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Clinical Chemistry 43: 1463, 1997;
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(Clinical Chemistry. 1997;43:1463.)
© 1997 American Association for Clinical Chemistry, Inc.


Letters to the Editor

PCR Reagents for Detection of (CAG)n Repeats in Huntington Disease

Tamás Tótha, Bálint Nagy and Zoltán Papp

I. Dept. of Obstet. and Gynaecol., Semmelweis Univ. Med. School, Budapest, Hungary
a Address correspondence and reprint requests to this author at: I. Dept. of Obst. and Gynaecol., Semmelweis Univ., Baross u. 27, Budapest, H-1088, Hungary.


To the Editor:

Recently Muglia et al. (1) reported in your journal a nonisotopic detection of (CAG)n repeats in the Huntington disease (HD) gene. We have read this article with great interest, as we use a similar method for the detection of the above (2)(3).

There are many difficulties in the PCR conditions of examining CAG repeats in the HD gene and in the detection of PCR products on nondenaturating polyacrylamide gel by silver staining. As yet there is no standardized protocol for the detection of CAG repeats in the HD gene. Muglia et al. (1) reported factors that affect the utility of the PCR product from the HD region by using the known HD-1 and HD-3 primers (4). They used a relatively high MgCl2 concentration (2.0 mmol/L) without dimethyl sulfoxide in 35 cycles. When they applied >35 PCR cycles, they obtained high background of nonspecific bands. We do not see these bands in our method with the lowest possible MgCl2 concentration (0.625 mmol/L), dimethyl sulfoxide (120 g/L) (3) instead of formamide, and 36 cycles.

Figure 1 demonstrates four patients' results obtained by use of 8% nondenaturating polyacrylamide gel stained by the silver staining method (5) applied by Muglia et al.



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Figure 1. Detection of HD alleles on silver-stained 8% polyacrylamide gel.

I–IV, patient number; EA, expanded alleles; NA, normal alleles. CAG repeat numbers are as follows: I, 21/44; II, 21/21; III, 15/44; IV, 15/15. Intensity ratios of normal/expanded allele bands in heterozygous patients are: I, 2.14; III, 1.85.

We found that the amount of mispriming and other nonspecific products mainly depends on the origin of Taq polymerase and other conditions, such as the number of PCR cycles and the use of enhancer components. The latter were investigated by Muglia et al., but the origin of Taq polymerase was not indicated in the article. We found that AmpliTaq (Perkin-Elmer, Norwalk, CT) and Taq polymerase from Promega (Madison, WI) gave sharper bands and less bacground than some others.


References

  1. Muglia M, Leone O, Annesi G, Gabriele AL, Imbrogno E, Grandinetti C, et al. Nonisotopic method for accurate detection of (CAG)n repeats causing Huntington disease. Clin Chem 1996;42:1601-1603.[Abstract/Free Full Text]
  2. Tóth T, Németi M, Papp Z. Presymptomatic diagnosis of Huntington's disease with polymerase chain reaction. Orv Hetil 1996;137:451-454.[Medline] [Order article via Infotrieve]
  3. Tóth T, Németi M, Papp Z. Detection of CAG repeats using silver staining in patients with Huntington disease in Hungary. Am J Med Genet 1997;(in press)..
  4. Warner JP, Barron LH, Brock DJH. A new polymerase chain reaction (PCR) assay for the trinucleotide repeat that is unstable and expanded on Huntington's disease chromosomes. Mol Cell Probes 1993;7:235-239.[ISI][Medline] [Order article via Infotrieve]
  5. Budowle B, Chakraborty R, Giusti AM, Eisenberg AJ, Allen RC. Analysis of the VNTR locus D1S80 by the PCR followed by high-resolution PAGE. Am J Hum Genet 1991;48:137-144.[ISI][Medline] [Order article via Infotrieve]

Authors of the article referred to reply:

Maria Mugulia, Ofelia Leone, Grazia Annesi, Anna L. Gabriele, Emilia Imbrogno, Cristina Grandinetti, Francesca L. Conforti, Francesco Naso and Carlo Brancati

Ist. di Med. Sperimentale e Biotecnol., CNR 87050 Mangone, (Cosenza) Italy


To the Editor:

Tóth et al. report a method of detection of (CAG)n repeats causing Huntington disease. They suggest some technical variations to our procedure. The major differences are the use of a lower MgCl2 concentration (0.625 mmol/L) and the use of dimethyl sulfoxide (DMSO) (12%) instead of formamide. Before deciding to use formamide, we tried performing PCR with DMSO as reported in the published article. However, we achieved the optimum results by using formamide (35 mmol/L). This difference in results may be attributed to the fact that we did not attempt to decrease the MgCl2 concentration while using DMSO. It is possible that the use of DMSO together with a lower concentration of MgCl2 yields similar results to those obtained when using formamide and a MgCl2 concentration of 2 mmol/L.

With respect to the Taq polymerase, we used Taq polymerase from Promega with the incubation buffer specified in our article.





This Article
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Right arrow Articles by Brancati, C.
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PubMed
Right arrow Articles by Tóth, T.
Right arrow Articles by Brancati, C.
Related Collections
Right arrow Molecular Diagnostics and Genetics


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