Reliable and high-throughput mutation screening for beta-thalassemia by a single-base extension/fluorescence polarization assay

Genet Test. 2004 Fall;8(3):257-62. doi: 10.1089/gte.2004.8.257.

Abstract

beta-thalassemia is one of the most common inherited diseases with incidence varying between 3% and 10% in the high-prevalence regions of South China. The molecular defects are mostly due to single-nucleotide substitutions, minor insertions, and deletions in the beta-globin gene. Large-scale population genetic screening combined with prenatal diagnosis is necessary for the effective prevention of this disease. We present a single base extension (SBE) method based on homogenous fluorescence polarization (FP) for simultaneous detection of the eight most common causative mutations [CDs 41-42 (-TCTT), IVS-2-654 (C-->T), -28 (A-->G), CD17 (A-->T), CD 71/72 (+A), CD26 (G-->A), -29 (A-->G), and CD43 (G-->T)] in the beta-globin gene in a Chinese population. This assay has been validated by a blind experiment with 100 clinical samples previously characterized by reverse dot-blot and direct sequencing. The results demonstrate that this high-throughput method is simple, reliable, and cost effective. We expect this approach can be used in large-scale genetic screening for beta-thalassemia.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Asian People
  • China
  • DNA Mutational Analysis / methods*
  • Fluorescence Polarization*
  • Globins / genetics*
  • Humans
  • Mutation / genetics
  • beta-Thalassemia / diagnosis*
  • beta-Thalassemia / ethnology
  • beta-Thalassemia / genetics

Substances

  • Globins