Thromb Haemost 1997; 77(06): 1154-1155
DOI: 10.1055/s-0038-1656129
Coagulation
Schattauer GmbH Stuttgart

A Hemi-nested, Allele Specific, Whole Blood PCR Assay for the Detection of the Factor V Leiden Mutation

Gary D Sinclair
The Departments of Medical Biochemistry, Medicine, Paediatrics and Oncology, Faculty of Medicine, University of Calgary; Departments of Medicine and Laboratory Medicine, Foothills Hospital; and the Canadian Red Cross Society Blood Services, Calgary, Alberta, Canada
,
Sandra Low
The Departments of Medical Biochemistry, Medicine, Paediatrics and Oncology, Faculty of Medicine, University of Calgary; Departments of Medicine and Laboratory Medicine, Foothills Hospital; and the Canadian Red Cross Society Blood Services, Calgary, Alberta, Canada
,
Man-Chiu Poon
The Departments of Medical Biochemistry, Medicine, Paediatrics and Oncology, Faculty of Medicine, University of Calgary; Departments of Medicine and Laboratory Medicine, Foothills Hospital; and the Canadian Red Cross Society Blood Services, Calgary, Alberta, Canada
› Author Affiliations
Further Information

Publication History

Received 18 November 1996

Accepted after revision 12 February 1997

Publication Date:
12 July 2018 (online)

Summary

We describe a novel hemi-nested, allele specific whole blood PCR assay for detection of the factor V Leiden mutation associated with the plasma defect, activated protein C resistance. This assay utilizes 5 μl of whole blood without prior DNA extraction. The hemi-nested design, employing an outer primer pair in combination with nested, allele specific primers obviates the need for restriction enzyme digestion. PCR reactions are analysed directly on agarose or polyacrylamide minigels. The assay confirmed the genotypes of 50 individuals previously categorized by PCR and Mnll digestion, and has been subsequently utilized in the genotyping of 445 individuals referred for thrombosis studies.

 
  • References

  • 1 Dahlbäck B, Carlsson M, Svensson PJ. Familial thrombophilia due to a previously unrecognized mechanism characterized by poor anticoagulant response to activated protein C. Proc Nat Acad Sci USA 1993; 90: 1004-1008
  • 2 Svensson PJ, Dahlbäck B. Resistance to activated protein C as a basis for venous thrombosis. N Eng J Med 1994; 330: 517-522
  • 3 Vandenbroucke JP, Koster T, Briët E, Reitsma PH, Bertina RM, Rosendaal FR. Increased risk of venous thrombosis in oral-contraceptive users who are carriers of factor V Leiden mutation. Lancet 1994; 344: 1453-1457
  • 4 De StefanoV, Finazzi G, Mannucci PM. Inherited thrombophilia: pathogenesis, clinical syndromes and management. Blood 1996; 87: 3531-3544
  • 5 Rees DC, Cox M, Clegg JB. World distribution of factor V Leiden. Lancet 1995; 346: 1133-1134
  • 6 Bertina RM, Koeleman BPC, Koster T, Rosendaal FR, Dirven RJ, deRonde H, van der VeldenPA, Reitsma PH. Mutation in blood coagulation factor V associated with resistance to activated protein C. Nature 1994; 369: 64-67
  • 7 Greengard JS, Sun X, Xu X, Fernandez JA, Griffin GH, Evatt B. Activated protein C resistance caused by Arg506Gln mutation in factor Va. Lancet 1994; 343: 1362-1363
  • 8 Bellissimo DB, Kirschbaum NE, Foster PA. Improved method for factor V Leiden typing by PCR-SSP. Thromb Haemost 1996; 75: 520
  • 9 Blascyzk R, Ritter M, Thiede C, Wehling J, Hintz G, Neubauer A, Riess H. Simple and rapid detection of factor V Leiden by allele-specific PCR amplification. Thromb Haemost 1996; 75: 757-759
  • 10 McCusker J, Dawson MT, Noone D, Gannon F, Smith T. Improved method for direct PCR amplification from whole blood. Nucleic Acids Res 1992; 20: 6747
  • 11 Rees DC, Cox M, Clegg JB. Detection of the Factor V Leiden mutation using whole blood PCR. Thromb Haemost 1996; 75: 520-521
  • 12 Zotz RB, Maruhn-Debowski B, Scharf RE. Mutation in the gene coding for coagulation factor V and resistance to activated protein C: detection of the genetic mutation by oligonucleotide ligation assay using a semiautomated system. Thromb Haemost 1996; 76: 53-55
  • 13 Engel H, Zwang L, van VlietHHDM, Michiels JJ, Stibbe J, Lindemans J. Phenotyping and genotyping of coagulation factor V Leiden. Thromb Haemost 1996; 75: 267-269