Evaluation and comparison of three assays for molecular detection of spinal muscular atrophy

Autor: Ti-Zhen Yan, Ze-Yan Zhong, Xu-Hui Tan, Wan-Jun Zhou, Jian Zeng, Xiang-Min Xu, Ping Fang, Liang Li, Jian-Sheng Xie
Rok vydání: 2017
Předmět:
Zdroj: Clinical Chemistry and Laboratory Medicine (CCLM). 55
ISSN: 1437-4331
1434-6621
DOI: 10.1515/cclm-2016-0275
Popis: Background Spinal muscular atrophy (SMA) is mainly caused by deletions in SMA-related genes. The objective of this study was to develop gene-dosage assays for diagnosing SMA. Methods A multiplex, quantitative PCR assay and a CNVplex assay were developed for determining the copy number of SMN1, SMN2, and NAIP. Reproducibility and specificity of the two assays were compared to a multiple ligation-dependent probe amplification (MLPA) assay. To evaluate reproducibility, 30 samples were analyzed three times using the three assays. A total of 317 samples were used to assess the specificity of the two assays. Results The multiplex quantitative PCR (qPCR) assay had higher reproducibility. Intra-assay CVs were 3.01%-8.52% and inter-assay CVs were 4.12%-6.24%. The CNVplex assay had ratios that were closer to expected (0.49-0.5 for one copy, 1.03-1.0 for two copies, and 1.50-1.50 for three copies). Diagnostic accuracy rates for the two assays were 100%. Conclusions The multiplex qPCR assay was a simple, rapid, and cost-effective method for routine SMA diagnosis and carrier screening. The CNVplex assay could be used to detect SMAs with complicated gene structures. The assays were reliable and could be used as alternative methods for clinical diagnosis of SMA.
Databáze: OpenAIRE