Clinical Chemistry
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Clinical Chemistry 43: 759-763, 1997;
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(Clinical Chemistry. 1997;43:759-763.)
© 1997 American Association for Clinical Chemistry, Inc.


Articles

Analysis of a polyadenine tract of the transforming growth factor-ß type II receptor gene in colorectal cancers by non-gel-sieving capillary electrophoresis

Michiei Oto1,2,a, Akira Koguchi3 and Yasuhito Yuasa2

1 Department of Biotechnology, Tokyo Technical College, 1-15-5 Higashi, Kunitachi-shi, Tokyo 186, Japan.

2 Department of Hygiene and Oncology, Tokyo Medical and Dental University School of Medicine, Yushima, Bunkyo-ku, Tokyo 113, Japan.

3 Nippon Bio-Rad Laboratories, Higashi-Nippori, Arakawa-ku, Tokyo 116, Japan.
a Author for correspondence. Fax 81-425-74-0184; e-mail wh6m-ootu{at}asahi-net.or.jp


   Abstract
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Abstract
Introduction
Materials and Methods
Results and Discussion
References
 
We developed a method to analyze a polyadenine tract, the (A)10 repeat, within the cysteine-rich domain of the transforming growth factor-ß (TGF-ß) type II receptor gene using a non-gel-sieving capillary electrophoresis technique and applied it to the DNA diagnosis of colorectal cancers. This method consists of single-strand DNA amplification of the (A)10 repeat by an asymmetric PCR technique and capillary electrophoresis. A higher concentration of dATP in the PCR reaction mixture led to more specific amplification of the (A)10 repeat. Under the optimal electrophoretic conditions, one nucleotide difference could be determined in 8 to 32 nucleotides. One or two base deletions of the (A)10 repeat in colorectal cancers could be detected under these conditions within 30 min, and the results coincided with those obtained on DNA sequencing analyses. According to a sensitivity study, we could detect the deleted sequence if it was present in 12.5% or more of the wild-type allele. The reproducibility of this technique was satisfactory because the intraassay imprecision (CV) (n = 10) was 1.4%. These results indicate that capillary electrophoretic analysis of small repeated sequences results in easier handling and more feasible automation, compared with conventional gel electrophoretic analysis.


Key Words: indexing terms: polymerase chain reaction • DNA diagnosis


   Introduction
Top
Abstract
Introduction
Materials and Methods
Results and Discussion
References
 
Microsatellite instability is a DNA diagnostic landmark effective not only for cancers, but also for various genetic diseases (1)(2)(3)(4)(5)(6). In cancer development, this phenomenon is clearly brought about by defects of a group of DNA mismatch repair genes, hMSH2, hMLH1, hPMS1, hPMS2, and GTBP [7]. However, the role of the microsatellite instability in tumorigenesis remains unclear (8).

Transforming growth factor-ß (TGF-ß) is a multifunctional factor that regulates cell differentiation and the expression of extracellular matrix proteins, and also inhibits the growth of many cells, including epithelial cells (9).1 This growth-inhibitory signal is transduced through two distantly related transmembrane serine/threonine kinases called receptor types I and II (10). When these receptors are inactivated, the cells lose their responsiveness to TGF-ß, and this loss of growth inhibition by TGF-ß may be an important step in the tumorigenesis of some cancers (11)(12). One or two base deletions of a polyadenine tract, the (A)10 repeat, of the TGF-ß type II receptor (TGF-ß RII) gene reportedly were detected recently in 90% of hereditary nonpolyposis colorectal cancers and some sporadic colorectal cancers with microsatellite instability (13)(14)(15), indicating that the (A)10 repeat is a hot spot of mutation. Therefore, TGF-ß RII may be one of the target genes of defective DNA repair, and analysis of the (A)10 repeat is a good landmark in the DNA diagnosis of cancers.

We combined PCR amplification and gel electrophoretic analysis to analyze microsatellite DNA. However, for routine DNA diagnosis, the development of an automated analytical system is indispensable. Automated DNA extraction methods and robotic manipulation have been developed for pre-PCR steps, and relevant materials are commercially available. Generally, for post-PCR steps, gel electrophoresis followed by ethidium bromide or silver staining separate and detect nanogram–picogram quantities of DNA (16). However, gel electrophoresis is not suitable for routine diagnosis, because it is difficult to automate for many specimens.

In contrast to gel electrophoresis, capillary electrophoresis (CE) reportedly is a promising technique for performing rapid and reproducible separation of double-stranded DNA (dsDNA) as well as single-stranded DNA (ssDNA), and its use is feasible for automated DNA analysis (17). Non-gel-sieving CE is a specialized form of capillary zone electrophoresis performed with a buffer containing polymer additives such as methylcellulose (18). In non-gel-sieving CE, the buffer containing polymer is packed automatically into a capillary, and handling is easier than in the case of gel-sieving CE (18). In recent reports, non-gel-sieving CE has been applied to various DNA diagnostic techniques including both hybridization and single-strand conformation polymorphism (SSCP) analyses (19)(20). Here, we developed a method for (A)10 repeat analysis of TGF-ß RII involving non-gel-sieving CE and applied it to the DNA diagnosis of colorectal cancers.


