Rapid prenatal diagnosis of X-linked chronic granulomatous disease using a denaturing high-performance liquid chromatography (DHPLC) system

Prenat Diagn. 2003 Dec 30;23(13):1092-6. doi: 10.1002/pd.761.

Abstract

Objective: To describe a family on whom it was possible to perform a rapid prenatal diagnosis for chronic granulomatous disease (CGD) using a denaturing high-performance liquid chromatography (DHPLC) system.

Methods: For a family whose first-born, a boy, suffered from X-linked chronic granulomatous disease, fetal DNA was obtained from an ongoing pregnancy by amniocentesis early in the second trimester. Denaturing high-performance liquid chromatography and direct sequencing were used to attempt to detect the previously identified X-linked chronic granulomatous disease mutation.

Results: Our studies predicted that the fetus in question was not likely to be affected by chronic granulomatous disease, which was demonstrated to be correct at birth.

Conclusions: Here, we introduce a molecular diagnostic tool (DHPLC) for an effective and exact prenatal diagnosis of normality for the second-born child, as determined from amniocentesis during the second trimester.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amniocentesis
  • Chromatography, High Pressure Liquid
  • Chromosomes, Human, X*
  • DNA / analysis*
  • DNA Primers
  • Diagnosis, Differential
  • Female
  • Fetus / metabolism*
  • Genetic Counseling
  • Genetic Linkage
  • Granulomatous Disease, Chronic / diagnosis*
  • Granulomatous Disease, Chronic / embryology
  • Granulomatous Disease, Chronic / genetics*
  • Humans
  • Karyotyping
  • Male
  • Membrane Glycoproteins / genetics
  • Mutation
  • NADPH Oxidase 2
  • NADPH Oxidases / genetics
  • Nucleic Acid Denaturation
  • Pedigree
  • Polymerase Chain Reaction
  • Pregnancy
  • Pregnancy Trimester, Second

Substances

  • DNA Primers
  • Membrane Glycoproteins
  • DNA
  • CYBB protein, human
  • NADPH Oxidase 2
  • NADPH Oxidases