
STUDY OF THREE SINGLE NUCLEOTIDE
POLYMORPHISMS IN THE SLC6A14 GENE
IN ASSOCIATION WITH MALE INFERTILITY Noveski P1, Mircevska M1, Plaseski T2, Peterlin B3, Plaseska-Karanfilska D1,* *Corresponding Author: Dijana Plaseska-Karanfilska, M.D., Ph.D., Research Centre for Genetic Engineering
and Biotechnology “Georgi D. Efremov,” Macedonian Academy of Sciences and Arts, Krste Misirkov 2, 1000
Skopje, Republic of Macedonia. Tel. +389-2-3235-410. Fax: +389-2-3115-434. E-mail: dijana@manu.edu.mk page: 61
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MATERIALS AND METHODS
Study Samples. A total of 370 infertile males
(247 from Slovenia and 123 from Macedonia) and
237 fertile controls (114 from Slovenia and 127 from
Macedonia) were studied. The infertile group consisted
of 137 patients with idiopathic azoospermia
(87 from Slovenia and 50 from Macedonia) and 243
with oligozoospermia (160 from Slovenia and 73
from Macedonia). Patients with sex chromosome
aneuploidies and Y chromosome AZF microdeletions
were excluded from the study. Fertile controls
have fathered at least one child and their paternity
was proven by DNA analysis. Informed consent was
obtained from all men and the study was approved by
the Ethics Committee of the Macedonian Academy of
Sciences and Arts, Skopje, Republic of Macedonia.
DNA Isolation. DNA was isolated from peripheral
blood using the standard phenol/chloroform protocol.
Multiplex Polymerase Chain Reaction. The
PCR primers were designed to produce different PCR
fragment sizes, so as to make their separation by agarose
gel electrophoresis possible. Primer sequences
for PCR amplification of the three SLC6A14 SNPs
are as shown in Table 1. Polymerase chain reaction
multiplexes were performed in a final volume of 20
μL, containing: 10 × KLA buffer [50 mM Tris base,
16 mM (NH4)2SO4, 0.1% Tween 20, pH 9.2], 25 mM
MgCl2, 0.25 mM dNTPs, 10 pmol of each primer,
Tth DNA polymerase and approximately 100 ng of
genomic DNA. The cycling conditions were: 2 min.
95 °C initial denaturation, followed by 28 cycles of
40 seconds at 95 °C, 40 seconds at 59 °C, 45 seconds
at 72 °C, and final elongation at 72 °C for 10 min.
A rapid thermal ramp at 4 °C followed and the PCR
products obtained were analyzed with electrophoresis
on a 1.5% agarose gel.
Multiplex SNaPshot Analysis. Before performing
the SNaPshot reaction, 1 μL of PCR product was
treated with 0.6 μL of ExoSAP-IT (Exonuclease I
and Shrimp Alkaline Phosphatase; USB Corporation,
Clevelend, OH, USA) at 37 °C for 2 hours or
overnight. The reaction mixture was incubated at 86 °C for 20 min. to inactivate the ExoSAP-IT. The
purified PCR products were used as templates to detect
the three polymorphic positions in the SLC6A14
gene. The detection primers were mixed with final
concentration of 1 pmol/μL each. Multiplex single
base extension reactions were performed in a 4.6 μL
final volume, combining 1 μL of SNaPshot Multiplex
Ready Reaction Mix (Life Technologies, Carlsbad,
CA, USA), 1 μL of deionized H2O, 1.6 μL of purified
PCR product and 1 μL (1 pM) SNaPshot primer
cocktail. The minisequencing primers were 5’-tailed
with a polyT sequence to produce extension products
25, 30 and 35 nucleotides long to allow separation
by capillary electrophoresis (Table 2). Cycling
conditions were: 25 cycles of 10 seconds at 96 °C,
10 seconds at 50 °C and 30 seconds at 60 °C, followed
by rapid thermal ramp to 4 °C. To remove
unincorporated fluorescently-labeled ddNTPs, the
final products were incubated with 1 U of shrimp
alkaline phosphatase (USB Corporation) for 1 hour
at 37 °C (or overnight) and then at 86 °C for 20 min.
to inactivate, the enzyme.
Capillary Electrophoresis. The SNaPshot
products were separated by capillary electrophoresis
on an ABI PRISM™ 3130 Genetic Analyzer
(Life Technologies). Analysis of electropherograms
was performed using the GeneMapper software
(Life Technologies) and the sizes of the fragments
was determined relative to the GeneScan120 LIZ
size standard (Life Technologies). Representative
electropherograms that show the three SNPs in the
SLC6A14 gene in a patient with ACG (a) and a patient
with TTC haplotypes (b), are shown in Figure 1.
Statistical Analysis. Allelic and haplotype frequencies
were compared with statistical non parametric
tests for categorical variables Pearson c2 using
the Statistical Package for Social Sciences Version
19 (SPSS, Chicago, IL, USA). Haplotype frequencies
were calculated with Haploview 4.2 (Broad Institute,
Cambridge, MA, USA) [17]. A p value of less than
0.05 was considered to be statistically significant.
Analysis of RNA Secondary Structure. Effect
of different SNP alleles on RNA secondary structure
was analyzed with RNAsnp web tool [18] that is a freely available web tool (http://rth.dk/resources/
rnasnp/submit). We used two of the proposed modes
of operation, Mode 1 and Mode 2, with default settings
for folding window (200 bp) and default associated
parameters for each mode. The two modes
use different methods of calculation; Mode 1 uses a
global folding method RNAfold, while Mode 2 uses a
local folding method RNAplfold. Structural changes
with a p value of less than 0.2 were considered to be
statistically signifi cant.
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