Detection of a 1,5 Mb duplication or deletion in the chromosomal region 17p11.2-p12 by real-time PCR Authors: Reško Péter1, Radvánszky János1, Pálffy Roland2 Tutors: RNDr. Helena Poláková, RNDr1. Kádasi Lajos, PhD.1 1 Institute: Commenius University, Faculty of Natural Sciences, Department of Molecular Biology, Bratislava 2 Commenius University, Faculty of Medicine, Institute of Pathophysiology, Bratislava The aim of this study was the optimization of reaction conditions for the precise quantification of peripheral myelin protein 22 gene (PMP22) by Real-time PCR. Charcot-Marie-Tooth disease type 1A (CMT1A) and hereditary neuropathy with liability to pressure palsies (HNPP) are two distinct types of inherited peripheral neuropathies with dominant inheritance. 70% of CMT1A and 80% of HNPP cases are results of DNA duplication and deletion respectively of a 1,5 megabase (Mb) region on chromosome 17p11.2. This chromosomal region contains the PMP22 gene. The molecular cause of CMT1A and HNPP in patients with duplication and deletion of PMP22 is the dosage sensitivity of this gene, thus genetic tests for screening of these patients are based on the quantification of gene copy number of PMP22. Real-time PCR have been used to quantify the PMP22 gene copy number in this study, because it’s one of the best approaches for nucleic acid quantification today. In addition, two different types of PCR product visualization (probe based and intercalator based) and two different real-time instruments (ABI PRISM 7900HT Sequence Detection System and MiniOpticon Real-Time PCR System) have been compared. The results obtained by real-time PCR were approved by gel electrophoresis of the PCR products. Reaction conditions of real-time PCR for the quantification of PMP22 using TaqMan probes and ABI PRISM 7900HT Sequence Detection System were successfully optimized. This method of gene copy number quantification seems to be more sensitive, more reliable and faster than all methods used for PMP22 quantification until now and reduces the probability of cross contamination. In contrast, the optimization of reaction conditions using MiniOpticon Real-Time PCR System was not successful, thus ABI PRISM 7900HT Sequence Detection System seems to be more suitable for real-time quantification of PMP22 in combination with both probe based and intercalator based dyes. Keywords: CMT1A, HNPP, PMP22, gene copy number quantification, real-time PCR.