Mai M, Hoyer J D, McClure R F
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester 55905, USA.
J Clin Pathol. 2004 Jun;57(6):637-40. doi: 10.1136/jcp.2003.014704.
To evaluate the technique of multiple displacement amplification (MDA) for whole genome amplification from small volume blood samples before sequencing in a clinical test to identify haemoglobin gene mutations.
Phage phi29 DNA polymerase was used to perform MDA, starting with either 1 micro l of blood or 1 ng of previously isolated blood DNA from 23 patients. The amplified products were then evaluated using a clinical test that involves sequencing the haemoglobin genes to detect mutations. The results were compared with the current clinical test method that uses genomic DNA isolated using column based technology.
The MDA technique produced large quantities (theoretically approximately 2 mg) of DNA. The amplification procedure was extremely easy and took about four hours (less than one hour of hands on technician time and three hours for amplification). When MDA products were used in the same clinical test protocol as genomic DNA isolated using column technology, there was 100% concordance for detection of a variety of point mutations in the alpha1, alpha2, and beta globin genes.
The MDA technique is useful for overcoming the problem of insufficient genomic DNA in clinical specimens requiring haemoglobin gene sequencing and could be useful for other clinical applications.
评估多重置换扩增(MDA)技术,用于在临床检测中对少量血样进行全基因组扩增,以便在测序前鉴定血红蛋白基因突变。
使用噬菌体φ29 DNA聚合酶进行MDA,起始材料为来自23名患者的1微升血液或1纳克先前分离的血液DNA。然后使用一种临床检测方法对扩增产物进行评估,该方法涉及对血红蛋白基因进行测序以检测突变。将结果与使用基于柱技术分离基因组DNA的当前临床检测方法进行比较。
MDA技术产生了大量(理论上约2毫克)的DNA。扩增过程极其简便,耗时约4小时(技术人员实际操作时间不到1小时,扩增时间为3小时)。当将MDA产物用于与使用柱技术分离的基因组DNA相同的临床检测方案时,在检测α1、α2和β珠蛋白基因中的各种点突变方面,一致性达100%。
MDA技术有助于克服临床标本中基因组DNA不足的问题,这些标本需要进行血红蛋白基因测序,并且可能对其他临床应用也有用。