[Rapid first-tier genetic diagnosis in patients with Prader-Willi syndrome]

Orv Hetil. 2018 Jan;159(2):64-69. doi: 10.1556/650.2018.30918.
[Article in Hungarian]

Abstract

Introduction: According to the international literature, DNA methylation analysis of the promoter region of SNRPN locus is the most efficient way to start genetic investigation in patients with suspected Prader-Willi syndrome.

Aim: Our aim was to develop a simple, reliable first-tier diagnosis to confirm Prader-Willi syndrome, therefore to compare our self-designed simple, cost-efficient high-resolution melting analysis and the most commonly used methylation-specific multiplex ligation-dependent probe amplification to confirm Prader-Willi syndrome.

Method: We studied 17 clinically suspected Prader-Willi syndrome children and their DNA samples. With self-designed primers, bisulfite-sensitive polymerase chain reaction, high-resolution melting analysis and, as a control, methylation-specific multiplex ligation-dependent probe amplification were performed.

Results: Prader-Willi syndrome was genetically confirmed in 6 out of 17 clinically suspected Prader-Willi syndrome patients. The results of high-resolution melting analysis and methylation-specific multiplex ligation-dependent probe amplification were equivalent in each case.

Conclusion: Using our self-designed primers and altered bisulfite-specific PCR conditions, high-resolution melting analysis appears to be a simple, fast, reliable and effective method for primarily proving or excluding clinically suspected Prade-Willi syndrome cases. Orv Hetil. 2018; 159(2): 64-69.

Keywords: DNA methylation; DNS-metiláció; Prader–Willi syndrome; Prader–Willi-szindróma; molecular genetics; molekuláris genetika.

MeSH terms

  • Child
  • Child, Preschool
  • Chromosomes, Human, Pair 15 / genetics
  • Female
  • Genotype
  • Humans
  • Male
  • Nucleic Acid Amplification Techniques / methods*
  • Polymerase Chain Reaction / methods*
  • Prader-Willi Syndrome / diagnosis*
  • Prader-Willi Syndrome / genetics