Current methods for mutation detection are not optimized for the generation
of highly accurate data on multiple genes of hundreds of individuals in po
pulation-based studies. Two-dimensional gene scanning (TDGS) is a high-reso
lution system for detecting mutational variants in multiple genes in parall
el. TDGS is based on a combination of extensive multiplex polymerase chain
reaction (PCR) and two-dimensional (2-D) DNA electrophoresis. The latter in
volves a size separation step followed by denaturing gradient gel electroph
oresis (DGGE). TDGS tests for a number of large human disease genes have be
en designed, using a computer program to optimally position PCR primers aro
und the relevant target sequences (e.g., exons) and evaluated using panels
of samples with previously detected mutations. The results indicate a high
sensitivity and specificity, equal to nucleotide sequencing, which is gener
ally considered as the gold standard. Here, we describe the different compo
nents of the TDGS process and its potential application as a high-throughpu
t system for the systematic identification of human gene variants.