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HUMARA assay information


HUMARA assay is one of the most widely used methods to determine the clonal origin of a tumor.[1][2] The method is based on X chromosome inactivation and it takes advantage of the different methylation status of the gene HUMARA (short for human androgen receptor) located on the X chromosome. Considering the fact that once one X chromosome is inactivated in a cell,[3] all other cells derived from it will have the same X chromosome inactivated, this approach becomes a tool to differentiate a monoclonal population from a polyclonal one in a female tissue. The HUMARA gene, in particular, has three important features that make it highly convenient for the purpose:

  1. The gene is located on the X chromosome and it goes through inactivation by methylation in normal embryogenesis of a female infant.[3] Because most genes on the X chromosome undergo inactivation, this feature is important.
  2. Human androgen receptor gene alleles have varying numbers of CAG repeats.[4] Thus, when DNA from a healthy female tissue is amplified by polymerase chain reaction (PCR) for a specific region of the gene, two separated bands can be seen on the gel.
  3. The region that is amplified by PCR also has certain base orders that make it susceptible to be digested by HpaII (or HhaI) enzyme when it is not methylated.[4] This detail gives the opportunity to researchers to differentiate a methylated allele from the unmethylated allele.

Due to these qualities of the HUMARA gene, clonal origin of any tissue from a female mammalian organism can be determined.

  1. ^ Parsons, Barbara L. (2008-10-01). "Many different tumor types have polyclonal tumor origin: evidence and implications". Mutation Research. 659 (3): 232–247. doi:10.1016/j.mrrev.2008.05.004. ISSN 0027-5107. PMID 18614394.
  2. ^ Comertpay, Sabahattin; Pastorino, Sandra; Tanji, Mika; Mezzapelle, Rosanna; Strianese, Oriana; Napolitano, Andrea; Baumann, Francine; Weigel, Tracey; Friedberg, Joseph (2014-01-01). "Evaluation of clonal origin of malignant mesothelioma". Journal of Translational Medicine. 12: 301. doi:10.1186/s12967-014-0301-3. ISSN 1479-5876. PMC 4255423. PMID 25471750.
  3. ^ a b Gartler, S. M.; Riggs, A. D. (1983-01-01). "Mammalian X-chromosome inactivation". Annual Review of Genetics. 17: 155–190. doi:10.1146/annurev.ge.17.120183.001103. ISSN 0066-4197. PMID 6364959.
  4. ^ a b Allen, R. C.; Zoghbi, H. Y.; Moseley, A. B.; Rosenblatt, H. M.; Belmont, J. W. (1992-12-01). "Methylation of HpaII and HhaI sites near the polymorphic CAG repeat in the human androgen-receptor gene correlates with X chromosome inactivation". American Journal of Human Genetics. 51 (6): 1229–1239. ISSN 0002-9297. PMC 1682906. PMID 1281384.

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