   Materials and Methods
Top
Abstract
Introduction
Materials and Methods
Results and Discussion
References
 
dna templates
Surgical specimens were obtained from colorectal cancer patients according to the procedures of the Helsinki Declaration of 1975, as revised in 1983. High-molecular-mass DNA from normal mucosa and tumor tissue of the same patient was extracted by the method described previously (21). Lymphocyte DNA from the respective patients was also prepared similarly.

dna amplification with an asymmetric pcr technique
ssDNA including the (A)10 repetitive sequence of TGF-ß RII was amplified by a modified asymmetric PCR technique under optimal conditions with specific primers (Fig. 1 ). Oligonucleotide primers were synthesized by the phosphoramidite method with Cyclon Plus (Millipore, Bedford, MA). Genomic DNA was subjected to asymmetric PCR.



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Figure 1. Primers used for the amplification of the (A)10 repeat within the TGF-ß RII gene (A); amplification of the (A)10 repeat by the asymmetric PCR technique (B).

The primer sequences (20 nt) are indicated in open boxes (A). Open boxes show the specific primers (B). The dATP-rich nucleotides give a specific single-strand DNA (30 nt) containing the (A)10 repeat.

Asymmetric PCR was performed in a thin-walled tube (Robbins Labs., Sunnyvale, CA). The oligonucleotide forward primer (500 nmol/L), reverse primer (50 nmol/L), dATP (200 mmol/L), dGTP (20 mmol/L), dCTP (20 mmol/L), dTTP (20 mmol/L), and Taq DNA polymerase (0.5 unit) (Wako Chemical Co., Osaka, Japan) were mixed in a solution composed of 10 mmol/L Tris-HCl (pH 8.8), 50 mmol/L KCl, 1.5 mmol/L MgCl2, and 1 g/L gelatin, and then a piece of wax (AmpliWaxTM; Perkin-Elmer Instruments Co., Norwalk, CT) was added. To melt the wax, the tube was kept at 70 °C for 1 min and subsequently at room temperature to solidify the wax. To obtain constant results and for application to routine assaying, the preparations were stored in multiple tubes at 4 °C until the PCR experiments. After 20–100 ng of the template DNA were placed on the wax in the stored tubes, 40 cycles of 94 °C denaturation for 10 s, 55 °C annealing for 10 s, and 60 °C extension for 10 s were carried out in a program incubator (Zymoreactor II; ATTO Co., Tokyo, Japan).

analysis of pcr products (ssdna) by non-gel-sieving ce
The solid wax was pierced with a pipette tip, and the amplified products were taken out, denatured at 94 °C for 5 min, chilled on ice, and subjected to non-gel CE directly without further purification. CE was performed with a BioFocus 3000TM CE apparatus (Bio-Rad Laboratories, Hercules, CA). The capillary cartridge contained a 50 µm (i.d.) x 36 cm polyacrylamide-coated capillary. Before sample migration, the running buffer was filtered and the samples were degassed by centrifugation. Pressurized injection at 414 kPa for 1 s was performed to introduce 10 nL of a DNA sample for analysis. DNA samples were electrophoresed for 40 min at 500 V/cm at 25 °C in PCR Product Analysis BufferTM (Bio-Rad Labs). The ultraviolet detector was set at 260 nm, with a range of 0.02 absorbance units. PCR product sizes were determined by comparison with standard nucleotides (Pharmacia Biotech Co., Uppsala, Sweden).

data analysis
Stored raw data were transferred from Braided File Format to a format compatible with a BioFocus integrator on an IBM PC computer. Postrun analysis of the data was then done with the BioFocus 3000 software (version 3.0). The ssDNA sizes were determined by the linear regression method to establish a curve of best fit for calibrators in each series of analyses.


   Results and Discussion
Top
Abstract
Introduction
Materials and Methods
Results and Discussion
References
 
optimization of pcr and ce conditions
Nonspecific amplification of DNA is often observed on asymmetric PCR, and nonspecific amplified products make data analysis difficult. Because the sequence contains only adenosine repeats (Fig. 1Up ), the ratio of dATP to other nucleotides (dGTP, dCTP, and dTTP) used was 10:1. By using the asymmetric PCR technique with dATP-rich nucleotides, the ssDNA (30 nt) containing the primer (20 nt) and the (A)10 repeat was amplified predominantly. The polymerase probably does not continue beyond the poly(A) tract because of the limiting concentrations of the other three nucleotides in the reaction. The PCR products amplified with standard dNTP concentrations gave various nonspecific peaks with molecular masses higher than the target peak, but those amplified with dATP-rich nucleotides gave only a specific peak (Fig. 2 ). To obtain higher resolution, standard DNA was electrophoresed at various voltages and temperatures; the higher the voltage, the shorter the running time. However, the resolution was worse at higher voltage. To analyze the 28–30 nt of the (A)10 repeat rapidly, sufficient resolution was obtained at 500 V/cm within 30 min (data not shown). Under these conditions, PCR products derived from normal human DNA were subjected to CE analysis. To determine the reproducibility of this method, the (A)10 repeat derived from normal human DNA was amplified and was analyzed separately 10 times by CE. The CV of the found means was within 1.4% (data not shown), indicating good reproducibility.



