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Vascular Disease. Molecular Biology and Gene Transfer Protocols PDF

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Mutation Detection by PCR-SSCP Analysis 3 1 Detection of Mutations and DNA Polymorphisms in Genes Involved in Cardiovascular Diseases by Polymerase Chain Reaction–Single-Strand Conformation Polymorphism Analysis Shu Yeand Adriano M. Henney 1. Introduction Over the last 15 years, there has been remarkably rapid progress in defining the molecular basis of inherited disorders. Many disease genes (the majority of which are genes responsible for monogenic Mendelian diseases) have now been identified, predominately through linkage analysis and positional cloning approaches. With the continuing expansion in this research area, the number of genes to be screened for disease-causing mutations will continue to increase, especially as there are now worldwide efforts aiming to identify the gene lesions that contribute to complex diseases, such as hypertension, diabetes mellitus, and coronary artery diseases, each of which involves many suscepti- bility genes. Disease-causing mutations can be broadly classified into two groups: those causing a significant change in chromosome or gene structures (e.g., large deletions, insertions, and rearrangements) and those involving only one or a few nucleotides (e.g., point mutations, and small deletions and insertions) (1). The former group of mutations can be detected using, for example, cytogenetic techniques, pulsed field gel electrophoresis, and Southern blotting. Detection of the latter group of mutations, however, require different methodologies. DNA sequencing will be the ultimate technique for identifying such mutations. However, despite automation, sequencing remains a relatively slow procedure and is not cost-effective. Therefore, a number of different mutation detection techniques have been developed, such as ribonuclease A cleavage analysis and From:Methods in Molecular Medicine, vol. 30: Vascular Disease: Molecular Biology and Gene TherapyProtocols Edited by: A. H. Baker © Humana Press Inc., Totowa, NJ 3 4 Ye and Henney chemical cleavage analysis, both of which involve cleavage of heteroduplex molecules at the site of mismatched base pairs resulting from a point muta- tion; denaturing gradient gel electrophoresis and temperature gradient gel electrophoresis, which assess the differences in the melting point of hetero- duplex molecules; and single-strand conformation polymorphism analysis and heteroduplex analysis (seeChapter 2), which rely on the differences in gel electrophoretic mobility between wild-type and mutant DNA molecules (1,2). Of these different techniques, single-strand conformation polymorphism (SSCP) analysis, originally developed by Orita et al. (3,4), is currently the most widely used method for mutation detection. It relies on the fact that, under nondenaturing conditions, single-stranded DNA adopts a folded con- formation that is stabilised by intrastrand interactions. Because DNAs with different nucleotide compositions may adopt different conformations, the electrophoretic mobility of a single-stranded DNA fragment in a non-dena- turing polyacrylamide gel will depend not only on its size but also on its nucleotide composition. To search for mutations in a given DNA sequence, polymerase chain reaction (PCR) is first carried out using DNA templates from different individuals under study (seeSubheading 3.1.). The PCR prod- ucts are then denatured to separate the two single strands, and fractionated by nondenaturing polyacrylamide gel electrophoresis (see Subheadings 3.2.and 3.3.). Where mutations exist, the PCR products are expected to migrate at different speeds. The different mobility patterns are detected by autoradiog- raphy (Fig. 1). 2. Materials 2.1. Amplification of Target Sequences by PCR 1. 25–250 ng/mL of genomic DNA. 2. Forward and reverse PCR primers: 20mer oligonucleotides, dissolved in distilled water or TE at a concentration of 1 µg/µL, store at –20°C. 3. 2 mM dNTP mix, store at –20°C. 4. 10 mCi/mL [α-32P] dCTP or [α-33P] dCTP. Caution: follow local rules for han- dling, storage, and disposal of radioactivity. 