Summary
Large deletions of the factorVIII gene account for approximately 5% of severe haemophilia
A patients. Although deletions are readily detectable in males, the identification
of heterozygosity in possible carriers of these families still constitutes a challenge.
In order to identify a deleted allele over the background of the normal allele in
these carriers, we developed a rapid real-time quantitative PCR approach by means
of LightCycler technology and SYBR green I for monitoring product formation. The method
was applied to families with independent deletions (one in exon 14 and the other in
exons 23-24) of the Factor VIII gene, thereby allowing a reliable determination of
carrier or non-carrier status. The method is extremely versatile and can be adapted
to other deletions within the factor VIII gene as well as to other diseases whose
molecular pathology consists of deletions or duplications.
Keywords
Haemophilia A - carrier detection - deletions - factor VIII gene - Real-Time PCR -
quantitative analysis