Prenatal diagnosis by enzymatic amplification and restriction endonuclease digestion for detection of haemoglobins A, S and C

Mol Cell Probes. 1992 Aug;6(4):343-8. doi: 10.1016/0890-8508(92)90011-l.

Abstract

The detection of the single base pair mutations at codon 6 of the beta-globin gene is important for the prenatal diagnosis of sickle-cell anaemia and SC disease. A novel procedure has been designed to create a restriction site at both the beta A and beta C alleles to facilitate the discrimination of haemoglobins A, S and C. The general principle of this procedure is to enzymatically amplify genomic DNA using a modified primer containing an altered 3'-terminal nucleotide to create these restriction sites. After this modified primer has been efficiently incorporated into amplified DNA, the PCR products are digested with the restriction enzymes Ava I and Sty I. Ava I recognizes a site in amplified DNA containing a beta A allele, and Sty I recognizes a site in DNA containing a beta C allele. Since the beta A and beta C alleles can be distinguished directly by the presence of a restriction site, the beta S allele can be identified indirectly. All three beta-globin alleles are easily distinguished by size and pattern of electrophoresed fragments on agarose gels. This procedure is specific and sensitive, thus permitting rapid, economical diagnosis of sickle-cell anaemia and SC disease.

MeSH terms

  • Anemia, Sickle Cell / diagnosis*
  • Base Sequence
  • DNA / genetics
  • DNA Restriction Enzymes
  • Female
  • Hemoglobin A / genetics*
  • Hemoglobin C / genetics*
  • Hemoglobin SC Disease / diagnosis
  • Hemoglobin, Sickle / genetics*
  • Humans
  • Molecular Sequence Data
  • Nucleic Acid Amplification Techniques
  • Pregnancy
  • Prenatal Diagnosis / methods*

Substances

  • Hemoglobin, Sickle
  • DNA
  • Hemoglobin C
  • Hemoglobin A
  • DNA Restriction Enzymes