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10.2217/PGS.09.44 © 2009 Future Medicine Ltd Pharmacogenomics (2009) 10(6), 989–995 ISSN 1462-2416 989
Special Report Sánchez-Romero, Dorado, Guarino & Llerena
The real-time PCR techniques can be used The SNP rs6265 of the BDNF gene (GenBank
for either nonspecific or specific detection using accession: AF411339; at position 95422) was
unspecific DNA-binding dyes (SYBR® Green I) analyzed. A total of 30 samples of genomic DNA
or target-specific probes (TaqMan assays), were amplified in each reaction using TaqMan
respectively [31,32] . In addition, real-time PCR master mix (Applied Biosystems) or Power
equipment allows the analysis of the melting SYBR Green I master mix (Applied Biosystems),
curves of the products at the end of the reac- according to the genotyping method.
tion as well as the checking of PCR product
purity. The double stranded DNA-specific dye, BDNF genotyping using TaqMan®
SYBR Green I, has been used to analyze the Amplification conditions consisted of a 10 min
melting curves of PCR products. These PCR pre-incubation period at 95°C to activate the
product melting curves are characterized by a Taq DNA polymerase, followed by 40 cycles of
rapid loss of fluorescence as the temperature is denaturation at 95°C for 15 s and then primer
raised through the sample’s melting temperature annealing and extension carried out for 1 min
(Tm) [33] . at 60°C.
This study aimed to develop a simple, Genomic DNA was amplified and analyzed
fast and accurate new method to detect the using the appropriate TaqMan assay, which
Val66Met polymorphism of the BDNF gene by includes specific primers and probes for Val66Met
melting-curve analysis. (ID: C_11592758_10) and the Universal PCR
Master Mix, No AmpErase UNG (Applied
Materials & methods Biosystems), which contains AmpliTaq Gold
Samples & instrumentation DNA polymerase, dNTP, buffers and passive
The DNA samples were collected from 30 white internal reference based on ROX (reference dye).
European Spanish schizophrenia patients
(Diagnostic and Statistical Manual of Mental BDNF genotyping using SYBR®
Disorders, 4th Edition [DSM-IV] criteria) and Green I & melting-curve analysis
only individuals without any relevant organic Amplification conditions and samples of
disease that is treated with aripiprazole were genomic DNA were the same as for TaqMan.
included in the study for the determination of Power SYBR Green I master mixture contains
the BDNF Val66Met polymorphism. A routine SYBR Green I dye, AmpliTaq Gold DNA poly-
clinical examination was performed and a medi- merase, a dNTPs mixture, optimized buffers
cal history was taken prior to the study. The and passive internal reference based on ROX
subjects were informed about the aims of the dye. No fluorescent probes were used for this
study and each gave their consent to participate. method and specific primers were designed for
This study was performed in accordance with this SNP (Table 1) .
the Helsinki Declaration and was approved The fluorescence melting curve was analyzed
by the Ethical Committee of the Extremadura immediately following amplification. After
University Hospital (Badajoz, Spain). amplification, the fluorescence intensity of the
For PCR amplification and fluorescence PCR product was measured from 60–92°C
melting-curve analysis, an ABI 7300 instrument at a temperature gradient of 0.2°C/min. The
(Applied Biosystems [CA, USA]) was used. The ABI 7300 automatically calculates the negative
PCR was performed in standard 96-well plates, derivative of the change in fluorescence. When
sealed with optical adhesive covers. plotted on a graph, this yields a peak at the Tm
For genotyping, 5 ml blood samples were col- of the PCR product.
lected in ethylenediaminetetraacetic acid (EDTA) Products were designed to be in the 50–100 bp
tubes and DNA was extracted using the QIAamp® range, as recommended for optimal SYBR
DNA blood kit (Qiagen [Hilden, Germany]). Green I fluorescence melting-curve analysis.
Table 1. Primer sequences, PCR product length, GC content and predicted product melting temperature.
Variant Forward primer Common reverse primer Product GC Predicted
(5´>3´) (5´>3´) length content Tm
(bp) (%) (ºC)
Val66 TGGCTGACACTTTCGAACtCG CCGAACTTTCTGGTCCTaAT 59 49 74
Met66 CGCGGCCGGCCTGGCTGACACTTTCGAACcCA CCGAACTTTCTGGTCCTaAT 70 57 79
The polymorphic base is in bold, the 3´ mismatch is in lowercase and the GC clamp is underlined.
Tm: Melting temperature.
Val/Val
0.28
Met/Met
0.24
0.20
0.16
Derivative
0.12
0.08
Val/Met
0.04
NTC
0.00
-0.04
60 65 70 75 80 85 90 95
Temperature (°C)
For these products, a single base change does polymorphic site [35] . Both alleles were analyzed
not affect the Tm sufficiently to distinguish the in the same reaction and in real time, with no
SNPs. To increase the differences in the Tm need for additional steps.
between different alleles, a random GC segment Primer design was based on the pub-
was added to the 5´ end of one of the specific lished sequence (sequence accession num-
forward primers. The GC clamp was added to ber AF411339) using the Primer3 program
the primer of the product with the highest initial (Whitehead Institute for BioMedical Research
Tm to achieve a difference of 4°C between the [MA, USA]). Primers were synthesized by
two alleles [34] . Stabvida (Lisbon, Portugal). Forward and
For analysis of allelic variants, two forward reverse primers were used at 100 nM (Table 1) .
primers were designed with the 3´ base of Predicted product Tm was calculated by the
each primer matching only one of the biallelic oligonucleotide properties calculador computer
SNP bases to be evaluated. Incorporation of program (OligoCalc, Northwestern University,
a primer mismatch at the third base from the IL, USA) [36] .
