Point mutations in the K-ras gene are frequently observed in a variety
of human malignancies, including colorectal and pancreatic cancers. I
n this paper, Lye describe a sensitive procedure for the detection of
point mutations of codon 12 of the K-ras gene. The assay employs a sin
gle-tube enriched PCR procedure, coupled to colorimetric detection. In
the enriched PCR procedure, the first round of amplification introduc
es a restriction enzyme site in the wild type, but not in mutant K-ras
PCR product. The wild type products are then digested and the second
round of PCR enriches for the mutant sequences by amplifying the resis
tant products. The second round of amplification allows the incorporat
ion of biotin and a substrate binding tag at opposite ends of the muta
nt product, thus allowing detection of the product by a simple colorim
etric assay. The assay has been validated using DNA from a variety of
cell lines known to contain either mutant or wild type K-ras. Under th
ese conditions, the assay has proved both reproducible and sensitive,
with the ability to detect one mutant molecule in a background of 1000
wild type molecules. The assay allowed discrimination of mutant from
wild type K-ras in samples from colonic adenocarcinomas and normal col
onic mucosa. The use of a colorimetric detection system reduces observ
er bias and facilitates analysis of large numbers of samples. As such,
the assay may have specific application in the sensitive detection of
K-ras mutations in a variety of clinical samples. (C) 1997 Academic P
ress Limited.