
CLINICAL AND MOLECULAR DATA ON
MENTAL RETARDATION IN BULGARIA Todorov T1#, Todorova A1#, Avdjieva D2, Dimova P3,
Angelova L4, Tincheva R2 and Mitev V1 *Corresponding Author: Tihomir Todorov, Department of Medical Chemistry and Biochemistry,
Sofia Medical University, 2 “Zdrave” str., Sofia 1431, Bulgaria; Tel./Fax: +359 29530715;
tisho.todorov@abv.bg page: 11
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PROTOCOLS FOR FMR1 GENE ANALYSIS
Betaine-Based-PCR Protocol. The primers
used to amplify the CGG repeat in the 5’UTR of the
FMR1 gene, the polymerase chain reaction (PCR)
mixture and cycling conditions have been described
elsewhere [11]. This amplification permits detection
of normal and of some premutated alleles. For the
correct sizing, PCR products were subjected to
electrophoresis on an ABI PRISM™ 310 Genetic
Analyzer (Applied Biosystems, Foster City, CA,
USA) in the presence of ROX500 size standard
(Applied Biosystems).
Methylation Sensitive MLPA (MSMLPA).
The MS-MLPA (SALSA MS-MLPA
ME029 probemix) was performed following the
manufacturer’s instructions (www.mlpa.com).
DNA samples diluted in TE buffer (10 mM Tris-
HCl, pH 7.5; 1 mM EDTA) were subjected to
denaturation for 10 min. in denaturing buffer
provided by the manufacturer. Hybridization with
the FMR1-specific probes and 20 control probes
was performed overnight at 60°C. Each sample
was divided for the ligation reaction, which is the
copy number test (CNT) for deletions/duplications
detection, and for the ligation-digestion reaction, the
methylation test (MT) for methylation assessment
at CpG islands. In both tests, the hybridized probes
were ligated by a specific ligase mix, provided by the manufacturer. In the methylation, test the
methylation-sensitive restriction enzyme HhaI
(Pharmacia Biotech, Uppsala, Sweden) was added.
The final step consisted of PCR amplification of the
obtained fragments. The PCR buffer, PCR primers,
the enzyme dilution buffer and the polymerase were
provided in the kit.
The PCR products obtained were analyzed on
an ABI PRISM™ 310 Genetic Analyzer (Applied
Biosystems) in the presence of ROX500 size
standard (Applied Biosystems). All patient samples
were analyzed simultaneously with at least two
normal male samples and a mutant male carrier of
a full mutation.
Copy number changes were determined by
comparison to the normal controls. The MT results
were easy to interpret as the five FMR1 exon 1
methylation-sensitive fragments (see Figure 1) were
absent in the normal controls after HhaI digestion,
but were present, as a result of hypermethylation, in
a patient carrying a full mutation.
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