5. 10× PCR buffer: 500 mMpotassium chloride, 100 mMTris-HCl, pH 8.3, 0.01% w/v gelatin. 6. 25 mM magnesium chloride. 7. Taq DNA polymerase, store at –20°C. 8. Mineral oil. 9. Agarose. 10. 10×TAE buffer: 400 mMTris-HCl, 10 mMEDTA, adjust to pH 8.0 with glacial acetic acid. 11. 6×sample loading buffer: 15% (w/v) Ficoll-400, 0.05% (w/v) bromophenol blue, 0.05% (w/v) xylene cyanol. Mutation Detection by PCR-SSCP Analysis 5 Fig. 1. Single-strand conformation polymorphism (SSCP) analysis. The sequence to be screened for mutations is amplified by PCR using DNA templates from different individuals. The two DNA strands of the PCR products are then separated by heating. Single-stranded DNA molecules with a point mutation (marked (cid:1)on the sense strand and (cid:2)on the antisense strand) have different conformations as compared with single stranded DNA molecules of the wild-type (marked (cid:3)on the sense strand and (cid:4) on the antisense strand). Denatured PCR products are subjected to native polyacrylamide gel electrophoresis. Because of the different conformations, single stranded DNA mol- ecules deriving from the mutant and wild-type have different mobility. The different mobility patterns are detected by autoradiography. SS, single-strand; DS, double- strand; HD, heteroduplex (reannealed double-stranded DNA: one strand from the wild- type and the other from the mutant). 12. Ethidium bromide: dissolved in distilled water to 10 mg/mL. Caution:Ethidium bromide is a suspected carcinogen. 13. DNA size marker: e.g., 1 kb ladder (Gibco BRL, Grand Island, NY), store at –20°C. 14. Thermal cycler. 15. Horizontal gel electrophoresis apparatus. 16. UV transilluminator. 2.2. Nondenaturing Polyacrylamide Gel Electrophoresis 1. 49% (w/v) acrylamide stock solution: 49% (w/v) acrylamide and 1% (w/v) bisacrylamide, store at 4°C.Caution:unpolymerized acrylamide is a neurotoxin; wear gloves. 2. 10× TBE buffer: 89 mM Tris-borate, 2 mM EDTA, pH 8.3. 3. 20% (w/v) ammonium persulphate: freshly prepared with distilled water. 4. NNN'N'-tetramethylethylenediamine (TEMED). 6 Ye and Henney 5. Glycerol. 6. 2% dimethyldichlororosilane. Caution: used in fume hood cabinet. 7. 0.1% (w/v) SDS in 10 mM EDTA. 8. 2×formamide loading buffer: 95% formamide, 20 mM EDTA, 0.05% (w/v) bro- mophenol blue and 0.05% (w/v) xylene cyanol, store at –20°C. 9. Detergent (e.g., Alconox, Alconox plc, New York, NY). 10. Whatman 3MM filter paper. 11. Plastic wrap, e.g., Saran Wrap. 12. X-ray films, e.g., Hyperfilm MP (Amersham, UK). 13. Vertical polyacrylamide gel electrophoresis apparatus with approx 30 cm (width) by 40 cm (length) glass plates, and 0.4 mm (thick) spacers and shark’s-tooth comb. 14. Gel dryer. 3. Methods Preparation of the PCR reactions takes 1–2 h; PCR amplification 2–3 h; preparation of agarose checking gel, sample preparation, loading and running another 2–3 h. All these can be carried out on d 1. In addition, the nondenaturing polyacrylamide gel(s) can be prepared (it takes approx 1 h) during PCR ampli- fication, and run at room temperature overnight. On d 2, more nondenaturing polyacrylamide gel(s) can be prepared, and run at 4°C for several hours. 3.1. Amplification of Target Sequence by PCR (see Notes 1 and 2) When setting up multiple PCR reactions, prepare a premix containing all reagents listed below (scaled up correspondingly) except template DNA, and dispense 23 µL aliquots into microcentrifuge tubes each containing 2 µL of DNA sample. In parallel with PCR reactions of tested samples, set up the fol- lowing controls: a. PCR negative control: a PCR reaction without template DNA. b. SSCP positive control: a PCR reaction with DNA from an individual known to carry a mutation in the target sequence, if available. 1. For each PCR, set up the following 25 µL reaction in a microcentrifuge tube (or a microtiter plate): 2.0 µL template DNA (0.025–0.25 µg/µL), 0.2 µL forward primer (1 µg/µL), 0.2 µL reverse primer (1 µg/µL), 2.5 µL 2 mM dNTP, 0.3 µL [α-32P] dCTP (10 µCi/µL), 2.5 µL 10×PCR buffer, 1.5 µL 25 mM magnesium chloride (seeNote 3), 0.2 µmL Taq DNA polymerase (5 U/µL) (to be added last), 15.6µL sterile distilled water. 