High Resolution Melting (HRM) Analysis for Genetic Changes in BRCA1/2 gene | Haryono | Journal of the Medical Sciences (Berkala ilmu Kedokteran) 13648 38328 1 PB

Supplement J Med Sci, Volume 48, No. 4, 2016 October

High resolution melting (HRM) analysis for
genetic changes in BRCA1/2 gene
Samuel J Haryono1,2*, I Gusti Bagus Datasena2, Ariananda Hariadi2, Raymond
Mulyarahardja2
1
Departments of Oncology Surgery
2
Vivo Research Initiative
DOI: http://dx.doi.org/10.19106/JMedScieSup004804201623

ABSTRACT
Conventional mutation analysis requires a separation step and includes singlestrand conformational polymorphism (SSCP) analysis, denaturing (denaturation
of) gradient gel electrophoresis, heteroduplex analysis, denaturing(denaturation
of) HPLC, and temperature gradient capillary electrophoresis These methods
require separation of PCR products on gel or other matrix, which often take hours
to perform and increase the risk of contamination in future reactions as they are
exposed to the environment. High Resolution Melting (HRM) might simplify the
mutation scanning analysis in BRCA 1/2 gene. DNA from affected patients and
family members were ampliied with Real-Time PCR reaction and followed by

Sanger Sequencing to reconirm the mutation status obtained by HRM Method.
HRM Method was able to show distinction in differential curves of mutated BRCA
2 gene c.4600T>C, with codon modiication of CAT>TAT, when compared
to wildtype. This method requires two groups of experimental standards and
standard curves to determine point mutation in the sample. The irst standard was
taken from samples without mutation (wildtype/negative control) and the second
standard from samples with mutation (positive control), both were conirmed
by Sanger Sequencing. The sequencing analysis of the affected patient and the
family members showed that mutation occurred (BRCA2 c.4600T>C), causing
amino acid alteration in BRCA2 protein (p.H1458Y), and was segregated in the
family history. HRM Method is an excellent tool to analyze genetic modiication of
BRCA1/2 genes, especially in investigating the co-segregation of mutated genes
among family members of affected individual. This method might also provide
more sensitive results to determine mutation in patient before using Sanger
Sequencing analysis.
Keyword: BRCA, HRM, Gene Mutation

Corresponding author: [email protected]

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