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296 BRAY ET AL.

HUMAN MUTATION 17:296–304 (2001)

METHODS

High-Throughput Multiplex SNP Genotyping With


MALDI-TOF Mass Spectrometry: Practice,
Problems and Promise
Molly S. Bray,1* Eric Boerwinkle,1,2 and Peter A. Doris2
1
Human Genetics Center, University of Texas Health Science Center at Houston, Houston, Texas
2
Institute of Molecular Medicine, University of Texas Health Science Center at Houston, Houston, Texas

For the SNP 2000 Special Issue

Single nucleotide polymorphisms (SNPs) are currently being identified and mapped at a remark-
able pace, providing a rich genetic resource with vast potential for disease gene discovery, phar-
macogenetics, and understanding the origins of modern humans. High-throughput, cost effective
genotyping methods are essential in order to make the most advantageous and immediate use of
these SNP data. We have incorporated the use of matrix-assisted laser desorption/ionization time-
of-flight mass spectrometry (MALDI-TOF) in our laboratory as a tool for differentiating geno-
types based on the mass of the variant DNA sequence, and have utilized this method for production
scale SNP genotyping. We have combined a 4 ml PCR amplification reaction using 3 ng of ge-
nomic DNA with a secondary enzymatic reaction (mini-sequencing) containing oligonucleotide
primers that anneal immediately upstream of the polymorphic site, dideoxynucleotides, and a
thermostable polymerase used to extend the PCR product by a single base pair. Mass spectrom-
etry (MS) analysis of mini-sequencing reactions was performed using a MALDI-TOF instrument
(Voyager-DE, Perseptive Biosystems, Framingham, MA). We performed both single and multi-
plex PCR and mini-sequencing reactions, and genotyped seven different variant sites in a ran-
dom sample of 989 individuals. Genotypes generated with MS methods were compared with
genotypes produced using a 5¢ exonuclease fluorescence-based assay (Taqman, Applied Biosystems,
Foster City, CA) and a gel-based genotyping protocol. Because multiple polymorphisms can be
detected in a single reaction, the MS technique provides a cost-effective and efficient method for
high-throughput genotyping. Hum Mutat 17:296–304, 2001. © 2001 Wiley-Liss, Inc.

KEY WORDS: SNP; genotyping; MALDI-TOF; mass spectrometry; polymorphism; multiplex; ADD1;
ADRB2; AGT; AGTR1; GNB3; LPL

DATABASES:
ADD1 – OMIM: 102680; GDB:134672; Genbank: NM_001119; HGMD: ADD1
ADRB2 – OMIM: 109690; GDB: 120541; Genbank: NM_000024;HGMD: ADRB2
AGT – OMIM: 106150; GDB:118750; Genbank: X15323, NM_000029; HGMD: AGT
AGTR1 – OMIM: 106165; GDB: 132359; Genbank: Z11162, NM_000685; HGMD: AGTR1
GNB3 – OMIM: 139130; GDB: 120005; Genbank: NM_002075; HGMD: GNB3
LPL – OMIM: 238600; GDB: 120700; Genbank: M76722, NM_000237; HGMD: LPL

Received 8 November 2000; accepted revised manuscript 12 Contract grant sponsor: CDC; Contract grant number: UR6/
January 2001. CCU617218-01; Contract grant sponsor: NIH; Contract grant
*Correspondence to: Molly S. Bray, Ph.D., Human Genetics numbers: HL54481; HL54526; HL54457; HL54464; DDK45538.
Center, University of Texas Health Science Center at Houston,
P.O. Box 20334, Houston, TX 77225.
E-mail: molly.s.bray@uth.tmc.edu

© 2001 WILEY-LISS, INC.


