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Molecular Diagnostics and Genetics |
Departments of1 Pathology and Laboratory Medicine and 2 Pharmacology and Toxicology, University of Louisville School of Medicine, Louisville, KY.
aAddress correspondence to this author at: Department of Pathology and Laboratory Medicine, University of Louisville School of Medicine, Louisville, KY 40202. Fax 502-852-1177; e-mail mwlind01{at}gwise.louisville.edu.
Background: Genotyping of N-acetyltransferase-2 (NAT2) is useful in predicting the risk for toxicity of NAT2 substrates. Current methods cannot detect the 7 most important single-nucleotide variations in NAT2 simultaneously in 1 tube.
Methods: We developed an assay that uses allele-specific primer extension (ASPE) and microsphere hybridization for the simultaneous detection of 7 single-nucleotide variations in NAT2. Using 12 samples previously genotyped by a TaqMan-based assay for method development and as positive controls, we amplified the genetic locus of NAT2 comprising the single-nucleotide variations of interest by PCR and then performed ASPE with allele-specific primers and biotinylated dCTP followed by bead hybridization and streptavidinR-phycoerythrin binding. Genotypes were determined according to the allele-specific fluorescent signal ratios.
Results: The mean (SD) allelic ratios for homozygous common, heterozygous variant, and homozygous variant NAT2 genotypes were 0.0394 (0.0113) (n = 80), 0.4372 (0.0270) (n = 148), and 0.9331 (0.0127) (n = 325). The assay had 100% (95% confidence interval, 99%100%) within-run reproducibility for 12 samples repeated 6 times and 100% (98%100%) between-run reproducibility for a 5-sample subset run on 6 different days. NAT2 genotypes of 30 blinded samples determined by this assay were 100% (98%100%) concordant with results obtained using the TaqMan method.
Conclusions: The developed assay can simultaneously determine single-nucleotide variations in NAT2. The assay demonstrates no overlap in allele-specific signal ratios between homozygous common, heterozygous, and homozygous variant and shows agreement with a reference method and reproducibility of genotype identification.
The following articles in journals at HighWire Press have cited this article:
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J. A. G. Agundez, K. Golka, C. Martinez, S. Selinski, M. Blaszkewicz, and E. Garcia-Martin Unraveling Ambiguous NAT2 Genotyping Data Clin. Chem., August 1, 2008; 54(8): 1390 - 1394. [Abstract] [Full Text] [PDF] |
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Y.-C. Lin, W.-H. Sheng, S.-C. Chang, J.-T. Wang, Y.-C. Chen, R.-J. Wu, K.-C. Hsia, and S.-Y. Li Application of a Microsphere-Based Array for Rapid Identification of Acinetobacter spp. with Distinct Antimicrobial Susceptibilities J. Clin. Microbiol., February 1, 2008; 46(2): 612 - 617. [Abstract] [Full Text] [PDF] |
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Y. Zhu, M. Shennan, K. K. Reynolds, N. A. Johnson, M. R. Herrnberger, R. Valdes Jr, and M. W. Linder Estimation of Warfarin Maintenance Dose Based on VKORC1 (-1639 G>A) and CYP2C9 Genotypes Clin. Chem., July 1, 2007; 53(7): 1199 - 1205. [Abstract] [Full Text] [PDF] |
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