Due to the comparable stability between the perfect-base
pair and
the wobble-base pair, a precise differentiation of the wobble-type
allele has remained a challenge, often leading to false results. Herein,
we proposed a ligase chain reaction (LCR)-based ratiometric electrochemical
DNA sensor, namely, R-eLCR, for a precise typing of the wobble-type
allele, in which the traditionally recognized “negative”
signal of wobble-base pair-mediated amplification was fully utilized
as a “positive” one and a ratiometric readout mode was
employed to ameliorated the underlying potential external influence
and improved its detection accuracy in the typing of the wobble-type
allele. The results showed that the ratio between current of methylene
blue (I
MB) and current of ferrocene (I
Fc) was partitioned in three regions and three
types of wobble-type allele were thus precisely differentiated (AA
homozygote: I
MB/I
Fc > 2; GG homozygote: I
MB/I
Fc < 1; GA heterozygote: 1 < I
MB/I
Fc < 2); the proposed
R-eLCR successfully discriminated the three types of CYP2C19*2 allele in nine cases of human whole blood samples, which was consistent
with those of the sequencing method. These results evidence that the
proposed R-eLCR can serve as an accurate and robust alternative for
the identification of wobble-type allele, which lays a solid foundation
and holds great potential for precision medicine.