We devised a simple, noninvasive, cost-efficient technique for collecting b
uccal cell DNA for molecular epidemiology studies. Subjects (n = 52) brushe
d their oral mucosa and expectorated the fluid in their mouths, which was a
pplied to "Guthrie" cards pretreated to retard bacterial growth and inhibit
nuclease activity (IsoCode, Schleicher and Schuell, Keene, NH). The cards
are well-suited for transport and storage because they dry quickly, need no
processing, and are compact and lightweight. We stored the samples at room
temperature for 5 days to mimic a field situation and then divided them in
to portions from which DNA was extracted either immediately or after storag
e for 9 months at room temperature, -20 degrees C, or -70 degrees C, The fr
esh samples had a median yield of 2.3 mu g of human DNA (range, 0.2-53.8 mu
g), which was adequate for at least 550 PCR reactions. More than 90% of th
e samples were amplified in all three beta-globin gene fragment assays atte
mpted. DNA extract frozen for 1 week at -20 degrees C also performed well.
Stored samples had reduced DNA yields, which achieved statistical significa
nce for room temperature and -70 degrees C, but not -20 degrees C, storage.
However, because all of the stored samples tested were successfully amplif
ied, the observed reduction may represent tighter DNA fixation to the card
over time rather than loss of genetic material. We conclude that treated ca
rds are an alternative to brushes! swabs and mouth rinses for the collectio
n of buccal cell DNA and offer some advantages over these methods, particul
arly for large-scale or long-term studies involving stored samples and stud
ies in which samples are collected off-site and transported. Future studies
that enable direct comparisons of the various buccal cell collection metho
ds are needed.