Rc. Eisensmith et al., A SIMPLE, RAPID, AND HIGHLY INFORMATIVE PCR-BASED PROCEDURE FOR PRENATAL-DIAGNOSIS AND CARRIER SCREENING OF PHENYLKETONURIA, Prenatal diagnosis, 14(12), 1994, pp. 1113-1118
The polymorphic information content (PIC) and the degree of heterozygo
sity of several polymorphic systems within the phenylalanine hydroxyla
se (PAH) gene were determined in 85 European Caucasian and 19 Chinese
phenylketonuria (PKU) kindreds. The first system examined, a short tan
dem repeat (STR), had a PIC of 80 and 73 per cent in these Caucasian a
nd Chinese samples, respectively. The degree of heterozygosity actuall
y observed for this system was 81 and 64 per cent in the Caucasian and
Chinese PKU families, respectively. Through the addition of a second
polymorphism based on a variable number of tandem repeats (VNTR), the
PIC was increased to 90 per cent in Caucasians, but only to 75 per cen
t in Chinese. The degree of heterozygosity observed for this combinati
on was 94 per cent in European PKU families and 67 per cent in Chinese
PKU families. The further addition of an Xmnl RFLP increased both the
PIC and the level of heterozygosity in Caucasians to 95 per cent, but
did not change either of these measures in Chinese. The combined use
of these three polymorphisms significantly increases the informativity
of prenatal diagnostic and carrier screening procedures in both Cauca
sian and Chinese PKU kindreds. Furthermore, since each of these polymo
rphisms can be studied by PCR-based methods, these new tests can be pe
rformed more quickly and easily than previous Southern-based procedure
s.