59º Congresso Brasileiro de Genética Resumos do 59o Congresso Brasileiro de Genética • 16 a 19 de setembro de 2013 Hotel Monte Real Resort • Águas de Lindóia • SP • Brasil www.sbg.org.br - ISBN 978-85-89109-06-2 173 REFERENCE QUERY MINISEQUENCING (RQMS): A NOVEL METHOD FOR COPY NUMBER DETERMINATION Freire, MCM1; Abreu, BL1; Sousa, CS2; Dornelas, HG2; Stofanko, M2; Pena, HB2; Pena, SDJ1,2 Departamento de Bioquímica e Imunologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG; 2GENE – Núcleo de Genética Médica, Belo Horizonte, MG 1 [email protected] Keywords: microdeletion, minisequencing, Smith-Magenis syndrome Reference Query Pyrosequencing (RQPS) was described in 2010 as a new highly efficient method for gene copy number determination. We wish to report the successful modification of the technique for use with the much more commonly available SnapShot minisequencing kit and an automatic fluorescent DNA sequencer. The method involves the creation of a probe that contains a stuffer fragment with two linked DNA fragments (F1 and F2). The F1 corresponds to a reference gene (we chose NOTCH2), and the F2 corresponds to the query gene (in our case, RAI1). As stuffer we selected a region with no significant homology to human genome. Fragments F1 and F2 contain a point mutation to differentiate them from genomic DNA, and a primer was designed to each fragment with the 3` region ending one base before the mutation. Two mixtures were prepared 1:1 and 2:1 ratio of probe/genomic DNA for each sample. Four minisequencing reactions were made to each sample: (1) mixture 1:1 and primer to F1; (2) mixture 2:1 and primer to F1; (3) mixture 1:1 and primer to F2; and (4) mixture 2:1 and primer to F2. Products of each minisequencing reaction were visualized on ABI 3130 Genetic Analyzer which showed one peak corresponding to the probe and another to the genomic DNA. The height of each peak was used to calculate the ratio between the probe and the genomic DNA to each minisequencing reaction, resulting at four ratios to each sample. These ratios were plotted on scatter graph and the slope of each sample was identified. We have given the name RQMS to this novel fluorescent minisequencing adaptation of RQPS and tested it in the diagnosis of Smith-Magenis syndrome (SMS) a microdeletion syndrome caused by a microdeletion in the human chromosomal band 17p11.2, resulting in haploinsufficiency of the RAI1 gene. We used 58 individuals (50 controls and 8 cases of SMS). The slope of the controls individuals ranged between 1.11 and 12.61, whereas the values observed on the eight SMS cases were between 0.04 and 0.92. ROC curve revealed full distinction between controls individuals and SMS cases, showing 100% of sensitivity, 100% of specificity and associated criterion less than 0.92. In accordance to the above, these results revealed that RQMS efficiently identified the copy number of the RAI1 gene and reliably differentiated control individuals from individuals with SMS. RQMS should be equally efficient in the targeted diagnosis of a variety of chromosomal microdeletion and microduplication syndromes. Financial Support: CNPq