Thromb Haemost 2000; 83(02): 248-252
DOI: 10.1055/s-0037-1613795
Rapid Communication
Schattauer GmbH

An Automated Heteroduplex Assay for the PlA Polymorphism of Glycoprotein IIb/IIIa, Multiplexed with Two Prothrombotic Genetic Markers[*]

Fiona O’Connor
1   From the Department of Clinical Pharmacology, Royal College of Surgeons in Ireland, Dublin, Ireland
,
Desmond J. Fitzgerald
1   From the Department of Clinical Pharmacology, Royal College of Surgeons in Ireland, Dublin, Ireland
,
Ronan P. Murphy
1   From the Department of Clinical Pharmacology, Royal College of Surgeons in Ireland, Dublin, Ireland
› Author Affiliations
Further Information

Publication History

Received 08 June 1999

Accepted after revision 15 October 1999

Publication Date:
27 December 2017 (online)

Summary

Screening for the PlA polymorphism has been made faster and simpler with the advent of heteroduplex technology. Simultaneous screening for three common prothrombotic polymorphisms PlA, factor V Leiden, and MTHFR(C677T) has been achieved with multiplex heteroduplex analysis. We describe a quick and simple method for PlA heteroduplex probe production. The probe was multiplexed with heteroduplex probes for MTHFR(C677T) and factor V Leiden polymorphisms in a one tube assay, allowing rapid automated genotyping of all three. This automated multiplex assay was applied to a cohort of 165 patients and showed excellent correlation with gel-based assays, both PAGE and RFLP. This approach will facilitate the analysis of multiple polymorphisms in complex disease in large populations.

* Supported by grants from the Wellcome Trust, the Higher Education Authority (HEA) and the Health Research Board (HRB) of Ireland. Dr. Murphy was a HRB Postdoctoral Fellow during the performance of this work.


