Uchiyama Yuri, Nakashima Mitsuko, Watanabe Satoshi, Miyajima Masakazu, Taguri Masataka, Miyatake Satoko, Miyake Noriko, Saitsu Hirotomo, Mishima Hiroyuki, Kinoshita Akira, Arai Hajime, Yoshiura Ko-ichiro, Matsumoto Naomichi
Department of Human Genetics, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Department of Medical and Clinical Science, Gunma University Graduate School of Medicine, Gunma, Japan.
Sci Rep. 2016 Mar 9;6:22985. doi: 10.1038/srep22985.
Droplet digital PCR (ddPCR), a method for measuring target nucleic acid sequence quantity, is useful for determining somatic mutation rates using TaqMan probes. In this study, the detection limit of copy numbers of test DNA by ddPCR was determined based on Poisson distribution. Peptide nucleic acid (PNA), which strongly hybridises to target lesions, can inhibit target amplification by PCR. Therefore, by combination of PCR with PNA and ddPCR (PNA-ddPCR), the detection limit could be lowered. We reanalysed a somatic GNAQ mutation (c.548G > A) in patients with Sturge-Weber syndrome (SWS) using ddPCR and PNA-ddPCR. Importantly, among three patients previously found to be mutation negative by next-generation sequencing, two patients had the GNAQ mutation with a mutant allele frequency of less than 1%. Furthermore, we were able to find the same mutation in blood leukocyte or saliva DNA derived from four out of 40 SWS patients. Vascular anomalies and blood leukocytes originate from endothelial cells and haemangioblasts, respectively, which are both of mesodermal origin. Therefore, blood leukocytes may harbour the GNAQ mutation, depending on the time when the somatic mutation is acquired. These data suggest the possibility of diagnosis using blood DNA in some patients with SWS.
液滴数字PCR(ddPCR)是一种测量目标核酸序列数量的方法,可用于使用TaqMan探针确定体细胞突变率。在本研究中,基于泊松分布确定了ddPCR检测测试DNA拷贝数的检测限。肽核酸(PNA)能与目标病变强烈杂交,可抑制PCR对目标的扩增。因此,通过将PCR与PNA和ddPCR(PNA-ddPCR)相结合,可降低检测限。我们使用ddPCR和PNA-ddPCR重新分析了斯特奇-韦伯综合征(SWS)患者的体细胞GNAQ突变(c.548G>A)。重要的是,在先前通过下一代测序发现为突变阴性的三名患者中,有两名患者存在GNAQ突变,突变等位基因频率低于1%。此外,我们在40例SWS患者中的4例患者的血液白细胞或唾液DNA中发现了相同的突变。血管异常和血液白细胞分别起源于内皮细胞和成血管细胞,二者均起源于中胚层。因此,血液白细胞可能携带GNAQ突变,这取决于体细胞突变发生的时间。这些数据表明,一些SWS患者有可能使用血液DNA进行诊断。