ABSTRACT
Denaturing high performance liquid chromatography (DHPLC) has been described recently as a method for screening DNA samples for single nucleotide polymorphisms and inherited mutations. Thirty-eight DNAs, 22 of which were heterozygous for previously characterized rearranged transforming gene (RET) or cystic fibrosis transmembrane conductance regulator gene (CFTR) mutations or polymorphisms, were examined using DHPLC analysis to assess the accuracy of this scanning method. Ninety-one per cent (20/22) of the PCR amplicons from specimens with heterozygous RET or CFTR sequence showed elution profiles distinct from corresponding homozygous normal patterns; whether the profiles for two amplicons containing heterozygous RET sequence were distinct from homozygous cases was equivocal. To investigate the usefulness of this method for detecting mutations in tumor DNAs, each of the phosphatase and tensin homologue deleted on chromosome ten gene (PTEN) exons were examined for mutations in 63 malignant gliomas. Seventeen PTEN PCR products from this series of brain tumors showed elution profiles indicating sample heterozygosity and in each instance conventional sequencing confirmed the presence of a mutation. PTEN amplicons containing exons 1, 3 and 5 were sequenced for each of the 63 tumor DNAs to determine whether any mutations may have escaped DHPLC detection, and this analysis identified one such alteration in addition to the eight mutations that DHPLC had revealed. In total, DHPLC identified 37 of 40 (92.5%) PCR products containing defined sequence variation and no alterations were indicated among 196 amplicons containing homozygous normal sequence.
It is of fundamental importance to both basic and clinical research to efficiently and accurately detect gene sequence variation within DNA samples. Several methods have been developed to scan DNAs for polymorphisms and mutations to accommodate this need, and these techniques have been reviewed on multiple occasions (1-4).
A relatively new addition to DNA scanning methods uses denaturing high performance liquid chromatography (DHPLC; 5-9). In its early stage of application to the analysis of nucleic acids, HPLC was shown to provide an effective means for separating oligonucleotides (10), PCR fragments (11) and for analyzing the products formed in competitive RT-PCR reactions to determine relative levels of gene expression (12).
Mutation/polymorphism scanning by DHPLC involves subjecting PCR products to ion-pair reverse-phase liquid chromatography in a column containing alkylated non-porous particles. Under conditions of partial heat denaturation within a linear acetonitrile gradient, heteroduplexes that form in PCR samples having internal sequence variation display reduced column retention time relative to their homoduplex counterparts. In the majority of cases the elution profiles for such samples are distinct from those having homozygous sequence, making the identification of samples harboring polymorphisms or mutations a straightforward procedure. The major advantages of this method include the use of automated instrumentation, speed of analysis (~5 min per sample) and the size of the DNA fragment that can be analyzed (up to 1.5 kb).
No previous report has addressed the accuracy of mutation/polymorphism detection by DHPLC analysis. One of the objectives of the investigation reported here was to determine the reliability of DHPLC for detecting inherited gene sequence variation. To accomplish this we used DHPLC to examine PCR fragments produced from several DNAs, having previously identified germline mutations or polymorphisms in the rearranged transforming proto-oncogene (RET) or the cystic fibrosis transmembrane conductance regulator gene (CFTR). Our other major interest was to assess the usefulness of DHPLC for screening tumor DNAs for mutations of tumor suppressor genes (TSGs), a potentially powerful application of this technology that had not previously been examined. However, as the method requires heteroduplex DNA for detection of intra-sample sequence variation, it is reasonable to question whether mutations would escape detection in instances where loss of a wild-type TSG occurs in combination with mutation of the remaining allele since the predominant double-stranded DNA formed would be mutant homoduplex. To address this question, a large panel of malignant glioma DNAs were examined for phosphatase and tensin homologue deleted on chromosome ten gene (PTEN) mutations. The results of these analyses indicate that DHPLC offers a reliable approach for the detection of germline and somatic mutations.
DNAs from peripheral blood leukocytes and tumor tissue snap frozen by immersion in liquid nitrogen were isolated and purified as described (13). Samples used for mutation screening and sequencing were generated in 50 µl reaction volumes containing 10-100 ng of genomic DNA, 20 pmol of forward and reverse primers for either PTEN exons 1-9 (14), CFTR exon 7 (15) or RET exon 10 (16), 200 µM dNTPs (Perkin-Elmer, Foster City, CA), 1.25 U of Taq polymerase (AmpliTaq Gold: Perkin-Elmer) and 1× buffer supplied by the manufacturer. PCR amplifications were for 35 cycles: 95°C for 30 s, 60°C for 30 s and 72°C for 1 min (final extension at 72°C for 10 min) following sample denaturation at 95°C for 9 min. Synthesis of appropriately sized PCR reaction products was confirmed by agarose gel electrophoresis.
DHPLC analysis was carried out using automated instrumentation identical to that described by Underhill et al. (9). Four to seven µl of each PCR product, containing ~50-100 ng DNA, was denatured for 3 min at 95°C and then gradually reannealed by decreasing sample temperature from 95 to 65°C over a period of 30 min. PCR products were then separated (flow rate of 0.9 ml/min) over a period of time and through a linear acetonitrile gradient, the values for which were determined by the size and G-C content of the amplicon (Table 1).
