Abstract
Purpose: Fluorescent polymerase chain reaction (PCR) is a multipurpose technique that can be used for diagnosing sex, single-gene defects, and trisomies as well as determining DNA fingerprints from single cells. However, its effectiveness must be assessed before clinical preimplantation genetic diagnosis (PGD) application.
Methods: Single and multiplex fluorescent PCR was applied to single cells and blastomeres.
Results: Fluorescent PCR can be used to diagnose sex from blastomeres and has been successfully applied in a clinical PGD sexing program resulting in a confirmed pregnancy. A further major advantage of fluorescent PCR is the ability to multiplex, providing multiple diagnoses and DNA fingerprints with a high reliability (~75% for trisomy, 86% for DNA fingerprint) and good accuracy (70–80%). Allele dropout in multiplex PCR is ~20% per allele and does not appear to be associated with the fragment size.
Conclusions: Fluorescent PCR is a powerful technique for PGD, and the effects of allele dropout must be considered, particularly in multiplex PCR.
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REFERENCES
Verlinsky Y, Kuliev A: Preimplantation Diagnosis of Genetic Disease: A New Technique in Assisted Reproduction. New York, Wiley-Liss, 1992
Findlay I, Ray P, Quirke P, Rutherford AJ, Lilford R: Allelic dropout and preferential amplification in single cells and human blastomeres: Implications for preimplantation diagnosis of sex and cystic fibrosis. Hum Reprod 1995;10(6):1609-1618
Gitlin SA, Lanzendorf SE, Gibbons WE: Polymerase chain-reaction amplification specificity—incidence of allele dropout using different DNA preparation methods for heterozygous single cells. J Assist Reprod Genet 1996;13(2):107-111
Rechitsky S, Freidine M, Verlinsky Y, Strom C: Allele dropout in sequential analysis of single cells by PCR and FISH. J Assist Reprod Genet 1996;13:115-124
Rechitsky S, Strom C, Verlinsky O, Amet T, Ivakhnenko V, Kukharenko V, Kuliev A, Verlinsky Y: Allele dropout in polar bodies and blastomeres. J Assist Reprod Genet 1998;15(5):253-257
Chamberlain JS, Gibbs RA, Ranier JE, Nguyen PN, Caskey CT: Deletion screening of the Duchenne muscular dystrophy locus via multiplex DNA amplification. Nucleic Acids Res 1988;23:1141-1156
Chamberlain JS, Gibbs RA, Ranier JE, Caskey CT: Multiplex PCR for the diagnosis of Duchenne muscular dystrophy. In PCR Protocols: A Guide to Methods and Applications, M Innis, DH Gelfand, JJ Sninsky, TJ White (eds). San Diego, Academic Press, 1990, pp 272-281
Lygo JE, Johnson PE, Holdaway DJ, Woodroffe S, Whitaker JP, Clayton TM, Kimpton CP, Gill P: The validation of short tandem repeat (STR) loci for use in forensic casework. Int J Legal Med 1994;107(2):77-89
Schmitt C, Schmutzler A, Prinz M, Staak M: Highly sensitive DNA typing approaches for the analysis of forensic evidence—Comparison of nested variable number of tandem repeats (VNTR) amplification and a short tandem repeats (STR) polymorphism. Foren Sci Int 1994;66(2):129-141
Findlay I, Urquhart A, Quirke A, Sullivan A, Lilford A: Genetic diagnosis of a single cell: A multiplex fluorescent PCR using seven primers to diagnose sex and DNA fingerprint. In Miami Bio/Technology Short Reports: Proceedings of the 1994 Miami Bio/Technology European Symposium, Advances in Gene Technology, Molecular Biology and Human Genetic Disease, Vol 5. Oxford, IRL Oxford University Press, 1994, p 62
Findlay I, Urquhart A, Quirke P, Sullivan KM, Rutherford AJ, Lilford R: Simultaneous DNA fingerprinting, diagnosis of sex and single-gene defect status from a single cell. Hum Reprod 1995;10(4):1005-1013
Findlay I, Lewis F, Quirke P, Rutherford A, Lilford R: Simultaneous DNA fingerprinting and diagnosis of sex and cystic fibrosis status from a single cell: Applications for preimplantation diagnosis. Hum Reprod 1994;9(3):23
Findlay I, Quirke P, Hall J, Rutherford AJ: Fluorescent PCR: A new technique for PGD of sex and single-gene defects. J Assist Reprod Genet 1996;13(2):96-103
