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Clinical Chemistry 48: 2051-2054, 2002;
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(Clinical Chemistry. 2002;48:2051-2054.)
© 2002 American Association for Clinical Chemistry, Inc.


Technical Briefs

Reliable Detection of ß-Thalassemia and G6PD Mutations by a DNA Microarray

Federica Gemignani1,1, Chiara Perra3,1, Stefano Landi1,2,1, Federico Canzian1, Ants Kurg4, Neeme Tõnisson4,6, Renzo Galanello3, Antonio Cao3, Andres Metspalu4 and Giovanni Romeo1,5a

1 IARC, International Agency for Research on Cancer, 150, Cours Albert Thomas, Lyon 69372, France

2 University of Pisa, Dipartimento di Scienze dell’Uomo e dell’Ambiente, Via S. Giuseppe 22, 56100 Pisa, Italy

3 Dipartimento di Scienze Biomediche e Biotecnologie, Universita’ di Cagliari, Ospedale Regionale Microcitemie, Via Jenner, 09121 Cagliari, Italy

4 Institute of Molecular and Cell Biology, Estonian Biocentre, University of Tartu, 23 Riia Street, 51010 Tartu, Estonia

5 Dipartimento di Medicina Interna, Cardioangiologia ed Epatologia, Università di Bologna, Policlinico S. Orsola-Malpighi, via Massarenti 9, 40125 Bologna, Italy

6 Asper Biotech, Ltd., 3 Oru St., 51014 Tartu, Estonia

aaddress correspondence to this author at: Dipartimento di Medicina Interna, Cardioangiologia ed Epatologia, Università di Bologna, Policlinico S. Orsola-Malpighi, via Massarenti 9, 40125 Bologna, Italy; fax 39-051-30-61-71, e-mail romeo@iarc.fr

The first 300 words of the full text of this article appear below.

ß-Thalassemia is an autosomal recessive disorder caused by the absence or reduction of ß-globin chain synthesis. There are >400 million ß-thalassemia carriers worldwide, and >160 ß-thalassemia mutations have been described (1). Different populations exhibit a specific subset of mutations, as in Sardinia, where carriers are ~11% of the population and 95% of them present the ß0 39 mutation (1)(2)(3). In those populations, glucose 6-phosphate dehydrogenase (G6PD) deficiency is also common (4)(5)(6). For the G6PD gene, ~130 mutations or combinations of mutations have been described (7), and early detection might reduce the risk of hemolytic crisis in childhood. A program of screening newborns would be desirable in those populations. The molecular diagnosis of ß-globin and G6PD mutations currently involves a combination of classic methodologies such as restriction fragment length polymorphism analysis, allele-specific oligonucleotide (ASO) hybridization, reverse dot blots, amplification refractory mutation system (ARMS), and direct sequencing (2)(8)(9)(10)(11). These methods are laborious for large-scale screening.

We set up a microarray-based assay for parallel one-shot detection of 17 mutations commonly found in the Mediterranean population: ß+ -101(C->T); ß+ -87(C->G); ß0 codon 6 (-A); ß0 codon 39 (C->T); ß0-IVSI-1 (G->A); ß+-IVSI-6 (T->C); ß+-IVSI-110 (G->A); ß0-IVSII-1 (G->A); ß+-IVSII-745 (C->G); ß+-IVSII-844 (C->G); G6PD A- variant (202G->A; 376A->G); Mediterranean variant (563C->T); Seattle variant (844G->C); Montalbano variant (854G->A); S. Antioco variant (1342A->G); and Maewo (1360C->T). We called this microarray "Thalassochip".

Thalassochip is based on the arrayed primer extension (APEX) technology (12) implemented with allele-specific primed extension (ASPEX) (13). APEX consists of a sequencing reaction primed by an oligonucleotide anchored to . . . [Full Text of this Article]




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