2. Mix well, and overlay each solution with 30 µL of mineral oil. 3. Place the tubes in a thermal cycler, and program it to perform the following cycling (see Note 1): Initial step: 94°C for 3 min; 30 cycles of: 94°C for 30 s (denaturation), 55°C for 1 min (annealing), 72°C for 1 min (extension); final step: 72°C for 10 min. 4. Prepare a 1.5% (v/w) agarose gel with 1×TAE buffer and 0.5 µg/mL ethidium bromide. Mutation Detection by PCR-SSCP Analysis 7 5. Take a 5-µL aliquot from each PCR reaction, and mix it with 1 µL of 6×sample loading buffer. 6. Load the mixtures, as well as a DNA size marker, onto separate wells in the agarose gel. 7. Run the gel in 1×TAE buffer until the bromophenol blue tracking dye is approx 5 cm away from the wells. 8. Observe the gel on a UV transilluminator. 9. Proceed to nondenaturing polyacrylamide gel electrophoresis (Subheading 3.3.) or store PCR products at –20°C. 3.2. Preparation of Nondenaturing Polyacrylamide Gel (see Note 4) 1. Clean two glass plates (first wash thoroughly with detergent and tap water, rinse with distilled water, and dry, then wipe with absolute ethanol). 2. Treat one side of one of the plates with dimethyldichlorosilane (in a fume hood cabinet, pipet approx 5 mL of 2% dimethyldichlorosilane onto the plate surface and spread evenly over the entire surface with a Kimwipe tissue). Leave the plate in the fume hood cabinet until dry. 3. Place the two plates together with the dimethyldichlorsilane-treated surface fac- ing inward. Insert two 0.4-mm-thick spacers, one on each side. Seal the sides and bottom with tape. 4. Prepare a 4.5% nondenaturing acrylamide gel mix (see Note 5): 9 mL 49% acrylamide stock solution, 10 mL 10× TBE buffer, 91 mL distilled water. Mix well. Add 100 µL of 20% ammonium persulfate and 100 µL TEMED; 5% or 10% glycerol may be added in the gel mix (seeNote 6). 5. With the plate tilted from the horizontal, slowly inject the acrylamide mix into the space between the plates using a 50-mL syringe without forming air bubbles. Insert Shark’s-tooth comb with the flat side facing downward, and clipped in place to form a flat surface at the top of the gel. 6. Let the gel set. 7. Between 2 and 24 h after the gel is poured, remove the clips, tape, and comb. 8. Fix the plates in a vertical electrophoresis apparatus. 9. Add 1× TBE buffer to the top and bottom tanks. 10. Using a pipet, flush the flat gel surface with TBE buffer. 11. Reinsert the comb with teeth downward and just in contact with the gel surface. 3.3. Sample Preparation and Electrophoresis 1. Dilute PCR products 5–20 folds (depending on the efficiency of PCR reaction) with 0.1% SDS/10 mMEDTA (omit this step if using 33P instead of 32P in PCR reaction) (seeNote 7). 2. Transfer a 5-µL aliquot of the diluted sample (or undiluted PCR products if using33P) into a fresh tube containing 5 µL of 2×formamide loading buffer, and mix gently. 3. Heat at 95°C (e.g., on a heating block or a thermal cycler) for 3 min. 4. Snap chill on a ice/water mixture. 8 Ye and Henney 5. Load 3 µL of each sample onto the nondenaturing polyacrylamide gel. Also load 3µL of an undenatured (unheated) sample. 6. Connect the electrophoresis apparatus to a power supply, and carry out electro- phoresis at a constant current of 30 mA at 4°C for 3–6 h (for gels without glyc- erol) or 15 mA at room temperature for 12–16 h (for gels containing glycerol) (seeNote 8). 7. Disconnect power and detach plates from the electrophoresis apparatus. 8. Place the plates on a flat surface and insert a spatula into the space between the two plates and carefully pry them apart. 9. Lay a sheet of Whatman 3MM paper on the gel, press gently, and carefully lift up the 3MM paper to which the gel has adhered. 10. Turn the 3MM paper over and cover the gel with plastic wrap. 11. Dry the gel at 80°C in a gel dryer for 1–2 h. 12. Expose an X-ray film to the gel for several hours to days at room temperature without intensifying screens. 