Polymorphism ratio sequencing (PRS) combines the advantages of high-throughput DNA sequencing with new labeling and pooling schemes to produce a powerful assay for sensitive single nucleotide polymorphism (SNP) discovery, rapid genotyping, and accurate, multiplexed allele frequency determination. In the PRS method, dideoxy-terminator extension ladders generated from a sample and reference template are labeled with different energy-transfer fluorescent dyes and coinjected into a separation capillary for comparison of relative signal intensities. We demonstrate the PRS method by screening two human mitochondrial genomes for sequence variations using a microfabricated capillary array electrophoresis device. A titration of multiplexed DNA samples places the limit of minor allele frequency detection at 5%. PRS is a sensitive and robust polymorphism detection method for the analysis of individual or multiplexed samples that is compatible with any four-color fluorescence DNA sequencer.Genetic studies are expanding past the identification of rare Mendelian diseases to encompass common complex disorders such as cancer, neurological diseases, autoimmune diseases, and cardiovascular diseases. The abundance and stability of single nucleotide polymorphisms (SNPs) has made them the DNA variation of choice for such endeavors. Due to the low penetrance of individual alleles, association studies designed to uncover significant genetic risk factors require the scoring of hundreds of thousands of SNPs (Kruglyak 1999) in several thousand samples (Dahlman et al. 2002). Multiplexed highthroughput genotyping methods are essential to accommodate this challenging number of SNPs and samples.Current methods of SNP detection include microarrays (Chee et al. 1996), allele-specific polymerase chain reaction (PCR; Liu et al. 1997), oligonucleotide ligation assays (Grossman et al. 1994;Samiotaki et al. 1994;Tobe et al. 1996), single-base extension (Syvanen et al. 1993;Pastinen et al. 1996;Shumaker et al. 1996), TaqMan (Livak et al. 1995, and molecular beacons (Tyagi et al. 1998). These methods are designed to interrogate SNPs in one sample at a time. Modifications such as kinetic PCR (Germer et al. 2000) and detection using denaturing high-performance liquid chromatography (HPLC; Giordano et al. 2001) can extend these procedures to multiplexed sample analysis. Each method offers a trade-off between sensitivity, throughput, parallel processing, user accessibility, and cost, and they all experience limitations due to local DNA hybridization characteristics. Selection of allelespecific probes is confined to the DNA sequence immediately adjacent to or surrounding the targeted polymorphism. This restriction can lead to nonuniform hybridization characteristics, ambiguous results, or the rejection of otherwise informative SNPs in a significant percentage of the markers. Additionally, novel polymorphisms are not detected by these approaches. These limitations are particularly important when studying functional or rare SNPs.Quality-based resequencing a...