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Modification of the triplet repeat primed polymerase chain reaction method for detection of the CTG repeat expansion in myotonic dystrophy type 1: application.

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Presentation on theme: "Modification of the triplet repeat primed polymerase chain reaction method for detection of the CTG repeat expansion in myotonic dystrophy type 1: application."— Presentation transcript:

1 Modification of the triplet repeat primed polymerase chain reaction method for detection of the CTG repeat expansion in myotonic dystrophy type 1: application in preimplantation genetic diagnosis  Georgia Kakourou, Ph.D., Seema Dhanjal, M.Phil., Thalia Mamas, M.Sc., Paul Serhal, M.R.C.O.G., Joy D. Delhanty, Ph.D., Sioban B. SenGupta, Ph.D.  Fertility and Sterility  Volume 94, Issue 5, Pages (October 2010) DOI: /j.fertnstert Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

2 Figure 1 Location of mutation detection primers relevant to the CTG triplet repeat region (underlined sequence), showing base pairs in chromosome 19, exon 15 of the DMPK gene (Ensembl genome browser release 54, DMPK sequence ID IDENSG ). The mTP-PCR protocol allows simultaneous TP-PCR amplification (primers P2, P4CAG, and P3R) and standard PCR amplification of nonexpanded alleles (P2/DMPK2 primers). The P2 and DMPK2 primers were each labeled with a different fluorescent dye so that the resulting electropherograms allowed detection of the genotype by both methods. Fertility and Sterility  , DOI: ( /j.fertnstert ) Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

3 Figure 2 Amplification by mTP-PCR on single blastomeres 3100 Genetic analyzer fluorescent PCR analysis: x-axis, PCR product size in base pairs (bp); y-axis, fluorescence intensity. In each section, the top lane is TP-PCR, the middle lane is P2/DMPK2 product, and the bottom lane is D19S112. (A) Homozygous sample with 5 CTG repeats. The presence of the 5 CTG repeat is indicated by the 68-bp peak (top lane). A triplet repeat ladder pattern is not detected. The P2/DMPK2 amplification confirms the presence of a 122-bp allele (middle lane). The presence of both parental genomes in the embryo is confirmed by amplification at the D19S112 marker (bottom lane). (B) Homozygous unaffected blastomere, showing one allele at P2/DMPK2 (middle lane) and 12 repeats at TP-PCR analysis (top lane). (C) Heterozygous unaffected blastomere, showing two different-sized alleles for P2/DMPK2 product and 15 repeats at TP-PCR analysis. (D) Blastomere with CTG repeat expansion: the diminishing TP-PCR ladder pattern supporting the diagnosis of an affected embryo (top lane). Only the unaffected parent's DMPK repeat allele is amplified (middle lane). Detection of the D19S112 linked marker's phase allele (underlined allele) further confirms the diagnosis of an affected embryo. Fertility and Sterility  , DOI: ( /j.fertnstert ) Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions


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