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Epicentre Forum 5 (4) Detection of a Single-Base Substitution in the Human Calcium Sensing Receptor Gene Using the BESS T-Scan™ Mutation Detection and Localization Kit with an ABI DNA Sequencer W. Peng, Endocrinology Department, Royal North Shore Hospital, Sydney, Australia Introduction Detecting and localizing gene mutations has become an important tool for genetic disease diagnosis. Conventional methods of detecting point mutations include single-strand conformation polymorphism (SSCP), denaturing gradient gel electrophoresis (DGGE), heteroduplex analysis, and ribonuclease protection assay. However, there are only a few methods such as chain-termination (Sanger) sequence analysis that can accurately locate a new point mutation. The Base Excision Sequence Scanning (BESS) T-Scan™ Mutation Detection and Localization Kit (Epicentre) is a new option for detecting and locating mutations.1 The BESS T-Scan method detects all DNA sequence changes involving deoxythymidine. During PCR amplification, the BESS T-Scan system incorporates a limiting amount of dUTP in place of dTTP into the PCR product. Treatment of the uracil-containing PCR product with the BESS T-Scan Excision Enzyme Mix cleaves the sites of deoxyuridine incorporation, generating nested fragments that are then separated on a standard sequencing gel. The BESS T-Scan Kit is a novel alternative to currently used mutation screening methods. Here, we use the BESS T-Scan Kit with a non-isotopic label and an ABI 377 DNA Sequencer to detect and locate a single-base substitution in the untranslated region of exon 7 in the human calcium sensing receptor gene (CaSR).2 Using differentially labeled primers, we analyzed three samples in one lane of a gel. The BESS T-Scan method was rapid and economical. In addition, it made analysis by SSCP unnecessary. Methods SSCP analysis Human genomic DNA was isolated from white blood cells of three individuals using standard procedures. PCR amplification was performed using a Perkin Elmer DNA Thermal Cycler. The sequences of the PCR primers used were T7-6DR: 5'-TAATACGACTCACTATAGGGTCTTCCTCAGAGGAAAGGAGTCTGG-3' (6DR plus a T7 primer tail) and 6DF: 5'-CAGAAGGTCATCTTTGGCAGCGGCA-3'.1 The 20 µl amplification reactions contained 0.1 µg of genomic DNA, 2 µl of GeneAmp® 10X PCR buffer II (Perkin Elmer), 100 mM each dNTP, 0.5 unit of AmpliTaq Gold™ (Perkin Elmer), and 20 pmoles of each primer. After an initial denaturation for 10 minutes at 95°C, 45 amplification cycles were performed as follows: denature for 30 seconds at 95°C, anneal for 30 seconds at 65°C, and extend for 1 minute at 72°C. A final extension was performed for 10 minutes at 72°C. For the single-strand conformational polymorphism (SSCP) analysis, 1 µl of each PCR product was mixed with 5 µl of formamide. Samples were heat denatured at 80°C for 1 minute, then chilled to 0°C before loading onto a 6% native polyacrylamide gel. The gel was subjected to electrophoresis for 500-700 Vh at 3°C in 1X TBE buffer. After electrophoresis, the gel was fixed and stained with Silver Stain Plus (Bio-Rad Laboratories). BESS T-Scan analysis Dye-labeled T7 primers (JOE, TAMRA, and ROX&$41; were from the T7 Dye Primer Kit (Applied Biosystems Pty Ltd.). The sequence of the T7 primer used was: 5'-TAATACGACTCACTATAGGG-3'. The BESS amplification reactions using the dye (TAMRA)T7-6DF primer set and the dye (ROX)T7-6DF primer set were performed in a 10 µl volume. Each reaction contained 0.2 unit of Taq DNA polymerase, 1X PCR buffer, 1.5 mM MgCl2, 0.8 µl of dye-labeled T7 primer, 0.8 pmole of 6DF primer, 0.8 µl of BESS T-Scan dNTP Mix, and 1 µl of PCR product (from above, diluted 1:100). A 5 µl amplification reaction was used with the dye(JOE)T7-6DF primer set and the volume of each component was adjusted accordingly. Thermal cycling conditions were 25 cycles of 95°C for 30 seconds, 55°C for 30 seconds, and 72°C for 1 minute. A final extension was performed for 10 minutes at 72°C. After amplification, the 3 sets of PCR products were combined (total volume was 25 µl). Then 6 µl of 10X BESS T-Scan Excision Enzyme Buffer and 3 µl of BESS T-Scan Excision Enzyme Mix were added. Deionized water was added to a final volume of 60 µl and the reaction was incubated for 30 minutes at 37°C. The DNA was then precipitated by adding 3 µl of sodium acetate (pH 5.3) and 180 µl of 100% ethanol. The DNA was pelleted by centrifugation for 15 minutes, the supernatant was discarded, and the pellet was dried. Then the samples were separated by electrophoresis on an ABI 377 DNA Sequencer (electrophoresis was performed at SUPAMAC, Sydney University and Prince Alfred Macromolecular Analysis Centre). Results The SSCP analysis of the untranslated region of exon 7 of the human CaSR gene is presented in Figure 1. Lane 2 shows the polymorphic banding pattern of one individual, predicting a heterozygous mutation in this 463 bp fragment, but without accurate localization. Note that the gel pattern for the heterozygous mutant is almost the same as the pattern of the normal samples.
Figure 2 shows the BESS T-Scan analysis. The samples used in this analysis were the same as those used in the SSCP analysis. The electropherogram showing the three samples in one lane was converted to individual electropherograms making the comparisons more convenient. The analysis of sample 2 showed an additional peak at position 61 of the electropherogram, meaning one base was converted to an extra T in the reverse sequence. This analysis confirmed the heterozygous polymorphism that was predicted in the SSCP analysis. Also, this BESS T-Scan analysis located the single-base substitution (T–>A) at base #3751 of the human CaSR gene.3
Conclusion The BESS T-Scan method directly detected and localized a single-base substitution in the human CaSR gene making SSCP scanning unnecessary. The method introduced here combines advantages of both the BESS T-Scan Kit and the ABI DNA Sequencer. It was non-isotopic, rapid, economical, and reliable, and can be used as an alternative to DNA sequencing for routine genetic disease diagnoses.
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