METHOD AND KIT FOR MULTIPLEX DNA TYPING OF HLA GENE

TECHNICAL FIELD

The present invention relates to a method for super high resolution multiplex DNA typing of a HLA gene using a high throughput DNA sequencer.

BACKGROUND ART

The human leucocyte antigen (HLA), which represents major human histocompatibility complex (MHC), presents peptides derived from foreign proteins such as pathogens and peptides derived from self-proteins to T cells. In this manner, HLA is deeply involved in induction of immunological responses. As major HLAs, six types of antigens are known, namely, class I antigens (HLA-A, HLA-B, HLA-C), which is expressed in almost all cells, and class II antigens (HLA-DR, HLA-DQ, HLA-DP), which is expressed mainly in immune cells.

The HLA class I antigen consists of a highly polymorphic α chain and a substantially non-polymorphic β2-microglobulin; whereas the HLA class II antigen consists of a highly polymorphic β chain and a less polymorphic α chain. The α chains of class I antigens are encoded by HLA-A, HLA-B and HLA-C genes. The β chains of class II antigens are encoded by HLA-DRB1, HLA-DRB3/4/5, HLA-DQB1 and HLA-DPB1 genes, whereas the α chains are encoded by HLA-DRA1, HLA-DQA1 and HLA-DPA1 genes. In a gene level, in HLA class I antigens, exon 2 and exon 3 of a gene encoding an α chain are highly polymorphic; whereas, in HLA class II antigens, exon 2 of a gene encoding a β chain is highly polymorphic.

A gene region encoding a HLA is located on short arm of human chromosome 6 at 6p21.3. A Class I region (HLA-A, HLA-B and HLA-C, etc.), a class III region and a class II region (HLA-DRA, HLA-DRB1, HLA-DRB3/4/5, HLA-DQA1, HLA-DQB1, HLA-DPA1, HLA-DPB1, etc.) are arranged in this order from the telomere side toward the centromere side. Many genes are encoded at an extremely high density and association of these genes with transfusion, transplantation and various diseases have been reported. In the class III region, no HLA genes are present and genes of complement components and tumor necrosis factors (TNF), etc. are present.

In a HLA-DRB gene region encoding a β chain of a HLA-DR antigen, it has been confirmed that 5 types of structural polymorphisms are present. In DR1 type and DR10 type, pseudogenes such as HLA-DRB6 and HLA-DRB9 in addition to HLA-DRB1 are located on the same haplotype. In DR2 type, a HLA-DRB5 (DR51) gene and pseudogenes such as HLA-DRB6 and HLA-DRB9 in addition to HLA-DRB1 are located on the same haplotype. In DR3, DR5 and DR6 types, a HLA-DRB3 (DR52) gene and pseudogenes such as HLA-DRB2 and HLA-DRB9 in addition to HLA-DRB1 are located on the same haplotype. In DR4, DR7 and DR9 types, a HLA-DRB4 (DR53) gene and pseudogenes such as HLA-DRB7, HLA-DRB8 and HLA-DRB9 in addition to HLA-DRB1 are located on the same haplotype. In contrast to these, in DR8 type, no HLA-DRB genes except HLA-DRB1 are located on the same haplotype (FIG. 1).

In the exon of each HLA gene, regions having an abundance of polymorphism (polymorphic regions) are present. In many cases, a nucleotide sequence (amino acid sequence) present in a certain polymorphic region is commonly present in a plurality of HLA alleles. In short, each HLA allele is specified by a plurality of polymorphic regions in combination. In a HLA class I antigen, not only a polymorphic region in the exon but also exon 2 or exon 3 having the same nucleotide sequence is sometimes commonly present in a plurality of alleles.

Since a highly polymorphic region is present in a HLA, the number of types of HLA alleles is known to be extremely large and notation of them has been defined: i.e., a first field (two-digit level) is for discrimination of serologic HLA types, a second field (4-digit level) is for discrimination of alleles having an amino acid substitution in the same serologic HLA type, a third field (6-digit level) is for discrimination of alleles having a base substitution not accompanying an amino acid mutation and a fourth field (8-digit level) is for discrimination of alleles having a base substitution in an intron, which is out of the genetic region encoding a HLA molecule (FIG. 2).

In bone marrow transplantation, it is said that if the HLA type (HLA-A, HLA-B, HLA-C, HLA-DRB1) of a patient seeking to receive a transplant completely matches the HLA type of a donor at a 4-digit level, the success rate of transplantation improves and a severe graft versus host disease (GVHD) frequency reduces. Conversely, if the HLA types do not match at a 4 digit level, a risk of causing a failure such as a rejection response increases. Accordingly, accurate and highly precise HLA typing is extremely important also in a clinical point of view.

As a method for DNA typing in a HLA gene, a SBT (sequence based typing) method and a SSO (Sequence Specific Oligonucleotide) -Luminex method based on a polymerase chain reaction (PCR) are in mainstream.

These conventional DNA typing methods have an advantage in that typing of many samples is quickly performed; however, sometimes fail to accurately determine a polymorphic region and cis/trans positional relationship of exons on a chromosome in the case of a class I gene. Because of this, phase ambiguity occurs, highly precise HLA typing was sometimes not easily performed.

Since the conventional methods are DNA typing methods using PCR mainly based on exon regions of each HLA gene, base substitutions in an intron region and a promoter region are overlooked, with the result that there was a risk of failure in detection of a null allele, which has the same gene structure as other HLA expressing genes but is suppressed in expression.

For example, since the PCR conditions for each HLA gene are not same, the PCR for each HLA gene must be independently performed, thus, according to the method described in the Patent Document 1, an accelerated and simplified operation is not achieved.

The present inventors offered a highly precise DNA typing method capable of eliminating phase ambiguity by using a set of primers which respectively anneal specifically to an upstream region and a downstream region of each HLA gene locus (Patent Document 2 and Non Patent Document 2). However, since even in the method the PCR conditions for each gene locus are not completely unified, a multiple method in which PCR for all of the gene loci are simultaneously performed has never been achieved.

Furthermore, even though the acceleration of PCT is expected, a high-speed PCR apparatus in which the time required for the rise and fall of the temperature during the PCR is drastically reduced, has never been considered.

RELATED ART
Patent Document

Patent Document 1: JP H11-216000 A

Patent Document 2: WO 2013/011734

Non Patent Document

Non Patent Document 1: Lind C., et al., Human Immunology, Vol. 71, Pages 1033-1042, 2010

Non Patent Document 2: Shiina T., et al., Tissue Antigens, Vol. 80, Pages 305-316, 2012

SUMMARY OF INVENTION
Technical Problem

An object of the present invention is to unify the PCR conditions (for example, annealing temperature) for the HLA genes including HLA-DRB3/DRB4/DRB5 newly designed as a gene-specific primer and develop a multiplex PCR method capable of simultaneously PCR amplifying HLA genes in a single container under the conditions. Also, it is to provide a super high resolution multiplex DNA typing method in which ambiguity derived from phase ambiguity can be eliminated and an accelerated and simplified operation can be achieved by designing the PCR conditions (for example, the time required for extension reaction) for a multiplex PCR method using a high-speed PCR apparatus.