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Figure 2. Effects of the nucleotide concentrations on amplification of the (A)10 repeat with the asymmetric PCR technique.

The electropherograms show the asymmetric PCR products amplified with 20 mmol/L dATP, 20 mmol/L dGTP, 20 mmol/L dCTP, and 20 mmol/L dTTP (A), and 200 mmol/L dATP, 20 mmol/L dGTP, 20 mmol/L dCTP, and 20 mmol/L dTTP (B). Other conditions were the same as described previously (19). In each electropherogram, the (A)10 repeat specific peak is indicated by an arrow.

resolution of this method
To confirm the resolution of this method, three kinds of DNA, which contained the (A)9 repeat, (A)10 repeat, and (A)9 repeat mixed with the same amount of (A)10 repeat, were subjected to CE analysis separately. The number of adenines in the repeats was determined by a sequencing technique used previously (data not shown). The (A)9 and (A)10 repeat DNA showed one symmetric peak each, while the (A)9 DNA mixed with (A)10 repeat DNA gave two peaks in the electropherogram within 30 min (Fig. 3 ) that were calibrated to be 29 nt and 30 nt, compared with standard nucleotides. These data demonstrate that one nucleotide difference could be detected with this method.



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Figure 3. Resolution of the amplified nucleotides using the non-gel-sieving CE system.

The electropherograms show the (A)9 repeat DNA (A), the (A)10 repeat DNA (B), and the (A)9 repeat DNA mixed with the same amount of the (A)10 repeat DNA (C). The capillary electrophoretic conditions were given in Materials and Methods.

detection limit of this method
To evaluate the sensitivity of (A)10 repetitive sequence analysis by CE, the PCR product containing (A)9 was mixed in twofold serial dilutions with the PCR product containing (A)10. The mixtures were analyzed by non-gel-sieving CE. When a sample composed of (A)9 and (A)10 in a ratio of 0.125 or higher was subjected to this method, the peak derived from (A)9 was detected in the electropherogram (Fig. 4 ). Even at the lower DNA concentration, the peak derived from (A)9 or (A)10 could be determined by comparison with standard nucleotides described in Materials and Methods (data not shown). These data indicate that this technique can be applied for analysis of the clinical specimens containing 12.5% deleted allele.



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Figure 4. Detection limit study on this system.

The (A)9 repeat DNA in twofold serial dilutions was mixed with the (A)10 repeat DNA. The mixtures were subjected to non-gel-sieving CE as described in Materials and Methods. The ratios of the (A)9 repeat DNA to the (A)10 repeat DNA are given above the electropherograms.

analysis of the (a)10 repeat in colorectal cancers
On analysis of DNA derived from normal mucosa of a colorectal cancer patient by non-gel-sieving CE, a 30-nt peak was found in the electropherogram, whereas for the tumor DNA from the same patient an additional 29-nt peak different from that of the normal DNA was detected within 30 min (Fig. 5 ). The additional peak was derived from the deletion of the (A)10 repeat in TGF-ß RII. To analyze the (A)10 repeat in TGF-ß RII, the conventional method that contained SSCP analysis of PCR products followed by sequencing was done (14). Nonspecific bands were sometimes detected with the conventional method but not with the new method, indicating that DNA amplification was done more specifically. Therefore, this method may replace the conventional method. Moreover, it can be applied to the analysis of DNA derived from paraffin-embedded samples (data not shown), because the sizes of PCR products were much shorter (28–30 nt).



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Figure 5. Detection of the deleted (A)10 repeat of theTGF-ß RII gene in colorectal cancers.

The electropherograms are for normal DNA (N) and tumor DNA (T) from the same patient.

advantages
These data demonstrate that the amplified (A)10 repetitive sequence of TGF-ß RII using previously isolated genomic DNA can be analyzed by non-gel-sieving CE within 30 min. Whether specimens have a homozygotic or heterozygotic allele of the (A)10 repeat can be shown more clearly by the number of specific peaks in an electropherogram. The system involving non-gel-sieving CE is performed automatically in a shorter time and can be applied to the analysis of not only the (A)10 repeat but also other microsatellite DNA containing two or three nucleotide repeats. From the standpoint described above, this method is very useful for routine microsatellite analysis of various diseases including cancer.


   Acknowledgments
 
We thank Mingde Zhu (Bio-Rad Labs.) for supplying us with the polymer additives and Yoshimitsu Akiyama for supplying the cancer DNA. This work was supported in part by a Grant-in-Aid for Developmental Scientific Research from the Ministry of Education, Science, Sports and Culture.


   Footnotes
 
1 Nonstandard abbreviations: TGF-ß, transforming growth factor-ß; CE, capillary electrophoresis; ds, double stranded; ss, single stranded; SSCP, single-strand conformation polymorphism; and nt, nucleotide(s).


   References
Top
Abstract
Introduction
Materials and Methods
Results and Discussion
References
 

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