Two-dimensional (2-D) gene scanning (TDGS) is a method for mutation de
tection based on the electrophoretic separation of PCR-amplified DNA f
ragments according to size and base pair sequence. The use of denaturi
ng gradient gel electrophoresis (DGGE) as the second separation step p
rovides virtually 100% sensitivity, while the 2-D format allows the in
spection of multiple gene fragments simultaneously. Analysis of many e
xons in parallel is greatly facilitated by extensive PCR multiplexing
based on preamplification by long-distance PCR. Recently, TDGS has bee
n applied to detect mutations in the retinoblastoma tumor suppressor g
ene RB1. Using RB1 as a model, we have now analyzed each step of the p
rotocol, presenting overall improvements and a detailed cost analysis,
where the total cost of the assay is found to be about $40 (US). An o
verall picture of TDGS cost-performance, as compared to direct sequenc
ing, is provided as a function of the number of target fragments.