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Genetictestinghasanimportantroleinmanydiagnosticlaboratoriesandcanprovidedramaticprognosticandclini-calbenefits.Manygenetictestsareavailabletodetectand/ortypesingle-nucleotidepolymorphisms(SNPs).1Mostofthese techniques, however, require an additional separa-tionstepthatmakesthemlessfavorableforhigh-through-put assays. Examples of such methods are single-strandconformation polymorphism [1], denaturing gradient gelelectrophoresis [2], restriction endonuclease analysis, andDNAsequencing.Homogeneous,closed-tubemethodsforSNPdetection/typing thatdonotrequireseparationstepsare available and are based on either allele-specific PCR
usingSYBRGreenI[3,4]orexpensivefluorescentlylabeledprobes[5,6]orprimers[7].SNPgenotypingbasedonallele-specificPCRrequiresthreeprimers, twoofwhichneedtobeallelespecific.Thus,diVerentmutationsrequirediVerentallele-specificprimers.WhenusinglabeledprobesforSNPdetection/typing,onlySNPsthatlieundertheprobecanbedetected. Consequently, multiple relatively costly probesareneededtocoverallpotentialSNPs.Inaddition,theuseofprobesoftenrequiresextensiveoptimization.Thesecon-ditions limit theusefulnessof thesemethodsforscreeningpurposes.IfPCRisperformedwitha59-labeledprimerasdescribed by Gundry and coworkers [7], high-resolutionampliconmeltingallowsgenotypingandmutationscanningwithoutprobes.However,thismethodrequiresatleastoneexpensivelabeledoligonucleotide.
High-resolution melting (HRM) was introduced as ahomogeneousclosed-tubesystemthatallowsmutationscan-ning and genotyping without the need for costly labeled
oligonucleotides. It reliesonanewgenerationofgenericheteroduplex-detecting double-stranded DNA (dsDNA)bindingdyes.Heteroduplexproductsareidentifiedbythepresence of a second low-temperature melting transition[8].TheLightCycler480HRMdyeisarecentlyintroducedmember of this new family. Unlike SYBR Green I, thegenericheteroduplex-detectingdsDNAdyescanbeusedatsaturatingconcentrationswithout inhibitingoradverselyaVectingthePCR.Thereasonwhythisnewfamilyofdyescandetectheteroduplexes,whereasSYBRGreenIcannot,isnotentirelyclear,butdyeredistributionduringmeltingisthoughttobeonereason[8].
TheLightCycler480Systemprovidesauniqueformatinwhichtheentireexperiment, includingreal-timeandpost-PCRanalysis, canbedoneonone instrument ina96-or384-wellformatandcanbecompletedwithin1h.DiVerentsequencevariantscanbeidentifiedbasedondiVerences inmelting curves using the LightCycler 480 Gene ScanningSoftware.Heterozygoussamplesarebestdistinguishedfromhomozygous samples by an altered shape in the meltingcurve.ThesediVerencesarebestvisualizedusingdiVerenceplotsbecauseslightdiVerencesincurveshapeandmeltingtemperature(Tm)becomeobvious.Amoredetaileddescrip-tioncanbefoundelsewhere[8].DiVerenthomozygoussam-ples,ontheotherhand,arebestdistinguishedbyachangeinTm.Smallerampliconshavebeenfoundtoimprovediscrim-inationbetweengenotypes[7].
