Novel Application of Loop-mediated Isothermal Amplification for Rapid Detection of Gene Translocation

• Published in: ACTA HISTOCHEMICA ET CYTOCHEMICA Vol. 50; no. 6; pp. 169 - 176
• Main Authors: Matsuzaki, Ibu, Iguchi, Hideto, Mikasa, Yurina, Morishita, Hiromu, Okuda, Katsuya, Nakaguchi, Keita, Mori, Yuki, Iwahashi, Yoshifumi, Warigaya, Kenji, Fujimoto, Masakazu, Kojima, Fumiyoshi, Murata, Shin-ichi
• Format: Journal Article
• Language: English
• Published: Japan JAPAN SOCIETY OF HISTOCHEMISTRY AND CYTOCHEMISTRY 01-01-2017; Japan Science and Technology Agency
• Subjects: Decision making; Diagnosis; echinoderm microtubule-associated protein-like 4 and anaplastic lymphoma kinase; synaptotagmin and synovial sarcoma; Fluorescence in situ hybridization; Gel electrophoresis; gene translocation; Genes; Heavy chains; immunoglobulin heavy chain gene and B cell leukemia/lymphoma 2; Immunoglobulins; loop-mediated isothermal amplification; Lymphocytes B; Lymphoma; Polymerase chain reaction; Protein-tyrosine kinase; Regular; Synaptotagmin; Synovial sarcoma; Translocation; X breakpoint; X breakpoint; loop-mediated isothermal amplification; immunoglobulin heavy chain gene and B cell leukemia/lymphoma 2; gene translocation; echinoderm microtubule-associated protein-like 4 and anaplastic lymphoma kinase; synaptotagmin and synovial sarcoma
• ISSN: 0044-5991; 1347-5800
• DOI: 10.1267/ahc.17024

Identification of fusion genes in cancer is essential for pathological diagnosis and clinical therapy. Although methods for detection of fusion genes, such as fluorescence in situ hybridization (FISH) and real-time polymerase chain reaction (PCR), have been developed in last two decades, these methods are not ideal for detection of these genetic alterations owing to their high cost and time-consuming procedures. In this study, we developed novel application for detection of gene translocations using loop-mediated isothermal amplification (LAMP). We verified the amplified DNA products of echinoderm microtubule-associated protein-like 4 and anaplastic lymphoma kinase (EML4-ALK), synaptotagmin and synovial sarcoma, X breakpoint (SYT-SSX), and immunoglobulin heavy chain gene and B cell leukemia/lymphoma 2 (IgH/BCL2) by real-time PCR, agarose-gel electrophoresis, and the naked eye after the LAMP procedure. Fusion genes were detected in samples diluted 103 times within 60 min. Because of the advantages of rapid amplification, simple operation, and easy detection without requiring sophisticated equipment or technical skill, LAMP may have potential applications as an on-site analytical approach in hospitals for pathological diagnosis and decision making regarding appropriate therapeutic approachs.