Project
Leader: Dr
Dave Bunyan
Multiplex
Ligation-dependent Probe Amplification (MLPA) is a new, high resolution
method to detect copy number variation in genomic sequences. Several
kits for genes of diagnostic interest are available from MRC
Holland (http://www.mlpa.com/). MLPA has rapidly gained acceptance in genetic
diagnostic laboratories due to its simplicity compared to other methods,
relatively low cost, capacity for reasonably high throughput and
perceived robustness. Since a large number of validation studies
have either been published or are in press we have focused on a number
of practical aspects of MLPA analysis.
1. Dosage analysis
of cancer predisposition genes
To determine the incidence of copy number variants in cancer predisposition
genes from families in the Wessex region, we have analysed the
hMLH1 and hMSH2 genes in families with hereditary non-polyposis
colorectal cancer (HNPCC), BRCA1 and BRCA2 in families with hereditary
breast/ovarian cancer and APC in familial adenomatous polyposis
coli (FAP). HNPCC (n=162) and FAP (n=74) probands were fully screened
for small mutations and cases for which no causative change were
found (HNPCC, n=122; FAP, n=24) were then screened by MLPA. Complete
or partial gene deletions were identified in seven cases for hMSH2
(5.7% of mutation negative HNPCC; 4.3% of all HNPCC), no cases
for hMLH1 and 6 cases for APC (25% of mutation negative FAP; 8%
of all FAP). For BRCA1 and BRCA2 a partial mutation screen was
performed and 100 causative mutation negative cases were selected
for MLPA. Thus far 5 deletions and one duplication have been found
for BRCA1 and two deletions for BRCA2. Cost analysis indicates
it is marginally more cost effective to perform MLPA prior to point
mutation screens, but the main advantage gained by pre-screening
is a greatly reduced reporting time for the small number of patients
who are positive.
Bunyan DJ et al., Dosage analysis of cancer predisposition genes
by Multiplex Ligation-Dependent Probe Amplification. British
Journal of Cancer (2004) 91, 1155-1159
Download
paper here.
2. Prenatal diagnosis of deletion syndromes
The majority of Duchenne and Becker muscular dystrophy cases are
caused by deletions of one or more exons of the dystrophin gene.
Prenatal analysis of a male foetus from a chorionic villus or amniotic
fluid sample runs the risk of maternal cell contamination whereby
the normal X chromosome from the mother may mask the deletion present
in her unborn son. We have found that a maternal cell contamination
level of 1% is enough to give a false-normal result in a deletion-carrying
male using the agarose gel-based multiplex polymerase chain reaction
approach. However, dosage analysis of the same contaminated DNA
using MLPA gives a more proportional result with the false-positive
peaks being present at a very low level. These results show that
if the MLPA approach to prenatal analysis of muscular dystrophy
patients is taken, the risk posed by potential maternal cell contamination
can be significantly reduced.
3. Treatment of DNA extracted from Lithium Heparin blood samples
Many PCR reactions are sensitive to heparin, which may be carried
over into DNA samples extracted from lithium heparin anticoagulated
blood. We have followed the publication of Taylor 1997, which describes
Heparinase I treatment of such samples, and have found it to be
useful for cleaning up difficult samples prior to MLPA analysis.
The protocol is outlined below.
Order 50 units
of Heparinase I from Sigma (product ID: H-2519). Directly to
this bottle, add
11.2µl of 1M Tris pH 7.5, 2.2 µl
of 1M CaCl2 and 2229µl of water. Divide this solution into
19µl aliquots and store at -20°C.
For use, simply
thaw out a 19µl aliquot of the above solution,
add 4µl of your DNA sample (assuming an average concentration
of 400-600 ng/µl) and place at 37°C for 2 hours. Use 5µl
of the treated DNA solution as your starting template in subsequent
MLPA reactions.
A.C. Taylor (1997) Titration of heparinase for removal of the
PCR-inhibitory effect of heparin in DNA samples Molecular Ecology
6;383-385.
4. Development of MLPA using oligonucleotide probes for de novo
copy number assays.
MLPA relies on the use of progressively longer oligonucleotide
probes in order to generate locus-specific amplicons of increasing
size that can be resolved electrophoretically. In the original
description of the method (Schouten JP et al., Nucleic Acids Res.
2002;30:e57), these long oligonucleotides were generated using
a series of proprietary M13-based vectors, since their size is
beyond that attainable by standard chemical synthesis. Although
these vectors and protocols are available from MRC Holland, development
of new MLPA assays is time consuming and expensive. As an alternative,
we are examining the use of novel chemical procedures to produce
long oligonucleotides for MLPA in collaboration with Professor
Tom Brown, Dept. of Chemistry, University of Southampton. We have
successfully created novel dosage tests for the DAX1 gene and the
b-defensin antimicrobial gene cluster at 8p23.1, and we have found
that self-designed MLPA probes are very useful for confirmation
of single exon deletions identified using the MRC-Holland kits,
particularly those involving the first or last exons of a gene
where confirmation by RNA analysis may be difficult. We have designed
a test which contains exons 1 and 16 of the hMSH2 gene and exons
1 and 19 of the hMLH1 gene, and have used this to confirm single
exon deletions in several of our HNPCC cases.
5. MLPA point mutation analysis
Point mutations or microdeletions/microinsertions which lie close
to the ligation site of a pair of MLPA probes may affect the efficient
ligation of the probes, leading to an apparent single exon deletion.
We have detected small mutations in the BRCA1, BRCA2, hMLH1 and
dystrophin genes due to this phenomenon. An initial trial using
MLPA to look for Fibrillin1 point mutations in Marfan syndrome
patients was undertaken here in Wessex, and the results of this
were presented at the BSHG meeting in York in September 2004 (view
poster). Following this initial trial, we have now refined
the design of MLPA point mutation probes and are currently in the
process of developing two MLPA point mutation tests for the dystrophin
gene which will identify 22 of the most common mutations listed
on the Leiden database and which should account for 16% of all
published point mutations. The dystrophin point mutation probe
mixes are designed to work in conjunction with the MRC-Holland
probe mixes, allowing dosage analysis and point mutation analysis
in a single reaction.
For
further information on any of the projects above please contact
Dave Bunyan (email)
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