Impact of Cytokine Gene Polymorphisms on Risk and Treatment Outcomes of Aplastic Anemia Journal: the Annals of Hematology Yun-Gyoo Lee1, Inho Kim1, 4, 5, Jin Hee Kim2, 6, Ji-Yeon Bae4, Ji-Hyun Kwon1, Dong-Yeop Shin1, Jong-Eun Lee7, Eun Young Song3, Hyun Kyoung Kim3, Sung-Soo Yoon1, 4, Sung Sup Park3, Dong Soon Lee3, Kyou-Sup, Han3, Myoung Hee Park3, Yun-Chul Hong2, 6, Seonyang Park1, 4, 5, ByoungKook Kim1, 4 1 Department of Internal Medicine, 2Preventive Medicine, 3Laboratory Medicine, Seoul National University Hospital, Seoul, Korea 4 Cancer Research Institute, 5Diagnostic DNA chip Center, Seoul National University College of Medicine, Seoul, Korea 6 Institute of Environmental Medicine, Seoul National University Medical Research Center, Seoul, Korea 7 DNA Link Inc., Seoul, Korea Corresponding author Inho Kim, M.D., Ph.D., Department of Internal Medicine Seoul National University Hospital 101 Daehang-ro, Jongno-gu, Seoul 110-744, Korea Tel: 82 2 2072 0834 Email: kim_dajung@hanmail.net Genotyping Method The genotyping was screened using single base primer extension assay using ABI PRISM SNaPShot Multiplex kit (ABI, Foster City, CA, USA) according to manufacturer’s recommendation. Briefly, the genomic DNA flanking the interested single nucletide polymorphism (SNP) was amplified with PCR reaction with Forward and Reverse primer pairs and standard PCR reagents in 10μL reaction volume, containing 10ng of genomic DNA, 0.5pM of each oligonucleotide primer, 1μL of 10X PCR buffer, 250M dNTP (2.5mM each) and 0.25 unit i-StarTaq DNA Polymerase (5unit/µl) (iNtRON Biotechnology, Sungnam, Kyungki-Do, Korea). The PCR reactions were carried out as follows; 10 min at 95℃ for 1 cycle, and 35 cycles on 95℃ for 30s, Tm℃ for 1min, 72℃ for 1min followed by 1 cycle of 72℃ for 10mins. After amplification, the PCR products were treated with 1 unit each of shrimp alkaline phosphatase (SAP) (USB Corporation, Cleveland, OH, USA) and exonuclease I (USB Corporation, Cleveland, OH, USA) at 37℃ for 75 minutes and 72℃ for 15 minutes to purify the amplified products. One microliter of the purified amplification products were added to a SNaPshot Multiplex Ready reaction mixture containing 0.15pmols of genotyping primer for primer extension reaction. The primer extension reaction was carried out for 25cycles of 96℃ for 10 seconds, 50℃ for 5 seconds, and 60℃ for 30 seconds. The reaction products were treated with 1 unit of SAP at 37℃ for 1 hour and 72℃ for 15 minutes to remove excess fluorescent dye terminators. One microliter of the final reaction samples containing the extension products were added to 9 μL of Hi-Di formamide (ABI, Foster City, CA). The mixture was incubated at 95℃ for 5 min, followed by 5min on ice and then analyzed by electrophoresis in ABI Prism 3730xl DNA analyzer. Analysis was carried out using Genemapper software (version 4.0; Applied Biosystems). Table 1 shows the primer sets and Tm used for the SNaPshot assay. Table 1. Primer sets and Tm for the SNaPshot assay. Gene SNP name (rs number) -2353A/T (rs7139169) IFNG -1616C/T (rs2069705) +874A/T (rs2430561) -1037C/T (rs1799724) -1031C/T (rs1799964) Strand Reverse Reverse Forward Forward Forward Primer sequence Forward GCAGAAGACACGCGAATAG Reverse ATCCTCCTTAAAATTAATCTTAGATTCTC Genotyping GGTTTATACTTTTCTAAGAGTTCTG Forward CAGTTTTACAGGTAAGGAGACTGAG Reverse TTTGCATTTCTACCTGTACTGTGTA Genotyping TATCTAGCTATATGATTGTGAGTTA Forward ATATTCAGACATTCACAATTGATT Reverse TATTATACGAGCTTTAAAAGATAGTTCC Genotyping TTTATXCTTACAACACAAAATCAAATC Forward TAGGAGAATGTCCAGGGCTAT Reverse AGGCTCTTTCACTCCCTGG Genotyping GTCGAGTATGGGGACCCCCMNTTAA Forward CAGAGAGCTTCAGGGATATG Reverse GTCTCCTGTAACCCATTCCT Genotyping AAGGAGAAGCTGAGAAGA Forward GGGAGAACAAAAGGATAAGG Reverse TGAAGCTCTCACTTCTCAGG Genotyping AAGTCGAGTATGGGGACCCCC Forward AGAAGGAAACAGACCACAGAC Reverse GGGAAAGAATCATTCAACCA Genotyping TAGGTTTTGAGGGGCATG Forward TCAGAGCTGACCCCAGCTAA Reverse GGCCACCGTCCTCATCTC Genotyping CCTCCTGACCCTTCCATCC Forward GCCCATCTAGGTTATTTCC Reverse TGCCAGTCACTTCCTACC Genotyping AGCAGCGGTAGCAGCAGC Forward GCGATTTGGCTTAAGTTGTT Reverse GAGAAGTCAGGGTGAGGAAG Genotyping GCAACATGAGAGGCTCACAGACGTT TNF -863C/A (rs1800630) -308G/A (rs1800629) -590 C/T (rs1800469) Forward Forward Forward TGFB P10L C/T (rs1800470) FAS -670G/A (rs1800682) Reverse Reverse Tm Additive 55 - 55 - 60 - 55 - 55 Betaine 55 Betaine 55 Betaine 65 Betaine 60 Betaine 60 -