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Nucleic Acids Research, 2002, Vol. 30, No. 12 e57
© 2002 Oxford University Press

Relative quantification of 40 nucleic acid sequences by multiplex ligation-dependent probe amplification

Jan P. Schouten*, Cathal J. McElgunn, Raymond Waaijer, Danny Zwijnenburg, Filip Diepvens and Gerard Pals1

MRC-Holland, Hudsonstraat 68, 1057SN Amsterdam, The Netherlands and 1Department of Clinical Genetics, Free University of Amsterdam, v.d. Boechorststraat 7, 1081BT Amsterdam, The Netherlands

We describe a new method for relative quantification of 40 different DNA sequences in an easy to perform reaction requiring only 20 ng of human DNA. Applications shown of this multiplex ligation-dependent probe amplification (MLPA) technique include the detection of exon deletions and duplications in the human BRCA1, MSH2 and MLH1 genes, detection of trisomies such as Down’s syndrome, characterisation of chromosomal aberrations in cell lines and tumour samples and SNP/mutation detection. Relative quantification of mRNAs by MLPA will be described elsewhere. In MLPA, not sample nucleic acids but probes added to the samples are amplified and quantified. Amplification of probes by PCR depends on the presence of probe target sequences in the sample. Each probe consists of two oligonucleotides, one synthetic and one M13 derived, that hybridise to adjacent sites of the target sequence. Such hybridised probe oligonucleotides are ligated, permitting subsequent amplification. All ligated probes have identical end sequences, permitting simultaneous PCR amplification using only one primer pair. Each probe gives rise to an amplification product of unique size between 130 and 480 bp. Probe target sequences are small (50–70 nt). The prerequisite of a ligation reaction provides the opportunity to discriminate single nucleotide differences.

* To whom correspondence should be addressed. Tel: +31 20 4447218; Fax: +31 20 6891149; Email: schouten{at}mrc-holland.com


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C. Rodriguez-Antona, S. Leskela, M. Zajac, M. Cuadros, J. Alves, M. V. Moneo, C. Martin, J. C. Cigudosa, A. Carnero, M. Robledo, et al.
Expression of CYP3A4 as a predictor of response to chemotherapy in peripheral T-cell lymphomas
Blood, November 1, 2007; 110(9): 3345 - 3351.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
M. Berwick, J. M. Satagopan, L. Ben-Porat, A. Carlson, K. Mah, R. Henry, R. Diotti, K. Milton, K. Pujara, T. Landers, et al.
Genetic Heterogeneity among Fanconi Anemia Heterozygotes and Risk of Cancer
Cancer Res., October 1, 2007; 67(19): 9591 - 9596.
[Abstract] [Full Text] [PDF]


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Nucleic Acids ResHome page
M. Isaksson, J. Stenberg, F. Dahl, A.-C. Thuresson, M.-L. Bondeson, and M. Nilsson
MLGA a rapid and cost-efficient assay for gene copy-number analysis
Nucleic Acids Res., September 27, 2007; 35(17): e115 - e115.
[Abstract] [Full Text] [PDF]


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BloodHome page
S. Kreil, M. Pfirrmann, C. Haferlach, K. Waghorn, A. Chase, R. Hehlmann, A. Reiter, A. Hochhaus, N. C. P. Cross, and for the German Chronic Myelogenous Leukemia (CML)
Heterogeneous prognostic impact of derivative chromosome 9 deletions in chronic myelogenous leukemia
Blood, August 15, 2007; 110(4): 1283 - 1290.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
J. N. Weitzel, V. I. Lagos, J. S. Herzog, T. Judkins, B. Hendrickson, J. S. Ho, C. N. Ricker, K. J. Lowstuter, K. R. Blazer, G. Tomlinson, et al.
Evidence for Common Ancestral Origin of a Recurring BRCA1 Genomic Rearrangement Identified in High-Risk Hispanic Families
Cancer Epidemiol. Biomarkers Prev., August 1, 2007; 16(8): 1615 - 1620.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
S. Rottenberg, A. O. H. Nygren, M. Pajic, F. W. B. van Leeuwen, I. van der Heijden, K. van de Wetering, X. Liu, K. E. de Visser, K. G. Gilhuijs, O. van Tellingen, et al.
Selective induction of chemotherapy resistance of mammary tumors in a conditional mouse model for hereditary breast cancer
PNAS, July 17, 2007; 104(29): 12117 - 12122.
[Abstract] [Full Text] [PDF]