SNP GENOTYPING WITH MALDI-TOF 297

INTRODUCTION nucleotide sequence variation [Haff and Smirnov,


Single nucleotide polymorphisms (SNPs), 1997; Griffin and Smith, 2000; Sun et al., 2000].
common alterations in DNA sequence, repre- Because multiple polymorphisms can be detected
sent the largest quantity of interindividual ge- in a single reaction, the use of MALDI-TOF mass
netic variation. Analytical techniques such as spectrometry is a cost-effective and efficient
association analyses of SNPs located within can- method for high-throughput genotyping.
didate genes and linkage disequilibrium mapping In the present study, we have extended SNP
using SNPs throughout the genome show great genotyping by MALDI-TOF mass spectrometry
promise for disease gene discovery. Other po- from proof of principle to an evaluation of its per-
tential applications of SNPs in contemporary formance in the context of an academic high-
biomedical research include pharmacogenetics throughput SNP genotyping laboratory. A
and investigations of the origins of modern hu- summary of costs and concerns involved in
mans. Due to the complexity of many common, MALDI-TOF genotyping methods is presented
chronic diseases and quantitative traits and the below.
confounding effects of disease heterogeneity,
MATERIALS AND METHODS
gene-gene interaction, and gene-environment
DNA Sample Preparation and PCR
interaction, a large number of SNPs must be sur-
veyed in numerous individuals in order to de- A set of 989 DNA samples with genotypes gen-
tect single gene effects that are likely to be small erated using alternative methods was utilized for
to moderate in size. To date, thousands of SNPs the current study. Seven variant sites in six genes
have been identified across the genome, and this were selected for study: adducin (ADD1, MIM#
information currently resides in both public and 102680), β 2-adrenergic receptor (ADRB2,
private databases [Altshuler et al., 2000; Gray MIM# 109690), angiotensinogen (AGT, MIM#
et al., 2000; Porter et al., 2000]. Therefore, a 106150), angiotensin receptor 1 (AGTR1,
critical step forward in the post-genomic era is MIM# 106165), G-protein β3 subunit (GNB3,
the development of efficient and accurate tools MIM# 139130), and lipoprotein lipase (LPL,
that permit high-throughput SNP genotyping. MIM# 238600) (Table 1). The seven variants
Matrix-assisted laser desorption/ionization comprise a panel of hypertension candidate poly-
time-of-flight mass spectrometry (MALDI-TOF) morphisms, each with putative functional effects
has recently been developed as a tool for differ- [Jeunemaitre et al., 1992; Cusi et al., 1997; Wang
entiating genotypes based on the mass of variant et al., 1997; Siffert et al., 1998; Timmermann et
DNA sequence [Haff and Smirnov, 1997; Ross al., 1998; Sass et al., 2000]. Two of the SNPs
et al., 1998]. The delayed extraction technology reside within 33 base pairs of one another in the
increases resolution and sensitivity by introduc- β2-adrenergic receptor gene, and the other five
ing a time delay between ionization and extrac- remaining SNPs are each located in the sepa-
tion of ions into the mass analyzer, reducing matrix rate genes listed in Table 1. PCR primers were
background and increasing accuracy of mass de- designed to amplify from 40 to 83 base pairs sur-
termination. This technique has the potential to rounding the variant sites, and reactions were
provide highly accurate identification of oligo- performed using 3 ng genomic DNA, 2.0 mM

TABLE 1. PCR Primers for Genes Selected for Comparative Analysis of MS Genotyping
Gene Variant Foward primer sequence Reverse primer sequence PCR length
ADD1 G460W CGGGGCGACGAAG TGGGACTGCTTCCATTC 46
ADRB2 R16G CAGCGCCTTCTTGCTG CGGCGCATGGCTTC 40
ADRB2 Q27E CGGACCACGACGTCAC CCACCACCCACACCTC 45
ADRB2 Both Sites CAGCGCCTTCTTGCTG CCACCACCCACACCTC 83
AGT -6G>A AAATAGGGCCTCGTGAC AACGGCAGCTTCTTCC 42
AGTR1 1166A>C CTGCAGCACTTCACTACCAAA TCCTTCAATTCTGAAAAGTAGC 52
GNB3 825C>T TCATCTGCGGCATCAC GTAGGCGGCCACTGAG 48
LPL S447Ter TGCCATGACAAGTCTCTGA GCCCAGAATGCTCACC 50
298 BRAY ET AL.