Solution to Problem

As a result of performing diligent research in order to solve the above-described problems, the present inventors discovered that HLA genes can be PCR amplified under the same conditions, irrespective of the kind of HLA genes, by re-designing a set of primers for each HLA gene and selecting a DNA polymerase, thereby achieving the present invention.

In other words, the present invention provides a method for DNA typing of HLA, including the following steps:

(1) a step of preparing sets of primers which respectively hybridize specifically to an upstream region and a downstream region of at least two genes selected from genes belonging to HLA class I and class II in a human genome nucleotide sequence, and amplify under the same PCR conditions;

(2) a step of amplifying at least two genes from a test sample (DNA) at the same time under the same PCR conditions in a single container using the sets of primers;

(3) a step of determining the nucleotide sequences of PCR products; and

(4) optionally, a step of carrying out a homology search within a database.

Effects of the Invention

The present invention has solved the above problems of the prior art by designing sets of PCR primers which can specifically bind and amplify HLA genes, especially HLA class I antigens such as HLA-A, HLA-B and HLA-C and HLA class II antigens such as HLA-DRB1, HLA-DRB3/4/5, HLA-DQA1, HLA-DQB1, HLA-DPA1 and HLA-DPB1 under the same annealing temperature, selecting a DNA polymerase preferable for the present DNA typing method, setting preferable PCR conditions in which DNA typing for all of the HLA genes can be simultaneously performed on one PCR apparatus when said enzyme is used, developing a multiplex PCR method for HLA-A, HLA-B, HLA-C and HLA-DRB1, setting a time required for an extension reaction in the multiplex PCR when a high-speed PCR apparatus is used, and/or using high throughput sequencing techniques.

The method of the present invention, since it provides all nucleotide sequences required for DNA typing of a HLA gene from a single molecule, is an ultimate DNA typing method in which phase ambiguity due to unclear cis/trans positional relationship is eliminated. Owing to this, highly precise matching of HLAs between a patient seeking to receive a transplant and a donor candidate upon transplantation is realized.

Since all nucleotide sequences of a HLA gene including the peripheral regions such as a promoter region, exon regions and intron regions are determined, a null allele, which is suppressed in expression, and a novel allele can be detected.

Since the preferable PCR conditions, in which DNA typing of more than one or all of HLA genes can be simultaneously performed on one PCR apparatus, are provided according to the present invention, a PCR operation is accelerated and simplified.

Since a multiplex PCR method of more than one HLA genes is provided according to the present invention, more precise and rapid typing of HLAs between a transplant applicant and a donor candidate is achieved.

BRIEF DESCRIPTION OF DRAWINGS

FIG. 1 A diagram showing a HLA-DR gene region, cited from “Transplantation/transfusion Examination”, supervised by Hidetoshi Inoko, Takehiko Sasazuki and Takeo Juuji, Kodan-sha Scientific, 2004, page 48.

FIG. 2 A diagram showing a classification of HLA alleles, cited from the IMGT-HLA database (www.ebi.ac.uk/ipd/imgt/hla/).

FIG. 3 (a) A diagram showing the relationship between the structure of a HLA class I gene and the structure of HLA class I molecule; and (b) A diagram showing the structure of a promoter region of a HLA class I gene, cited from “Transplantation/transfusion Examination”, supervised by Hidetoshi Inoko, Takehiko Sasazuki and Takeo Juuji, Kodan-sha Scientific, 2004, page 35.

FIG. 4 A diagram showing the structure of each HLA gene.

FIG. 5 (a) A diagram showing the relationship between the structure of a HLA class II gene and the structure of HLA class II molecule; and (b) A diagram showing the structure of a promoter region of a HLA class II gene, cited from “Transplantation/transfusion Examination”, supervised by Hidetoshi Inoko, Takehiko Sasazuki and Takeo Juuji, Kodan-sha Scientific, 2004, pages 46 and 47.

FIG. 6 An agarose gel electrophoretic pattern showing amplification states of HLA-DRB1 genes amplified in Test Example 1.

FIG. 7 An agarose gel electrophoretic pattern showing PCR states of HLA genes amplified in Example 1.

FIG. 8 An agarose gel electrophoretic pattern showing PCR states of HLA genes amplified in Example 2.

FIG. 9 An agarose gel electrophoretic pattern showing PCR states of HLA genes amplified in Example 3.

FIG. 10 An agarose gel electrophoretic pattern showing PCR states of HLA genes amplified in Example 4.

FIG. 11 An agarose gel electrophoretic pattern showing PCR states of HLA-A, HLA-B, HLA-C and HLA-DRB1 genes amplified in Example 5.

FIG. 12 Results regarding the lengths of multiplex PCR products of HLA-A, HLA-B, HLA-C and HLA-DRB1 genes amplified in Example 5 as measured by the bioanalyzer.

FIG. 13 An agarose gel electrophoretic pattern showing PCR states of HLA-A, HLA-B, HLA-C and HLA-DRB1 genes amplified in Comparative Example 1.

FIG. 14 Results regarding the lengths of multiplex PCR products of HLA-A, HLA-B, HLA-C and HLA-DRB1 genes amplified in Comparative Example 1 as measured by the bioanalyzer (upper drawing); and an agarose gel electrophoretic pattern thereof (lower drawing).

MODES FOR CARRYING OUT THE INVENTION

Now, the DNA typing method of the present invention will be more specifically described step by step.

(1) Step of Preparing a Primer Set

In the DNA typing method of the present invention, first, sets of primers which comprehensively PCR amplify a region from an upstream region to a downstream region of each of HLA-A, HLA-B, HLA-C, HLA-DQA1, HLA-DQB1 and HLA-DPA1 genes, and a region from a 5′ untranslated region to exon 2 and a region from exon 2 to a 3′ untranslated region of each of HLA-DRB1 and HLA-DPB1 genes as well as a region from exon 2 to a 3′ untranslated region of HLA-DRB3/4/5 in the human genome sequence and can anneal under the same conditions are prepared.

The genome sequence of human chromosome 6 (6p21.3) in which a HLA gene is present has been already elucidated and association between the gene structure and the structure of an expression product (HLA antigen) has been known (see FIG. 3 and FIG. 5).

More specifically, genes of HLA-A, HLA-B and HLA-C, which specify classic HLA class I antigens, each contains 8 exons (FIG. 3(a)). Outside of exon 1, two types of enhancers and a promoter region are present to control expression (FIG. 3 (b)).

It is further known that many polymorphic regions are present in exon 2, 3 and 4. Thus, PCR was performed by using primers designed particularly based on exon 2 and 3 in conventional DNA typing methods. Accordingly, a problem of phase ambiguity has occurred as mentioned above.

In the meantime, the genes of HLA-DR, HLA-DQ and HLA-DP, which specify classic HLA class II antigens, consist of α chains and β chains, whose genes each contain 5 to 6 exons (FIG. 5 (a)). Outside of exon 1, a promoter region is present to control expression (FIG. 5 (b)).

It is further known that many polymorphic regions are present in exons 2 and 3. Thus, PCR was performed by using primers designed particularly based on exon 2 in conventional DNA typing methods. Accordingly, a problem of phase ambiguity occurred as mentioned above (FIG. 4).

