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2.
Chromosome Res ; 27(3): 153-165, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-30852707

RESUMEN

Fluorescence in situ hybridization (FISH) was developed more than 30 years ago and has been the most paradigm-changing technique in cytogenetic research. FISH has been used to answer questions related to structure, mutation, and evolution of not only individual chromosomes but also entire genomes. FISH has served as an important tool for chromosome identification in many plant species. This review intends to summarize and discuss key technical development and applications of FISH in plants since 2006. The most significant recent advance of FISH is the development and application of probes based on synthetic oligonucleotides (oligos). Oligos specific to a repetitive DNA sequence, to a specific chromosomal region, or to an entire chromosome can be computationally identified, synthesized in parallel, and fluorescently labeled. Oligo probes designed from conserved DNA sequences from one species can be used among genetically related species, allowing comparative cytogenetic mapping of these species. The advances with synthetic oligo probes will significantly expand the applications of FISH especially in non-model plant species. Recent achievements and future applications of FISH and oligo-FISH are discussed.


Asunto(s)
Cromosomas de las Plantas/genética , Hibridación Fluorescente in Situ/tendencias , Sondas de Oligonucleótidos , Hibridación Fluorescente in Situ/métodos , Sondas de Oligonucleótidos/síntesis química
3.
Assay Drug Dev Technol ; 15(1): 11-14, 2017 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-28092459

RESUMEN

Dr. Eric Joyce from the Department of Genetics at the University of Pennsylvania was awarded The President's Innovation award at the annual Society of Biomolecular Imaging and Informatics meeting held in Boston, September 2016. Chromosome interactions are a fundamental aspect of nuclear organization that can activate and silence genes or even direct chromosome rearrangements. However, the molecular mechanisms underlying how chromosomal segments find each other and form stable interactions within cells remain unknown. To address this gap, we have recently developed two technologies that use fluorescent in situ hybridization (FISH) to interrogate chromosome positioning at single-cell resolution. The first is a technology for high-throughput FISH, and the other, called Oligopaints, is a new type of probe that reduces the cost and increases the resolution of FISH. Here, I review our use of these two technologies to uncover and characterize the molecular mechanisms that govern chromosome pairing in Drosophila. I further describe how these methods should benefit a broad spectrum of research fields, including those focusing on chromatin looping, compaction, replication, homologous recombination, and DNA repair.


Asunto(s)
Drosophila/genética , Genoma de los Insectos/genética , Ensayos Analíticos de Alto Rendimiento/métodos , Hibridación Fluorescente in Situ/métodos , Animales , Proteínas de Drosophila/genética , Genoma , Ensayos Analíticos de Alto Rendimiento/tendencias , Humanos , Hibridación Fluorescente in Situ/tendencias
4.
Arch Pathol Lab Med ; 140(12): 1323-1330, 2016 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-27479335

RESUMEN

CONTEXT: - Fluorescence in situ hybridization (FISH) is a well-established method for detection of genomic aberrations in diagnostic, prognostic, and predictive marker testing. OBJECTIVE: - To review common applications of FISH in cytology. DATA SOURCES: - The published literature was reviewed. CONCLUSIONS: - Cytology is particularly well suited for all kinds of FISH applications, which is highlighted in respiratory tract cytology with an increasing demand for predictive FISH testing in lung cancer. Fluorescence in situ hybridization is the gold standard for detection of predictive anaplastic lymphoma kinase gene (ALK) rearrangements, and the same evaluation criteria as in histology apply to cytology. Several other gene rearrangements, including ROS proto-oncogene 1 receptor tyrosine kinase (ROS1), are becoming clinically important and share the same underlining cytogenetic mechanisms with ALK. MET amplification is one of the most common mechanisms of acquired resistance to epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors and can be targeted by crizotinib. As genomic aberrations are a hallmark of malignant cells, FISH is a valuable objective ancillary diagnostic tool. In urinary tract cytology, atypical urothelial cells equivocal for malignancy are a common diagnostic dilemma and multitarget FISH can help clarify such cells. Diagnosis of malignant mesothelioma remains one of the most challenging fields in effusion cytology, and ancillary FISH is useful in establishing the diagnosis. Fluorescence in situ hybridization is a morphology-based technique, and the prerequisite for reliable FISH results is a targeted evaluation of the cells in question (eg, cancer or atypical cells). Cytopathologists and cytotechnicians should therefore be involved in molecular testing in order to select the best material and to provide their morphologic expertise.


