Abstract
To determine the population-based frequency of a rare mutation (the 121ins2 mutation in the surfactant protein B gene), we developed high-throughput techniques to extract reliably and rapidly amplifiable DNA from Guthrie cards. Using a 3-mm punch from each of 10,044 Guthrie cards obtained from the Missouri Department of Health, we extracted DNA with deionized water by heating in the presence of 2% Chelex in a 96-well format. Average yield of DNA from each punch was 52.6 ± 21 μg. Using 36mer primers and a 10-μL reaction volume, we amplified a 354-bp fragment of the surfactant protein B gene that contained the mutation and identified the mutation by its susceptibility to restriction enzyme digestion with Sfu I. The procedure required 5 h per 96 samples but only 2 h of technician time. The amplification rate on the first attempt was 99.2%. Based on detection of eight individuals heterozygous for the mutation (confirmed by direct sequencing), we estimate the allele frequency to be 0.8/1000 individuals, an estimate not significantly different from previous estimates based on independent methods. High-throughput DNA extraction and amplification will permit establishment of DNA banks as well as efficient estimation of population-based genotype frequency for both rare and common genetic disorders.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
Abbreviations
- SP-B:
-
surfactant protein B
References
Nogee LM, deMello DE, Dehner LP, Colten HR 1993 Brief report: deficiency of pulmonary surfactant protein B in congenital alveolar proteinosis. N Engl J Med 328: 406–410
Hamvas A 1997 Surfactant protein B deficiency: insights into inherited disorders of lung cell metabolism. Curr Probl Pediatr 27: 325–352
Nogee LM, Garnier G, Singer L, Dietz HC, Murphy AM, Cutting GR, deMello DE, Colten HR 1994 A mutation in the surfactant protein B gene responsible for fatal neonatal respiratory disease in multiple kindreds. J Clin Invest 93: 1860–1863
Nogee LM, Wert SE, Proffit SA, Hull WM, Whitsett JA 2000 Allelic heterogeneity in heredity surfactant protein B (SP-B) deficiency. Am J Respir Crit Care Med 161: 973–981
Cole FS, Hamvas A, Rubinstein P, King E, Trusgnich M, Nogee LM, deMello DE, Colten HR 2000 Population-based estimates of a rare genetic disease of infancy: surfactant protein B deficiency. Pediatrics 105: 538–541
Schwartz EI, Khalchitsky SE, Eisensmith RC, Woo SLC 1990 Polymerase chain reaction amplification from dried blood spots on Guthrie cards. Lancet 336: 639–640
Nelson PV, Carey WF, Morris CP 1990 Gene amplification directly from Guthrie blood spots. Lancet 336: 1451–1452
McCabe ERB 1991 Utility of PCR for DNA analysis from dried blood spots on filter paper blotters. PCR Methods Appl 1: 99–106
Seddon HR, Gray G, Pollitt RJ, Iitia A, Green A 1997 Population screening for the common G985 mutation causing medium-chain acyl-CoA dehydrogenase deficiency with EU-labeled oligonucleotides and the DELFIA system. Clin Chem 43: 436–438
Makowski GS, Hopfer SM 1998 Cystic fibrosis: molecular approaches to diagnosis. Ann Clin Lab Sci 28: 380–385
Den Boer MEJ, Ijlst L, Wijburg FA, Oostheim W, Van Werkhoven MA, Van Pampus MG, Heymans HAS, Wanders RJA 2000 Heterozygosity for the common LCHAD mutation (1528G→C) is not a major cause of HELLP syndrome and the prevalence of the mutation in the Dutch population is low. Pediatr Res 48: 151–154