MgCl2, standard concentrations of other PCR extended oligonucleotides could be distinguished


reagents, and .25 U AmpliTaq Gold DNA poly- from one another (see Table 2). PCR, ExoI-SAP
merase (Applied Biosystems) in a total reaction digestion, and mini-sequencing extension reactions
volume of 4 µl. For multiplex reactions, primers were all performed in the same vessel, limiting the
were diluted and mixed in order to simplify PCR number of liquid transfers and the possibility of
cocktail assembly. contamination. Two different thermostable poly-
Reactions were carried out in 96-well micro- merases, both of which incorporate ddNTPs effi-
titer plates. To aid in sample tracking, two barcode ciently, were utilized in the mini-sequencing
labels were placed on each plate, one to indicate reactions: Thermosequenase (Amersham Pharma-
the source plate of the DNA samples and the sec- cia, Inc.), a highly stable DNA polymerase origi-
ond to indicate the primer(s) being utilized. Trans- nally used for manual sequencing reactions, and
fer of PCR cocktail was made with the use of the Tth polymerase (Applied Biosystems), an RNA
Multimek robotic system (Beckman-Coulter, Inc., polymerase that acts as a DNA polymerase in the
Indianapolis, IN). Prior to the addition of PCR presence of manganese chloride. The mini-se-
reagents, the barcode labels were scanned and quencing thermal protocol consisted of 25 cycles
recorded in a sample-tracking database. of 20 sec at 95°C, 30 sec at 54°C, and 40 sec at
72°C. Despite the very low Tm of the smaller mini-
Mini-sequencing Reactions
sequencing primers, varying annealing temperature
Before performing the mini-sequencing reac- had little or no effect on efficiency of the exten-
tions, 2 µl of a solution containing 2.5 U of exonu- sion reaction (data not shown).
clease I (ExoI; Amersham Pharmacia, Piscataway,
Sample Purification and MALDI Plate
NJ) and .25 U of shrimp alkaline phosphatase
Spotting
(SAP; Roche Molecular Biochemicals, Indianapo-
lis, IN) was added directly to the PCR reaction Prior to mass determination, extension reaction
and incubated at 37°C for 30 min in order to di- products were purified by mixing each sample with
gest unincorporated dNTPs and PCR primers. Poros 50-R1 reversed phase chromatography ma-
Mini-sequencing reactions were performed using trix (Perseptive Biosystems) and centrifuging the
oligonucleotide primers that anneal immediately samples through 96-well purification spin plates.
5′ of each polymorphic site, dideoxynucleotides, DNA was bound to the reverse phase media in
and a thermostable polymerase used to extend the the presence of triethylammonium acetate, rinsed
PCR product by a single base pair in a total reac- with aqueous buffer, and eluted with either 25%
tion volume of 10 µl. Extension primers and prod- acetonitrile or MALDI matrix consisting of either
ucts utilized in mini-sequencing reactions were trihydroxyacetophenone (THAP) or 3-hydroxy-
designed so that the masses of unextended and picolinic acid (3-HPA). For optimal results, samples

TABLE 2. Mini-sequencing Primer Sequences and Masses for Unextended and Extended Products
PCR product Unextended Variant Extended
Gene Variant length Extension oligo sequence oligo mass alleles oligo mass
AGT -6G>A 42 CGTGACCCGGCC(A/G) 3607.4 A 3904.6
G 3920.6
AGTR1 1166A>C 52 CTACCAAATGAGC(A/C) 3927.6 A 4224.8
C 4200.8
GNB3 825C>T 48 AGGGAGAAGGCCAC(A/G) 4346.9 A 4644.1
G 4660.1
ADRB2 Q27E 45 CACGACGTCACGCAG(C/G) 4547.0 C 4820.2
G 4860.2
LPL S447X 50 GAATGCTCACCAGCCT(G/C) 4826.2 C 5099.4
G 5139.4
ADD1 G460W 46 ACGAAGCTTCCGAGGAA(G/T) 5228.5 G 5541.7
T 5516.7
ADRB2 R16G 40 GAGGCGGCGCATGGCTTC(C/T) 5556.6 C 5829.8
T 5844.8
SNP GENOTYPING WITH MALDI-TOF 299

