Method of diagnosing spinal muscular atrophy

Chemistry: molecular biology and microbiology – Measuring or testing process involving enzymes or... – Involving nucleic acid

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435 912, 536 2431, 536 2433, C12Q 168, C07H 2104, C12P 1934

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058828680

ABSTRACT:
A diagnostic method for determining whether an individual is affected with spinal muscular atrophy involves evaluating the relative amounts of exon 5 of Neuronal Apoptosis Inhibitory Protein (NAIP) and exon 7 of centromeric and telomeric Survival Motor Neuron (SMN) genes in a genomic sample from the subject. A PCR analysis employing NAIP5F, NAIP5R, SMNX7DRA and SMNR111 primers is used to amplify the desired genes. The PCR product is digested with an enzyme which recognizes only the centromeric SMN sequence and the digested product can be separated by electrophoresis. The novel method allows multiplex analysis for both NAIP and SMN genes in the same sample work up. The analytical procedure further permits the digestion to be carried out without prior purification of the PCR product. Very importantly, the analytical procedure provides for the ability to diagnose the heterozygous telomeric SMN phenotype and thus allows the non-affected carrier of spinal muscular atrophy to be identified.

REFERENCES:
G. Van der Steege et al. PCR-based DNA test to confirm clinical diagnosis of autosomal recessive spinal muscular atrophy, The Lancet, vol. 345, pp. 985-986, Ap. 15, 1995.
E. Berry-Kravis et al. Polymerase Chain Reaction Assay for Detection of Spinal Muscular Atrophy Heterozygotes, Annals of Neurology, vol. 40, No. 2, p. 294, Aug., 1996
N. R. Rodrigues et al., Gene deletions in spinal muscular atrophy, J. Med. Genet., 1996, 33:93-96.
J-G Chang et al., Molecular Basis of Spinal Muscular Atrophy in Chinese, Am. J. Hum. Genet., 57:1503-1505, 1995.
N. Roy et al., The Gene for Neuronal Apoptosis Inhibitory Protein Is Partially Deleted in Individuals with Spinal Muscular Atrophy, Cell, vol. 80, pp. 167-178, Jan. 13, 1995.
S. Lefebvre et al., Identification and Characterization of a Spinal Muscular Atrophy-Determining Gene, Cell, vol. 80, pp. 155-165, Jan. 13, 1995.
F. Capon et al., Deletion Analysis of SMN and NAIP Genes in Spinal Muscular Atrophy Italian Families, Muscle & Nerve, 19:378-380 1996.
C. H. Wang et al., Characterization of survival motor neuron (SMN.sup.T) gene deletions in asymptomatic carriers of spinal muscular atrophy, Human Molecular Genetics, 1996, vol. 5, No. 3, pp. 359-365.
E. Velasco et al., Molecular analysis of the SMN and NAIP genes in Spanish spinal muscular atrophy (SMA) families and correlation between number of copies of .sup.C BCD541 and SMA phenotype Human Molecular Genetics, 1996, vol. 5, No. 2, pp. 257-263.
M. Scavina et al., A Multiplex PCR Technique to Screen for Deletions in Both the SMN and NAIP Genes 1997 AAN Scientific Program Abstract Submission, Feb. 20, 1997.
Four Spinal Muscular Atrophy articles on the Internet of Canadian neurologist dated Aug. 30, 1995 and others.
Schwartz, m. et al., Quantification, by solid-phase minisequencing, of the telomeric and centromeric copies of the survival motor neuron gene in families with spinal muscular atrophy, Human Molecular Genetics, 1997, vol. 6, No. 1, pp. 99-104.
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