In this study, inexpensive and high-throughput HRMassaysweredevelopedandanalyzedusingtheLightCycler480Systemtoallowscreeningofthegenethatencodestheryanodinereceptorskeletalmusclecalciumreleasechannel(RyR1)formutationsassociatedwithmalignanthyperther-mia (MH, MIM no. 145600) and/or central core disease(CCD,MIMno.117000).Thecodingregionoftheryano-dinereceptorgene(RYR1,MIMno.180901,NM_000540)is more than 15,000bp in size; thus, there is a constantsearch formoredistinctive, faster,andcheaperscreeningmethodologies. Both MH and CCD are associated withdefectsintheRYR1geneonchromosome19q13.1,whichistheprimarylocusofMHinhumans(MHS1)[9].Untilrecently, approximately 50% of MH had been linked tothis locus [10].Preliminaryanalysesbasedonsequencingthe entire RYR1 complementary DNA (cDNA) suggestthat the linkage to the MHS1 locus might be as high as70% [9]. Genomic DNA samples of known RYR1 geno-types with either the wild-type sequence or a mutationassociatedwithMHand/orCCDwereusedtovalidatetheHRM assays. The SNPs investigated in this study led totheRyR1aminoacidsubstitutionsT4826I(linkedtoMH),H4833Y(linkedtoMH),and/orR4861H(linkedtoCCD).Nearly all mutations associated with MH and/or CCDoccurintheheterozygousstate.Nevertheless,homozygousmissensemutationshavebeenreportedonrareoccasions[11,12].Therefore,fourdiVerenthomozygousRYR1geno-typeswerestudiedusingengineeredplasmidstoshowthateven homozygous sequence variations can be identifiedusingHRMontheLightCycler480System.HRManaly-
Human genomic DNA was prepared from wholeblood samples using the Wizard Genomic DNA Kit(Promega) or the MagNA Pure LC DNA Isolation KitI(Roche)accordingtothemanufacturer’sstandardpro-tocol. Informed consent was obtained from participat-ing subjects, and the study was carried out after ethicalapprovalwasobtained from theWhanganui–Manawatuhumanethicscommittee.TovalidatetheHRMassays,3homozygouswild-typeand3heterozygousmutantgeno-micDNAsamplesofknowngenotypeswerescreenedfortheR4861HRYR1mutation.ForeachoftheT4826IandH4833YRYR1mutations,10homozygouswild-typeand10heterozygousgenomicDNAsamplesofknowngeno-type were screened. Engineered plasmids were createdby cloning wild-type genomic DNA flanking the RYR14861 wild-type sequence into the vector pGEM–T Easy(Promega).SNPs representingC,T,orA sequencevari-antsatthedefinedpositionwereintroducedusingQuik-Change site-directedmutagenesis (Stratagene)accordingtothemanufacturer’sstandardprotocol.Theengineeredplasmidswereusedtoaddressthepossibilityofdiscrimi-nationbetweendiVerenttypesofhomozygotes.DNAcon-centrationsweredeterminedbyA260.
PCR and HRM conditions
Primers were designed using the LightCycler ProbeDesign Software 2.0. Primer sequences used in PCR arelisted in Table 1. Amplicon lengths were kept relativelyshort(61–81bp)toimprovediscriminationbetweengeno-types.Real-timePCRcyclingandHRManalysisoftheengi-neeredplasmidsandgenomicDNAsampleswerecarriedoutontheLightCycler480System(Roche).ExperimentswereconductedwithboththeLightCycler480HRMdye(Roche)andLCGreenPlus(ITBiochem).
Identification of ryanodine receptor 1 SNPs / H. Grievink, K.M. Stowell / Anal. Biochem. xxx (2008) xxx–xxx 3
1£LightCycler 480 HRM dye, and 3mM MgCl2. ThereactionmixtureforHRMusingLCGreenPlusconsistedof0.2to0.3lMofeachprimer,1£LC480ProbeMasterMix, and 1£LCGreen Plus. DNA templates were usedatapproximately104copies forengineeredplasmidcon-structsorat10to150ngforgenomicDNAsamples.
Assayswerecarriedoutina96-wellformatin10-llvol-umesandwereperformedusingthefollowingtouchdownPCRcyclingandHRMconditions.ThePCRwasinitiatedwitha10-minholdat95°C,followedby40cyclesof95°Cfor10s,atouchdowncyclingstep(decreasing0.5°C/cycle)annealingrangingfrom62to56°Cfor10s,and72°Cfor4s.Afteramplification,thesampleswereheatedto95°Cfor1minandthencooledto40°Cfor1mintoencourageheteroduplexformation.HRMcurvedatawereobtainedby melting over the desired range (76–92°C unlessotherwisestated)atarateof25acquisitionsper1°C.
Ampliconmeltinganalysesinthepresenceofthehetero-duplexdetecting thedsDNAbindingdyeLightCycler480HRMdyeorLCGreenPluswereusedtodetectSNPsusingtheLightCycler480System.Ampliconswere61to81bpinlengthtoallowdefinitivediscriminationandidentificationofhomozygoussequencevariations.Fig.1showsthediVer-enceplotsproducedbytheHRManalysis,whichfollowedthe real-timePCRamplificationof81-bpamplicons fromgenomicDNAflanking the4861positionusingeither theLightCycler480HRMdyeorLCGreenPlus.HRManal-ysis with either dye allows clear discrimination betweenthehomozygousandheterozygousgenomicDNAsamplesbased on diVerences in melting curve shapes. All sampleswereofknowngenotypesandweregroupedcorrectlybytheLightCycler480GeneScanningSoftware.
