We describe a method for multiplex detection of mutations in which the solid-phase minisequencing principle is applied to an oligonucleotide array format. The mutations are detected by extending immobilized primers that anneal to their template sequences immediately adjacent to the mutant nucleotide positions with single labeled dideoxynucleoside triphosphates using a DNA polymerase. The arrays were prepared by coupling one primer per mutation to be detected on a small glass area. Genomic fragments spanning nine disease mutations, which were selected as targets for the assay, were amplified in multiplex PCR reactions and used as templates for the minisequencing reactions on the primer array. The genotypes of homozygous and heterozygous genomic DNA samples were unequivocally defined at each analyzed nucleotide position by the highly specific primer extension reaction. In a comparison to hybridization with immobilized allele-specific probes in the same assay format, the power of discrimination between homozygous and heterozygous genotypes was one order of magnitude higher using the minisequencing method. Therefore, single-nucleotide primer extension is a promising principle for future high-throughput mutation detection and genotyping using high density DNA-chip technology.The Human Genome Project will generate a nucleotide sequence of the genome within a few years. Detailed information of all human genes will speed up the identification of mutations that either cause inherited disorders or predispose to multifactorial diseases. Consequently, more efficient methods with the capacity to analyze interindividual sequence variation on a large scale will be required. A promising approach toward cost-efficient DNA diagnostics and comparative sequence analysis is to use arrays of oligonucleotides (DNA chips) as solid support in miniaturized assays (for review, see Southern 1996). The concept of oligonucleotide arrays was originally introduced for de novo nucleotide sequencing by hybridization (Khrapko et al. 1991). Sophisticated technology has been developed for the production of high-density oligonucleotide arrays (Fodor et al. 1991;Pease et al. 1994;McGall et al. 1996), and systems for fluorescence detection and data analysis for this assay format are also under development (Schena et al. 1995).Despite the impressive technology that is emerging for hybridization to oligonucleotide arrays, a problem originating from the inherent properties of the nucleic acid hybridization reaction itself is a limiting factor in these methods, particularly when single-nucleotide variations are analyzed. The efficiency of hybridization and the thermal stability of hybrids formed between the target nucleic acid and a short oligonucleotide probe depend strongly on the nucleotide sequence of the probe and the stringency of the reaction conditions (Conner et al. 1983). Moreover, the degree of destabilization of the hybrid molecule by a mismatched nucleotide at one position is dependent on the flanking nucleotide sequence. Consequently, it is ...