3.4. Data Interpretation Typically, each DNA fragment deriving from a wild-type or mutant homozy- gous sample produces three bands, two corresponding to the two different single-strandedDNA molecules and the remainder corresponding to the double- stranded. Usually the fastest migrating band represents the double-stranded DNA, but there are exceptions. Corunning an undenatured sample helps to identify the position of the double-stranded DNA. In some cases, there are more than three bands for each fragment, presumably because a same single-stranded DNA can adopt more than one conformation. Although DNA fragments from wild-type and mutant homozygous samples have the same number of bands, the positions of the bands corresponding to one or both single-stranded molecules differ. A heterozygous sample, in contrast, will have all bands of a wild-type and all bands of a mutant homozygote. In addition, the double-stranded DNA from a heterozy- gous sample sometimes produces two or three bands, respectively, representing the fast migrating homoduplex band and one or two slowly migrating heterodu- plex bands. Figure 2 shows a typical SSCP autoradiograph. SSCP analysis can only indicate that there are sequence variations within the DNA fragment being studied. It does not reveal the position and nature of the mutations. To obtain such information, DNA sequencing is required. PCR products used for SSCP analysis can be used as templates in DNA sequencing (5). Alternatively, DNA in mutant bands on SSCP gels can be recovered, reamplified by PCR, and used as templates in sequencing analysis (6,7). Fig. 2. Autoradiograph of SSCP analysis. A 433 bp sequence in the stromelysin gene promoter was PCR amplified. The amplicon was cleaved into two fragments, sized 181 bp and 258 bp. respectively, with restriction endonuclease EcoRI. The Mutation Detection by PCR-SSCP Analysis 9 digests were denatured and then subjected to nondenaturing polyacrylamide gel elec- trophoresis. Shown in the figure are the two single-strands (SS) and double-strand (DS) of the 181 bp fragment, and the DS of the 258 bp fragment. Both SSs of the 181 bp fragment in lanes 1, 3, 4, 5, and 6 migrate more slowly than those in lanes 2, 8, and 9. Both fast and slowly migrating bands of the two SSs of the 181 bp are present in lane 7. Also seen in lane 7 is an extra band immediately above the DS of the 181 bp fragment, which represents the formation of heteroduplex (HD). DNA sequencing has revealed that the variation in mobility of single-stranded DNA is due to a single nucle- otide difference. Samples 1, 3, 4, 5, and 6 are wild-type homozygotes, samples 2, 8, and 9 are mutant homozygotes, and sample 7 is a heterozygote. 10 Ye and Henney 4. Notes 1. The fidelity and efficiency of PCR reactions are affected by a number of factors, such as the amount of template DNA, the amount and melting temperature (Tm) of the primers, Mg2+concentration, annealing temperature, and cycling number. (8). PCR conditions should therefore be optimised individually for each set of primers, and the conditions described inSubheading 3.1.can be used as a start- ing point for optimization. Because nonspecific bands complicate the interpreta- tion of SSCP results, it is worth making the efforts to optimize the PCR conditions so that there are only minimal spurious products (ideally there should be only a single major band on an agarose checking gel). 2. The ability to detect mutations decreases with increasing fragment length. Estimated sensitivity approx 90% for 100–300 bp fragments, but drops signifi- cantly for fragments over 300 bases (67% for 300–450 bp fragments) (9–12). Therefore, DNA fragments between 100 and 300 bases are used. If the PCR amplicon is too long, it can be cleaved into smaller fragments with suitable restriction endonucleases prior to denaturation and polyacrylamide gel electro- phoresis(13). 3. If there are significant nonspecific bands, reduce the Mg2+ concentration and/or the number of amplification cycles, and/or increase the annealing temperature. If, on the other hand, the expected PCR product cannot be seen, increase the Mg2+ concentration and/or number of amplification cycles, and/or reduce the annealing temperature. In some difficult situations, “hot start” or “touch down” PCR might be preferable. 