Detection of <em>SF3B1</em> p.Lys700Glu Mutation by PNA-PCR Clamping in Myelodysplastic Syndromes and Myeloproliferative Neoplasms

Mutations in <i>SF3B1</i> are found in 20% of myelodysplastic syndromes and 5–10% of myeloproliferative neoplasms, where they are considered important for diagnosis and therapy decisions. Sanger sequencing and NGS are the currently available methods to identify <i>SF3B1</i> m...

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Main Authors: Jessica Petiti, Federico Itri, Elisabetta Signorino, Antonio Frolli, Carmen Fava, Marco Armenio, Silvia Marini, Emilia Giugliano, Marco Lo Iacono, Giuseppe Saglio, Daniela Cilloni
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/5/1267
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author Jessica Petiti
Federico Itri
Elisabetta Signorino
Antonio Frolli
Carmen Fava
Marco Armenio
Silvia Marini
Emilia Giugliano
Marco Lo Iacono
Giuseppe Saglio
Daniela Cilloni
author_facet Jessica Petiti
Federico Itri
Elisabetta Signorino
Antonio Frolli
Carmen Fava
Marco Armenio
Silvia Marini
Emilia Giugliano
Marco Lo Iacono
Giuseppe Saglio
Daniela Cilloni
author_sort Jessica Petiti
collection DOAJ
description Mutations in <i>SF3B1</i> are found in 20% of myelodysplastic syndromes and 5–10% of myeloproliferative neoplasms, where they are considered important for diagnosis and therapy decisions. Sanger sequencing and NGS are the currently available methods to identify <i>SF3B1</i> mutations, but both are time-consuming and expensive techniques that are not practicable in most small-/medium-sized laboratories. To identify the most frequent <i>SF3B1</i> mutation, p.Lys700Glu, we developed a novel fast and cheap assay based on PNA-PCR clamping. After setting the optimal PCR conditions, the limit of detection of PNA-PCR clamping was evaluated, and the method allowed up to 0.1% of mutated <i>SF3B1</i> to be identified. Successively, PNA-PCR clamping and Sanger sequencing were used to blind test 90 DNA from patients affected by myelodysplastic syndromes and myeloproliferative neoplasms for the <i>SF3B1</i> p.Lys700Glu mutation. PNA-PCR clamping and Sanger sequencing congruently identified 75 negative and 13 positive patients. Two patients identified as positive by PNA-PCR clamping were missed by Sanger analysis. The discordant samples were analyzed by NGS, which confirmed the PNA-PCR clamping result, indicating that these samples contained the <i>SF3B1</i> p.Lys700Glu mutation. This approach could easily increase the characterization of myelodysplastic syndromes and myeloproliferative neoplasms in small-/medium-sized laboratories, and guide patients towards more appropriate therapy.
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spelling doaj.art-a16cd92e2df143c5bf534c4f5b9b54fc2023-11-23T23:13:20ZengMDPI AGJournal of Clinical Medicine2077-03832022-02-01115126710.3390/jcm11051267Detection of <em>SF3B1</em> p.Lys700Glu Mutation by PNA-PCR Clamping in Myelodysplastic Syndromes and Myeloproliferative NeoplasmsJessica Petiti0Federico Itri1Elisabetta Signorino2Antonio Frolli3Carmen Fava4Marco Armenio5Silvia Marini6Emilia Giugliano7Marco Lo Iacono8Giuseppe Saglio9Daniela Cilloni10Department of Clinical and Biological Sciences, University of Turin, 10043 Orbassano, ItalyDepartment of Clinical and Biological Sciences, University of Turin, 10043 Orbassano, ItalyDepartment of Clinical and Biological Sciences, University of Turin, 10043 Orbassano, ItalyDepartment of Clinical and Biological Sciences, University of Turin, 10043 Orbassano, ItalyDepartment of Clinical and Biological