eluted with matrix can be spotted directly onto and 0.5 U Taq polymerase (Life Technologies,
the MALDI plates but must be analyzed within Rockville, MD) in a 20 µl reaction volume. The
approximately 24 hr. Samples eluted in acetoni- amplified products were then digested overnight
trile can be stored for extended periods if frozen with 6 U of the appropriate restriction enzyme,
but must first be mixed with an equal amount of and digested products were separated on 3% aga-
matrix prior to plate spotting. Approximately 400 rose gels, stained with ethidium bromide, and vi-
nl of matrix-sample mixture was spotted onto a sualized using UV light. A 100 bp size standard
384 well MALDI plate using a Symbiot I robotic was included on each of the typing gels for geno-
workstation (Perseptive Biosystems). Barcode type identification, and two individuals scored
labels were used to verify and record the sample each gel independently. For the Taqman assay,
transfer from reaction plates to MALDI plates. PCR products were generated using 30 ng DNA,
5.0 mM MgCl2, and 1X Taqman Universal PCR
Mass Spectrometry and Genotype
Master Mix containing AmpliTaq Gold DNA
Determination
Polymerase in a 27 µl reaction volume. A total of
Masses of the mini-sequencing primers and ex- 0.2 µM of each of the allele-specific probes was
tension products were assessed using linear de- used in the allele discrimination assays, and al-
layed extraction mass spectrometry and a lele detection and genotype calling were per-
Voyager-DE MALDI-TOF instrument (Perseptive formed using an ABI 7700 and Sequence
Biosystems). Genotypes for the samples were re- Detection System software (Applied Biosystems).
solved with the aid of the Genespectrometer soft-
RESULTS AND DISCUSSION
ware package. Such allele-calling software is
Single and Multiplex PCR
critical in order to achieve high throughput
genotyping. The software first targets the ioniza- Single locus amplification reactions were gen-
tion laser to accumulate mass data from regions erated for each of the variant sites (data not
of a sample spot that yield high signal-to-noise shown), as well as multiplex PCRs that contained
ratio. When sufficient signal has been accumu- sets of six (Fig. 1A), three (Fig. 1B), or four (Fig.
lated, the laser is directed to the next spot, allow- 1C) target genes. A subset of samples visualized
ing a 384-well MALDI plate containing multiplex on 9% polyacrylamide gels demonstrated that
genotyping reaction products to be analyzed au- the 4 µl reactions were reliable, with only slight
tomatically. The software then uses the mini-se- variation in amplification efficiency due to vari-
quencing primers in each extension reaction as ability of DNA sample quality and/or concen-
internal mass calibrants and automatically iden- tration. PCR primers were designed so that the
tifies the primers, calibrates each mass spectrum, 3′ end of each primer was at least two base pairs
and determines genotypes based on the mass dif- from the variant site (Fig. 1D) both to ensure
ferences between primer and extension peaks. that mini-sequencing primers would bind and
Genotypes are written to an electronic database extend only on specific targets and to negate the
that can be queried to produce data files in a need to remove any non-specific PCR products.
spreadsheet format suitable for further analysis. Limiting the PCR product size to less than 100
bp was found to produce the most robust multi-
Genotype Determination Using Alternative
plex PCR and mini-sequencing reactions. We
Methods
have also successfully performed extension re-
Genotypes generated using mass spectrometry actions using larger PCR products (up to 500
were compared to two alternative methods, ei- bp) that contain multiple SNPs (data not
ther gel-based restriction fragment length (RFLP) shown). The reaction volume for PCR was re-
enzyme digest assays (ADD1, AGT, AGTR1, duced to 4 µl, both to minimize reaction costs
GNB3, and LPL) or the Taqman hybridization and in order to perform all steps of the sample
assay (ADRB2-R16G and ADRB2-Q27E). PCR preparation in a single vessel. Small reaction
reactions for RFLPs included 30 ng DNA, 1.5 mM volumes also reduced the amount of DNA
MgCl2, standard concentrations of PCR reagents, needed, thereby maximizing sample resources.
300 BRAY ET AL.

FIGURE 1. Multiplex PCR products. The six-plex reaction (A) contains PCR products for AGT (42 bp), ADD1 (46 bp), GNB3
(48 bp), LPL (50 bp), AGTR1 (52 bp), and ADRB2 (83 bp). The three-plex reaction (B) contains PCR products for ADD1 (46
bp), AGTR1 (52 bp), and ADRB2-Q27E (45 bp), and the four-plex reaction (C) contains products for AGT (42 bp), GNB3
(48 bp), LPL (50 bp), and ADRB2-R16G (40 bp). PCR primers were designed so that the 3′ end of each primer was 2–3 bp
from the variant site to ensure that mini-sequencing primers would extend only when bound to specific PCR targets (D).

