PMID- 15241798 OWN - NLM STAT- MEDLINE DCOM- 20041025 LR - 20091119 IS - 1098-1004 (Electronic) IS - 1059-7794 (Linking) VI - 24 IP - 2 DP - 2004 Aug TI - Improved testing for CMT1A and HNPP using multiplex ligation-dependent probe amplification (MLPA) with rapid DNA preparations: comparison with the interphase FISH method. PG - 164-71 AB - Charcot-Marie-Tooth disease type 1A (CMT1A) and hereditary neuropathy with liability to pressure palsies (HNPP) are the two most common peripheral neuropathies, with incidences of about 1 in 2,500. Several techniques can be used to detect the typical 1.5-Mb duplication or deletion associated with these respective conditions, but none combines simplicity with high sensitivity. MLPA is a new technique for measuring sequence dosage. We have assessed its performance for the detection of the specific 1.5-Mb duplication/deletion by prospectively testing 50 patients referred with differential diagnoses of CMT or HNPP. Probes were designed to evaluate the TEKT3, PMP22, and COX10 genes within the CMT1A/HNPP region. We have compared the results with our existing fluorescence in situ hybridization (FISH) assay, which was performed in parallel. There was concordance of results for 49 patients. Of note, one patient showed an intermediate multiplex ligation-dependent probe amplification (MLPA) result with an abnormal FISH result, which is consistent with mosaicism. The assay works equally well with either purified DNA or rapid DNA preparations made by direct cell lysis. The use of the latter significantly reduces the cost of the assay. MLPA is a sensitive, specific, robust, and cost-effective technique suitable for fast, high-throughput testing and offers distinct advantages over other testing methods. CI - Copyright 2004 Wiley-Liss, Inc. FAU - Slater, Howard AU - Slater H AD - Genetic Health Services Victoria and Murdoch Childrens Research Institute, University of Melbourne Department of Paediatrics, Royal Children's Hospital, Parkville, Australia. howard.slater@ghsv.org.au FAU - Bruno, Damien AU - Bruno D FAU - Ren, Hua AU - Ren H FAU - La, Phung AU - La P FAU - Burgess, Trent AU - Burgess T FAU - Hills, Louise AU - Hills L FAU - Nouri, Sara AU - Nouri S FAU - Schouten, Jan AU - Schouten J FAU - Choo, K H Andy AU - Choo KH LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Hum Mutat JT - Human mutation JID - 9215429 RN - 0 (CDRT1 protein, human) RN - 0 (DNA Probes) RN - 0 (Myelin Proteins) RN - 0 (PMP22 protein, human) RN - 0 (Proteins) RN - 9007-49-2 (DNA) SB - IM MH - Charcot-Marie-Tooth Disease/genetics MH - DNA/*genetics/*isolation & purification MH - DNA Probes/*genetics MH - Gene Deletion MH - Gene Dosage MH - Gene Duplication MH - Hereditary Sensory and Motor Neuropathy/*genetics MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Interphase/*genetics MH - Ligase Chain Reaction/*methods MH - Myelin Proteins/genetics MH - Nucleic Acid Amplification Techniques/*methods MH - Prospective Studies MH - Proteins/*genetics EDAT- 2004/07/09 05:00 MHDA- 2004/10/27 09:00 CRDT- 2004/07/09 05:00 PHST- 2004/07/09 05:00 [pubmed] PHST- 2004/10/27 09:00 [medline] PHST- 2004/07/09 05:00 [entrez] AID - 10.1002/humu.20072 [doi] PST - ppublish SO - Hum Mutat. 2004 Aug;24(2):164-71. doi: 10.1002/humu.20072.