In the present invention, a set of primers which can PCR amplify all regions of a gene (including not only exons but also introns, 5′ and 3′ untranslated regions and a promoter region) in each of classic class I antigens (HLA-A, HLA-B, HLA-C) and classic class II antigens (HLA-DRB1, HLA-DQA1, HLA-DQB1, HLA-DPA1 and HLA-DPB1); and/or a set of primers which can PCR amplify a region of exon 2 to a 3′ untranslated region in HLA-DRB3/4/5 are prepared, and PCR products obtained by PCR amplification using the sets of primers are subjected to high throughput sequencing (described later). Therefore, uncertainty such as phase ambiguity can be eliminated and the presence or absence of a null allele can be accurately detected.

Specifically, sets of primers corresponding to at least two genes selected from PCR primer sets listed in Table 1 to Table 3 below are prepared.

At least two genes refers to at least two genes selected from the group consisting of HLA-A, HLA-B, HLA-C, HLA-DQA1, HLA-DQB1, HLA-DPA1, HLA-DRB1 and HLA-DPB1. It includes combinations of two, three, four, five, six or seven genes selected from the group consisting of HLA-A, HLA-B, HLA-C, HLA-DQA1, HLA-DQB1, HLA-DPA1, HLA-DRB1 and HLA-DPB1 as well as a combination of all the eight genes.

The primer sets corresponding to each gene will be described below.

In Table 1, SEQ ID Nos. 1 to 3 represent a set of PCR primers specifically amplifying a HLA-A gene, which is an α chain of MHC class I. These primers of the set are nucleotide sequences located at positions, which correspond to the upstream and downstream of all regions of a HLA-A gene (including promoter, exons and introns) and sandwich the all regions, in the human genome sequence (Reference sequence: hg19).

SEQ ID No. 1 or 2 has a nucleotide sequence corresponding to the 29,909,483rd position to the 29, 909, 514th position in a human genome sequence (Reference sequence: hg19).

SEQ ID No. 3 has a complementary nucleotide sequence to a nucleotide sequence corresponding to the 29,914,925th position to the 29,914,954th position in a human genome sequence (Reference sequence: hg19).

The length of a PCR product obtained by using these primer sets is estimated as about 5,500 bases (bp).

In Table 1, SEQ ID Nos. 4 and 5 represent a set of PCR primers specifically amplifying a HLA-B gene, which is an α chain of MHC class I. These primers of the set are nucleotide sequences located at positions, which correspond to the upstream and downstream of all regions of a HLA-B gene (including promoter, exons and introns) and sandwich the all regions, in the human genome sequence (Reference sequence: hg19).

SEQ ID No. 4 has a complementary nucleotide sequence to a nucleotide sequence corresponding to the 31,325,796th position to the 31,325,824th position in a human genome sequence (Reference sequence: hg19).

SEQ ID No. 5 has a nucleotide sequence corresponding to the 31,321,210th position to the 31,321,235th position in a human genome sequence (Reference sequence: hg19).

The length of a PCR product obtained by using the primer set is estimated as about 4,600 bases (bp).

In Table 1, SEQ ID Nos. 6 to 8 represent a set of PCR primers specifically amplifying a HLA-C gene, which is an α chain of MHC class I. These primers of the set are nucleotide sequences located at positions, which correspond to the upstream and downstream of all regions of a HLA-C gene (including promoter, exons and introns) and sandwich the all regions, in the human genome sequence (Reference sequence: hg19).

SEQ ID No. 6 or 7 has a complementary nucleotide sequence to a nucleotide sequence corresponding to the 31,240,868th position to the 31,240,896th position in a human genome sequence (Reference sequence: hg19).

SEQ ID No. 8 has a nucleotide sequence corresponding to the 31,236,075st position to the 31,236,114th position in a human genome sequence (Reference sequence: hg19).

The length of a PCR product obtained by using these primer sets is estimated as about 4,800 bases (bp).

TABLE 1

Estimated

length

of PCR

product

based on

Length

the

HLA-
Name
of
Primer

reference

class
of
primer
sequence
Sequence
sequence

I gene
primer
(mer)
(5′-3′)
ID No.
(hg19) (bp)

HLA-A
A_F1.4
32
CAGAAACT
1
5,472

CAGAGCTA

AGGAATGA

TGGCAAAT

A_F2.4
32
CAGAAACT
2

CAGAGCTA

TGGAATGA

TGGTAAAT

A_R1.2
30
GCATATAA
3

CCATCATC

GTGTCCCA

AGGTTC

HLA-B
B_F1.4
29
GGTTCCCG
4
4,615

GTTGCAAT

AGACAGTA

ACAAA

B_R1.2
26
ACGGGTCC
5

AATTTCAC

AGACAAAT

GT

HLA-C
C_F1.4
29
ACACTGCT
6
4,822

TAGATGTG

CATAGTTC

ACGAA

C_F2.4
29
ACACTGCT
7

TAGATGTG

CATAGTTC

CGGAA

C_R1.16
40
GAACAATT
8

CTAGACTA

TGGACCCA

ATTTTACA

AACAAATA

In Table 2, SEQ ID Nos. 9 and 10 represent a set of PCR primers specifically amplifying HLA-DR2 (DR15) and/or HLA-DR2 (DR16) subtype gene of a HLA-DRB1 gene, which is a β chain of MHC class II. These primers of the set are nucleotide sequences located at positions, which correspond to the upstream and downstream of exon 2 to a 3′ untranslated region of a HLA-DRB1 gene and sandwich the region, in the human genome sequence (Reference sequence: hg19).

SEQ ID No. 10 has a nucleotide sequence corresponding to the 32,546,609th position to the 32,546,629th position in a human genome sequence (Reference sequence: hg19).

SEQ ID No. 9 has a complementary nucleotide sequence to a nucleotide sequence corresponding to the 32,552,130th position to the 32,552, 153rd position in a human genome sequence (Reference sequence: hg19).

The length of a PCR product obtained by using the primer set is estimated as about 5,600 bases (bp).

In Table 2, SEQ ID Nos. 11 and 12 represent a set of PCR primers of specifically amplifying HLA-DR3, HLA-DR5 (DR11), HLA-DR5 (DR12), HLA-DR6 (DR13), HLA-DR6 (DR14) and/or a HLA-DR8 subtype gene of a HLA-DRB1 gene, which is a β chain of MHC class II. These primers of the set are nucleotide sequences located at positions, which correspond to the upstream and downstream of exon 2 to a 3′ untranslated region of a HLA-DRB1 gene and sandwich the region, in the human genome sequence (Reference sequence: hg19).

SEQ ID No. 12 has a nucleotide sequence corresponding to the 32,546,608th position to the 32,546,629th position in a human genome sequence (Reference sequence: hg19).

SEQ ID No. 11 has a complementary nucleotide sequence to a nucleotide sequence corresponding to the 32,552,137th position to the 32,552,162nd position in a human genome sequence (Reference sequence: hg19).

The length of a PCR product obtained by using the primer set is estimated as about 5,600 bases (bp).

In Table 2, SEQ ID Nos. 13 to 15 represent a set of PCR primers specifically amplifying a HLA-DRB3 gene, which is a β chain of MHC class II. These primers of the set are nucleotide sequences located at positions, which correspond to the upstream and downstream of exon 2 to a 3′ untranslated region of a HLA-DRB3 gene and sandwich the region, in the human genome sequence (Reference sequence: 6_cox_hap2).