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Neuro Oncol DukeHome page
N. Holtkamp, N. Ziegenhagen, E. Malzer, C. Hartmann, A. Giese, and A. von Deimling
Characterization of the amplicon on chromosomal segment 4q12 in glioblastoma multiforme
Neuro-oncol, July 1, 2007; 9(3): 291 - 297.
[Abstract] [Full Text] [PDF]


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Arch Otolaryngol Head Neck SurgHome page
J. K. Stephen, L. E. Vaught, K. M. Chen, V. Shah, V. G. Schweitzer, G. Gardner, M. S. Benninger, and M. J. Worsham
An Epigenetically Derived Monoclonal Origin for Recurrent Respiratory Papillomatosis
Arch Otolaryngol Head Neck Surg, July 1, 2007; 133(7): 684 - 692.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Crit. Care Med.Home page
M. Schiavina, V. Di Scioscio, P. Contini, A. Cavazza, A. Fabiani, M. Barberis, A. Bini, A. Altimari, R. M. T. Cooke, W. F. Grigioni, et al.
Pulmonary Lymphangioleiomyomatosis in a Karyotypically Normal Man without Tuberous Sclerosis Complex
Am. J. Respir. Crit. Care Med., July 1, 2007; 176(1): 96 - 98.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
J. P. van Tintelen, R. A. Tio, W. S. Kerstjens-Frederikse, J. H. van Berlo, L. G. Boven, A. J.H. Suurmeijer, S. J. White, J. T. den Dunnen, G. J. te Meerman, Y. J. Vos, et al.
Severe Myocardial Fibrosis Caused by a Deletion of the 5' End of the Lamin A/C Gene
J. Am. Coll. Cardiol., June 26, 2007; 49(25): 2430 - 2439.
[Abstract] [Full Text] [PDF]


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CirculationHome page
R. L. Pollex and R. A. Hegele
Copy Number Variation in the Human Genome and Its Implications for Cardiovascular Disease
Circulation, June 19, 2007; 115(24): 3130 - 3138.
[Full Text] [PDF]


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Infect. Immun.Home page
W. J. Wiersinga, M. C. Dessing, P. A. Kager, A. C. Cheng, D. Limmathurotsakul, N. P. Day, A. M. Dondorp, T. van der Poll, and S. J. Peacock
High-Throughput mRNA Profiling Characterizes the Expression of Inflammatory Molecules in Sepsis Caused by Burkholderia pseudomallei
Infect. Immun., June 1, 2007; 75(6): 3074 - 3079.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
C. G. Monico, S. Rossetti, H. A. Schwanz, J. B. Olson, P. A. Lundquist, D. B. Dawson, P. C. Harris, and D. S. Milliner
Comprehensive Mutation Screening in 55 Probands with Type 1 Primary Hyperoxaluria Shows Feasibility of a Gene-Based Diagnosis
J. Am. Soc. Nephrol., June 1, 2007; 18(6): 1905 - 1914.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
L. J. Mead, M. A. Jenkins, J. Young, S. G. Royce, L. Smith, D. J. B. St. John, F. Macrae, G. G. Giles, J. L. Hopper, and M. C. Southey
Microsatellite Instability Markers for Identifying Early-Onset Colorectal Cancers Caused by Germ-Line Mutations in DNA Mismatch Repair Genes
Clin. Cancer Res., May 15, 2007; 13(10): 2865 - 2869.
[Abstract] [Full Text] [PDF]


