject><issn>0091-7435</issn><issn>1096-0260</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEFv0zAUgC3ExMrgyhH5xE4pz3ZqJ0fUbWxSJRACcbQc-7k1auLMTib13-OoFTdO1pO_90nvI-QDgzUDkJ_HHt2aA_AyyvYVWTFoZQVcwmuyAmhZpWqxuSZvc_4DwJiE-g25ZpwDB8VWxP8wY3D0yeEwBR-smUIcaPT0dzjmONxmehcymox0a1IKmDLtTvQOBzPNKQx7-hj2h-o7Jh9TbwaLdBee52LcHlLszRT3yYyH0zty5c0x4_vLe0N-Pdz_3D5Wu29fn7ZfdpUVNUyVrDuQthXeK8cb3Iim4850rWXCbQqhoBFopZKdb2UrOiWU2jQKHGs8R8fEDfl09o4pPs-YJ92HbPF4NAPGOWvFoW4aKQq4PoM2xZwTej2m0Jt00gz0UlYvZfVSVi9ly8LHi3nulp9_-CVlAZozgOW-l1JKZxuwFHEhoZ20i-F_7r8jI4fr</recordid><startdate>20020901</startdate><enddate>20020901</enddate><creator>Weirich, Gregor</creator><creator>Cabras, Antonello D</creator><creator>Serra, Stefano</creator><creator>Coni, Pier P</creator><creator>Nurchi, Anna M</creator><creator>Faa, Gavino</creator><creator>Höfler, Heinz</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20020901</creationdate><title>Rapid Identification of Wilson's Disease Carriers by Denaturing High-Performance Liquid Chromatography</title><author>Weirich, Gregor ; 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Wilson's disease is an autosomal recessive disorder characterized by decreased biliary copper excretion and reduced copper incorporation into ceruloplasmin. The disease gene ATP7B maps to chromosome 13q14.3, contains 21 exons, and encodes a copper-transporting P-type ATPase. ATP7B mutations are scattered over the entire gene, and scanning methods to detect mutation carriers are in demand. We have tested the usefulness of denaturing high-performance liquid chromatography for mutation detection in Wilson's disease. Methods. Genomic DNA from five Sardinian Wilson's disease families (32 individuals, 8 patients) was subjected to polymerase chain reactions for ATP7B exons 2–21 and the 5′ untranslated region. PCR products were analyzed by chromatography and by direct sequencing. Results. Three disease-causing mutations and seven sequence variants were detected by chromatography. Five patients were homozygotes for −441/−427del, and three were compound heterozygotes for V1146M plus 1512-13insT (N505X) and for −441/−427del plus V1146M, respectively. Eighteen unaffected individuals were mutation carriers. Sequence variants comprised V290V, A406S, L456V, R832K, A1140V, the novel K952R, and T991T. The novel intronic IVS18+6c&gt;t change escaped detection by chromatography. Conclusions. Denaturing high-performance liquid chromatography is a dependable tool for ATP7B screening that is superior to traditional haplotyping. This method allows for fast, sensitive, and specific mutation detection and identification of carriers in Wilson's disease families.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>12202071</pmid><doi>10.1006/pmed.2002.1069</doi><tpages>7</tpages></addata></record>
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subjects Adenosine Triphosphatases - genetics
Adenosine Triphosphatases - isolation & purification
ATP7B
Carrier State - diagnosis
Cation Transport Proteins - genetics
Cation Transport Proteins - isolation & purification
Chromatography, High Pressure Liquid - methods
Copper - metabolism
Copper-transporting ATPases
denaturing high-performance liquid chromatography
Exons
Female
Hepatolenticular Degeneration - genetics
Humans
Italy
Male
mutation screening
Polymerase Chain Reaction
Sensitivity and Specificity
Wilson's disease
title Rapid Identification of Wilson's Disease Carriers by Denaturing High-Performance Liquid Chromatography
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