Chromosome Testing ✅ Flashcards

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1
Q

What are the methods of chromosome testing?

A
  • Karyotyping
  • Array comparative genomic hybridisation
  • FISH
  • QF-PCR
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2
Q

What stage of the cell cycle is looked at in karyotyping?

A

Cell division

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3
Q

Why is cell division looked at in karyotyping?

A

Because chromosomes are only visible microscopically in dividing cells

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4
Q

How is cell division visualised in karyotyping?

A

Non-dividing cells are taken and cultured to encourage cell division. They are then stained and examined

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5
Q

What cells are taken for karyotyping?

A

Usually peripheral blood lymphocytes

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6
Q

What is looked for in karyotyping?

A

Any extra or missing chromosomes, or large scale chromosomal abnormalities

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7
Q

What will karyotyping miss?

A

Any changes smaller than 5-10 mega bases (5-10 million bases)

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8
Q

What is the result of karyotyping missing any changes smaller than 5-10 mega bases?

A

It is unsuitable for detection of most micro-deletions or duplications

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9
Q

What might karyotyping be helpful in identifying?

A

The structural basis for abnormalities detected by other methods

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10
Q

What is array comparative genomic hybridisation (aCGH) also known as?

A

Microarray

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11
Q

What is microarray?

A

A relatively new technique which looks for chromosomal copy number variations (CNVs) by comparing a patient’s DNA to normal control DNA

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12
Q

How has the use of microarray in practice changed?

A

It has taken over from karyotyping as the first line test for most chromosomal abnormalities in paediatric practice

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13
Q

How does microarray work?

A
  1. Patient DNA is labelled green, and normal control DNA is labelled red.
  2. 1000’s of probes (fragments of DNA) which bind specifically to regions spanning the whole genome are immobilised on a slide (the array).
  3. The array is immersed in a solution containing equal proportions of the flourescently-labelled test and control DNA, allowing green ‘patient’ DNA to compete with red ‘control’ DNA to hybridise with each of the probes.
  4. At probes where there is a deletion (i.e. lower patient copy number than control) the array appears red. When there is a duplication, the array appears green
  5. The array is scanned with a high resolution camera, and data interpreted using computer software
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14
Q

What size deletions and duplications can microarray deter?

A

Typically deletions/duplications larger than 50,000 bases

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15
Q

How does the resolution of microarray compare to karyotyping?

A

100 times higher

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16
Q

What does microarray allow for the detection of?

A
  • Micro-deletions or duplications

- Larger chromosomal copy number abnormalities, including aneuploidies

17
Q

What is the limitation of microarray?

A

It cannot detect balance chromosomal rearrangements, and does not distinguish unbalanced chromosome rearrangement caused by different mechanisms

18
Q

Give an example of an unbalanced chromosome rearrangement that microarray cannot distinguish between?

A

A conventional trisomy 21, and a trisomy 21 caused by Robertsonian translocation

19
Q

What is FISH?

A

A modification of conventional chromosome analysis using flourescently labelled probes

20
Q

What does FISH allow?

A

Targeted testing for copy number variation and structural rearrangement

21
Q

How does FISH work?

A
  1. Chromosomes are immobilised and denatured on a microscope slide and exposed to a solution containing a flourescently labelled prove specific to a specific chromosomal region.
  2. After hybridization, the slide is washed and examined microscopically.
  3. Where the probe has hybridized, fluorescent spots are seen over the relevant chromosome.
22
Q

What is meant by hybridisation in FISH?

A

The formation of double stranded DNA from complementary single strands

23
Q

Using 22q11 deletion syndrome as an example, how are the results of FISH interpreted?

A

If a child had a 22q11 deletion syndrome, FISH using a 22q11-specific probe should show 1 pair of fluorescent spots, rather than 2

24
Q

What does FISH require to be a useful investigation?

A

Clinical recognition of the likely causative mechanism

25
Q

Why does FISH require clinical recognition of the likely causative mechanism to be useful?

A

As FISH testing only detects abnormality in the region targeted by the chosen probe

26
Q

What is the result of FISH needing clinical recognition of the likely causative mechanism?

A

It has largely been replaced by microarray testing when detecting microdeletions

27
Q

What is FISH most commonly used for?

A
  • Rapid testing for aneuploidy

- Follow-up of array-detected abnormalities

28
Q

What is QF-PCR commonly used for?

A
  • Rapid testing for aneuploidy

- Follow-up of array-detected abnormalities