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Genome ResHome page
A. L. Gotter, M. A. Nimmakayalu, G. R. Jalali, A. M. Hacker, J. Vorstman, D. Conforto Duffy, L. Medne, and B. S. Emanuel
A palindrome-driven complex rearrangement of 22q11.2 and 8q24.1 elucidated using novel technologies
Genome Res., April 1, 2007; 17(4): 470 - 481.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
E. Riveira-Munoz, Q. Chang, N. Godefroid, J. G. Hoenderop, R. J. Bindels, K. Dahan, O. Devuyst, and for the Belgian Network for the Study of Gitelman
Transcriptional and Functional Analyses of SLC12A3 Mutations: New Clues for the Pathogenesis of Gitelman Syndrome
J. Am. Soc. Nephrol., April 1, 2007; 18(4): 1271 - 1283.
[Abstract] [Full Text] [PDF]


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J. Med. Genet.Home page
J. Kanno, T. Hutchin, F. Kamada, A. Narisawa, Y. Aoki, Y. Matsubara, and S. Kure
Genomic deletion within GLDC is a major cause of non-ketotic hyperglycinaemia
J. Med. Genet., March 1, 2007; 44(3): e69 - e69.
[Abstract] [Full Text] [PDF]


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Nucleic Acids ResHome page
J. A. L. Armour, R. Palla, P. L. J. M. Zeeuwen, M. d. Heijer, J. Schalkwijk, and E. J. Hollox
Accurate, high-throughput typing of copy number variation using paralogue ratios from dispersed repeats
Nucleic Acids Res., February 16, 2007; 35(3): e19 - e19.
[Abstract] [Full Text] [PDF]


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BloodHome page
L. A. Smit, D. Y.H. Hallaert, R. Spijker, B. de Goeij, A. Jaspers, A. P. Kater, M. H.J. van Oers, C. J.M. van Noesel, and E. Eldering
Differential Noxa/Mcl-1 balance in peripheral versus lymph node chronic lymphocytic leukemia cells correlates with survival capacity
Blood, February 15, 2007; 109(4): 1660 - 1668.
[Abstract] [Full Text] [PDF]


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J. Med. Genet.Home page
F. P M Cremers, W. J Kimberling, M. Kulm, A. P de Brouwer, E. van Wijk, H. te Brinke, C. W R J Cremers, L. H Hoefsloot, S. Banfi, F. Simonelli, et al.
Development of a genotyping microarray for Usher syndrome
J. Med. Genet., February 1, 2007; 44(2): 153 - 160.
[Abstract] [Full Text] [PDF]


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NeurologyHome page
C. Beetz, A.O.H. Nygren, J. Schickel, M. Auer-Grumbach, K. Burk, G. Heide, J. Kassubek, S. Klimpe, T. Klopstock, F. Kreuz, et al.
High frequency of partial SPAST deletions in autosomal dominant hereditary spastic paraplegia
Neurology, December 12, 2006; 67(11): 1926 - 1930.
[Abstract] [Full Text] [PDF]


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PediatricsHome page
M. J. Friez, J. R. Jones, K. Clarkson, H. Lubs, D. Abuelo, J.-A. B. Bier, S. Pai, R. Simensen, C. Williams, P. F. Giampietro, et al.
Recurrent Infections, Hypotonia, and Mental Retardation Caused by Duplication of MECP2 and Adjacent Region in Xq28
Pediatrics, December 1, 2006; 118(6): e1687 - e1695.
[Abstract] [Full Text] [PDF]


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Clin. Chem.Home page
M. Schneider, F. Joncourt, J. Sanz, T. von Kanel, and S. Gallati
Detection of Exon Deletions within an Entire Gene (CFTR) by Relative Quantification on the LightCycler
Clin. Chem., November 1, 2006; 52(11): 2005 - 2012.
[Abstract] [Full Text] [PDF]


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NeurologyHome page
J. C. Mulley, P. Nelson, S. Guerrero, L. Dibbens, X. Iona, J. M. McMahon, L. Harkin, J. Schouten, S. Yu, S. F. Berkovic, et al.
A new molecular mechanism for severe myoclonic epilepsy of infancy: Exonic deletions in SCN1A.
Neurology, September 26, 2006; 67(6): 1094 - 1095.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
T. Pejovic, J. E. Yates, H. Y. Liu, L. E. Hays, Y. Akkari, Y. Torimaru, W. Keeble, R. K. Rathbun, W. H. Rodgers, A. E. Bale, et al.
Cytogenetic instability in ovarian epithelial cells from women at risk of ovarian cancer.
Cancer Res., September 15, 2006; 66(18): 9017 - 9025.
[Abstract] [Full Text] [PDF]


