Detection of deletions/duplications using MAPH: an alternative for genome-wide arrayCGH ?

Stefan White, Michel Villerius, Martijn Breuning and Johan den Dunnen

Department of Human and Clinical Genetics, Leiden University Medical Center, Wassenaarseweg 72, 2333AL Leiden, Nederland

The detection of copy number changes in complex genomes using DNA micro-arrays (arrayCGH) is attracting much attention. Due to the complexity of a mammalian genome, the technique is complicated and it is rather difficult to obtain a signal which is unique (no background of repetitive DNA) and quantitative. Recently a method was published to detect deletions/duplications in genomic DNA, designated Multiplex Amplifiable Probe Hybridization (MAPH, Armour et al. [2000] Nucl.Acids Res. 28: 605-609). In this technique a series of short DNA fragments are individually cloned in such a way that all can be PCR-amplified using one pair of primers. These probes are hybridized to genomic DNA immobilized on filters, and after stringent washing the probes are amplified off the filters and used for seeding a second PCR. The products of this amplification are analyzed on a polyacrylamide gel and the bands quantified using imaging apparatus.
        We have applied MAPH to analyse DNA samples from Duchenne/Becker Muscular Dystrophy (DMD/BMD) families. This disease is caused by mutations of the dystrophin gene. In approximately 65% of cases the cause is found to be a deletion or duplication of one or more of the 79 exons of the gene. Currently, multiplex PCR on the most commonly affected exons is performed, but this allows the possibility of missing smaller or rarer changes. Furthermore, Southern Blotting is required to detect the exact borders of the deletions which determine whether the mutation causes a frame shift (DMD) or not (BMD).
        Each exon was cloned individually into the pGEM-T-easy vector. The 79 probes were then divided into 2 pools and hybridized with the filters. After the second PCR amplification using a fluorescently labeled primer the products were analyzed on a capillary sequencer. The number of copies of each exon could be determined by comparing the peak areas between controls and patients facilitating the detection of 0:1, 1:2, 2:1 and 2:3 changes in copy number.
        Work is currently being carried out regarding automation of the technique, in both the hybridization and the subsequent data analysis. Further probe sets are being developed to cover other regions of interest, and the possibility of analyzing many more regions simultaneously using microarrays is being investigated. We consider an array-based MAPH-approach as an attractive alternative for genome-wide arrayCGH analysis.