2011
DOI: 10.1373/clinchem.2011.166306
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Snapback Primer Genotyping of the Gilbert Syndrome UGT1A1 (TA)n Promoter Polymorphism by High-Resolution Melting

Abstract: BACKGROUND: Gilbert syndrome, a chronic nonhemolytic unconjugated hyperbilirubinemia, is associated with thymine-adenine (TA) insertions in the UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) promoter. The UGT1A1 promoter genotype also correlates with toxicity induced by the chemotherapeutic drug irinotecan. Current closed-tube assays for genotyping the UGT1A1 (TA) n promoter polymorphism require multiple labeled probes and/or have difficulty classifying the (TA) 5 and (TA) 8 alleles.

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Cited by 16 publications
(19 citation statements)
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“…It was successfully applied for the genotyping of Factor V Leiden [26], Gilbert Syndrome UGT1A1 (TA) n promoter polymorphism [24] and for the enrichment and detection of rare alleles [25]. As previously reported in other assays utilizing the snapback primer strategy [24][26], our method was also found to be optimal using asymmetric concentrations with an excess of snapback primer and limiting the reverse primer. Despite the fact that this assay is based on an intercalating dye (EvaGreen), it remains highly specific due to the snapback strategy which increased the specificity of the test to the similar level with the fluorescently labelled probe assays.…”
Section: Discussionsupporting
confidence: 56%
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“…It was successfully applied for the genotyping of Factor V Leiden [26], Gilbert Syndrome UGT1A1 (TA) n promoter polymorphism [24] and for the enrichment and detection of rare alleles [25]. As previously reported in other assays utilizing the snapback primer strategy [24][26], our method was also found to be optimal using asymmetric concentrations with an excess of snapback primer and limiting the reverse primer. Despite the fact that this assay is based on an intercalating dye (EvaGreen), it remains highly specific due to the snapback strategy which increased the specificity of the test to the similar level with the fluorescently labelled probe assays.…”
Section: Discussionsupporting
confidence: 56%
“…Indeed, the fixed data-acquisition capabilities (3 data points/°C) of the 7500 Fast Real-Time PCR System and the supplied version of the software (version 1.4) were not adequate for evaluating the snapback melting [24].…”
Section: Resultsmentioning
confidence: 99%
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“…Alternate methods can been used to increase the detection sensitivity of melting assays, such as decreasing the PCR product length (10 ), calibration with an internal oligonucleotide duplex (13 ), quantitative heteroduplex analysis after mixing with a known genotype (25 ), or the use of unlabeled probes (14,15 ) or snapback primers (26,27 ). Nevertheless, melting of PCR products has an inherent simplicity that is very attractive.…”
Section: Discussionmentioning
confidence: 99%
“…The stem-loop hairpin structure of the single-strand DNA amplicon facilitates the selective amplification of the mutant allele, providing the snapback primer system with the favorable sensitivity to identify the trace amount of mutations with as low as 0.01–1% mutation load. Moreover, since the test result is evaluated with melting curve analysis, the snapback primer system can precisely segregate almost all the snapback probe-flanked small sequence alternations, such as SNP, insert, deletion, and even tandem repeats [31], thus minimizing the risk of false negative results induced by the rare mutation. Moreover, the unique melting temperature of each PCR product in melting curve analysis also improves the detection specificity and eliminates underlying false positive results.…”
Section: Discussionmentioning
confidence: 99%