Findlay I, Frazier R, Taylor A, Quirke P, Urquhart A: Single cell DNA fingerprinting for forensic applications. Nature 1997;389:355-356
Findlay I, Matthews P, Quirke P: Multiple genetic diagnoses from single cells using multiplex PCR: Reliability and allele dropout. Prenatal Diagn (in press)
Findlay I, Matthews P, Toth T, Quirke P, Papp Z: Same day diagnosis of Downs syndrome and sex in single cells using multiplex fluorescent PCR. Mol Pathol 1998;51(3):164-168
Findlay I., Tóth T, Matthews P, Marton T, Quirke P, Papp Z: Rapid trisomy diagnosis using fluorescent PCR and short tandem repeats: Applications for prenatal diagnosis and preimplantation genetic diagnosis. J Assist Reprod Genet 1998;15(5):265-274
Findlay I, Corby N, Rutherford A, Quirke P: A comparison of fluorescent PCR, FISH and PRINS techniques for single cell sexing: Suitability for preimplantation genetic diagnosis. J Assist Reprod Genet 1998;15(5):257-264
Findlay I, Quirke P: Part I. Fluorescent polymerase chain reaction: A new method allowing genetic diagnosis and DNA fingerprinting of single cells. Hum Reprod Update 1997;2(2):137-152
Sherlock J, Cirigliano V, Petrou M, Tutschek B, Adinolfi M: Assessment of diagnostic quantitative fluorescent multiplex polymerase chain reaction assays performed on single cells. Ann Hum Genet 1998;62(1):9-23
Tóth T, Findlay I, Papp C, Tóth-Pál E, Marton T, Nagy B, Quirke P, Papp P: Prenatal detection of trisomy 21 and 18 from amniotic fluid by quantitative fluorescent polymerase chain reaction. J Med Genet 1998;35(2):126-129
Tóth T, Findlay I, Nagy B, Quirke P, Papp Z: Quantitative fluorescent polymerase chain reaction for rapid prenatal detection of trisomies 21, 18 and 13 from amniotic fluid. Am J Hum Genet 1997;61(4):807
Sullivan KM, Mannuci CP, Kimpton CP, Gill P: A rapid and quantitative DNA sex test: Fluorescence-based PCR analysis of X-Y homologous gene amelogenin. Biotechniques 1993;15:636-641
Kimpton CP, Gill P, Walton A, Urquhart A, Millican ES, Adams M: Automated DNA profiling employing multiplex amplification of short tandem repeat loci. PCR Methods Appl 1993;3:13-22
Sharma V, Litt M: Tetranucleotide repeat polymorphism at the D21S11 locus. Hum Mol Genet 1992;1:67
Mills KA, Even D, Murray JC: Tetranucleotide repeat polymorphisms at the human alpha fibrinogen locus (FGA). Hum Mol Genet 1992;1:779
Straub RE, Speer MC, Murray JC: A microsatellite genetic linkage map of human chromosome 18. Genomics 1993;15:48-56
Urquhart A, Kimpton C, Oldroyd N, Findlay L, Barber M, Gill P: Redesignation of locus D6502 as D8S1179. Int J Legal Med (in press)
Ray P, Handyside AH: Single cell analysis for diagnosis of cystic fibrosis and Lesch-Nyhan syndrome in human embryos before implantation. In Miami Bio/Technology Short Reports: Proceedings of the 1994 Miami Bio/Technology European Symposium, Advances in Gene Technology: Molecular Biology and Human Genetic Disease, Vol 5. Oxford, IRL Oxford University Press, 1994, p 46
Delhanty JDA, Griffin DK, Handyside AH, Harper J, Atkinson G, Pieters MHEC, Winston RML: Detection of aneuploidy and chromosomal mosaicism in human embryos during preimplantation sex determination by fluorescent in situ hybridisation (FISH). Hum Mol Genet 1993;2:1183-1185
Delhanty JDA, Harper JC, Ao A, Handyside AH, Winston RML: Multicolour FISH detects frequent chromosomal mosaicism and chaotic division in normal preimplantation embryos from fertile patients. Hum Genet 1997;99(6):755-760
Verlinsky Y, Kuliev A: Preimplantation diagnosis of common aneuploidies in infertile couples of advanced maternal age. Hum Reprod 1996;11(10):2076-2077
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Findlay, I., Matthews, P. & Quirke, P. Preimplantation Genetic Diagnosis Using Fluorescent Polymerase Chain Reaction: Results and Future Developments. J Assist Reprod Genet 16, 199–206 (1999). https://doi.org/10.1023/A:1020364807226
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DOI: https://doi.org/10.1023/A:1020364807226