Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1993-12-7
pubmed:abstractText
Lesch-Nyhan syndrome is an X-linked recessive disorder caused by molecular defects within the HPRT gene. Deletional forms of this syndrome, most of which are inherited, account for 15% of the cases. In addition, a large percentage of cases are due to de novo point mutations. We have used complementary fluorescence-based PCR assays to analyse disease-causing mutations in three unrelated families: (1) inheritance of dye-labelled PCR products of linked polymorphic loci mapping within and flanking the HPRT gene; (2) dye-labelled exon dosage analysis and (3) automated fluorescence-based DNA sequence analysis. Our results using fluorescent, dye-tagged PCR products show that inheritance of two polymorphic small tandem repeats, HPRTB [AGAT]n, mapping within intron 3 of the HPRT gene, and the CA-repeat at DXS294 can be used to establish linkage to the disease. In addition, we modified a previously described PCR protocol to use fluorescent dye-labelled oligoprimers and an ABI Gene Scanner in order to rapidly quantitate deletional forms of Lesch-Nyhan syndrome. Quantitative PCR analysis of individual exons followed by dosage analysis confirmed a deletion encompassing exon 9. A similar approach was used to confirm a previously described HPRT gene duplication involving exons 2 and 3. In this analysis, we co-amplified the HPRTB [AGAT]n and HUMARA [AGC]n repeats and confirmed increased exon dosage in carriers for the duplication. DNA sequence analysis remains the method of choice for delineating new disease-causing mutations, most of which are non-deletional forms of Lesch-Nyhan syndrome. We have also used a cycle-sequencing strategy employing dye-labelled dideoxy terminators and a laser-activated, fluorescence-emission DNA sequencer in order to define carrier status in 10 family members at risk for Lesch-Nyhan syndrome due to a splice donor mutation in intron 7. Our DNA sequence analyses corroborate small tandem repeat (STR) inheritance patterns in this family. Multiple fluorescence-based strategies should facilitate rapid diagnosis of the various Lesch-Nyhan disease-causing mutations.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0890-8508
pubmed:author
pubmed:issnType
Print
pubmed:volume
7
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
311-24
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:8232348-Adolescent, pubmed-meshheading:8232348-Adult, pubmed-meshheading:8232348-Base Sequence, pubmed-meshheading:8232348-DNA Primers, pubmed-meshheading:8232348-Female, pubmed-meshheading:8232348-Genetic Linkage, pubmed-meshheading:8232348-Heterozygote, pubmed-meshheading:8232348-Humans, pubmed-meshheading:8232348-Hypoxanthine Phosphoribosyltransferase, pubmed-meshheading:8232348-Introns, pubmed-meshheading:8232348-Lesch-Nyhan Syndrome, pubmed-meshheading:8232348-Male, pubmed-meshheading:8232348-Molecular Sequence Data, pubmed-meshheading:8232348-Multigene Family, pubmed-meshheading:8232348-Pedigree, pubmed-meshheading:8232348-Point Mutation, pubmed-meshheading:8232348-Polymerase Chain Reaction, pubmed-meshheading:8232348-Polymorphism, Genetic, pubmed-meshheading:8232348-Repetitive Sequences, Nucleic Acid, pubmed-meshheading:8232348-Sequence Analysis, DNA, pubmed-meshheading:8232348-Sequence Deletion
pubmed:year
1993
pubmed:articleTitle
Fluorescent approaches to diagnosis of Lesch-Nyhan syndrome and quantitative analysis of carrier status.
pubmed:affiliation
Applied Biosystems, Inc., Foster City, CA.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't