Thromb Haemost 2005; 94(03): 661-664
DOI: 10.1160/TH05-03-0144
New Technologies and Diagnostic Tools
Schattauer GmbH

Rapid identification of female haemophilia A carriers with deletions in the factor VIII gene by quantitative Real-Time PCR analysis

Eduardo F. Tizzano
,
María J. Barceló
,
Manel Baena
,
Mónica Cornet
,
Adoración Venceslá
,
José Mateo
,
Jordi Fontcuberta
,
Montserrat Baiget
Financial support: This work was supported by Fundació Catalana d′Hemofilia.
Further Information

Publication History

Received: 01 March 2005

Accepted after major revision: 12 May 2005

Publication Date:
07 December 2017 (online)

Summary

Large deletions of the factorVIII gene account for approximately 5% of severe haemophilia A patients. Although deletions are readily detectable in males, the identification of heterozygosity in possible carriers of these families still constitutes a challenge. In order to identify a deleted allele over the background of the normal allele in these carriers, we developed a rapid real-time quantitative PCR approach by means of LightCycler technology and SYBR green I for monitoring product formation. The method was applied to families with independent deletions (one in exon 14 and the other in exons 23-24) of the Factor VIII gene, thereby allowing a reliable determination of carrier or non-carrier status. The method is extremely versatile and can be adapted to other deletions within the factor VIII gene as well as to other diseases whose molecular pathology consists of deletions or duplications.

 
  • References

  • 1 Antonarakis SE, Rossiter JP, Young M. et al. Factor VIII gene inversions in severe haemophilia A: results of an International Consortium study.. Blood 1995; 86: 2206-12.
  • 2 Bagnall RD, Waseem N, Green P. et al. Recurrent inversion breaking intron 1 of the factor VIII gene is a frequent cause of severe haemophilia A.. Blood 2002; 99: 168-74.
  • 3 HAMSTeRS. http://europium.csc.mrc.ac.uk.
  • 4 Peake I. R, Lillicrap D. P, Boulyjenkov V. et al. Report of a joint WHO/WFH meeting on the control of haemophilia: carrier detection and prenatal diagnosis.. Blood Coagul Fibrinolysis 1993; 4: 313-44.
  • 5 Miller SA, Dykes DD, Polesky HF. A simple salting out procedure for extracting DNA from human nucleated cells.. Nucleic Acid Res 1989; 6: 1215.
  • 6 Tizzano E, Venceslá A, Cornet M. et al. Utility of a (GT)n dinucleotide repeat in intron 1 of the factor 8 gene for haemophilia a carrier diagnosis.. Haemophilia 2005; 11: 142-4.
  • 7 David D, Moreira I, Lalloz MRA. et al. Analysis of the essential sequences of the factor VIII gene in twelve haemophilia A patients by single-stranded conformation polymorphism.. Blood Coagul Fibrinolysis 1994; 5: 257-64.
  • 8 Cusco I, Barceló MJ, Baiget M. et al. Implementation of SMA carrier testing in genetic laboratories: Comparison of two methods for quantifying the SMN1 gene.. Hum Mutat 2002; 20: 452-9.
  • 9 Joncourt F, Neuhaus B, Jostarndt-Foegen K. et al. Rapid identification of female carriers of DMD/BMD by quantitative real-time PCR.. Hum Mutat 2004; 23: 385-91.
  • 10 Costa C, Jouannic JM, Stieltjes N. et al. Quantitative Real-Time PCR Assay for rapid identification of deletion carriers in hemophilia.. Clin Chem 2004; 50: 1269-7
  • 11 Acquila M, Pasino M, Lanza T. et al. Duplication of exon 13 causes one third of the cases of mild haemophilia A in Northern Italy.. Haematologica 2004; 88: 758-9.