PMID: 23503723

Zhou L, Palais RA, Ye F, Chen J, Montgomery JL, Wittwer CT
Symmetric snapback primers for scanning and genotyping of the cystic fibrosis transmembrane conductance regulator gene.
Clin Chem. 2013 Jul;59(7):1052-61. doi: 10.1373/clinchem.2013.202689. Epub 2013 Mar 15., [PubMed]
Sentences
No. Mutations Sentence Comment
48 ABCC7 p.Ile148Thr
X
ABCC7 p.Ile148Thr 23503723:48:160
status: NEW
view ABCC7 p.Ile148Thr details
PRIMERS AND NOMENCLATURE Previously described CFTR primers (8) were modified with 5b18; tails to enable snapback genotyping of the 23 ACMG mutations (17), p.I148T, and 7 common benign variants. Login to comment
57 ABCC7 p.Arg75Gln
X
ABCC7 p.Arg75Gln 23503723:57:46
status: NEW
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c.869af9;11Cb0e;T, c.-8Gb0e;C, and p.R75Q) or synonymous variants. Login to comment
79 ABCC7 p.Ile1315Met
X
ABCC7 p.Ile1315Met 23503723:79:50
status: NEW
view ABCC7 p.Ile1315Met details
We identified 2 previously unreported variants: p.I1315M (c.3945Ab0e;G) in exon 24 and c.4243-5Cb0e;T near exon 27. Login to comment
83 ABCC7 p.Arg553*
X
ABCC7 p.Arg553* 23503723:83:47
status: NEW
view ABCC7 p.Arg553* details
In exon 12, two nearby variants (p.R551D and p.R553X) were genotyped with 1 snapback primer, because all alleles had unique stabilities (Fig. 2). Login to comment
86 ABCC7 p.Trp1282*
X
ABCC7 p.Trp1282* 23503723:86:136
status: NEW
view ABCC7 p.Trp1282* details
Another method for genotyping separated loci is to design a bulge into the snapback hairpin, as demonstrated for exon 23 for variants p.W1282X and c.3870Ab0e;G (Fig. 4). Login to comment
126 ABCC7 p.Arg668Cys
X
ABCC7 p.Arg668Cys 23503723:126:34
status: NEW
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ABCC7 p.Ser686Tyr
X
ABCC7 p.Ser686Tyr 23503723:126:44
status: NEW
view ABCC7 p.Ser686Tyr details
d One sample had 2 rare variants (R668C and S686Y) that required sequencing but were in the same amplicon. Login to comment
127 ABCC7 p.Trp1282*
X
ABCC7 p.Trp1282* 23503723:127:33
status: NEW
view ABCC7 p.Trp1282* details
Another sample had 1 mutation (p.W1282X) and 1 benign variant (c.3870Ab0e;G) in cis, both within a snapback hairpin that required sequencing. Login to comment
134 ABCC7 p.Arg668Cys
X
ABCC7 p.Arg668Cys 23503723:134:161
status: NEW
view ABCC7 p.Arg668Cys details
ABCC7 p.Gly576Ala
X
ABCC7 p.Gly576Ala 23503723:134:149
status: NEW
view ABCC7 p.Gly576Ala details
For example, by directing snapback primers to genotype an additional 2 synonymous variants (p.Y1424Y and p.T966T) and a syntenic pair of variants (p.G576A and p.R668C) that constitute a complex allele (26, 27), the sequencing required for the patients we have analyzed could be reduced by an additional factor of 2 (see Table 5 in the online Data Supplement). Login to comment
140 ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 23503723:140:42
status: NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Arg553*
X
ABCC7 p.Arg553* 23503723:140:54
status: NEW
view ABCC7 p.Arg553* details
Scanning and genotyping of 2 mutations (p.G551D and p.R553X) in exon 12 of CFTR with 1 snapback primer. Login to comment
146 ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 23503723:146:36
status: NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Arg553*
X
ABCC7 p.Arg553* 23503723:146:61
status: NEW
view ABCC7 p.Arg553* details
The wild-type Tm is at 72 &#b0;C, p.G551D is at 64 &#b0;C, p.R553X is at 60 &#b0;C, and a compound heterozygote in trans shows a broad peak with a Tm of 62 &#b0;C. Login to comment
166 ABCC7 p.Trp1282*
X
ABCC7 p.Trp1282* 23503723:166:16
status: NEW
view ABCC7 p.Trp1282* details
Two variants (p.W1282X and c.3870Ab0e;G) separated by 23 bases were genotyped with 1 snapback primer by targeting its 5b18; tail to 2 discontinuous regions, thereby inducing a 10-bp secondary bulge in the hairpin. Login to comment
168 ABCC7 p.Trp1282*
X
ABCC7 p.Trp1282* 23503723:168:130
status: NEW
view ABCC7 p.Trp1282* details
(B), Derivative melting curves of the hairpin after dilution and remelting to distinguish wild type (black lines), heterozygous p.W1282X (thick gray line), and heterozygous c.3870A/G (thin gray line). Login to comment
171 ABCC7 p.Gly551Asp
X
ABCC7 p.Gly551Asp 23503723:171:19
status: NEW
view ABCC7 p.Gly551Asp details
ABCC7 p.Arg553*
X
ABCC7 p.Arg553* 23503723:171:31
status: NEW
view ABCC7 p.Arg553* details
Examples include p.G551D and p.R553X, which are separated by 4 bases (Fig. 2), and p.I507del and p.F508del (Fig. 3). Login to comment
174 ABCC7 p.Ser686Tyr
X
ABCC7 p.Ser686Tyr 23503723:174:46
status: NEW
view ABCC7 p.Ser686Tyr details
Such was the case in the current study with p.S686Y in exon 14, which is 4 bases away from the ACMG CFTR mutation c.2052delA. Login to comment
178 ABCC7 p.Trp1282*
X
ABCC7 p.Trp1282* 23503723:178:86
status: NEW
view ABCC7 p.Trp1282* details
Fig. 4 shows an example of a bulge-inducing snapback primer, in which ACMG mutation p.W1282X is separated by 23 bases from the common variant, c.3870Ab0e;G. Deleting 10 bp between the 2 variants in the complementary snapback tail produces a hairpin that induces a 10-bp bulge in the template. Login to comment