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

PROTOCOLS FOR MECP2, CDKL5 and ARX GENE ANALYSIS

Sequencing. These X-chromosome genes were directly sequenced, as all the exons (including the first non coding one for the MECP2 gene) and intron/exon splice site borders were included/ covered. The sequence of primers used for PCR amplification was taken from the literature [6,12,13] or designed in our laboratory (the primer sequence is available upon request). Standard PCR conditions were applied: primer concentration 0.4 μM, 0.2 mM dNTPs, 0.4 M Betaine (Sigma, St. Louis, MO, USA), 4% DMSO; 1× supplied PCR reaction buffer (Genet Bio, Chungnam, Korea) and 0.5U Prime Taq (Genet Bio). The annealing temperature varied between 55°C and 68°C. The PCR products were purified by PCR Product Pre-Sequencing Kit (USB, Affymetrix, Inc., Santa Clara, CA, USA) containing 4 U exonuclease I (10 U/μL) and 0.8 U shrimp alkaline phosphatase (2 U/μL). The sequencing reaction was performed by ABI PRISM™ BigDye Terminator v.3.1 Cycle Sequencing Kit (Applied Biosystems) and analyzed on an ABI PRISM™ 310 Genetic Analyzer (Applied Biosystems). MLPA analysis. The SALSA MLPA P015-D1 MECP2 probemix was used to screen for large deletions/ duplications along the genes MECP2, CDKL5 and ARX. The analysis was performed following the manufacturer’s instructions [14]. Fifty to 200 ng of DNA was diluted in TE buffer to a total volume of 5 μL. The diluted samples were subjected to hybridization with the probes specific for the MECP2, CDKL5 and ARX genes, and 17 control probes. Hybridization was performed overnight at 60°C. Hybridized probes were ligated by a specific ligase mix, provided by the manufacturer. The final step represents PCR amplification of the obtained ligated fragments. The PCR buffer, PCR primers (6- FAM labeled), the enzyme dilution buffer and the polymerase were provided in the kit. The obtained PCR products were analyzed on an ABI PRISM™ 310 Genetic Analyzer (Applied Biosystems) in the presence of ROX500 size standard (Applied Biosystems). Each patient sample was analyzed simultaneously with at least two normal controls. The relative peak ratios in order to assess deletions were calculated using the formula: r = (peak areapatient/mean peak area both neighbouring control peakspatient)/(peak areacontrol/mean peak area both neighbouring control peakscontrol). Relative ratio of <0.6 corresponded to a deletion.



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