Postal collection of mouth swabs provides a cheap and convenient means of D
NA sampling but hitherto has not provided sufficient genetic material for H
LA typing by polymerase chain reaction using sequence-specific primers (PCR
-SSP). This study examined the feasibility of collecting mouth swabs from a
test population by post, amplifying the DNA by whole genome amplification
and genotyping for selected HLA class II alleles. We optimised a strategy f
or whole genome amplification or primer extension preamplification using a
random 15 base pair primer which resulted in a 1,000-fold increase in DNA t
emplate. The amplified DNA was of sufficient quality for analysis of select
ed HLA Class II alleles by PCR-SSP and PCR using sequence-specific oligonuc
leotide probes. To test the reliability of our data, blood DNA from 30 indi
viduals in 10 families, previously tested for all DRB1 alleles in a routine
diagnostic laboratory, was then tested in our laboratory for DRB1 *03 and
*04 following whole genome amplification. Further whole genome amplified pr
oduct from another 10 families was tested for DRB1 *03, *04 in our laborato
ry and then tested for all DRB1 alleles in a routine diagnostic laboratory.
One repeat typing was required to achieve 100% concordance between laborat
ories. Amplification of whole genome amplified DNA by PCR-SSP was then exte
nded successfully to low-resolution HLA DRB1, DQA1, DQB1 and DPB1 typing. M
outh swab collection by post, followed by whole genome amplification of DNA
provides an effective strategy for genetic analysis of large cohorts. We h
ave optimised conditions for HLA class II typing on whole genome amplified
DNA collected by mouth swab, but this method could potentially be applied t
o low concentrations of DNA from other sources.