3´ end of the primer has been demonstrated to To determine the optimal annealing tem-
enhance the specificity of the PCR by further perature of the SYBR Green I assay, a tem-
destabilizing the extension of the double mis- perature gradient was employed, the specificity
matched primer. In addition, to distinguish was evaluated through gel and melting-curve
the allelic primers during amplification, dif- analysis of the PCR product and the repro-
ferent mismatches in the third 3´ base of both ducibility of the assay was determined by
forward primers were employed. A common standard deviations between replicates (data
reverse primer was designed downstream of the not shown).
Dissociation curve
0.32
0.28
0.24
0.20
0.16
Derivative
0.12
0.08
0.04
0.00
-0.04
60 65 70 75 80 85 90 95
Temperature (°C)
1.60
Allele Y (BDNF A [Met])
1.20
0.80
0.40
0.00
-0.40
0.00 0.20 0.40 0.60 0.80 1.00 1.20 1.40 1.60 1.80
Allele X (BDNF G [Val])
Figure 3. Cluster plot of 30 samples of genomic DNA and two not template controls that
were genotyped using a TaqMan® SNP genotyping assay.
X, Y and both represent a Val66 homozygote, Met66 homozygote and heterozygote, respectively.
NTC: Not template control.
may permit the analysis of both BDNF alleles, 5´ end of the primer does not interfere with its
Val66 and Met66, in the same reaction with annealing to the original sequence [34,38–40] and
no need for additional steps. The allele-specific ensures a readily measurable difference in the
amplification with the additional 3´ GC clamp Tm of two alleles amplified in the same reaction
enables discrimination between the two alleles, tube. Primers are standard DNA oligonucle-
but the difference in hybridization temperature otides, so there is no need to use additional
of a primer with two mismatches as opposed fluorescent probes other than the generic SYBR
to one is probably insufficient to differentially Green I fluorescent dye. Moreover, all reactions
amplify two alleles. In this assay, specificity is and measurements take place in a single closed
provided by the ine fficient extension by the tube, removing the need to manipulate the
Taq DNA polymerase from a primer with an PCR product and reducing the risk of post-PCR
unmatched 3´ end. The allele-specific prim- contamination. Thus, the use of both allele-
ers can be designed either in their forward or specific PCR and GC clamp/differential melt-
reverse direction; however, the primer orienta- ing analysis generates a powerful SNP genotyp-
tion should be the same (forward or reverse) if ing method that is also reliable, inexpensive and
both reactions are performed in the same tube. simple to perform.
The use of allele-specific primers containing In conclusion, the newly developed method
an additional mismatch in the third 3´ base of PCR with melting-curve analysis is simple,
of both forward primers eliminates the need fast and accurate for the determination of the
for extensive optimization of PCR conditions, BDNF Val66Met polymorphism and would
which reduces the time and effort required dur- be useful if applied to SNP analysis in other
ing assay setup and increases robustness during pharmacogenetic studies.
sample analysis [35,37] . Furthermore, the addi-
tional GC clamp makes this method universally Future perspective
applicable since the Tm of one allele can be The GC clamp method is extensively applica-
adjusted as necessary to give distinct separation ble since the addition of a GC clamp allows to
of melting curves. The GC clamp works well adjust the Tm of one allele to distinguish dif-
for samples of a variety of GC content and Tms. ferent melting curves. Theoretically, using this
The addition of the GC-rich sequence to the methodology, it would be possible to analyze
Executive summary
This method permits the analysis of both the BDNF alleles Val66 and Met66 in the same reaction with no need for additional steps.
The influence of the BDNF gene polymorphisms on response to neuroleptic drugs and lithium has been demonstrated.
The developed method could have a general application in pharmacogenetic studies since it could be adapted to evaluate rapidly and
routinely different SNPs on different genes.
The addition of a GC clamp makes this method universally applicable since the melting temperature of one allele can be adjusted as
necessary to give distinctive separation of melting curves.
All reactions and measurements take place in a single closed tube, which removes the need to manipulate the PCR products and reduces
the risk of post-PCR contamination.
multiple SNPs in the same reaction tube and Instituto de Salud Carlos III-FIS and European Union
primers can be designed with an adequate Tm (FEDER): CIBERSAM, PI06/1681 and CP/06/0030
difference. This application would be useful in (Pedro Dorado). The study was coordinated in the net-
pharmacogenomic studies. work Red Iberoamericana de Farmacogenética y
Farmacogenómica (CYTED206RT0290). The authors
Acknowledgements have no other relevant affiliations or financial involve-
The collaboration of Eva Peñas-LLedó MD PhD and ment with any organization or entity with a financial
Alfredo de la Rubia MD PhD is gratefully acknowledged. interest in or financial conflict with the subject matter or
materials discussed in the manuscript apart from
Financial & competing interests disclosure those disclosed.
This study was supported in Spain by the Ministries of No writing assistance was utilized in the production of
Education and Science (SAF2006/13589) and Health, this manuscript.