4 Identification of ryanodine receptor 1 SNPs / H. Grievink, K.M. Stowell / Anal. Biochem. xxx (2008) xxx–xxx
Two other HRM assays were designed and allowedscreening of the RYR1 gene for the T4826I and H4833YRYR1mutations.Eachoftheassayswasvalidatedbyscreen-ing10homozygouswild-typeand10heterozygousgenomicDNAsamplesofknowngenotypesfortheSNPscausingtheT4826IandH4833Yaminoacidsubstitutions.Unambigu-ousdiVerenceswerevisibleintheshapesofthemeltingcurvesforheteroduplexesandhomoduplexes.ThediVerenceplotsshowninFigs.2and3clearlyseparatehomozygousgeno-micDNAsamplesfromheterozygousonesforthe4826and4833HRMassays,respectively.Allsamplesweregroupedcorrectlyby theLightCycler480GeneScanningSoftwarewith both the LightCycler 480 HRM dye and LCGreenPlus.Bothhomozygousandheterozygoussamplesanalyzedfor the4833SNPbyHRMusingLCGreenPlus showanincreaseinvariabilitybetweenmeltingcurves(Fig.3B).TheHRMassayperformedwiththeLightCycler480HRMdye
shows no such variability (Fig. 3A). The real-time PCR,whichprecedes theHRManalysis, revealed thatalthoughtheamplificationcurvesofbothassayslooksimilarandupto standard, thecrossingpointsof the reactionsusing theLC480ProbeMasterMixwithLCGreenPlusweredelayedbyatleastthreecyclescomparedwiththeLightCycler480HRMdye.Thistrendcouldbedetectedinallexperiments.Inaddition,theLightCycler480HRMdyegeneratesafluo-rescencesignalthatisatleasteighttimesstrongerthanthatwithLCGreenPlus.
Engineered plasmids were used to study homozygotediscrimination.Fourplasmids(identicalexceptforaG,C,T,orAatthespecifiedposition)containingthesequenceflankingthe4861SNPwereusedalonetosimulatehomo-zygous genotypes or in binary combinations to simulateheterozygousgenotypes.HRManalysesof81-and61-bpampliconswereconductedtodeterminetheeVectofampli-
on length on genotype diVerentiation. The diVerencelot in the HRM assay for the 81-bp amplicon causinghe4861SNPusingtheLC480HRMdyeisshowninFig.. Heterozygotes were easily distinguished from homo-ygotesbasedonshapeof themeltingcurves.DiVerencelotanalysisalsoallowsdiscriminationbetweendiVerenteterozygotes. Homozygote discrimination is based oniVerences in Tm. These diVerences are best detected byormalized melting curves without temperature shiftingnd not by the temperature-shifted diVerence curves [7].hus,forthedetectionofhomozygotevariants,ampliconelting data should be analyzed both with and without
emperatureshifting.AsshowninFig.4B,nodiVerentia-ion is possible between homozygous A and T based onRM analysis of the 81-bp amplicon. The Tm values of
Completegenotypingofallthe4861SNPsin81-bpampli-conswithHRMwaspossiblebyaddingexogenouswild-typeDNA amplicons (in a 1:1 ratio) to unknown homozygoussamples. If unknown samples are wild type, their meltingcurvesdonotchangeaftertheadditionofexogenouswild-typeDNAamplicons.Iftheunknownsamplesarehomozy-gousmutants,heteroduplexesareproducedandsamplescanbecorrectlyidentifiedashomozygousmutant.Fig.5showstheresultofadding81-bpampliconscontainingtheflankingwild-type 4861 sequence to the homozygous samples. Het-eroduplexes were formed when homozygous mutants werepresent.TheshapesofthemeltingcurvesthatweregeneratedbytheadditionofexogenousDNAtohomozygousmutantscorrelatedwiththoseoftheoriginalheterozygotesand,there-fore,allowedSNPgenotyping.
HRM analyses using smaller 61-bp amplicons alloweddiscriminationbetweendiVerentheterozygousanddiVerent
homozygous samples without the addition of exogenousDNA. Heterozygous SNP variants were readily identifiedusingdiVerenceplots(Fig.6A).HomozygousSNPvariantsatthe4861positionwereidentifiedusingnon-temperature-shifted normalization curves (Fig. 6B). The Tm diVerencebetween the homozygous A and T variants was approxi-mately0.2°CandprovedtobesuYcientfordiscriminationbetweenthetwo.Occasionally,homozygoteSNPidentifica-tionmayalsobepossiblebyusingdiVerenceplots(Fig.6A).Becausethesesmaller(61-bp)ampliconshavelowerTmval-ues,themeltingrangewasadjustedto69to92°C.
