Pre-natal genetic diagnosis Flashcards

1
Q

2 methods of chromosome analysis

A

Karyotyping+ FISH

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2
Q

Karyotyping use what cells?

A

Proliferating cells cultured with Colchicine

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3
Q

karyotyping method

A

1) Arrest cells in metaphase =condensed chromatin
2)cells in hypotonic solution = cells swell
3) fix in methanol or acetic acid
4) cells burst and Chromosomes stick on slide= metaphase spread
5) Brief digestion with Trypsin
6) Staining ( Giemsa/ Leishman’s) = Bands

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4
Q

Why arrest cells in metaphase?

A

Chromatin condensed + chromosomes visible

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5
Q

2 types or bands

A

Major measured from centromere
Minor bands within major

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6
Q

Karyotyping + FISH example diagnosis

A

Di George Syndrome (deletion) loss of red, retention of green

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7
Q

What FISH use

A

fluorescent labelled DNA probes bind + highlight specific chromosomes

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8
Q

FISH: cell in what cycle

A

metaphase spread or Inter phase

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9
Q

FISH highlights?

A

whole chromosome or localized region

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10
Q

Counterstain

A

DAPl= blue to visualise total chromatin

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11
Q

Metaphase v interphase FISH cells

A

M= cultured cells
I= fresh or archival material

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12
Q

FISH method

A

1) chromosomes denatured = SSDNA
2) DNA probe labelled with fluorescent molecule e.g nucleotide
3) probes denatured
4) Probes hybridized
5) wash off excess
6) counterstain with DAPI

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13
Q

M- FISH/ Spectral Karyotyping difference

A

chromosomes have diff colours

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14
Q

Fluorochrome labels are

A

chemically bound to nucleotides

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15
Q

stokes Shift

A

shift in peak excitation to emission

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16
Q

Fluorochrome label examples

A

Texas Red
FITC (green)

17
Q

cut off filter

A

only see emitted light

18
Q

chorionic Villus Biopsy (CVB)

A

Removal of foetal tissue from chorionic Villus 11-15 weeks

19
Q

Why use CVB

A

Detect unknown or expected abnormalities

20
Q

Amniocentesis

A

foetal Keratinocytes shed in to Amnionic fluid test fluid

21
Q

Pre-natal testing must

A

Be only foetal cells

22
Q

How Pre implantation diagnosis works

A

Removal of single cells from fertilized egg + screen for mutations then implant by IVF

23
Q

Pre -natal + pre implantation differences

A

PGD= rests Blastomeres
PND = Tests on foetus in utero

24
Q

Pre implantation method

A

1) ovarian simulation
2) fertilization
3)1 cell from Blastomere removed
4) Genetic analysis
3) unaffected embryo transferred

25
Q

material used in Pre implantation (x3)

A

Polar body, Blastomere Biopsy, Blastocyst Biopsy ( later)

26
Q

Risks Of Pre- Implantation

A

Embryo damage, IVF risks (no pregnancy), Misdiagnosis, expensive+ labour intensive