Stiedl Cathrin P, Weber Karin
Centre for Clinical Veterinary Medicine, Clinic of Small Animal Medicine, Ludwig-Maximilians-Universität, Munich, Germany.
J Vet Diagn Invest. 2017 Mar;29(2):176-180. doi: 10.1177/1040638716683213. Epub 2017 Jan 6.
Dogs with a 4-bp deletion in the MDR1 (or ABCB1) gene show intolerance to certain drugs routinely used in veterinary medicine, such as ivermectin, vincristine, and doxorubicin. The mutation leads to a dysfunctional P-glycoprotein drug transporter, which results in drug accumulation in the brain and severe neurotoxicity. A rapid and accurate in-house test to determine the genotype of patients in cases of acute neurotoxic signs or in tumor patients is desirable. We describe a cost-effective detection method with simple technical equipment for veterinary practice. Two allele-specific methods are presented, which allow discrimination of all genotypes, require little hands-on time, and show the results within ~1 h after DNA sampling. DNA from buccal swabs of 115 dogs with known genotype (no mutation, n = 54; heterozygous for the mutation, n = 37; homozygous for the mutation, n = 24) was extracted either by using a column-based extraction kit or by heating swabs in a simple NaOH-Tris buffer. Amplification was performed either by allele-specific fast polymerase chain reaction or by allele-specific loop-mediated isothermal amplification (LAMP). Analysis was done either on agarose gels, by simple endpoint visualization using ultraviolet light, or by measuring the increase of fluorescence and time to threshold crossing. Commercial master mixes reduced the preparation time and minimized sources of error in both methods. Both methods allowed the discrimination of all 3 genotypes, and the results of the new methods matched the results of the previous genotyping. The presented methods could be used for fast individual MDR1/ ABCB1 genotyping with less equipment than existing methods.
多药耐药基因1(MDR1,即ABCB1)发生4个碱基对缺失的犬只,对兽医临床常用的某些药物不耐受,如伊维菌素、长春新碱和阿霉素。该突变导致P-糖蛋白药物转运体功能失调,致使药物在脑部蓄积并引发严重神经毒性。对于出现急性神经毒性症状的患者或肿瘤患者,快速、准确地进行内部检测以确定其基因型很有必要。我们描述了一种适用于兽医临床的、使用简单技术设备的经济高效的检测方法。文中介绍了两种等位基因特异性方法,它们能够区分所有基因型,操作时间短,且在DNA采样后约1小时内即可得出结果。从115只已知基因型的犬只(无突变,n = 54;突变杂合子,n = 37;突变纯合子,n = 24)的口腔拭子中提取DNA,提取方法可以是使用基于柱的提取试剂盒,也可以是在简单的NaOH- Tris缓冲液中加热拭子。扩增可以通过等位基因特异性快速聚合酶链反应或等位基因特异性环介导等温扩增(LAMP)进行。分析可以在琼脂糖凝胶上进行,通过紫外光简单的终点可视化,或者通过测量荧光增加和达到阈值的时间。商业预混试剂减少了两种方法的准备时间并将误差源降至最低。两种方法都能区分所有3种基因型,新方法的结果与之前基因分型的结果相符。所介绍的方法可用于快速个体MDR1/ABCB1基因分型,所需设备比现有方法更少。