 
  • References

  • 1 Beauchamp N, Daly ME, Hampton KK, Cooper PC, Preston FE, IR P. High prevalence of a mutation in the factor V gene within the UK population: relationship to activated protein C resistance and familial thrombosis. Br J Haematol 1994; 88: 219-22.
  • 2 Carter AM, Ossei-Gerning N, Wilson IJ, Grant PJ. Association of the Platelet PlA Polymorphism of Glycoprotein IIb/IIIa and the Fibrinogen Bβ 448 Polymorphism with Myocardial Infarction and Extent of Coronary Artery Disease. Circulation 1997; 96: 1424-31.
  • 3 Weiss EJ, Bray PF, Tayback M, Schulman SP, Kickler TS, Becker LC, Weiss JL, Gerstenblith G, Goldschmidt-Clermont PJ. A polymorphism of a platelet glycoprotein receptor as an inherited risk factor for coronary thrombosis. N Engl J Med 1996; 334: 1090-4.
  • 4 Frosst P, Blom HL, Milos R, Goyette P, Sheppard CA, Matthews TA. A candidate genetic risk factor for vascular disease: a common mutation in methylene tetrahydrofolate reductase. Nature Genetics 1995; 10.
  • 5 Murphy RP, Donoghue C, Nallen RJ, D’Mello M, Regan C, Whitehead AS, Fitzgerald DJ. Prospective evaluation of the risk conferred by Factor V Leiden and thermolabile Methylenetetrahyrofolate Reductase polymorphisms in pregnancy. Art Throm Vas Biol. 1999 in press.
  • 6 Hessner MJ, Luhm RA, Pearson SL, Endean DJ, Friedman KD, Montgomery RR. Prevalence of Prothrombin G20210A, Factor V G1691A (Leiden), and Methylenetetrahydrofolate Reductase (MTHFR) C677T in Seven Different Populations Determined by Mutiplex Allele-specific PCR. Thromb Haemost 1999; 81: 733-8.
  • 7 Bowen DJ, Standen GR, Granville S, Bowley S, Wood NAP, Bidwell J. Genetic Diagnosis of Factor V Leiden Using Heteroduplex Technology. Thromb Haemost 1997; 77: 119-22.
  • 8 Bowen DJ, Bowley S, John M, Collins PW. Factor V Leiden (G1691A), the prothrombin3’ -untranslated region variant (G20210A) and thermolabile methylenetetrahydrofolate reductase (C677T): A single genetic test genotypes all 3 loci – determination of frequencies in the S. Wales population of the U.K. Thromb Haemost 1998; 79: 949-54.
  • 9 Dean M, Landegren U. SSCP and Heteroduplex analysis. In: Laboratory Protocols for Mutation Detection. Oxford: University Press; 1996: 23-6.
  • 10 Bidwell J, Wood N, Clay T, Pursall M, Culpan D, Evans J, Bradley B, Tyfield L, Standen G, Hui K. DNA heteroduplex technology. Chrambach A, Dunn MJ, Radola BJ. eds. Weinheim: VCH Press; Advances in Electrophoresis 1994: 311-51.
  • 11 Wood N, Bidwell J. Genetic screening and testing by induced heteroduplex formation. Electrophoresis 1996; 17.
  • 12 Newman PJ, Derbes RS, Aster RH. The Human Platelet Alloantigens, PlA1 and PlA2, Are Associated with a Leucine33/Proline33 Amino Acid Polymorphism in Membrane Glycoprotein IIIa, and Are Distinguishable by DNA Typing. J Clin Inv 1989; 83: 1778-81.
  • 13 Bertina RM, Koster T, Rosendaal FR, Dirven RJ, de Ronde H, van der Velden PA, Reitsma PH. Mutation in blood coagulation factor V associated with resistance to activated protein C. Nature 1994; 369: 64-7.
  • 14 Miller SA, Dykes DD, Polesky HF. A simple salting out procedure for extracting DNA from Human Nucleated Cells. Nucleic Acid Res 1986; 16: 1215.
  • 15 Simsek S, Faber NM, Bleeker PM, Vlekke ABJ, Huiskes E, Goldschmeding R, von dem Borne AEG. Determination of human platelet antigen frequencies in the Dutch population by immunophenotyping and DNA (allele-specific restriction enzyme) analysis. Blood 1993; 81: 835-40.
  • 16 Clark ZE, Bowen DJ, Whatley S, Bellamy MF, Collins PW, Mc Dowell IFW. Genotyping Method for Methylenetetrahydrofolate Reductase (C677T Thermolabile Variant) Using Heteroduplex Technology. Clin Chem 1998; 44: 2360-2.
  • 17 Ridker PM, Hennekens CH, Schmitz C, Stampfer MJ, Lindpaintner K. PlA1/A2 polymorphism of platelet glycoprotein IIIa and risks of myocardial infarction, stroke, and venous thrombosis. Lancet 1997; 349: 385-8.
  • 18 Scaglione L, Bergeroe S, Gaschino G, Imazio M, Maccagnani A, Gambino R, Cassader M, Di Leo M, Macchia G, Brusca A, Pagano G, Cavello-Perin P. Lack of relationship between the PlA1/PlA2 polymorphism of platelet glycoprotein IIa and premature myocardial infarction. Eur J Clin Inv 1998; 28: 385-8.
  • 19 Carter AM, Ossei-Gerning N, Grant PJ. Platelet glycoprotein IIIa PlA polymorphism in young men with myocardial infarction. Lancet 1996; 348: 485-6.
  • 20 Herrmann S-M, Poirier O, Marques-Vidal P, Evans A, Arveiler D, Luc G, Emmerich J, Cambien F. The Leu33/Pro Polymorphism (PlA1/PlA2) of the Glycoprotein IIIa (GPIIIa) Receptor Is Not Related to Myocardial Infarction in the ECTIM Study. Thromb Haemost 1997; 77: 1179-81.
  • 21 Carlsson LE, Greinacher A, Spitzer C, Walther R, Kessler C. Polymorphism of the Human Platelet Antigens HPA-1, HPA-2, HPA-3, and HPA-5 on the Platelet Receptors for Fibrinogen (GPIIb/IIIa), von Willebrand Factor (GPIb/IX), and Collagen (GPIa/IIa) Are Not Correlated with an Increased Risk for Stroke. Stroke 1997; 28: 1392-5.
  • 22 Dahlback B, Carlsson M, Svensson P. Familial thrombophilia due to a previously unrecognised mechanism characterised by poor anticoagulant response to activated protein C: prediction of a cofactor to activated protein C. Proc Nat Acad Sci 1993; 90: 1004-8.
  • 23 Koster T, Rosendaal FR, de Ronde H, Vandenbroucke JP, Bertina RM. Venous thrombosis due to poor anticoagulant response to activated protein C. Lancet 1993; 342: 1503-6.
  • 24 Rosendaal F, Koster T, VJ P, Reitsma P. High risk of thrombosis in patients homozygous for factor V Leiden (activated protein C resistance. Blood 1995; 85: 1504-8.
  • 25 Simioni P, Prandoni P, Lensing AW, Scudeller A, Sardella C, Prins MH, Villalta S, Dazzi F, Girolami A. The risk of recurrent venous thromboembolism in patients with an ARG506-Gln mutation in the gene for factor V (factor V Leiden). N Engl J Med 1997; 336: 399-403.
  • 26 Morita H, Taguchi J, Kurihara H, Kitaoka M, Kaneda H, Kurihara Y, Maemura K, Shindo T, Minamino T, Ohno M, Yamaoki K, Ogasawara K, Aizawa T, Suzuki S, Yazaki Y. Genetic polymorphism of 5,10-methylenetetrahydrofolate reductase (MTHFR) as a risk factor for coronary artery disease. Circulation 1997; 95: 2032-6.
  • 27 Legnani C, Palareti G, Grauso F, Sassi S, Grossi G, Piazzi S, Bernardi F, Marchetti G, Ferraresi P, Coccheri S. Hyperhomocysteinemia and a common methylenetetrahyrofolate reductase mutation (Ala223Val MTHFR) in patients with inherited thrombophilic coagulation defects. Art Throm Vas Biol 1997; 17: 2924-9.
  • 28 Laule M, Cascorbi I, Stangi V, Bielecke C, Wernecke KD, Mrozikiewicz PM, Felix SB, Roots I, Baumann G, Strangl K. PlA1/A2 polymorphism of glycoprotein IIIa and association with excess procedural risk for coronary catheter interventions: a case-controlled study. Lancet 1999; 353: 708-12.
  • 29 Pastinen T, Perola M, Niini P, Terwilliger J, Salomaa V, Vartiainen E, Peltonen L, Syvanen AC. Array-based multiplex analysis of candidate genes reveals two independent and additive genetic risk factors for myocardial infarction in the Finnish population. Hum Mol Gen 1998; 07: 1453-62.
  • 30 Livak K, Marmaro J, Todd JA. Towards fully automated genome-wide polymorphism screening. Nature Genetics 1995; 09: 341-2.
  • 31 Livak K, Flood SJA, Marmaro J, Giusti W, Deetz K. Oligonucleotides with fluorescent dyes at opposite ends provide a quenched probe system useful for detecting PCR product and nucleic acid hybridisation. PCR Methods and Applications 1995; 04: 357-62.