SEQ ID No. 13 or 14 has a complementary nucleotide sequence to a nucleotide sequence corresponding to the 3,939,356th position to the 3,939,379th position in a human genome sequence (Reference sequence: 6_cox_hap2).

SEQ ID No. 15 has a nucleotide sequence corresponding to the 3,934,187th position to the 3,934,207th position in a human genome sequence (Reference sequence: 6_cox_hap2).

The length of a PCR product obtained by using these primer sets is estimated as about 5,200 bases (bp).

In Table 2, SEQ ID Nos. 16 and 17 represent a set of PCR primers specifically amplifying a HLA-DRB4 gene, which is a β chain of MHC class II. These primers of the set are nucleotide sequences located at positions, which correspond to the upstream and downstream of exon 2 to a 3′ untranslated region of a HLA-DRB4 gene and sandwich the region, in the human genome sequence (Reference sequence: chr6_mamn_hap4).

SEQ ID No. 16 has a complementary nucleotide sequence to a nucleotide sequence corresponding to the 3, 851, 270th position to the 3,851,293rd position in a human genome sequence (Reference sequence: chr6_mann_hap4).

SEQ ID No. 17 has a nucleotide sequence corresponding to the 3, 846, 108th position to the 3, 846, 128th position in a human genome sequence (Reference sequence: chr6_mann_hap4).

The length of a PCR product obtained by using the primer set is estimated as about 5,200 bases (bp).

In Table 2, SEQ ID Nos. 18 and 19 represent a set of PCR primers specifically amplifying a HLA-DRB5 gene, which is a β chain of MHC class II. These primers of the set are nucleotide sequences located at positions, which correspond to the upstream and downstream of exon 2 to a 3′ untranslated region of a HLA-DRB5 gene and sandwich the region, in the human genome sequence (Reference sequence: hg19).

SEQ ID No. 18 has a complementary nucleotide sequence to a nucleotide sequence corresponding to the 32,489,933rd position to the 32,489,956th position in a human genome sequence (Reference sequence: hg19).

SEQ ID No. 19 has a nucleotide sequence corresponding to the 32,485,256th position to the 32,485,276th position in a human genome sequence (Reference sequence: hg19).

The length of a PCR product obtained by using the primer set is estimated as about 4,700 bases (bp).

TABLE 2

Estimated

length of

Length

PCR product

HLA-

of

based on the

class
Name of
primer

Sequence
reference

II gene
primer
(mer)
Primer sequence (5′-3′)
ID No.
sequence (bp)

HLA-DR2
DRB1-E2-
24
CGTTTCCTGTGGCAGCCTAAGAGG
9
5,545

(DR15)
2-F2

(reference

DRB1-E2-
21
ATGCACGGGAGGCCATACGGT
10
sequence: hg19)

12-R

HLA-DR2
DRB1-E2-
24
CGTTTCCTGTGGCAGCCTAAGAGG
9
5,545

(DR16)
2-F2

(reference

DRB1-E2-
21
ATGCACGGGAGGCCATACGGT
10
sequence: hg19)

12-R

HLA-DR3
DRB1-E2-
26
CCCACAGCACGTTTCTTGGAGTAC
11
5,555

3568-F2

TC

(reference

DRB1-E2-
22
GATGCACAGGAGGCCATAGGGT
12
sequence: hg19)

3568-R2

HLA-DR5
DRB1-E2-
26
CCCACAGCACGTTTCTTGGAGTAC
11
5,555

(DR11)
3568-F2

TC

(reference

DRB1-E2-
22
GATGCACAGGAGGCCATAGGGT
12
sequence: hg19)

3568-R2

HLA-DR5
DRB1-E2-
26
CCCACAGCACGTTTCTTGGAGTAC
11
5,555

(DR12)
3568-F2

TC

(reference

DRB1-E2-
22
GATGCACAGGAGGCCATAGGGT
12
sequence: hg19)

3568-R2

HLA-DR6
DRB1-E2-
26
CCCACAGCACGTTTCTTGGAGTAC
11
5,555

(DR13)
3568-F2

TC

(reference

DRB1-E2-
22
GATGCACAGGAGGCCATAGGGT
12
sequence: hg19)

3568-R2

HLA-DR6
DRB1-E2-
26
CCCACAGCACGTTTCTTGGAGTAC
11
5,555

(DR14)
3568-F2

TC

(reference

DRB1-E2-
22
GATGCACAGGAGGCCATAGGGT
12
sequence: hg19)

3568-R2

HLA-DR8
DRB1-E2-
26
CCCACAGCACGTTTCTTGGAGTAC
11
5,555

3568-F2

TC

(reference

DRB1-E2-
22
GATGCACAGGAGGCCATAGGGT
12
sequence: hg19)

3568-R2

HLA-DRB3
DRB3-E2-F1
24
CGCAGCACGTTTCTTGGAGCTGCG
13
5,193

DRB3-E2-F2
24
CGCAGCACGTTTCTTGGAGCTGCT
14
(reference

DRB3-E2-R1
21
ATGCACAGGAGGCCATAGGGT
15
sequence:

6_cox_hap2)

HLA-DRB4
DRB4-E2-F1
24
CACAGCACGTTTCTTGGAGCAGGC
16
5,186

DRB4-E2-R1
21
ATGCATGGGAGGCAGGACAGT
17
(reference

sequence:

6_mann_hap2)

HLA-DRB5
DRB5-E2-F1
24
CACAGCACGTTTCTTGCAGCAGGA
18
4,701

DRB5-E2-R1
21
ATGCATGGGAGGCCGTAGGGT
19
(reference

sequence: hg19)

In Table 3, SEQ ID Nos. 20 and 21 represent a set of PCR primers specifically amplifying a HLA-DQA1 gene, which is a α chain of MHC class II. These primers of the set are nucleotide sequences located at positions, which correspond to the upstream and downstream of all regions (including promoter, exons and introns) of a HLA-DQA1 gene and sandwich the all regions, in the human genome sequence (Reference sequence: hg19).

SEQ ID No. 20 has a nucleotide sequence corresponding to the 32,604,465th position to the 32,604,488th position in a human genome sequence (Reference sequence: hg19).

SEQ ID No. 21 has a complementary nucleotide sequence to a nucleotide sequence corresponding to the 32,611,936th position to the 32,611,960th position in a human genome sequence (Reference sequence: hg19).

The length of a PCR product obtained by using the primer set is estimated as about 7,500 bases (bp).

In Table 3, SEQ ID Nos. 22 to 26 represent a set of PCR primers specifically amplifying a HLA-DQB1 gene, which is a β chain of MHC class II. These primers of the set are nucleotide sequences located at positions, which correspond to the upstream and downstream of all regions (including promoter, exons and introns) of a HLA-DQB1 gene and sandwich the all regions, in the human genome sequence (Reference sequence: hg19).

SEQ ID No. 22 has a nucleotide sequence corresponding to the 32,627,406th position to the 32,627,433rd position in a human genome sequence (Reference sequence: hg19).

