DNA amplification systems are powerful technologies with the potential
to impact a wide range of diagnostic applications. In this study we e
xplored the feasibility and limitations of a modified ligase chain rea
ction (Gap-LCR) in detection and discrimination of DNAs that differ by
a single base. LCR is a DNA amplification technology based on the lig
ation of two pairs of synthetic oligonucleotides which hybridize at ad
jacent positions to complementary strands of a target DNA, Multiple ro
unds of denaturation, annealing and ligation with a thermostable ligas
e result in the exponential amplification of the target DNA. A modific
ation of LCR, Gap-LCR was developed to reduce the background generated
by target-independent, blunt-end ligation. In Gap-LCR, DNA polymerase
fills in a gap between annealed probes which are subsequently joined
by DNA ligase. We have designed synthetic DNA targets with single base
pair differences and analyzed them in a system where three common pro
bes plus an allele-specific probe were used, A single base mismatch ei
ther at the ultimate 3' end or penultimate 3' end of the allele specif
ic probe was sufficient for discrimination, though better discriminati
on was obtained with a mismatch at the penultimate 3' position, Compar
ison of Gap-LCR to allele-specific PCR (ASPCR) suggested that Gap-LCR
has the advantage of having the additive effect of polymerase and liga
se on specificity, As a model system, Gap-LCR was tested on a mutation
in the reverse transcriptase gene of HIV, specifically, one of the mu
tations that confers AZT resistance, Mutant DNA could be detected and
discriminated in the presence of up to 10 000-fold excess of wild-type
DNA.