The column mobile phase consisted of a mixture of 0.1 M triethylamine acetate (pH 7.0) with (buffer A) or without (buffer B) 25% acetonitrile. The mobile phase temperatures required for optimal resolution of homoduplex and heteroduplex DNAs were determined empirically by injecting one PCR product for each exon at increasing temperatures until a significant decrease in sample retention time was observed. Specific values for the gradient ranges (buffer A component indicated), separation times and mobile phase temperatures used to analyze the amplicons described above are as follows: 57.0-64.2%, 4 min and 58°C for CFTR exon 7; 53.0-59.3%, 3.5 min and 61°C or 53.0-59.3%, 3.5 min and 59°C for RET exon 10; 55.2-56.2%, 5 min and 59°C for PTEN exon 1; 52.0-57.4%, 3 min and 58°C for PTEN exon 3 and 54.5-60.8%, 3.5 min and 57°C for PTEN exon 5. Between sample analyses the column was regenerated with a 19:1 mixture of buffers A and B (40 s) and a solution whose buffer A content was 5% less than the low end of the desired gradient range (40 s).
Solutions (10 µl) were prepared with 10-20 ng of product from previous PCR reactions, 0.05 U of Taq polymerase, 1× buffer, 10% DMSO, 400 µM ddATP, 600 µM ddTTP, 60 µM ddGTP, 200 µM ddCTP, 10 µM each of dATP, dTTP and dCTP, 20 µM 7-deaza-dGTP (Boehringer Mannheim) and 0.05 µM 5'-32P-labeled sequencing primer. Sequencing reactions were carried out for 30 cycles at 95°C for 20 s, 58°C for 30 s and 72°C for 1 min, using a 1 min ramp time between annealing and elongation phases. Following sample denaturation, reaction products were loaded onto a 6% sequencing gel. Electrophoresis was at 75 W and room temperature for 1-3 h, after which the gels were dried and exposed to Kodak XAR film.
PCR reactions for determination of tumor loss of heterozygosity contained ~10 ng of genomic DNA, 8-10 pM forward and reverse primers for either the D10S541 or D10S1765 locus (Research Genetics, Huntsville, AL), 0.8 µCi [[alpha]-32P]dCTP and 0.2-0.35 U of Taq polymerase in 10-15 µl of 1× buffer containing 200 µM dGTP, dATP and dTTP, and 25-34 µM dCTP. Samples were placed in 96-well plates and amplified at 95°C denaturation (30 s), 55°C annealing (30 s) and 72°C extension (1 min) for 43 cycles. At completion of PCR, an equal volume of denaturing buffer was added to each reaction. Samples were then heated to 95°C and quenched on ice. Two µl of each sample were applied to 4 or 6% acrylamide sequencing gels and electrophoresed for 1.5-3 h at 75 W. Gels were dried and exposed to X-ray film for 4-48 h.
PCR fragments were synthesized from 22 peripheral blood leukocyte specimens heterozygous for previously identified exon 10 RET or exon 7 CFTR mutations or polymorphisms (Table 1). Each PCR reaction product was subjected to DHPLC analysis and their corresponding elution profiles were compared with patterns associated with homozygous normal sequence controls, nine of which were included for the analysis of CFTR sequence alterations and seven for the analysis of RET alterations.
The elution profiles for the control CFTR PCR products were all highly similar and showed a single peak of homoduplex DNA. In contrast, each of the nine PCR products with internal CFTR sequence variation produced a distinct profile with multiple peaks due to the reduced column retention time of heteroduplex DNA (examples shown in Fig. 1A). All samples with heterozygous CFTR sequence were identified using the same separation conditions (Materials and Methods). G-C content of the 60 bases surrounding each CFTR alteration varied between 35 and 54%, suggesting that the detection of sample heteroduplex within a specific amplicon is not greatly influenced by differences in the melting point of sequences flanking the site of base mismatch.
To determine whether DHPLC detection of sample heterozygosity is influenced by nucleotide identity at a specific site of sequence variation, several patient DNAs with heterozygous mutations effecting RET cysteine codons 609, 611, 618 and 620 were examined. For nucleotide substitutions at position 1852 of the coding sequence, split-peak elution profiles distinct from the profiles associated with normal homoduplex DNAs were evident for T -> A and T -> G alterations (Fig. 1B). However, a T -> C substitution at this position failed to produce a profile with multiple peaks; this was also the case for an amplicon containing a G -> A alteration at base 1859 (Table 1). The peaks for these two cases, however, were noticeably wider than control peaks, and thereby suggested the presence of homoduplexes and heteroduplexes in the corresponding eluates. An alternative DHPLC protocol (mobile phase temperature of 59°C) resulted in a slight resolution of homoduplex and heteroduplex fractions in each sample (see inset for the T -> C substitution at base 1852, Fig. 1B). Nine additional heterozygous samples with mutations effecting the cysteine codons showed unique profiles using the initial separation protocol, including two associated with different nucleotide substitutions at position 1853 (Fig. 1B). Significantly, there were no false positives associated with the analysis of either CF or RET sequence alterations.
This work was supported by NCI grants CA-55728 (C.D.J.) and CA-48031 (D.I.S.).
Nucleic Acids Research
Pages
Introduction
Materials And Methods
Amplicon synthesis
Denaturing HPLC analysis
Sequence analysis
Microsatellite analysis
Results And Discussion
Acknowledgements
References
Table 1.
REFERENCES
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