SEQ ID No. 23 or 25 has a nucleotide sequence corresponding to the 32,635,612nd position to the 32,635,643rd position in a human genome sequence (Reference sequence: hg19).

SEQ ID No. 24 or 26 has a complementary nucleotide sequence to a nucleotide sequence corresponding to the 32,635,612nd position to the 32,635,640th position in a human genome sequence (Reference sequence: hg19).

The length of a PCR product obtained by using these primer sets is estimated as about 8,200 bases (bp).

In Table 3, SEQ ID Nos. 27 to 29 represent a set of PCR primers specifically amplifying a HLA-DPA1 gene, which is a α chain of MHC class II. These primers of the set are nucleotide sequences located at positions, which correspond to the upstream and downstream of all regions (including promoter, exons and introns) of a HLA-DPA1 gene and sandwich the all regions, in the human genome sequence (Reference sequence: hg19).

SEQ ID No. 27 has a complementary nucleotide sequence to a nucleotide sequence corresponding to the 33,041,573rd position to the 33,041,600th position in a human genome sequence (Reference sequence: hg19).

SEQ ID No. 28 has a complementary nucleotide sequence to a nucleotide sequence corresponding to the 33,041,573rd position to the 33,041,598th position in a human genome sequence (Reference sequence: hg19).

SEQ ID No. 29 has a nucleotide sequence corresponding to the 33,031,885th position to the 33,031,912nd position in a human genome sequence (Reference sequence: hg19).

The length of a PCR product obtained by using these primer sets is estimated as about 9,700 bases (bp).

In Table 3, SEQ ID Nos. 30 and 31 represent a set of PCR primers specifically amplifying a HLA-DPB1 gene, which is a β chain of MHC class II. These primers of the set are nucleotide sequences located at positions, which correspond to the upstream and downstream of exon 2 to a 3′ untranslated region of a HLA-DPB1 gene and sandwich the region, in the human genome sequence (Reference sequence: hg19).

SEQ ID No. 30 has a nucleotide sequence corresponding to the 33,048,182nd position to the 33,048,207th position in a human genome sequence (Reference sequence: hg19).

SEQ ID No. 31 has a complementary nucleotide sequence to a nucleotide sequence corresponding to the 33,055,428th position to the 33,055,453rd position in a human genome sequence (Reference sequence: hg19).

The length of a PCR product obtained by using these primer sets is estimated as about 7,300 bases (bp).

TABLE 3

Estimated

length

of PCR

product

based

on the

HLA-

Length

reference

class
Name
of
Primer

sequence

II
of
primer
sequence
Sequence
(hg19)

gene
primer
(mer)
(5′-3′)
ID No.
(bp)

HLA-
DQA1-
24
GACTGCCAGGGA
20
7,496

DQA1
F2.2

GGGAAATCRACT
21

DQA1-
25
GCGAATCCAGTG

R2.2

GAGGACACAGCA

C

HLA-
DQB1-
28
CAAACCAGAAGA
22
8,238

DQB1
F6.3

GAGGCTGGGATA

TTCT

DQB1-
32
AACCATTAGTAT
23

R3.1.2

TGCCCCTAGTCA

CTGTCAAG

DQB1-
29
CATTAGTACTGC
24

R3.2.2

CCCTAGTCACTG

CCAAG

DQB1-
32
AACCATTAGTAC
25

R3.3.2

TGTCCCTAGTCA

CTGCCAAG

DQB1-
29
CATTAGTACTGC
26

R3.4.2

CCCTAGTCACTG

GCAAG

HLA-
DPA1-
28
GGAGCTCTCTTA
27
9,716

DPA1
F1.1.2

ACCACGCTGGTA

CCTA

DPA1-
26
AGCTCTCTTGAC
28

F1.2.2

CACGCTGGTACC

TA

DPA1-
28
CCATTGGCCTCT
29

R1.1.2

TGGCTATACCTC

TTTT

HLA-
DPB1-
26
CTCAGTGCTCGC
30
7,272

DPB1
F2

CCCTCCCTAGTG

AT

DPB1-
26
GCACAGTAGCTT
31

R2

TCGGGAATTGAC

CA

These primers can be prepared by a method routinely used in this field. Furthermore, the sets of primers described in Table 1 to Table 3 are the most preferable examples. In the method of the present invention, any set of primers can be used as long as the set of primers is a set of a sense primer and a anti-sense primer capable of annealing to the positions, which correspond to the upstream and downstream of all regions of each HLA gene and sandwich the all regions.

Further, in the present specification, even if primers correspond to the same region within the reference sequence, a separate sequence ID number is assigned to each primer as long as they differ in the nucleotides. The difference in the nucleotide is due to a polymorphism.

(2) Step of PCR Amplification

In the method of the present invention, a test sample (DNA) is amplified by PCR using the sets of primers prepared in the above step (1).

The PCR amplification reaction is performed in accordance with a general protocol and more specifically, as follows.

1. DNA is extracted from a test sample depending upon the form of the sample.

2. The DNA extracted is quantified and the concentrations of primers are appropriately set to prepare the reaction solution.

3. Reaction conditions are set and a PCR is performed.

For example:

Thermal denaturation step (usually 92 to 98° C.)

Annealing step (usually 55 to 72° C.)

Extension step (usually 65 to 80° C.)

In the method of the present invention, the temperature of the annealing step and the extension step is set preferably at about 65 to 70° C., more preferably at 65 to 68° C. Owing to the annealing and extension at about 65 to 70° C., HLA alleles can be produced at the equivalent ratio (uniformly).

4. The obtained PCR product is purified and subjected to the following nucleotide sequencing step.

Owing to use of the sets of primers according to the present invention, a plurality of different genes can be simultaneously amplified under the same conditions by a single reaction in a single tube.

The enzyme (DNA polymerase) used in the present invention is not particularly limited and may be commercial products. Examples include PrimeSTAR GXL DNA Polumerase, Tks Gflex DNA Polymerase, TaKaRa LA Taq (manufactured by TaKaRA BIO INC.); Long PCR Enzyme Mix (manufactured by Thermo Fisher Scientific) and the like.

(3) Step of Nucleotide Sequencing

Next, the nucleotide sequence of the PCR product (amplified DNA) produced in the above step (2) is determined. The step is preferably performed by a technique called high throughput sequencing (or ultrahigh sequencing, a massive parallel sequencing). With respect to the high throughput sequencing, see, for example, “Experimental Medicine”, Vol. 27, No. 1, 2009 (Yodo-sha).

Herein, a sequencing method which is employed in a 454 GS system of Roche will be described below. Alternatively, sequencing may be also performed by the genome sequencer Ion PGM™ system by Life Technologies Corporation; or MiSeq® system by illumina, Inc.

1. The PCR product obtained in the above step (2) is broken up by a nebulizer into fragments of about 500 bases.

2. To an end of each of the DNA fragments, a DNA adaptor is attached.

3. DNA fragments attached with a DNA adaptor are dissociated into single stranded DNA fragments, which are allowed to bind to beads via the adaptor. The obtained beads are encompassed and taken in a water-in-oil emulsion (a micro-reactor environment containing a single DNA fragment bound to a single bead is formed).

