2002
DOI: 10.1002/humu.10046
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Reliability of DHPLC in mutational screening of ?-globin (HBB) alleles

Abstract: The inherited disorders of hemoglobin represent the most common Mendelian disease worldwide, with a higher prevalence among Mediterraneans, Asians, Africans, and Indians. Altered beta-globin sequences, causing either hemoglobinopathies or beta-thalassemia syndromes, are due to more than 200 different mutations in the beta-globin gene. Prevention programs based on postnatal and prenatal molecular diagnosis of heterozygous carriers and/or patients require the use of reliable mutation scanning methods in at-risk … Show more

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Cited by 48 publications
(31 citation statements)
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“…The present study adds to the growing number of reports showing the usefulness of DHPLC for mutation screening in disorders where disease-causing mutations are heterogeneous (Colosimo et al, 2002;Flex et al, 2002;De Luca et al, 2003). Nevertheless, DHPLC analysis of the entire NF1 gene in the present group of Italian patients disclosed a large number (32/75, 43%) of recurrent mutations suggesting the possibility of developing rapid tests focused on searching for these recurrent mutations as a first step in the routine diagnostic procedure.…”
Section: Discussionmentioning
confidence: 54%
“…The present study adds to the growing number of reports showing the usefulness of DHPLC for mutation screening in disorders where disease-causing mutations are heterogeneous (Colosimo et al, 2002;Flex et al, 2002;De Luca et al, 2003). Nevertheless, DHPLC analysis of the entire NF1 gene in the present group of Italian patients disclosed a large number (32/75, 43%) of recurrent mutations suggesting the possibility of developing rapid tests focused on searching for these recurrent mutations as a first step in the routine diagnostic procedure.…”
Section: Discussionmentioning
confidence: 54%
“…However, because the pattern of bands obtained depends on the precise combination of alleles, the usefulness of this method for determining the genotype of b-thalassemic individuals is obviously limited by the great number of controls required. Moreover, the ability to detect mutations by SSCP is in general lower compared to other methods (e.g., DGGE or DHPLC, which are reported to detect 495% of the mutations present) (13). The SSCP method is nevertheless much easier to employ than other methods and is especially successful for b-thalassemic carriers.…”
Section: Discussionmentioning
confidence: 94%
“…The advantages and disadvantages of each of these methods are discussed on the European Molecular Genetics Quality Network website (11). Recently, systems based on a microelectronic chip (12) or denaturing high-performance liquid chromatography (dHPLC) (13) have been applied for large-scale, fast, and reliable mutational screening of known b-globin alleles.…”
mentioning
confidence: 99%
“…In general, DHPLC is a rapid and cost-effective method because no particular manipulations or reagents are required pre-or post-PCR amplification. However, existing DHPLC mutation screening protocols available for b-globin gene are based on the Transgenomic Wave TM analyzer [8,9], requiring a significant capital injection, which can be particularly problematic for small laboratories. The DHPLC methodology described herein allows its implementation in every laboratory in possession of a HPLC instrumentation, since only the purchase of the separation column is required and the resulting chromatograms are generated equally fast as with the Transgenomic setup.…”
Section: Resultsmentioning
confidence: 99%
“…Denaturing high-performance liquid chromatography (DHPLC) is a cost-effective methodology that has been successfully applied for mutational detection of several genes [7], including the a-and b-globin genes [6,8,9], approaching 90-100% in sensitivity and specificity. However, the earlier-mentioned protocols are based on the Transgenomic Wave TM DHPLC system, which is expensive and therefore poses a hurdle for its implementation in low-budget laboratories, particularly those in developing countries.…”
Section: Introductionmentioning
confidence: 99%