title: Development of multiplex PCR method for the analysis of glutathione s-transferase polymorphism.
abstract: BACKGROUND
  Busulfan is a key compound in myeloablative chemotherapy before hematopoietic stem-cell transplantation in children. Genetic polymorphisms of glutathione S-transferase (GST), which is involved in the metabolism of busulfan, have been implicated in interindividual variability in busulfan pharmacokinetics. Development of a rapid and simplified method for polygenic analysis of GST may facilitate large pharmacogenetic studies and clinical application of individualized busulfan dose adjustment. We previously introduced an effective PCR method for analyzing multiple genes using a small amount of DNA, termed 'TotalPlex amplification'.
  
  
  OBJECTIVE
  The aim of this study was to extend the application of the TotalPlex method to the specific GST gene families (A1, P1, M1, and T1) that are related to busulfan metabolism, and thereby facilitate pharmacogenetic analysis of GST polymorphisms.
  
  
  METHODS
  Seven genetic polymorphisms (GSTA1 promoter -52G>A, -69C>T, -567T>G, and -631T>G; GSTP1 313A>G; GSTM1 deletion; and GSTT1 deletion) were analyzed by multiplex PCR and genotyping, and the genotyping results from TotalPlex were verified with those from uniplex PCR.
  
  
  RESULTS
  Using five pairs of specific bulging-specific primers, seven specific gene fragments were successfully amplified by multiplex amplification coupled to a multiplexed bead array detection system, with a smaller amount of DNA and a shorter process time than is needed for the conventional approach. The genotypes of seven loci from 30 different genomic DNA samples derived using the multiplex system were consistent with the results of standard genotyping methods.
  
  
  CONCLUSIONS
  Our multiplex system provides a fast, inexpensive, and accurate method of detecting multiple GST polymorphisms (GSTA1, GSTP1, GSTM1, and GSTT1).
authors: Department of Pediatrics, Cancer Research Institute, Seoul National University College of Medicine, South Korea.
authors: Min Sun
authors: MS
authors: Kim
authors: Hyoung Jin
authors: HJ
authors: Kang
authors: Han Jeong
authors: HJ
authors: Park
authors: Yeon-Joo
authors: YJ
authors: Yook
authors: Byoung-Don
authors: BD
authors: Han
authors: Chul Woo
authors: CW
authors: Kim
authors: Nam Hee
authors: NH
authors: Kim
authors: Ji Won
authors: JW
authors: Lee
authors: Hyery
authors: H
authors: Kim
authors: Kyung Duk
authors: KD
authors: Park
authors: Hee Young
authors: HY
authors: Shin
authors: Hyo Seop
authors: HS
authors: Ahn
mesh_terms: D005838:Genotype; D005982:Glutathione Transferase / Q000235:genetics*; D006801:Humans; D060885:Multiplex Polymerase Chain Reaction / Q000379:methods*; D011110:Polymorphism, Genetic / Q000235:genetics*
chemical_list: D005982:Glutathione Transferase