4. Emulsion PCR is performed to form copies of each DNA fragment on a bead (Each DNA fragment is clonally amplified in each micro reactor. In this manner, many fragments can be simultaneously and in parallel amplified without competition with other sequences). Subsequently, the emulsion is destroyed and beads having amplified DNA fragments are collected.

5. The beads are concentrated and loaded in a pico-titer plate (a single well has a size enough to place a single bead).

6. Pyrophosphoric acid produced by a polymerase during an enzymatic reaction is detected with respect to each bead by a fluorescent reaction of luciferase. Based on the intensity and the pattern of fluorescence thus emitted, the nucleotide sequence of DNA is determined. Four types of nucleic acids (A, C, G, T) are added in a predetermined order. The chemiluminescence pattern in accordance with the nucleic acid added is recorded. Based on the intensity of signal and positional data in combination, the nucleotide sequence is determined.

(4) Step of DNA Typing

Subsequently, after the sff file obtained in the above step (3) is classified depending on MID tags, it is compared with data of known HLA alleles within the nucleotide sequencing database. In this manner, the allele type (8 digits) contained in the test sample is determined at the field 4 level.

In the method of the present invention, typical sets of primers are listed in Table 1 to Table 3 (described above). The present invention is characterized in that primers are designed so as to correspond to the upstream and downstream of all regions of each of the genes of HLA class I and HLA class II and sandwich the all regions and the sequence of the DNA amplified corresponding to almost all regions is determined. In this manner, phase ambiguity (uncertainty) is eliminated and information on a null allele can be obtained.

According to the present invention, since sets of primers for HLA genes are designed so as to anneal at the same temperature during PCR, PCR can be simultaneously performed for a plurality of genes in a single PCR apparatus.

Additionally, owing to the primer sets according to the present invention, a multiplex PCR method wherein a plurality of HLA genes are simultaneously PCR amplified in a single tube can be performed.

Furthermore, it has been confirmed that sets of primers and enzymes used in the present invention can be applied to a high-speed PCR apparatus. Thus, PCR can be performed more rapidly and accurately than before.

EXAMPLES

The present invention will be more specifically described byway of Examples below; however, the present invention is not limited to these Examples.

Test Example 1
Purpose

The purpose of this test example is to identify the PCR enzymes suitable for the method according to the present invention.

[Method]

A PCR was carried out using sets of primers specifically amplifying a promoter region to exon 2 of HLA-DRB1 (see, Non Patent Document 2) and two genome DNA samples as a template. The genome DNA samples have been prospectively extracted and each contains DR9 and DR15 as a heterozygote.

Since the length of the PCR product for DR9 is 11.2 kb and the length of the PCR product for DR15 is 6.1 kb, it is easy to confirm that both HLA alleles are amplified equally. Since the PCR product of DR9 is the longest out of those of HLA genes used in the present invention, it can be considered to be capable of amplifying HLA genes other than DR9 in the same manner if the PCR product of DR9 is obtained. From these, the genome DNA having DR9 and DR15 as a heterozygote was selected as a sample.

(1) Twenty-three commercially available long range PCR enzymes listed in Table 4 were used in the PCR. More specifically, to 50 ng of a genomic DNA solution, 1.5 to 3 μL (4 pmol/μL) of PCR primers and a PCR buffer, a dNTP solution and a long range PCR enzyme depending on the protocol for each enzyme were added. The whole amount of the reaction solution was adjusted to be 20 μL with sterilized water.

(2) After kept at 94° C. for 2 minutes, the reaction solution was subjected to a step consisting of a reaction at 98° C. for 10 seconds and a reaction at 68° C. for 5 minutes. This step was repeated 30 times. Note that, for the PCR amplification, Gene Amp PCR System 9700 (Life Technologies Corporation) was used. After the PCR, the amplification states of PCR products were checked by agarose gel electrophoresis. The electrophoretic patterns were shown in FIG. 6.

[Results and Discussion]

After the PCR and the agarose gel electrophoresis using the PCR products according to the standard protocol, PCR products having the desired molecular weight from both HLA alleles ware obtained for each sample when four kinds of enzyme: PrimeSTAR GXL DNA Polymerase (TaKaRa), TaKaRa LA Taq (TaKaRa), Tks Gflex DNA Polymerase (TaKaRa), and Long PCR Enzyme Mix (Thermo SCIENTIFIC) were used (FIG. 6).

Additionally, from the results of the Test Example 1, it was demonstrated that the three kinds of enzyme: PrimeSTAR GXL DNA Polymerase (TaKaRa), TaKaRa LA Taq (TaKaRa), Tks Gflex DNA Polymerase (TaKaRa), and Long PCR Enzyme Mix (Thermo SCIENTIFIC) among the four kinds of enzyme can amplify each allele from HLA genes almost equally by PCR. Therefore, the three kinds of enzyme were confirmed to be especially suitable for the method according to the present invention.

TABLE 4

Enzyme No.*
Manufacturer
Product name

1
TaKaRa
PrimeSTAR GXL DNA Polymerase

2
TaKaRa
TaKaRa LA Taq

3
TaKaRa
Tks Gflex DNA Polymerase

4
TaKaRa
PrimeSTAR Max DNA Polymerase

5
TaKaRa
PrimeSTAR HS DNA Polymerase

6
TOYOBO
KOD FX

7
TOYOBO
KOD FX Neo

8
TOYOBO
KOD-Plus-Neo

9
Roche Applied Science
Expand 20 kb PLUS PCR System, dNTPack

10
Roche Applied Science
Expand Long Range, dNTPack

11
Agilent Technologies
PfuUltra II Fusion HS DNA Polymerase

12
Agilent Technologies
PfuTurbo DNA Polymerase

13
NEW ENGLAND BioLabs
Q5 Hot Start High-Fidelity 2X Master Mix

14
NEW ENGLAND BioLabs
iProof HS master mix

15
NEW ENGLAND BioLabs
iProof GC master mix

16
SIGMA-ALDRICH
AccuTaq LA DNA Polymerase

17
SIGMA-ALDRICH
REDAccuTaq LA DNA Polymerase

18
SIGMA-ALDRICH
JumpStart AccuTaq LA DNA Polymerase

19
SIGMA-ALDRICH
JumpStart REDAccuTaq LA DNA Polymerase

20
Thermo SCIENTIFIC
Long PCR Enzyme Mix

21
Thermo SCIENTIFIC
High Fidelity PCR Master mix

22
Promega
GoTaq Long PCR Master Mix

23
LifeTechnologies
Platinum Pfx DNA Polymerase

*The enzyme number corresponds to the lane number in FIG. 6.

Example 1
Purpose

The purpose of this example is to check the amplification states of PCR products of HLA genes using PrimeSTAR GXL DNA Polymerase (TaKaRa).

[Method]

Using PrimeSTAR GXL DNA Polymerase (TaKaRa), genomic DNA already extracted as a template and primer sets specific to individual HLA class I and HLA class II genes (see Tables 1 to 3: SEQ ID Nos. 1 to 31), a PCR was carried out. The procedure is more specifically as follows.

(1) To 50 ng of a genomic DNA solution, 4 μL of 5×PrimeSTAR GXL buffer, 1.6 μL of a dNTP solution, 1 to 3 μL of PCR primers (4 pmol/μL) for each and 0.4 μL of PrimeSTAR GXL polymerase were added. The whole amount of the reaction solution was adjusted to be 20 μL with sterilized water.