Gasparini Arbustini E, Restagno G, Zelante L, Stanziale P, Gatta L, Sbaiz L, Sedita AM, BanchSapone L, Fiorucci GC, Brinson E, Shulse E, Rappaport E, Fortina P 1999 Analysis of 31 CFTR mutations by polymerase chain reaction/oligonucleotide ligation assay in a pilot screening of 4476 newborns for cystic fibrosis. J Med Screen 6: 67–69
Carducci C, Ellul L, Pontecorvi A, Pontecorvi A 1992 DNA elution and amplification by polymerase chain reaction from dried blood spots. Biotechniques 15: 735–737
Schneeberger C, Kury F, Larsen J, Speiser P, Zeillinger R 1992 A simple method for extraction of DNA from Guthrie cards. PCR Methods Appl 2: 177–179
Polski JM, Kimzey S, Percival RW, Grosso LE 1998 Rapid and effective processing of blood specimens for diagnostic PCR using filter paper and Chelex-100. Mol Pathol 51: 215–217
Del Rio SA, Marion MA, Belgrader P 1996 Reusing the same blood-stained punch for sequential DNA amplifications and typing. Biotechniques 20: 970–974
Makowski GS, Davis EL, Hopfer SM 1997 Amplification of Guthrie card DNA: effect of guanidine thiocyanate on binding of natural whole blood PCR inhibitors. J Clin Lab Anal 11: 87–93
Akane A, Matsubara K, Nakamura H, Takahashi S, Kimura K 1994 Identification of the heme compound copurified with deoxyribonucleic acid (DNA) from bloodstains, a major inhibitor of polymerase chain reaction (PCR) amplification. J Forensic Sci 39: 362–372
Walsh PS, Metzger DA, Higuchi R 1991 Chelex 100 as a medium for simple extraction of DNA for PCR-based typing from forensic material. Biotechniques 10: 506–513
Singer-Sam J, Tanguay RL, Riggs AD 1989 Use of Chelex to improve the PCR signal from a small number of cells. Amplifications: A Forum for PCR Users 3: 11
Hamvas A, Kwong P, DeBaun M, Schramm W, Cole FS 1998 Hyaline membrane disease is underreported in a linked birth-infant death certificate database. Am J Public Health 88: 1387–1389
Yusen RD, Cohen AH, Hamvas A 1999 Normal lung function in subjects heterozygous for surfactant protein B deficiency. Am J Respir Crit Care Med 159: 411–414
McEwen JE, Reilly PR 1994 Stored Guthrie cards as DNA “banks.”. Am J Hum Genet 55: 196–200
Acknowledgements
The authors thank Corrine Hamvas, Jennifer Heeley, Robert Jones, Qua Mei Lei, Robin Peterson, George Roffman, Thomas Sandbothe, and Jasmine Wong for technical assistance.
Author information
Authors and Affiliations
Corresponding author
Additional information
Supported in part by a grant from the National Institutes of Health (HL/HD 54187; F.S.C.) and the Eudowood Foundation (L.M.N.).
Rights and permissions
About this article
Cite this article
Hamvas, A., Trusgnich, M., Brice, H. et al. Population-Based Screening for Rare Mutations: High-Throughput DNA Extraction and Molecular Amplification from Guthrie Cards. Pediatr Res 50, 666–668 (2001). https://doi.org/10.1203/00006450-200111000-00021
Received:
Accepted:
Issue date:
DOI: https://doi.org/10.1203/00006450-200111000-00021
This article is cited by
-
A newborn screening pilot study using methylation-sensitive high resolution melting on dried blood spots to detect Prader-Willi and Angelman syndromes
Scientific Reports (2020)
-
Reversal of Surfactant Protein B Deficiency in Patient Specific Human Induced Pluripotent Stem Cell Derived Lung Organoids by Gene Therapy
Scientific Reports (2019)
-
Population-based frequency of surfactant dysfunction mutations in a native Chinese cohort
World Journal of Pediatrics (2016)
-
An intronic ABCA3 mutation that is responsible for respiratory disease
Pediatric Research (2012)
-
A hands-on overview of tissue preservation methods for molecular genetic analyses
Organisms Diversity & Evolution (2010)