Mini-sequencing Reactions and MALDI merase. Nevertheless, samples that amplified and
Chemistry extended well did so with either enzyme. The
Mini-sequencing extension reactions resulted use of Thermosequenase is preferred when ge-
in easily separable peaks in single locus reactions nomic DNA samples are sub-optimal, but pre-
and only moderate loss of signal in multiplex liminary experiments have shown that the
reactions. With smaller sets of three (Fig. 2A) addition of ammonium sulfate to the Tth reac-
and four (Fig. 2B) multiplexed PCR products, tion buffer greatly enhances extension efficiency
each set of extension products could be sepa- (data not shown). Because the largest cost asso-
rated by two or more nucleotides, providing eas- ciated with MALDI-TOF SNP genotyping is the
ily differentiated signals for each genotype. The polymerase enzyme for the extension reactions,
seven-plex extension reaction also produced dif- and because Tth costs less than Thermo-
ferentiable extension products, and higher-level sequenase, further investigation of its use in pro-
multiplexing can be accomplished by extending duction genotyping is warranted.
the mass range beyond 6000 Daltons. Neverthe-
Genotype Determination and Comparison to
less, due to the close spacing of extension and
Alternative Methods
primer peaks in the seven-plex reactions, there
was some interference with depurination peaks Genotypes generated using mass spectrometry
when THAP was used as the matrix chemical were compared to two alternative methods, ei-
(Fig. 3A). Alternatively, when 3-HPA matrix ther RFLP assays (ADD1, AGT, AGTR1,
was used, depurination peaks were no longer GNB3, and LPL) or the Taqman hybridization
present, providing clear signals for more closely assay (ADRB2-R16G and ADRB2-Q27E). A
spaced extension products (Fig. 3B). concordance score was calculated by compar-
In all cases, the use of Thermosequenase in ing the genotypes generated using MS to geno-
the mini-sequencing reaction resulted in more types generated with the alternative method.
reliable primer extension than did Tth poly- Allele frequencies for each comparison were not
SNP GENOTYPING WITH MALDI-TOF 301

FIGURE 3. Mass spectra for seven-plex mini-sequencing


FIGURE 2. Mass spectra for multiplex mini-sequencing re- reactions using THAP (A) or 3-HPA matrix (B). Seven plex
actions. Three-plex reactions (A) contain products for reactions contain products for ADD1, AGTR1, ADRB2-
ADD1, AGTR1, and ADRB2-Q27E, and four-plex reac- Q27E, AGT, GNB3, LPL, and ADRB2-R16G. Depurination
tions (B) contain products for AGT, GNB3, LPL, and peaks in reaction A are noted with arrows.
ADRB2-R16G. Masses for each product are provided in
parentheses.

cases in which the signal from one allele is less


significantly different from one another, with the than 10 percent of the other and falls below the
exception of ADD1, AGT, and ADRB2-Q27E. signal-to-noise criterion for allele recognition,
Agreement between the methods ranged from as for the G→ T variant alleles within ADD1
69 to 98% for each variant. In most cases, dis- (Fig. 2A). Two main factors can contribute to
agreement was due to inadequate design and/or inequality in signal intensity: a) preferential in-
performance of the MS method, with the ex- corporation of one dideoxynucleotide over the
ception of ADRB2-Q27E variant, in which the other, or b) sequence-specific differences in ion-
Taqman data were found to be in error. Possible ization and desorption of oligonucleotide mol-
sources of error for each variant are provided in ecules. Changing the primer sequence to the
Table 3. These results serve to illustrate a num- complement strand may alleviate the first fac-
ber of issues related to MALDI-TOF genotyping tor, and the second factor may be improved by
that are discussed in more detail below. making modifications to the primer sequence,
Unequal signal intensities for alleles within such as adding a short poly-T tail to one primer
the same SNP. Inequality of variant allele ex- [Lichtenwalter et al., 2000].
tension peaks within a given SNP is a common Disagreement due to inaccuracy of the alterna-
occurrence in mass detection of mini-sequenc- tive method. The Taqman assay, a genotyping
ing reactions [Sun et al., 2000]. This inequality method that involves allele-specific hybridization
is not usually problematic except in extreme of fluorescently labeled probes to a variant sequence
302 BRAY ET AL.