(2) After kept at 94° C. for 2 minutes, the reaction solution was subjected to a step consisting of a reaction at 98° C. for 10 seconds and a reaction at 70° C. for 5 minutes. This step was repeated 30 times. Note that, for the PCR amplification, GeneAmp PCR System 9700 (Life Technologies Corporation) was used. After the PCR, the amplification states of PCR products were checked by agarose gel electrophoresis. The electrophoretic patterns were shown in FIG. 7.

[Results and Discussion]

PCR conditions using PrimeSTAR GXL DNA Polymerase (TaKaRa) were studied and agarose gel electrophoresis of the resultant PCR products was performed. As a result, it was found that a single PCR amplified product having a desired molecular weight was obtained for each of HLA class I and HLA class II genes (FIG. 7).

Example 2
Purpose

The purpose of this example is to check the amplification states of PCR products of HLA genes using Tks Gflex DNA Polymerase (TaKaRa).

[Method]

Using Tks Gflex DNA Polymerase (TaKaRa), genomic DNA already extracted as a template and primer sets specific to individual HLA class I and HLA class II genes (see Tables 1 to 3: SEQ ID Nos. 1 to 31), a PCR was carried out. The procedure is more specifically as follows.

(1) To 50 ng of a genomic DNA solution, 10 μL of 2×Gflex PCR buffer, 1 to 3 μL of PCR primers (4 pmol/μL) and 0.2 μL of Tks Gflex DNA polymerase were added. The whole amount of the reaction solution was adjusted to be 20 μL with sterilized water.

(2) After kept at 94° C. for 2 minutes, the reaction solution was subjected to a step consisting of a reaction at 98° C. for 10 seconds and a reaction at 68° C. for 5 minutes. This step was repeated 10 times. Subsequently, the reaction solution was subjected to a step consisting of a reaction at 98° C. for 10 seconds and a reaction at 65° C. for 5 minutes. This step was repeated 20 times. Note that, for the PCR amplification, GeneAmp PCR System 9700 (Life Technologies Corporation) was used. After the PCR, the amplification states of PCR products were checked by agarose gel electrophoresis. The electrophoretic patterns were shown in FIG. 8.

[Results and Discussion]

PCR conditions using Tks Gflex DNA polymerase (TaKaRa) were studied and agarose gel electrophoresis of the resultant PCR products was performed. As a result, it was found that a single PCR amplified product having a desired molecular weight was obtained for each of HLA class I and HLA class II genes (FIG. 8).

As compared with the results of Comparative Example 1, each HLA gene could be amplified equally and uniformly when Tks Gflex DNA polymerase (TaKaRa) was used.

Example 3
Purpose

The purpose of this example is to compare amplification states of PCR products between the general PCR cycler, GeneAmp PCR System 9700 (Life Technologies Corporation) and the PCR cycler specified for rapid PCR, PCR Thermal Cycler Fast (TaKaRa), and study time required for PCR.

[Method]

(2) After kept at 94° C. for 2 minutes, the reaction solution was subjected to a step consisting of a reaction at 98° C. for 10 seconds and a reaction at 68° C. for 5 minutes. This step was repeated 10 times. Subsequently, the reaction solution was subjected to a step consisting of a reaction at 98° C. for 10 seconds and a reaction at 65° C. for 5 minutes. This step was repeated 20 times. Note that, for the PCR amplification, GeneAmp PCR System 9700 (Life Technologies Corporation) and PCR Thermal Cycler Fast (TaKaRa) were used. After the PCR, the amplification states of PCR products were checked by agarose gel electrophoresis. The electrophoretic patterns were shown in FIG. 9.

[Results and Discussion]

The amplification states of PCR products obtained using GeneAmp PCR System 9700 (Life Technologies Corporation) were substantially the same as the amplification states of PCR products obtained using PCR Thermal Cycler Fast (TaKaRa), and a single PCR amplified product having a desired molecular weight was obtained for each of HLA class I and HLA class II genes (FIG. 9).

While it took 3 hours 10 min for PCR using GeneAmp PCR System 9700 (Life Technologies Corporation), it took 2 hours 45 min for PCR using PCR Thermal Cycler Fast (TaKaRa).

Therefore, the method according to the present invention can be applied to a high-speed PCR apparatus such as PCR Thermal Cycler Fast (TaKaRa) and was confirmed to contribute to acceleration of PCR.

Example 4
Purpose

The purpose of this example is to check a reproducibility of PCR products obtained using GeneAmp PCR System 9700 (Life Technologies Corporation) and Tks Gflex DNA polymerase (TaKaRa), and to determine nucleotide sequences of PCR products from a plurality of DNA samples so as to demonstrate that PCR conditions set in the present invention are suitable fora super high resolution DNA typing method of HLA genes.

[Method]

1. Using Tks Gflex DNA Polymerase (TaKaRa), genomic DNA already extracted from four specimens (Sample 1 to 4) as a template and primer sets specific to individual HLA class I and HLA class II genes (see Tables 1 to 3: SEQ ID Nos. 1 to 31), a PCR was carried out. Note that, the HLA type for each of the four specimens has been already revealed and the specimens include a combination of alleles, in which phase ambiguity was observed in a conventional DNA typing method. The procedure is more specifically as follows.

2. The nucleotide sequences of the PCR products were determined specifically as follows.

(1) A PCR product was purified by QIAquick PCR Purification Kit (QIAGEN) in accordance with the standard protocol.

(2) The concentration of the purified PCR product was measured by PicoGreen dsDNA Quantitation Kit (Invitrogen) in accordance with the standard protocol.

(3) A solution of the purified PCR product, a concentration of which was adjusted to be 500 ng/100 μL, was subjected to construction of a rapid library, and then, emulsion PCR and sequencing by Genome Sequencer (GS) Junior (Roche) were carried out in accordance with the standard protocol to obtain nucleotide sequences of 20,000 reads per sample.

(4) A search for homology between these nucleotide sequences and known nucleotide sequences of HLA alleles on an IMGT HLA database was performed to select candidate alleles.

(5) The sequences of the candidate alleles were used as a reference. Mapping was performed by GS Reference Mapper (Roche) on condition that the reference matches the read perfectly. The mapping state was checked visually to identify an HLA allele.

[Results and Discussion]

1. As seen in the agarose gel electrophoresis using PCR products, a single PCR amplified product having a desired molecular weight was obtained for each of HLA class I and HLA class II genes (FIG. 10). Furthermore, the nucleotide sequences of the PCR products were determined by the Sanger method. As a result, HLA alleles were obtained in consistent with known documents. It was confirmed herein again that the PCR system of the present invention can be used for HLA typing.

