Diagnostic method validation: High resolution melting (HRM) of small amplicons genotyping for the most common variants in the MTHFR gene

Clin Biochem. 2009 Aug;42(12):1308-16. doi: 10.1016/j.clinbiochem.2009.04.015. Epub 2009 May 8.

Abstract

Objectives: According to OECD guidelines methods implemented in a diagnostic laboratory should be properly validated prior their implementation. For this purpose we selected genotyping by High Resolution Melting (HRM) of small amplicons using common variants in MTHFR as a model.

Design and methods: We selected previously typed samples on which selected analytical validation-related parameters relevant to DNA diagnostics - specificity, sensitivity, precision, robustness and ability to perform reliable calls were evaluated.

Results: Correct genotype was assigned in 375/381 (98.4%) for c.677 C>T (rs1801133: C>T; p.A222 V) and in 102/104 (98.1%) for c.1298 A>C (rs1801131: A>C; p.E429A) of all cases. Low analytical failure rate and very high specificity/sensitivity were achieved. Similarly, precision and robustness were consistent.

Conclusions: We have successfully validated HRM of small amplicons using common MTHFR variants as a model. We proved that this technique is highly reliable for routine diagnostics and our diagnostic validation strategy can serve as a model for other applications.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • DNA Mutational Analysis / instrumentation
  • DNA Mutational Analysis / methods*
  • Genetic Variation*
  • Genotype*
  • Humans
  • Methylenetetrahydrofolate Reductase (NADPH2) / genetics*
  • Reproducibility of Results
  • Sensitivity and Specificity

Substances

  • Methylenetetrahydrofolate Reductase (NADPH2)