Prior studies of oligonucleotide microarray-based mutational analysis have
demonstrated excellent sensitivity and specificity except in circumstances
where a frameshift mutation occurs in the context of a short repeated seque
nce. To further evaluate this circumstance, a series of nucleic acid sample
s having heterozygous mutations within repetitive BRCA1 sequence tracts was
prepared and evaluated. These mutations included single nucleotide inserti
ons and deletions in homopolymer runs, insertions and deletions of trinucle
otide repeats, and duplications. Two-color comparative hybridization experi
ments were used wherein wild type reference and test targets are co-hybridi
zed to microarrays designed to screen the entire BRCA1 coding sequence for
all possible sequence changes. Mutations in simulated heterozygote samples
were detected by observing relative losses of test target hybridization sig
nal to select perfect match oligonucleotide probes. While heterozygous muta
tions could be readily distinguished above background noise in 9/19 cases,
it was not possible to detect alterations in a poly dA/dT tract, small trip
ler repeat expansions, and a 10 bp direct repeat. Unexpectedly, samples con
taining (GAT)(3) tripler repeat expansions showed significantly higher affi
nity toward specific perfect match probes relative to their wild type count
erparts. Therefore, markedly increased as well as decreased test sample hyb
ridization to perfect march probes should be used to raise a suspicion of r
epetitive sequence changes. Hum Mutat 16:354-363, 2000. (C) 2000 Wiley-Liss
, Inc.