2. Using four specimens containing a combination of alleles, in which phase ambiguity is observed in a conventional DNA typing method, a PCR was performed. PCR products derived from the regions from a 5′ untranslated region to exon 2 of HLA-A, HLA-B, HLA-C and HLA-DRB1 genes, the region from exon 2 to a 3′ untranslated region of a HLA-DRB1 gene, the regions from a 5′ untranslated region to exon 2 of HLA-DRB3/4/5, HLA-DQA1, HLA-DQB1, HLA-DPA1 and HLA-DPB1 genes, and the region from exon 2 to a 3′ untranslated region of a HLA-DPB1 gene were subjected to HLA typing by Genome Sequencer (GS) Junior (Roche). As a result, typing of whole gene regions of HLA-A, HLA-B, HLA-C, HLA-DRB1, HLA-DRB3/4/5 and HLA-DQB1 were successfully made. With respect to HLA-DQA1, HLA-DPA1 and HLA-DPB1, typing of an exon alone was successfully made. Furthermore, in each of the HLA-B, HLA-C, HLA-DRB1 and HLA-DQB1 genes, a novel allele was detected (Table 5). From this, it was demonstrated that the method of the present invention enables HLA typing at a 8-digit level without phase ambiguity; and that the method of the invention is an excellent tool for efficiently detecting a substitution, an insertion and a deletion of bases in a promoter and introns, which are causes of a null allele.

TABLE 5

DNA
HLA-A
HLA-B
HLA-C

Sample ID
Allele 1
Allele 2
Allele 1
Allele 2
Allele 1
Allele 2

Sample 1
A*02:06:01
A*11:01:01
B*40:02:01
B*55:02:01:(02)
C*01:02:01
C*03:03:01

Sample 2
A*26:01:01
A*31:01:02
B*15:01:01:01
B*35:01:01:02
C*03:04:01:02
C*07:02:01:(04)

Sample 3
A*24:02:01:01
A*33:03:01
B*44:03:01
B*48:01:01
C*08:03:01
C*14:03

Sample 4
A*11:01:01
A*31:01:02
B*40:01:02
B*51:01:01
C*07:02:01:01
C*15:02:01

DNA
HLA-DRB1
HLA-DRB3/4/5
HLA-DQA1

Sample ID
Allele 1
Allele 2
Allele 1
Allele 2
Allele 1
Allele 2

Sample 1
DRB1*09:01:02:(01)
DRB1*15:01:01:01/02/03
DRB4*01:03:02:(01)
DRB5*01:01:01:(02)
DQA1*01:02:01
DQA1*03:02

Sample 2
DRB1*09:01:02:(01)
DRB1*13:02:01:(02)
DRB3*03:01:01:(01)
DRB4*01:03:02:(01)
DQA1*01:02:01
DQA1*03:02

Sample 3
DRB1*13:02:01:(02)
DRB1*16:02:01:(02)
DRB3*03:01:01:(01)
DRB5*02:02:(01):(01)
DQA1*01:02:01
DQA1*01:02:02

Sample 4
DRB1*09:01:02:(01)
DRB1*12:01:01:(02)
DRB3*01:01:02:(03)
DRB4*01:03:02:(01)
DQA1*03:02
—

DNA
HLA-DQB1
HLA-DPA1
HLA-DPB1

Sample ID
Allele 1
Allele 2
Allele 1
Allele 2
Allele 1
Allele 2

Sample 1
DQB1*03:03:02:03
DQB1*06:02:01
DPA1*01:03:01
—
DPB1*02:01:02
DPB1*03:01:01

Sample 2
DQB1*03:03:02:02
DQB1*06:04:01:(01)
DPA1*01:03:01
—
DPB1*02:01:02
DPB1*04:01:01

Sample 3
DQB1*05:02:01:(01)
DQB1*06:04:01:(01)
DPA1*01:03:01
DPA1*02:02:02
DPB1*04:01:01
DPB1*05:01:01

Sample 4
DOB1*03:03:02:02
—
DPA1*02:02:02
—
DPB1*05:01:01
—

Example 5
Purpose

The purpose of this example is to determine the potentiality of a multiplex PCR method of HLA-A, HLA-B, HLA-C and HLA-DRB1 genes using Tks Gflex DNA Polymerase (TaKaRa) and GeneAmp PCR System 9700 (Life Technologies Corporation).

[Method]

1. Using Tks Gflex DNA Polymerase (TaKaRa), genomic DNA already extracted from four specimens (Sample 1 to 4) as a template and primer sets specific to individual HLA-A, HLA-B, HLA-C and HLA-DRB1 genes (see Patent Document 3 and Tables 1 and 2: SEQ ID Nos. 1 to 12), with mixed in a single tube, a PCR was carried out. Note that, the HLA type for each of the four specimens has been already revealed and the specimens include a combination of alleles, in which phase ambiguity was observed in a conventional DNA typing method. The procedure is more specifically as follows.

2. The nucleotide sequences of the PCR products were determined specifically as follows.

(1) A PCR product was purified by QIAquick PCR Purification Kit (QIAGEN) in accordance with the standard protocol.

(2) The concentration of the purified PCR product was measured by PicoGreen dsDNA Quantitation Kit (Invitrogen) in accordance with the standard protocol.

(4) A search for homology between these nucleotide sequences and known nucleotide sequences of HLA alleles on an IMGT HLA database was performed to select candidate alleles.

[Results and Discussion]

When HLA-A, HLA-B, HLA-C and HLA-DRB1 genes were amplified by PCR separately, as seen in the agarose gel electrophoresis using PCR products, a single PCR amplified product having a desired molecular weight was obtained (lanes 1 to 3 in FIG. 11). On the other hand, when primer sets of these genes were used by mixture for the PCR amplification, a plurality of bands predicted to represent PCR products from these genes were observed (lane 4 in FIG. 11). Also, the length of the PCR product was exactly determined by Bioanalyzer (AgilentDNA12000 Kit). As a result, it was confirmed that the PCR product included products amplified from each of HLA-A, HLA-B, HLA-C and HLA-DRB1 genes (FIG. 12). Additionally, the PCR product was subjected to HLA typing by Genome Sequencer (GS) Junior (Roche). The HLA alleles identified by the HLA typing were found to be consistent with the HLA alleles identified by Example 4. Therefore, the multiplex PCR method according to the present invention, when a high-speed PCR apparatus is used, was considered to be an excellent tool serving for accelerating and simplifying a complicated operation in clinical practice.

Comparative Example 1
Purpose

The purpose of this example is to confirm that the primer sets according to the present invention is suitable for a multiplex PCR amplification.

[Method]

PCR amplification using primer sets described in the Patent Document 2, which are specific to individual HLA-A, HLA-B, HLA-C and HLA-DRB1 genes, was performed under the same condition as Example 5.

[Results and Discussion]

After the PCR, the amplification states of PCR products were checked by agarose gel electrophoresis. The electrophoretic patterns were shown in FIG. 13 (left side). Also, the length of the PCR product was exactly determined by Bioanalyzer (Agilent DNA12000 Kit). The electrophoretic patterns were shown in FIG. 14 (left side).

For comparison, results when the primer sets according to the present invention was used are present in the right side of each figure.

As seen in FIG. 14, when the primer sets described in the Patent Document 2 (previously developed primer sets) were used, HLA-B and HLA-C genes were not adequately amplified in a single tube wherein the primer sets specific to individual HLA-A, HLA-B, HLA-C and HLA-DRB1 genes were simultaneously contained. On the other hand, when the primer sets according to the present invention (newly developed primer sets) were used, all of the genes were amplified equally.

METHOD AND KIT FOR MULTIPLEX DNA TYPING OF HLA GENE

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