DNA sequencing detects SMA short-cut method and process
Technical field
Medical Genetics
Background technique
Duchenne-Arandisease (SMA) is the most common recessive hereditary neuromuscular disease, and SMN1 gene is SMA
Determine gene, can be caused a disease by micromutation in its gene delection and gene, SMN gene there are the copy of two very high homologies,
Telomere copy (SMN1) and centromere copy (SMN2), SMN2 is modifier, it is now recognized that the 7th exon of SMN1 gene with/
Or the 8th Exon deletion mutation be SMA morbidity the main reason for, there are about 95% I-III type SMA patients homozygous SMN1 the 7th
Exon and/or the 8th Exon deletion.SMN1 and SMN2 gene only have 5 nucleotide differences, be the 6th introne (- 45G →
A), the 7th exon (+6C → T), the 7th introne (+100A → G ,+214A → G), the 8th exon (+245G → A), at SMA
In body, polymerase chain reaction-restriction fragment length polymorphism (polymerase chain is previously used both at home and abroad
Reaction restriction fragment length polymorphism, PCR-RFLP) technology detection SMA SMN1
Gene delection.But the technology is only capable of detecting the disease roughly, cannot reflect the detail of ospc gene exception in detail.It is now domestic
Outer scientific research institution identifies homozygous deletion SMN1 gene patient, to sieve using the SMN1 gene copy number of MLPA technology detection patient
Heterozygous deletion SMN1 gene patient is selected, its SMN gene (including SMN1 and SMN2) is cloned by RT-PCR technology,
Because SMN1 and SMN2 gene are there are the difference of 5 nucleotide sequences, PCR-RFLP can identify positive gram containing SMN1 gene
Grand, by carrying out DNA direct Sequencing, the genome sequence Protocols in Molecular Biologies such as relatively, to detect SMN1 intragenic small prominent
Become.The detection process is cumbersome, and general medical unit is difficult to grasp.
We carry out PCR amplification sequencing for SMN gene extron 7 and 8 and its exon and introne intersection.Detection
SMN1 homozygous mutant gene also can be used for the molecular background that identical SMN2 copy number and SMA phenodeviation occurs in screening, to screening
Heterozygous deletion SMN1 gene patient out, can be by screening the intragenic micromutation of SMN1 to SMN1 gene sequencing.
We summarize and find out simplicity, general, comprehensively, economic SMA patient's detection method and process, because comprising more
SMN gene information can preferably establish genotype and phenotype correlativity, be very suitable to different medical unit, and be conducive to this
The further investigation of the interpretation of the cause, onset and process of an illness.
Summary of the invention
We carry out PCR amplification to zygote 6- exon 8 in SMN gene DNA, and pcr amplification product carries out sequencing analysis, because
There are the copy of two very high homologies, telomeres to copy (SMN1) and centromere copy (SMN2), SMN1 gene for the SMN gene of this disease
It is decided to be SMA and determines gene, for example homozygous deletion of SMN1 gene extron 7 and 8, patient only has on the 7th exon of SMN2 gene
The homozygous peak of+6T and the+245A on the 8th exon show that SMN gene only has SMN2 gene order, and without SMN1 gene order,
As patient has homozygous SMN1 gene the 7th and the 8th Exon deletion, because the I-III type SMA patient there are about 98.6% has homozygosis
The 7th exon of SMN1 and/or the 8th Exon deletion can define 98.6% such patient, while by SMN2 base
Because sequencing analysis can be also found that whether it has SMN2 genetic heterozygosis mononucleotide polymorphic site (single-nucleotide
Polymorphism, SNP), it can be used for the molecular background that identical SMN2 copy number and SMA phenodeviation occurs in screening, SMN base
Because+245 after sequencing on the 7th exon of SMN gene on+6 and the 8th exon are when there is set peak, if phenotype is normal
It is exactly normal person, if any SMA phenotype, then patient need to carry out SMN gene (including SMN1 and SMN2) cloning and sequencing and find SMN1 gene
Point mutation, such as with DNA sequencing detection SMN gene can just omit screening SMN1 gene point mutation situation.
DNA sequencing detects SMA method and can define to 98.6% such patient progress gene level, while by homozygosis
The SMN2 gene sequencing analysis of missing SMN1 gene patient can be also found that whether it has SMN2 gene SNP, and remaining only a few is miscellaneous
Close missing and point mutation SMA patient can also rough screening SMN1 gene point mutation situation, therefore this method relative ease is general,
Comprehensively, economical.