4. SSCP analysis can also be carried out using smaller polyacrylamide gels, although the sensitivity is likely to decrease. It has been reported that mutations can be detected using 9% mini-gels (0.75 mm × 6 cm × 8 cm) (14,15). In addition to autoradiography, other methods, such as silver staining(6,15), ethidium bromide staining(16), and fluorescence labeling (17–19), have been applied successfully to detect DNA bands in SSCP analysis. 5. The ratio of acrylamide to bisacrylamide determines the percentage of crosslinking. A ratio of 49:1 is commonly used for SSCP. 6. In some cases, the addition of 5% or 10% glycerol in the gel increases mobility shift (3). Gels containing glycerol tend to produce somewhat diffused bands. 7. A total of 40 samples (including tested samples, and positive and negative con- trols) can be loaded onto a 30-cm-wide gel, and two or even more gels can be run at once. Therefore, 70 samples can be analyzed within two days, although autoradiographs may not be ready for another day or two, depending on the strength of signals. 8. Some mutations are detected more readily at room temperature, others at 4°C (20). Therefore, usually each DNA fragment is analyzed on at least two different conditions. A useful combination is a glycerol containing gel run at room tem- perature and a gel without glycerol run at 4°C(3,4). Mutation Detection by PCR-SSCP Analysis 11 References 1. Spanakis, E., and Day, I. N. M. (1997) The molecular basis of genetic variation: mutation detection methodologies and limitations, in Genetics of Common Dis- eases (Day, I. N. M. and Humphries, S. E., eds.), BIOS Scientific Publishers, Oxford, pp. 33–74. 2. Cooper, D. N. and Krawczak, M. (1993) Human Gene Mutation, BIOS ScientificPublishers, Oxford. 3. Orita, M., Iwahana, H., Kanazawa, H., Hayashi, K., and Sekiya, T. (1989) Detec- tion of polymorphisms of human DNA by gel electrophoresis as single-strand conformation polymorphisms. Proc. Natl. Acad. Sci. USA86, 2766–2770. 4. Orita, M., Suzuki, Y., Sekiya, T., and Hayashi, K. (1989) Rapid and sensitive detection of point mutations and DNA polymorphisms using the polymerase chain reaction.Genomics5, 874–879. 5. Demers, D. B., Odelberg, S. J., and Fisher, L. M. (1991) Identificatiion of a factor IX point mutation using SSCP analysis and direct sequencing. Nucleic Acids Res. 18,5575. 6. Calvert, R. J. (1995) PCR amplification of silver-stained SSCP bands from cold SSCP gels. Biotechniques18,782–784. 7. Suzuki, Y., Sekiya, T., and Hayashi, K. (1991). Allele-specific PCR: A method for amplification and sequence determination of a single component among a mix- ture of sequence variants. Anal. Biochem.192,82–85. 8. Erlich, H. A. (1989) PCR Technology. Principles and Applications for DNA Amplification, Stockton Press, New York. 9. Hayashi, K. (1991) PCR-SSCP: a simple and sensitive method for detection of mutations in the genomic DNA. PCR Methods Appl.1,34–38. 10. Hayashi, K. and Yandell, D. W. (1993) How sensitive is PCR-SSCP? Hum. Mutat. 2,338–346. 11. Sheffield, V. C., Beck, J. S., Kwitek, A. E., Sandstrom, D. W., and Stone, E. M. (1993) The sensitivity of single-strand conformation polymorphism analysis for the detection of single base substitutions. Genomics16, 325–332. 12. Liu, Q., Feng, J., and Sommer, S. S. (1996) Bi-directional dideoxy fingerprinting (Bi-ddF): a rapid method for quantitative detection of mutations in genomic regions of 300–600bp. Hum. Mol. Genet.5, 107–114. 13. Liu, Q. and Sommer, S. S. (1995) Restriction endonuclease fingerprinting (REF): a sensitive method for screening mutations in long, contiguous segment of DNA. Biotechniques18,470–477. 14. Ainsworth, P. J., Surh, L. C., and Coulter-Mackie, M. B. (1991) Diagnostic single strand conformational polymorphism (SSCP): a simplified non-radioisotopic method as applied to a Tay-Sachs B1 variant. Nucleic Acids Res.19, 405. 15. Oto, M., Miyake, S., and Yuasa, Y. (1993) Optimization of nonradioisotopic single strand conformation polymorphism analysis with a conventional minislab gel electrophoresis apparatus. Anal. Biochem.213, 19–22.

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