ningthatdoesnotneedcostlylabeledoligonucleotides[8].Instead,itreliesonnewgenerationgenericheteroduplex-detectingdsDNAbindingdyes.Usingthisnewtechnique,SNPshavebeengenotypedinproductsaslargeas544bp[7].HRMSNPdetectionand/orgenotyping,however, isstrongly sequencedependent,andoften shortampliconsand/or unlabeled oligonucleotide probes are necessaryor preferred [13–15]. This study focused on usingHRManalysisof relatively smallamplicons forSNPdetectionand identification without the use of unlabeled probes.Byusingonlytwostandardunlabeledprimers,therobust-nessoftheassayincreasessignificantlybecauseoptimiza-tiontypicallyisnotneeded.Hence,allassaysdescribedinthisarticle couldbe conductedusing identicalPCRandHRM conditions, making it ideal for high-throughputscreeningpurposes.Inaddition,theLightCycler480Sys-
Inthisstudy,HRMassaysweredevelopedandanalyzedusingtheLightCycler480System.Theassaysscreened61-to 81-bp RYR1 amplicons for mutations associated withMH(T4826IandH4833Y)and/orCCD(R4861H).HRManalyseswereconductedusingtwodiVerentheteroduplex-detectingdsDNAbindingdyes:LightCycler480HRMdyeandLCGreenPlus.
Whenthepurposeoftheanalysisistoscanforhetero-zygotes,usingnormalizedandtemperature-shifteddiVer-ence plots is a convenient way of viewing HRM databecauseslightdiVerencesincurveshapebecomeobvious.Allassaysthatweredevelopedinthisstudyallowedunam-biguousdiscriminationbetweenheterozygousandhomo-zygoussamples.TheuseoftheLightCycler480HRMdyehassomeadvantagesovertheuseoftheLC480ProbeMas-terMixwithLCGreenPlus.Thefluorescencesignalgen-eratedbytheLightCycler480HRMdye isat leasteighttimesasstrong,andPCRcrossingpointsareloweredbyatleastthreecycles.Thelatterofthetwocanbecrucialforaccuratemutationscanningand/orgenotypingbecauseithasbeensuggested that thevalidityofHRManalysisofsamples with late or poor amplification is questionable[16].Thereal-timePCRprecedingtheHRManalysis,there-fore,canprovideausefulqualitycontrolmeasure.Thus,thelatePCRcrossingpointsarelikelytobethecauseoftheincreaseinvariabilitybetweenthemeltingplotsshowninFigs.3Aand3B.
couldreadilybedistinguishedfromeachotherbyHRManalysis.ThisisanimportantelementforRYR1screeningforpossibleMHand/orCCDmutationsbecausehomozy-gousmissensemutationshavebeenreportedonrareocca-sions [11,12]. First, diVerentiation between genotypes of81-bpampliconswaspossiblebyspikingunknownsam-pleswithexogenousDNAafterPCR(Fig.5).Spikingsam-plesafterPCRhastheadvantagethatonlyhomozygoussamplesneedtoberetestedbecauseheterozygoussamplescanalreadybeidentifiedbasedondiVerenceplotanalysis.In addition, this technique eliminates strict monitoringof DNA concentrations and diVerences in amplificationeYcienciesbetweensamplesandspikebecauseexogenousDNA is added after the PCR. Second, SNP genotypingwithout the addition of exogenous DNA was possibleby using 61-bp amplicons that maximize diVerences inTmand,therefore,improvediscriminationbetweengeno-types(Fig.6).WhenlookingatdiVerencesinTm,however,one should acknowledge the possible eVects that ionicstrength,productconcentrations,anddiVerencesinPCRamplificationscanhaveontheTmbetweendiVerentsam-ples[7].
Studies with genomic DNA samples and engineeredplasmidssuggestthatbothSNPdetectionandgenotypingofallpossiblebasecombinationsatonepositionbyHRManalysisofrelativelysmallamplicons(61–81bp)ispossi-bleusing theLightCycler480System.Dependingon thesequencethatisstudied,HRMassaysonlargerampliconsmight need to be used in conjunction with a sequencingmethod to determine the precise mutation. Nevertheless,HRMisinexpensive,hasthepotentialforhighthroughput,andcangreatlybenefitmutationscreeningandgenotypingof clinical samples for many genetic disorders, includingMHandCCD.
We thank Elaine Langton (Wellington Hospital)andNeilPollock (PalmerstonNorthHospital) forsup-plying blood samples for genomic DNA extractions.We thank Anthony Thrush (Roche Diagnostics NewZealand)forprovidingtechnicalsupport.Wealsothankthe Royal Society of New Zealand Marsden Fund forfunding.
References
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[9] R.Robinson,D.Carpenter,M.A.Shaw,J.Halsall,P.Hopkins,Muta-tions in RYR1 in malignant hyperthermia and central core disease,Hum.Mutat.27(2006)977–989.
[11] P.J.Lynch,R.Krivosic-Horber,H.Reyford,N.Monnier,K.Quane,P.Adnet,G.Haudecoeur,I.Krivosic,T.McCarthy,J.Lunardi,Identi-ficationofheterozygousandhomozygousindividualswiththenovelRYR1 mutation Cys35Arg in a large kindred, Anesthesiology 86(1997)620–626.