Array Flashcards

1
Q

Databases for array (normal and abnormal)

A

Normal = database of genomic variants (Dgv)
Abnormal= omim, decipher
, internal standards for cytogenetic arrays (Isca)

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2
Q

Prenatal and postnatal cut offs?

A
Postnatal 100kb (loss), 500kb gain.
Prenatal 1mb, 2mb
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3
Q

Best practice guidelines: to include on report

A
  • description of array
  • software
  • Genome build
  • request follow up if family members
  • state risk and if prenatal testing should be offered in the future
  • onward referral to genetic counselling
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4
Q

Referral reasons for prenatal array

A

Ab scan
NT>3.5mm
Specific clinician requests
Family known to carry a clinically significant imbalance

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5
Q

Most important evaluation metrics?

A

Derivative R spread (DLRSD) <0.3

G-signal2 noise and Rsignal2noise <30

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6
Q

How is hybridisation on an array usually detected?

A

By flurochrome, silver, chemiluminescence labelled targets

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7
Q

Microarray steps

A

1) DNA extracted and digested.
2) test DNA labelled red with cy5
3) control DNA green cy3
4) combine equal amounts and hybridise to probes
5) scan
6) image

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8
Q

Types of arrays (6)

A

1) comparative genomic hybridisation
2) gene expression arrays
3) chromatin immunoprecipitation
4) SNP array
5) exon array (detects different splicing isoforms)
6) fusion gene microarray

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9
Q

What does a filling array detect?

A

Overlapping probes designed to densely represent a genomic region

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10
Q

BAC arrays?

A

Used bacterial artificial chromosomes for hybridisation. Resolution 0.5- 1 Mb

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11
Q

Oligo arrays and targeted arrays?

A

Oligo - custom oligos spotted onto glass

Targeted- designed for a certain area 100-200kb

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12
Q

Limitations of array?

A

1) can’t detect balanced rearrangements such as reciprocal and inversions
2) may not detect mosaicism if less than 30%

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13
Q

What % of the human genome is CNV?

A

12%

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14
Q

What % of genome variability is due to cnvs?

A

7%

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15
Q

Best practice guidelines

A

BPG

Kearney et al - American college of medical genetics (aCMGh reporting postnatal CNVs)

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16
Q

Do arrays need follow up?

A

Originally yes with fish or mlpa but now no if platform is high coverage and combines array CGG/snp arrays

17
Q

What % require parental bloods?

A

Around 25%

15-25% of these imbalances are de novo

18
Q

Can inherited cnvs b causal?

A

Yes reduced penetrance

Phenotype may depend on co-occurrence with other cnvs