TABLE 3. Comparison of Genotyping Using Mass Spectrometry Versus Alternative Methods


% match Type of
Gene or between MS alternative
variant and alternative method Allele frequencies Comments
ADD1- 71.2 Restriction G=0.838/ T=0.162 Differential efficiencies of extension for each
G460W digest allele; T allele extends more poorly than
G and was often missed
ADRB2- 70.0 Taqman C=0.504/ G=0.496 Poor allele discrimination with the Taqman
Q27E may have produced disparate results
ADRB2- 83.9 Taqman C=0.610/ T=0.390 These extension products had the highest
R16G masses and weakest signals
AGT 68.6 Restriction White: A=0.455/ G=0.545 The high signal intensity of the AGT extension
-6G>A digest Black: A=0.840/ G=0.160 primer produced relatively weak extension
peaks for this variant site, particularly
for the larger mass “G” allele
AGTR1 91.0 Restriction A=0.779/ C=0.221 Some interference with depurination peaks
1166A>C digest for these extended products-redesign of
extension primers would improve this system
GNB3 91.8 Restriction White: A=0.316/ G=0.684 Good agreement for a fairly polymorphic
825C>T digest Black: A=0.804/ G=0.196 system
LPL 97.6 Restriction C=0.074/ G=0.926 Variant allele is fairly rare and this many be
S447X digest one reason for the very high agreement here

of interest, has been demonstrated to provide ac- Interference of depurination peaks with ex-
curate genotypes for numerous polymorphisms. tension peaks in multiplex reactions. The use of
Nevertheless, certain variant DNA sequences THAP matrix can produce substantial depur-
are difficult to differentiate using this method ination peaks that can mask or interfere with
due to similar affinity of both perfect-match and detection of extension peak signals in multiplex
mismatch probes for the target sequence. Since reactions. THAP is used often when assessing
there is little flexibility in the design of the probe oligonucleotides with MALDI-TOF methods
sequences, some variant sites are not well suited due to its even crystallization in the sample well,
for hybridization genotyping methods. The use which is especially useful when sampling in the
of mini-sequencing extension reactions and mass instrument’s automatic mode. Interference from
spectrometry circumvents the problems involved depurination peaks can make THAP undesir-
in allele-specific hybridization, since alleles are able for high level multiplexing, however. Be-
differentiated based on the mass of the extended cause depurination peaks have a predictable
products rather than hybridization signals. mass that is approximately 150 Daltons less than
Disagreement due to weak signals or excess the primer peaks, careful design of primer and
primer concentration. As extension primers and extension masses can help to avoid depurination
products are expanded into the higher mass peak interference when using THAP matrix. An
ranges, some decrease in signal is to be expected. alternative to THAP is the use of 3-HPA, which
This decrease in signal intensity may be due to produces an even baseline and clearly resolved
less efficient desorption and/or decreasing sen- peaks. However, 3-HPA crystallizes in a circular
sitivity of the detector for higher mass molecules. pattern, leaving the center of the well void,
Differences in PCR efficiency as well as com- which can make autosampling difficult.
petitive ionization in multiplex reactions may
Cost Comparison of Alternative Methods
also contribute to uneven extension signals.
Therefore, it is critical to minimize background A comparison of genotyping supply costs for MS,
noise and optimize the concentrations of prim- RFLP, and Taqman is presented in Table 4. Esti-
ers so that primer signal does not mask exten- mates include the cost of all plasticware and
sion signals. This is especially true in multiplex consumables. Instrument costs amortized over a
reactions, where high signal intensities for low large number of locus tests were assumed to be
mass primers may result in comparably weak sig- negligible and personnel costs were assumed to be
nals for the higher mass products. equivalent among methods. Taqman assay costs
SNP GENOTYPING WITH MALDI-TOF 303