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J. Mol. Diagn.Home page
J. Jeuken, S. Cornelissen, S. Boots-Sprenger, S. Gijsen, and P. Wesseling
Multiplex Ligation-Dependent Probe Amplification: A Diagnostic Tool for Simultaneous Identification of Different Genetic Markers in Glial Tumors
J. Mol. Diagn., September 1, 2006; 8(4): 433 - 443.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Crit. Care Med.Home page
J. D. Cogan, M. W. Pauciulo, A. P. Batchman, M. A. Prince, I. M. Robbins, L. K. Hedges, K. C. Stanton, L. A. Wheeler, J. A. Phillips III, J. E. Loyd, et al.
High Frequency of BMPR2 Exonic Deletions/Duplications in Familial Pulmonary Arterial Hypertension
Am. J. Respir. Crit. Care Med., September 1, 2006; 174(5): 590 - 598.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
H. Hampel, W. Frankel, J. Panescu, J. Lockman, K. Sotamaa, D. Fix, I. Comeras, J. La Jeunesse, H. Nakagawa, J. A. Westman, et al.
Screening for Lynch Syndrome (Hereditary Nonpolyposis Colorectal Cancer) among Endometrial Cancer Patients.
Cancer Res., August 1, 2006; 66(15): 7810 - 7817.
[Abstract] [Full Text] [PDF]


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Arch NeurolHome page
E. J. Chung, C.-S. Ki, W. Y. Lee, I.-S. Kim, and J.-Y. Kim
Clinical Features and Gene Analysis in Korean Patients With Early-Onset Parkinson Disease.
Arch Neurol, August 1, 2006; 63(8): 1170 - 1174.
[Abstract] [Full Text] [PDF]


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Clin. Chem.Home page
I. Warshawsky, O. B. Chernova, C. A. Hubner, R. Stindl, M. Henneke, A. Gal, and M. R. Natowicz
Multiplex Ligation-Dependent Probe Amplification for Rapid Detection of Proteolipid Protein 1 Gene Duplications and Deletions in Affected Males and Carrier Females with Pelizaeus-Merzbacher Disease
Clin. Chem., July 1, 2006; 52(7): 1267 - 1275.
[Abstract] [Full Text] [PDF]


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Clin. Chem.Home page
M. Procter, L.-S. Chou, W. Tang, M. Jama, and R. Mao
Molecular Diagnosis of Prader-Willi and Angelman Syndromes by Methylation-Specific Melting Analysis and Methylation-Specific Multiplex Ligation-Dependent Probe Amplification
Clin. Chem., July 1, 2006; 52(7): 1276 - 1283.
[Abstract] [Full Text] [PDF]


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Arch Otolaryngol Head Neck SurgHome page
M. J. Worsham, K. M. Chen, V. Meduri, A. O. H. Nygren, A. Errami, J. P. Schouten, and M. S. Benninger
Epigenetic events of disease progression in head and neck squamous cell carcinoma.
Arch Otolaryngol Head Neck Surg, June 1, 2006; 132(6): 668 - 677.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
M. Canel, P. Secades, J.-P. Rodrigo, R. Cabanillas, A. Herrero, C. Suarez, and M.-D. Chiara
Overexpression of Focal Adhesion Kinase in Head and Neck Squamous Cell Carcinoma Is Independent of fak Gene Copy Number.
Clin. Cancer Res., June 1, 2006; 12(11): 3272 - 3279.
[Abstract] [Full Text] [PDF]


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J Mol EndocrinolHome page
M. Crepin, P. Pigny, F. Escande, C. C. Bauters, A. Calender, S. Lefevre, M.-P. Buisine, N. Porchet, and M.-F. Odou
Evaluation of denaturing high performance liquid chromatography for the mutational analysis of the MEN1 gene.
J. Mol. Endocrinol., April 1, 2006; 36(2): 369 - 376.
[Abstract] [Full Text] [PDF]



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