Nanofluidic Allele-Specific Digital PCR Method for Quantifying IDH1 and IDH2 Mutation Burden in Acute Myeloid Leukemia

Methods Mol Biol. 2017:1633:235-255. doi: 10.1007/978-1-4939-7142-8_15.

Abstract

Precise quantitation of allelic burden for a pathogenic mutation has diverse clinical and research applications but can be difficult to achieve with conventional qPCR-based techniques, especially at lower mutant allele frequencies. Digital PCR overcomes many of the limitations of qPCR and can be highly quantitative even for single-nucleotide variants, with distinct advantages over next-generation sequencing approaches. Here we describe a method combining the principles of TaqMan®-chemistry SNP genotyping with microfluidic digital PCR to generate a highly sensitive, quantitative allele-specific digital PCR assay for the six most common IDH1 and IDH2 mutations encountered in myeloid malignancy. The concept and approach could easily be applied to other suitable SNVs.

Keywords: Acute myeloid leukemia; Allelic discrimination; Digital PCR; Isocitrate dehydrogenase; Mutant allele frequency.

MeSH terms

  • Gene Frequency
  • Genotype
  • Humans
  • Isocitrate Dehydrogenase / genetics*
  • Leukemia, Myeloid, Acute / genetics*
  • Microfluidic Analytical Techniques / methods*
  • Mutation*
  • Nanotechnology / methods*
  • Polymerase Chain Reaction / methods*

Substances

  • IDH2 protein, human
  • Isocitrate Dehydrogenase
  • IDH1 protein, human