Detailed description of the invention
The sequencing discovery of Fig. 1 homozygous deletion SMN1 gene patient's SMN gene forward direction only has+6T on the 7th exon of SMN2 gene
Homozygous peak figure (figure A) ,+245A homozygosis peak figure (figure B) (arrow shows) on the 8th exon of SMN2;
There are heterozygosis 835-262C > T gene polymorphic positions for the 7th introne of Fig. 2 homozygous deletion SMN1 gene patient SMN2 gene
Point diagram (arrow shows)
The sequencing discovery of Fig. 3 normal person's SMN gene forward direction has the set peak figure (figure of+6T on the 7th exon SMN1+6C and SMN2
A), on the 8th exon the+245A of SMN1+245G and SMN2 set peak figure (figure B) (arrow shows)
Discovery is sequenced in patient's SMN gene forward direction that Fig. 4 heterozygous deletion SMN1 gene merges the point mutation of heterozygosis SMN1 gene
Have the set peak figure (figure A) of+6T and SMN1+6C on the 7th exon SMN2, on the 8th exon of backward sequencing+the 245A of SMN2 with
The set peak figure (figure B) of SMN1+245G, the 5th exon of SMN1 gene c.683T > A (p.Leu228X) heterozygous mutant is sequenced in forward direction
Figure (figure C) (arrow shows)
Specific embodiment
We carry out PCR amplification to zygote 6- exon 8 in SMN gene DNA, and pcr amplification product carries out sequencing analysis, always
Knot finds out DNA sequencing detection SMA short-cut method and process.
One, PCR amplification
1, primer sequence and synthesis
PCR amplification is carried out for zygote 6- exon 8 in SMN gene, is synthesized by Invitrogen company, each primer sequence
Column, see Table 1 for details for amplified fragments and annealing temperature.
Table 1, primer condition and product
2, PCR reaction system
React 25 μ l of total volume, comprising:
The ddH of HIGH PRESSURE TREATMENT is added2O to 25.0 μ l
The preparation of PCR reaction system operates on ice, is eventually adding Taq archaeal dna polymerase, dispenses after mixing.
3, PCR reaction condition
PCR amplification condition be 94 DEG C of initial denaturations 7min, 94 DEG C of 45sec, 56 DEG C of 45sec, 72 DEG C of 1min, recycle 30 times, most
Afterwards in 72 DEG C of extension 10min.
4, the inspection of pcr amplification product
PCR after reaction, takes 2 μ l of PCR product, with the pre- dye liquor of 6 × Loading buffer (in 1,/10 000 ratio
Gene finder dyestuff is added) 1 μ l adds to after mixing in 2% Ago-Gel loading hole, with the electrophoresis of 6-8V/cm
40 minutes.Gel scanning imagery in automatic gel imaging system, if electrophoresis banding pattern is clear, no miscellaneous band if, shows PCR amplification
Success.
Two, DNA sequencing detection SMA method and process
DNA sequencing is surveyed for the PCR product application double deoxidation chain termination method of zygote 6- exon 8 in SMN gene
Sequence (American AB I company 3730XL sequenator).The for example homozygous deletion of SMN1 gene extron 7 and 8, patient only have SMN2 gene
The homozygous sequencing peak of+6T and+245A on the 8th exon on 7 exons shows that SMN gene only has SMN2 gene order, and nothing
SMN1 gene order, as patient have homozygous SMN1 gene the 7th and the 8th Exon deletion, detect and successfully see Fig. 1.
It, can because there are about 98.6% I-III type SMA patients homozygous the 7th exon of SMN1 and/or the 8th Exon deletion
It is clear to 98.6% such patient progress gene level, while by can be also found that whether it has to the analysis of SMN2 gene sequencing
There is SMN2 genetic heterozygosis mononucleotide polymorphic site (single-nucleotide polymorphism, SNP), successfully detects
See Fig. 2, can be used for the molecular background that identical SMN2 copy number and SMA phenodeviation occurs in screening.
+ 245 after SMN gene sequencing on the 7th exon of SMN gene on+6 and the 8th exon when occurring covering peak,
If phenotype is normally exactly normal person, Fig. 3 is seen.For example patient's (abnormal electromyography and/or have clinical manifestation person) is using DNA sequencing
The point mutation situation of screening SMN1 gene can just be omited (because SMN1 gene is Disease-causing gene, heterozygosis by detecting all exons of SMN gene
Mutation has pathogenic meaning, can speculate pathogenic sites on SMN1 gene), tentatively screening it can go out heterozygous deletion merging heterozygosis SMN1
The patient of point mutation, successfully Fig. 4 is shown in detection.