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Gene-specific FMR1 PCR enables precise identification of expanded alleles in clinical specimens using Southern blot and PCR data visualization. The study shows improved detection of full mutations with faint representations in samples. Utilization of CE and AGE techniques aids data interpretation for allele representations.
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Supplemental Figure 4. Gene-specific FMR1 PCR Enables Detection of Low Abundance Expanded Alleles. A)FMR1 Southern blot data for 5 clinical specimens. The threshold for full mutation (FM, >200 CGG) unmethylated and methylated alleles is designated by the black dotted line. Note that the expanded alleles represented in samples #118 and #125 were very faint, but these were identified as full mutations. B) Corresponding FMR1 PCR data, as visualized by AGE. The threshold for a full mutation (FM) is indicated by the white dotted line. C) Corresponding FMR1 PCR data, as visualized by CE. The threshold for a full mutation (FM) is marked with the black vertical line. To facilitate data interpretation, the Y-axis scale was set to best suit the allele representations for each specimen: #22 (150 RFU), #101 (200 RFU), #63 (1000 RFU), #118 (1100 RFU), and #125 (1100 RFU). Note that the full mutations in #118 and #125 are readily discerned. The same gDNA sample was used for all three evaluations (Southern blot, PCR/AGE, and PCR/CE).
A C #22 #101 #63 #118 #125 PCR/CE Data #22 Normal Premutation Full Mutation Int Southern Blot Data FM Me FM UnMe FM #101 Southern PM PM FM FM FM Call #63 B PCR/AGE Data #118 #125 PCR Call Fm Fm Fm Fm Fm Fm, Full Mutation Mosaic