TABLE 4. Cost (in U.S. Dollars) Comparison of Genotyping Using Mass Spectrometry Versus Alternative Methods
Mass spec typing RFLP typing Taqman assay
Total Single Total Single Total Single
rxn vol. locus 4-plex 7-plex rxn vol. locus rxn vol. locus
PCR 4 µl $0.16 $0.04 $0.02 20µl $0.48 20µl $0.93
Enzyme digest 6 µl $0.08 $0.02 $0.01 25µl $0.60 – –
Post PCR 10 µl TS $0.92 $0.23 $0.13 2% $0.13 – –
10 µl Tth $0.73 $0.18 $0.10 gel
Purification $0.14 $0.04 $0.02
Total $1.11–$1.30 $0.28–$0.33 $0.15–$0.18 $1.21 $0.93

were calculated using Taqman master mix (Ap- currently about six MALDI plates (∼2,300 samples)
plied Biosystems), which contains AmpliTaq Gold can be analyzed per day. By incorporating as few
DNA polymerase, dNTPs, PCR additives, and as five variants into a multiplex reaction, more than
normalizing dye. For each genotyping method, the 11,500 genotypes can be produced in a regular
cost of enzymes is the primary expense, and single eight-hour day. Extending robotic spotting and
locus MS genotyping is comparable to other meth- analysis of MALDI plates into the off hours can
ods. Nevertheless, multiplexing up to seven prim- greatly improve throughput.
ers in a single MS reaction can reduce the cost per
Issues in High Throughput Genotyping With
genotype to approximately $0.15 US. The capac-
Mass Spectrometry
ity to multiplex makes MS genotyping an extremely
cost-effective method. In addition, even modest In order to bring the use of MS genotyping
levels of multiplexing and automation made pos- into the laboratory at a production level, there
sible with MS will reduce personnel costs below are a number of factors that must be considered.
that of the other two methods. First, performing the multi-step sample prepa-
ration in a single vessel is critical for minimizing
Genotyping Throughput With MS Methods
sample contamination and labor steps. Second,
Critical to any evaluation of production reaction volumes should be kept low in order to
genotyping methods is the consideration of sample minimize cost, concentrate template, and maxi-
throughput. Low volume PCR and mini-sequenc- mize DNA sample resources. Third, as with any
ing reactions using MS methods allow for reduced high throughput genotyping methods, the use
cycling times, with PCR completed in approxi- of robotics greatly improves productivity. Ro-
mately 1 hr and 15 min and mini-sequencing re- botic spotting of MALDI plates is essential due
actions lasting around 1 hr. ExoI-SAP digestion to the difficulty in manual transfer of sub-mi-
takes 30 min and can be performed in a water bath croliter sample volumes. Fourth, barcoding of
or incubator. Preparing a sufficient quantity of both sample and MALDI plates greatly assists
sample cocktail at the start of each day minimizes in tracking samples from preparation to data
reagent transfer time. Sample purification using ro- analysis. Fifth, mass detection of samples must
botic transfer takes approximately 30 min, and take place automatically, requiring robust reac-
when samples are eluted in matrix, sample spot- tions and consistent sample preparation, spotting,
ting from four 96-well reaction plates to one 384- and laser targeting. And sixth, interpretation of
well MALDI plate using the Symbiot I robotic mass spectra and genotype calling must be au-
workstation takes approximately 40 min. Auto- tomated, reliable, and fully integrated with a
sampling of the MALDI plate using the Voyager- general data management utility.
DE takes approximately 90 min. With eight thermal
CONCLUSIONS
blocks, we can prepare approximately 2,300
samples using 96-well plates and more than 9,200 The identification of a large number of SNPs
samples using 384-well plates per eight-hour day. throughout the genome provides a valuable tool
Approximately 12 384-well MALDI plates (∼4,600 for identifying and characterizing genes under-
samples) can be spotted in an eight-hour day, and lying human disease, for understanding inter-
304 BRAY ET AL.

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fects of sequence variation in the gene can be tification assays using a thermostable DNA polymerase and
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efficient and cost-effective methods for high Jeunemaitre X, Soubrier F, Kotelevtsev Y, Lifton R, Williams
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mini-sequencing assay for genotyping SNPs. Nucleic Ac-
This work was supported by grants from CDC ids Res 28:E68.
(UR6/CCU617218-01 to MSB), and NIH
Templeton A, Clark A, Weiss K, Nickerson D, Boerwinkle E,
(HL54481, HL54526, HL54457, and HL54464 Sing C. 2000. Recombinational and mutational hotspots
to EB, and DDK45538 to PAD). We thank within the human lipoprotein lipase gene. Am J Hum
Marjorie Minkoff, Larry Haff, Philip Ross, and Genet 66:69–83.
Jon Speak, and Perseptive Biosystems for pre- Timmermann B, Mo R, Luft F, Gerdts E, Busjahn A, Omvik P,
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