Thromb Haemost 1997; 77(01): 119-122
DOI: 10.1055/s-0038-1655917
Coagulation
Schattauer GmbH Stuttgart

Genetic Diagnosis of Factor V Leiden Using Heteroduplex Technology

D J Bowen
1   The hemostasis Research Laboratory, The Arthur Bloom Center, Department of Haematology, University of Wales College of Medicine, Heath Park, Cardiff, S Wales, UK
,
G R Standen
2   Molecular Haematology Unit, Department of Haematology, Bristol Royal Infirmary, Bristol, UK
,
S Granville
1   The hemostasis Research Laboratory, The Arthur Bloom Center, Department of Haematology, University of Wales College of Medicine, Heath Park, Cardiff, S Wales, UK
,
S Bowley
1   The hemostasis Research Laboratory, The Arthur Bloom Center, Department of Haematology, University of Wales College of Medicine, Heath Park, Cardiff, S Wales, UK
,
N A P Wood
3   Department of Transplantation Sciences, University of Bristol, Bristol Homoeopathic Hospital Site, Bristol, UK
,
J Bidwell
3   Department of Transplantation Sciences, University of Bristol, Bristol Homoeopathic Hospital Site, Bristol, UK
› Author Affiliations
Further Information

Publication History

Received 08 July 1996

Accepted after revision 30 September 1996

Publication Date:
11 July 2018 (online)

Summary

A new genetic test has been developed for detection of the mutation known as factor V Leiden. The test employs heteroduplex technology and comprises a single PCR reaction followed immediately by PCR product analysis. It therefore represents the minimum practical route from blood/tissue sample to genetic result. A cohort of 100 patients with a history of thrombosis have been screened using both the new heteroduplex test and a previously described PCR-restriction endonuclease test. Results gave 100% correlation: normals 75 (75%), heterozygotes 24 (24%) and homozygotes 1 (1%). The heteroduplex test has been shown to give straightforward diagnosis in three different analytical systems: standard polyacrylamide gel electrophoresis (PAGE), mini-gel PAGE and capillary electrophoresis. The latter system is semiautomated, therefore rapid through-put of large sample numbers is now · possible.

 
  • References

  • 1 Dahlbäck B. Inherited thrombophilia resistance to activated protein C as a pathogenic factor of venous thromboembolism. Blood 1995; 85: 607-614
  • 2 Reitsma PH, Poort SR, Bemardi F, Gandrille S, Long GL, Sala N, Cooper DN. Protein C deficiency: a database of mutations. Thromb Haemost 1993; 69: 77-84
  • 3 Tuddenham EG, Cooper DN, Protein S. C4b-binding protein and protein Z. In: The molecular genetics of haemostasis and its inherited disorders. Motulsky AG, Borrow M, Harper PS, Scriver C. eds New York: Oxford University Press; 1994. pp 164-174
  • 4 Lane DA, Ireland H, Olds RJ, Thein SL, Perry DJ, Aiach M. Antithrombin III: a database of mutations. Thromb Haemost 1991; 66: 657-661
  • 5 Zöller B, Dählback B. Linkage between inherited resistance to activated protein C and factor V gene mutations in venous thrombosis. Lancet 1994; 343: 1536-1538
  • 6 Bertina RM, Koeleman BPC, Koster T, Rosendaal FR, Dirven RJ, de RondeH, van derVelden A P, Reitsma PH. Mutation in blood coagulation factor V associated with resistance to activated protein C. Nature 1994; 369: 64-67
  • 7 Beauchamp NJ, Daly ME, Hampton KK, Cooper PC, Preston FE, Peake IR. High prevalence of a mutation in the factor V gene within the UK population: relationship to activated protein C resistance and familial thrombosis. BrJ Haematol 1994; 88: 219-222
  • 8 Rabes JP, Trossaert M, Conard J, Samama M, Giraudet P, Boileau C. Single point mutation at Arg506 of factor V associated with APC resistance and venous thromboembolism: Improved detection by PCR-mediated site-directed mutagenesis. Thromb Haemost 1995; 74: 1379-1380
  • 9 Kirschbaum NE, Foster PA. The polymerase chain reaction with sequence specific primers for the detection of the factor V mutation associated with activated protein C resistance. Thromb Haemost 1995; 74: 874-878
  • 10 Blasczyk R, Ritter M, Thiede C, Wehling J, Hintz G, Neubauer A, Reiss H. simple and rapid detection of factor V Leiden by allele-specific PCR amplification. Thromb Haemost 1996; 75: 757-759
  • 11 Bidwell J, Wood N, Clay T, Pursall M, Culpan D, Evans J, Bradley B, Tyfield L, Standen G, Hui K. DNA heteroduplex technology. In: Advances in electrophoresis. Chrambach A, Dunn MJ, Radola BJ. eds Weinheim: VCH Press; 1994. pp 311-351
  • 12 Cripe LD, Moore KD, Kane WH. Structure of the gene for human coagulation factor V. Biochemistry 1992; 31: 3777-3785
  • 13 Maniatis T, Fritsch EF, Sambrook J. Analysis of recombinant DNA clones. In: Molecular cloning, a laboratory manual. Maniatis T. ed New York: Cold Spring Harbour Laboratory; 1982. pp 363-373
  • 14 Budowle B, Allen RC. Discontinuous polyacrylamide gel electrophoresis of DNA fragments. In: Protocols in human molecular genetics, Methods in Molecular Biology 9. Mathew CG. ed New Jersey: Humana Press; 1991. p 128
  • 15 Wood N, Standen GR, Bowen DJ, Cumming A, Lush C, Lee R, Bidwell J. UHG-based mutation screening in type 2B von Willebrand’s disease: detection of a candidate mutation Ser547Phe. Thromb Haemost 1996; 75: 363-367
  • 16 Wood N, Standen G, Old J, Bidwell J. Optimization and properties of a UHG for genotyping of haemoglobin S and C. Hum Mutat 1995; 05: 166-172