Genomic DNA was isolated from whole blood (
QIAamp blood kit,
Qiagen
®, Hilden, Germany) according to an established
protocol. The complete
ABCC6 coding region was amplified using
previously described PCR primers (51 (
link)).
For the detection of the multi-exon 23–29 deletion, primers were used as
described by Le Saux
et al (31 (
link)).
The
ABCC6 coding region and intron/exon boundaries were
analyzed through direct sequencing using an Applied Biosystems 3730xl
Sequencer
®, with ABI PRISM BigDye Terminator Cycle
Sequencing Kit (Applied Biosystems
®. Foster City, USA). For
variant classification the gnomAD, and Alamut
® Visual
(Interactive Biosoftware, Rouen, France) were used (14 (
link),32 ). To
assess conservation of the variants, multiple sequence alignment was performed
for the following species: Homo sapiens, Pan troglodytes, Mus musculus, Rattus
norvegicus, and Danio rerio using the Clustal Omega software (46 ). Unreported sequence variants were defined as
pathogenic based on criteria reported by the American College of Medical
Genetics and Genomics and the Association for Molecular Pathology, taken into
account that we assessed a complex phenotype, which hinders the determination of
the specificity of the phenotype to the variant and complicates segregation
analysis if not clear (43 (
link)). Nucleotide
numbers are derived from gDNA
ABCC6 sequences (GenBank
accession no. NM_001171).
De Vilder E.Y., Cardoen S., Hosen M.J., Le Saux O., De Zaeytijd J., Leroy B.P., De Reuck J., Coucke P.J., De Paepe A., Hemelsoet D, & Vanakker O.M. (2018). Pathogenic variants in the ABCC6 gene are associated with an increased risk for ischemic stroke. Brain Pathology, 28(6), 822-831.