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Clinical Chemistry 45: 307-317, 1999;
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(Clinical Chemistry. 1999;45:307-317.)
© 1999 American Association for Clinical Chemistry, Inc.


Letters

Rapid Detection of a Pentanucleotide Deletion Polymorphism in the Human {alpha}2-Macroglobulin Gene

Richard C. Dodel1, Kelly R. Bales, Martin R. Farlow2, Thomas Gasser, Steven M. Paul and Yansheng Du1

Departments of,
1 Pharmacology and Toxicology, and
2 Neurology, Indiana University School of Medicine, Indianapolis, IN 46285


To the Editor:

Alpha-2 macroglobulin ({alpha}2M) is a serum glycoprotein and a panproteinase inhibitor found in various tissues, including plasma and cerebrospinal fluid. {alpha}2M is thought to inactivate proteinases by a specific trapping mechanism in the so-called "bait" region of the protein (1). {alpha}2M is also a ligand for the LDL receptor-related protein, and both are up-regulated after brain injury and in regions of the brain affected by Alzheimer disease. Additionally, {alpha}2M binds to the amyloid ß peptide (2)(3), which leads to attenuation of both fibrillogenesis and neurotoxicity (4) and which is cleared by the LDL receptor-related protein. Recently, a pentanucleotide deletion in the 5' splice site of exon 18, which encodes a portion of the {alpha}2M bait region, has been suggested to be genetically associated with an increased risk for developing Alzheimer disease (5). {alpha}2M and the {epsilon}4 allele of the apolipoprotein E gene seem to confer a similar degree of risk for developing late-onset Alzheimer disease. The conventional methods for measuring {alpha}2M are ELISA, immunoblotting, or enzymatic assays, but these methods can not be applied to the detection of {alpha}2M pentanucleotide polymorphism. The DNA-based method for detecting this polymorphism deletion is not amenable to large-scale screening (5)(6).

The method described below is based on the observation that the {alpha}2M pentanucleotide deletion polymorphism (6) leads to the loss of the HphI restriction site at the intronic sequence in the 5' splice site of exon 18 (Fig. 1 A). The primers amplify a 196-bp region in individuals without the pentanucleotide deletion (Fig. 1B ). Genomic DNA was extracted from leukocytes, using HQIAamp (Qiagen), and was amplified by PCR using oligonucleotide primers {alpha}2MF (5'-GGT GGC AAC TAT TAC ATT CTC TCA-3') and {alpha}2MR (5-ACT TAC TTT ACC ACC ACC AAA TCC-3'). In addition to the buffer and nucleotide components, each amplification reaction contained ~200 ng of genomic DNA, 20 pmol of each primer, and 2 U of Taq polymerase (Life Technologies) in a final volume of 50 µL. The reaction mixture was first denatured at 94 °C for 2 min and then subjected to 35 cycles of PCR (94 °C for 1 min, 59 °C for 40 s, 72 °C for 40 s), after which it was incubated at 72 °C for 10 min. A 20-µL aliquot of the amplification product was then digested in the presence of 2.2 µL of 10x buffer and 20 U of HphI for at least 2 h at 37 °C. Restriction digest products were size fractionated by electrophoresis on a 2% agarose gel with 1 mg/L ethidium bromide for 20 min at 200 V and detected directly under ultraviolet light. (Incomplete digestion may sometimes occur, which can be avoided by a purification step of the PCR product before enzymatic digestion. However, this does not interfere with the scoring of the alleles.) The PCR-amplified digestion products are shown in Fig. 1B along with representative {alpha}2M genotypes. In a preliminary study of 367 individuals genotyped by this method, the allele frequency of one or two {alpha}2M alleles was 19.1% in patients with sporadic late-onset Alzheimer disease compared with 13.8% in age-matched unaffected individuals. We have encountered no difficulties in the samples tested, and we found this method to be well-suited to high-throughput routine clinical screening.



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Figure 1. Sequence (A) and amplification products (B) of exon 18 of the gene coding for {alpha}2M.

(A) Sequence of exon 18 and partial sequence of flanking introns of the human {alpha}2M gene (the primer sequence is in italics; the pentanucleotide polymorphism in the 5' splicing site of exon 18 is in bold; the restriction site of HphI is underlined; arrows indicate start/end of coding region of exon 18; capital letters indicate the coding region of exon 18. (B) Photograph of a 2% agarose gel stained with ethidium bromide and viewed through ultraviolet light. Lane M, molecular markers (100, 200, and 400 bp). Lanes 1–3, HphI restriction fragment from three possible {alpha}2M genotypes: lane 1, wild-type allele (130 and 66 bp); lane 2, homozygote for {alpha}2M polymorphism deletion (191 bp); lane 3, heterozygote for {alpha}2M polymorphism deletion (191, 130, and 66 bp).


References

  1. Borth W. Alpha 2-macroglobulin, a multifunctional binding protein with targeting characteristics. FASEB J 1992;6:3345-3353. [Abstract]
  2. Du Y, Ni B, Glinn M, Dodel RC, Bales KR, Zhang Z, et al. Alpha2-macroglobulin as a beta-amyloid peptide-binding plasma protein. J Neurochem 1997;69:299-305. [ISI][Medline] [Order article via Infotrieve]
  3. Hughes SR, Khorkova O, Goyal S, Knaeblein J, Heroux J, Riedel NG, et al. Alpha2-macroglobulin associates with beta-amyloid peptide and prevents fibril formation. Proc Natl Acad Sci U S A 1998;95:3275–80..
  4. Du Y, Bales KR, Dodel RC, Liu X, Glinn MA, Horn JW, et al. Alpha2-macroglobulin attenuates beta-amyloid peptide1–40 fibril formation and associated neurotoxicity of cultured fetal rat cortical neurons. J Neurochem 1998;70:1182-1188. [ISI][Medline] [Order article via Infotrieve]
  5. Blacker D, Wilcox MA, Laird NM, Rodes L, Horvath SM, Go RCP, et al. Alpha-2 macroglobulin is genetically associated with Alzheimer disease. Nat Genet 1998;19:357-360. [ISI][Medline] [Order article via Infotrieve]
  6. Matthijs G, Marynen P. A deletion polymorphism in the human alpha-2-macroglobulin (A2 M) gene. Nucleic Acids Res 1991;19:5102.[Free Full Text]



The following articles in journals at HighWire Press have cited this article:


Home page
NeurologyHome page
R. C. Dodel, Y. Du, K. R. Bales, F. Gao, B. Eastwood, B. Glazier, R. Zimmer, B. Cordell, A. Hake, R. Evans, et al.
{alpha}2 Macroglobulin and the risk of Alzheimer's disease
Neurology, January 25, 2000; 54(2): 438 - 438.
[Abstract] [Full Text] [PDF]


Home page
Clin. Chem.Home page
Y.-Y. Wu, R. M. Delgado, T. Sunderland, and G. Csako
Detection of a Deletion Polymorphism of the Human {alpha}2-Macroglobulin Gene (A2M-2) by a Semi-Automated PCR-Single-Stranded Conformational Polymorphism Method
Clin. Chem., September 1, 1999; 45(9): 1572 - 1573.
[Full Text] [PDF]


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