PMID- 15727247 OWN - NLM STAT- MEDLINE DCOM- 20050401 LR - 20061115 IS - 1090-6576 (Print) IS - 1090-6576 (Linking) VI - 8 IP - 3 DP - 2004 Fall TI - Identification of genomic deletions of the APC gene in familial adenomatous polyposis by two independent quantitative techniques. PG - 248-56 AB - Large deletions in the APC (adenomatous polyposis coli) gene, causing familial adenomatous polyposis (FAP), cannot easily be detected by conventional mutation-detection techniques. Therefore, we have developed two independent quantitative methods for the detection of large deletions, encompassing one or more exons, of APC. Multiplex ligation-dependent probe amplification (MLPA) is performed in one reaction for the initial quantification of all APC exon copy numbers. Subsequently, quantitative real-time PCR (QRT-PCR) is used to verify the results obtained in the MLPA reaction. The identification of a deletion of the whole APC gene in a patient with classical FAP is described. The mutation was detected with the two quantitative methods and further verified on chromosomal level by the use of FISH (fluorescence in situ hybridization) on metaphase spreads. Furthermore, a large deletion covering exons 11-13 of the APC gene was detected in two apparently unrelated families. This deletion was further verified and characterized with long-range PCR. The MLPA test ensures a sensitive high-throughput screening for large deletions of the APC gene and can easily be implemented in the diagnostic testing for FAP. FAU - Meuller, Johan AU - Meuller J AD - Department of Clinical Genetics, Goteborg University, Sahlgrenska University Hospital/Ostra, Goteborg, Sweden. FAU - Kanter-Smoler, Gunilla AU - Kanter-Smoler G FAU - Nygren, Anders O H AU - Nygren AO FAU - Errami, Abdellatif AU - Errami A FAU - Gronberg, Henrik AU - Gronberg H FAU - Holmberg, Eva AU - Holmberg E FAU - Bjork, Jan AU - Bjork J FAU - Wahlstrom, Jan AU - Wahlstrom J FAU - Nordling, Margareta AU - Nordling M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Genet Test JT - Genetic testing JID - 9802546 RN - 0 (Adenomatous Polyposis Coli Protein) SB - IM MH - Adenomatous Polyposis Coli/*diagnosis/genetics MH - Adenomatous Polyposis Coli Protein/genetics MH - Adult MH - DNA Mutational Analysis/*methods MH - Exons/genetics MH - Female MH - *Gene Deletion MH - Gene Dosage MH - *Genes, APC MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Male MH - Middle Aged MH - Polymerase Chain Reaction EDAT- 2005/02/25 09:00 MHDA- 2005/04/02 09:00 CRDT- 2005/02/25 09:00 PHST- 2005/02/25 09:00 [pubmed] PHST- 2005/04/02 09:00 [medline] PHST- 2005/02/25 09:00 [entrez] AID - 10.1089/gte.2004.8.248 [doi] PST - ppublish SO - Genet Test. 2004 Fall;8(3):248-56. doi: 10.1089/gte.2004.8.248.