Sciences, University of Turin, 10043 Orbassano, ItalyDepartment of Molecular Biotechnology and Health Sciences, University of Turin, 10126 Turin, ItalyDivision of Internal Medicine and Hematology, San Luigi Gonzaga Hospital, 10043 Orbassano, ItalyDivision of Internal Medicine and Hematology, San Luigi Gonzaga Hospital, 10043 Orbassano, ItalyDepartment of Clinical and Biological Sciences, University of Turin, 10043 Orbassano, ItalyDepartment of Clinical and Biological Sciences, University of Turin, 10043 Orbassano, ItalyDepartment of Clinical and Biological Sciences, University of Turin, 10043 Orbassano, ItalyMutations in <i>SF3B1</i> are found in 20% of myelodysplastic syndromes and 5–10% of myeloproliferative neoplasms, where they are considered important for diagnosis and therapy decisions. Sanger sequencing and NGS are the currently available methods to identify <i>SF3B1</i> mutations, but both are time-consuming and expensive techniques that are not practicable in most small-/medium-sized laboratories. To identify the most frequent <i>SF3B1</i> mutation, p.Lys700Glu, we developed a novel fast and cheap assay based on PNA-PCR clamping. After setting the optimal PCR conditions, the limit of detection of PNA-PCR clamping was evaluated, and the method allowed up to 0.1% of mutated <i>SF3B1</i> to be identified. Successively, PNA-PCR clamping and Sanger sequencing were used to blind test 90 DNA from patients affected by myelodysplastic syndromes and myeloproliferative neoplasms for the <i>SF3B1</i> p.Lys700Glu mutation. PNA-PCR clamping and Sanger sequencing congruently identified 75 negative and 13 positive patients. Two patients identified as positive by PNA-PCR clamping were missed by Sanger analysis. The discordant samples were analyzed by NGS, which confirmed the PNA-PCR clamping result, indicating that these samples contained the <i>SF3B1</i> p.Lys700Glu mutation. This approach could easily increase the characterization of myelodysplastic syndromes and myeloproliferative neoplasms in small-/medium-sized laboratories, and guide patients towards more appropriate therapy.https://www.mdpi.com/2077-0383/11/5/1267<i>SF3B1</i> p.Lys700GluMDSMPNPNA-PCR clamping
spellingShingle Jessica Petiti
Federico Itri
Elisabetta Signorino
Antonio Frolli
Carmen Fava
Marco Armenio
Silvia Marini
Emilia Giugliano
Marco Lo Iacono
Giuseppe Saglio
Daniela Cilloni
Detection of <em>SF3B1</em> p.Lys700Glu Mutation by PNA-PCR Clamping in Myelodysplastic Syndromes and Myeloproliferative Neoplasms
Journal of Clinical Medicine
<i>SF3B1</i> p.Lys700Glu
MDS
MPN
PNA-PCR clamping
title Detection of <em>SF3B1</em> p.Lys700Glu Mutation by PNA-PCR Clamping in Myelodysplastic Syndromes and Myeloproliferative Neoplasms
title_full Detection of <em>SF3B1</em> p.Lys700Glu Mutation by PNA-PCR Clamping in Myelodysplastic Syndromes and Myeloproliferative Neoplasms
title_fullStr Detection of <em>SF3B1</em> p.Lys700Glu Mutation by PNA-PCR Clamping in Myelodysplastic Syndromes and Myeloproliferative Neoplasms
title_full_unstemmed Detection of <em>SF3B1</em> p.Lys700Glu Mutation by PNA-PCR Clamping in Myelodysplastic Syndromes and Myeloproliferative Neoplasms
title_short Detection of <em>SF3B1</em> p.Lys700Glu Mutation by PNA-PCR Clamping in Myelodysplastic Syndromes and Myeloproliferative Neoplasms
title_sort detection of em sf3b1 em p lys700glu mutation by pna pcr clamping in myelodysplastic syndromes and myeloproliferative neoplasms
topic <i>SF3B1</i> p.Lys700Glu
MDS
MPN
PNA-PCR clamping
url https://www.mdpi.com/2077-0383/11/5/1267
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