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Clinical Chemistry 50: 1156-1164, 2004; 10.1373/clinchem.2004.032136
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(Clinical Chemistry. 2004;50:1156-1164.)
© 2004 American Association for Clinical Chemistry, Inc.


Molecular Diagnostics and Genetics

Genotyping of Single-Nucleotide Polymorphisms by High-Resolution Melting of Small Amplicons

Michael Liew1, Robert Pryor2, Robert Palais3, Cindy Meadows1, Maria Erali1, Elaine Lyon1,2 and Carl Wittwer1,2,a

1 Institute for Clinical and Experimental Pathology, ARUP, Salt Lake City, UT. 2 Department of Pathology, University of Utah School of Medicine, Salt Lake City, UT. 3 Department of Mathematics, University of Utah, Salt Lake City, UT.

aAddress correspondence to this author at: Department of Pathology, University of Utah School of Medicine, Salt Lake City, UT 84132. Fax 801-581-4517; e-mail carl.wittwer{at}path.utah.edu.

Background: High-resolution melting of PCR amplicons with the DNA dye LCGreenTM I was recently introduced as a homogeneous, closed-tube method of genotyping that does not require probes or real-time PCR. We adapted this system to genotype single-nucleotide polymorphisms (SNPs) after rapid-cycle PCR (12 min) of small amplicons (≤50 bp).

Methods: Engineered plasmids were used to study all possible SNP base changes. In addition, clinical protocols for factor V (Leiden) 1691G>A, prothrombin 20210G>A, methylenetetrahydrofolate reductase (MTHFR) 1298A>C, hemochromatosis (HFE) 187C>G, and ß-globin (hemoglobin S) 17A>T were developed. LCGreen I was included in the reaction mixture before PCR, and high-resolution melting was obtained within 2 min after amplification.

Results: In all cases, heterozygotes were easily identified because heteroduplexes altered the shape of the melting curves. Approximately 84% of human SNPs involve a base exchange between A::T and G::C base pairs, and the homozygotes are easily genotyped by melting temperatures (Tms) that differ by 0.8–1.4 °C. However, in ~16% of SNPs, the bases only switch strands and preserve the base pair, producing very small Tm differences between homozygotes (<0.4 °C). Although most of these cases can be genotyped by Tm, one-fourth (4% of total SNPs) show nearest-neighbor symmetry, and, as predicted, the homozygotes cannot be resolved from each other. In these cases, adding 15% of a known homozygous genotype to unknown samples allows melting curve separation of all three genotypes. This approach was used for the HFE 187C>G protocol, but, as predicted from the sequence changes, was not needed for the other four clinical protocols.

Conclusions: SNP genotyping by high-resolution melting analysis is simple, rapid, and inexpensive, requiring only PCR, a DNA dye, and melting instrumentation. The method is closed-tube, performed without probes or real-time PCR, and can be completed in less than 2 min after completion of PCR.




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