Asunto(s)
Análisis Citogenético , Hibridación Fluorescente in Situ , Técnicas de Diagnóstico Molecular , Neoplasias/diagnóstico , Biomarcadores de Tumor/genética , Biomarcadores de Tumor/metabolismo , Aberraciones Cromosómicas , Análisis Citogenético/tendencias , Amplificación de Genes , Reordenamiento Génico , Humanos , Hibridación Fluorescente in Situ/tendencias , Técnicas de Diagnóstico Molecular/tendencias , Clasificación del Tumor/tendencias , Estadificación de Neoplasias/tendencias , Neoplasias/genética , Neoplasias/metabolismo , Neoplasias/patología , Pronóstico , Proto-Oncogenes Mas
5.
Semin Perinatol ; 39(1): 44-54, 2015 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-25444417

RESUMEN

Rapid progress in genomic medicine in recent years has made it possible to diagnose subtle genetic abnormalities in a clinical setting on routine basis. This has allowed for detailed genotype-phenotype correlations and the identification of the genetic basis of many congenital anomalies. In addition to the availability of chromosomal microarray analysis, exome and whole-genome sequencing on pre- and postnatal samples of cell-free DNA has revolutionized the field of prenatal diagnosis. Incorporation of these technologies in perinatal pathology is bound to play a major role in coming years. In this communication, we briefly present the current experience with use of classical chromosome analysis, fluorescence in situ hybridization, and microarray testing, development of whole-genome analysis by next-generation sequencing technology, offer a detailed review of the history and current status of non-invasive prenatal testing using cell-free DNA, and discuss the advents of these new genomic technologies in perinatal medicine.


Asunto(s)
Aneuploidia , Pruebas Genéticas/tendencias , Hibridación Fluorescente in Situ/tendencias , Diagnóstico Prenatal/tendencias , Medicina Reproductiva/tendencias , Femenino , Asesoramiento Genético , Pruebas Genéticas/métodos , Humanos , Hibridación Fluorescente in Situ/métodos , Embarazo , Diagnóstico Prenatal/métodos
6.
Mutagenesis ; 30(1): 5-9, 2015 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-25527722

RESUMEN

The comet assay combined with fluorescence in-situ hybridisation (FISH) is a powerful technique for comparative analyses of damage induction and repair in genomes and in specific DNA sequences within single cells. Recent advances in the methodology of comet-FISH will be considered here, with particular attention to the design and generation of fluorescent probes. In general, all the approaches must fulfil a few basic requirements: the probes should be no longer than ~300 nucleotides in length (single or double stranded) to be able to penetrate the gel in which the target genomic DNA is embedded, they should be sequence-specific, and their signal should be detectable and distinct from the background fluorescence and the dye used to stain the DNA.


Asunto(s)
Ensayo Cometa/métodos , Daño del ADN/genética , Reparación del ADN/genética , Colorantes Fluorescentes/química , Hibridación Fluorescente in Situ/métodos , Sondas de Oligonucleótidos/genética , Ensayo Cometa/tendencias , Colorantes Fluorescentes/síntesis química , Hibridación Fluorescente in Situ/tendencias , Sondas de Oligonucleótidos/síntesis química
7.
Biotech Histochem ; 89(4): 241-4, 2014 May.
Artículo en Inglés | MEDLINE | ID: mdl-24359338

RESUMEN

Fine needle aspiration (FNA) is a diagnostic technique that has become widely used. The procedure may be performed by interventional radiologists, endoscopists, pathologists and cytotechnologists; diagnostic interpretation of FNA samples is performed by pathologists and cytotechnologists. I provide here an introduction to the technique and applications of FNA with a review of current practice parameters and recent developments in the molecular application of FNA.


Asunto(s)
Biopsia con Aguja Fina/tendencias , Predicción , Hibridación Fluorescente in Situ/tendencias , Técnicas de Diagnóstico Molecular/tendencias , Neoplasias/diagnóstico , Reacción en Cadena de la Polimerasa/tendencias , Biopsia con Aguja Fina/métodos , Humanos , Hibridación Fluorescente in Situ/métodos , Técnicas de Diagnóstico Molecular/métodos , Reacción en Cadena de la Polimerasa/métodos
8.
Am J Dermatopathol ; 34(6): 580-5, 2012 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-22668575

RESUMEN

Fluorescence in situ hybridization (FISH) for the diagnosis of melanoma makes use of specific fluorescent probes to detect selected chromosomal alterations on paraffin-embedded tissue samples. To date, interpretation of FISH data has been based on numerical values generated by 2 different computational algorithms that of Abbott and that of Gerami. To further evaluate the value of FISH in the diagnosis of malignant melanoma, we selected 163 clinically and histologically unequivocal cases of malignant melanoma in a cohort of 575 melanocytic tumors and analyzed FISH data using the criteria of Abbott, Gerami, and new combined criteria. Depending on the used criteria, FISH was positive in the unequivocal malignant melanoma in 69.3% (113/163) of cases using the Abbott criteria, 74.2% (121/163) of cases using the Gerami criteria, and 82.2% (134/163) of cases using the combined criteria of Abbott and Gerami. Although use of all 3 criteria was associated with 100% FISH negativity in a cohort of 30 unequivocal benign melanocytic nevi, use of the combined criteria revealed more FISH-positive cases in ambiguous benign melanocytic lesions than the criteria of Abbott or Gerami alone: Abbott, 125 of 367; Gerami, 146 of 367; combined, 161 of 367. Furthermore, we show that 66% (8/12) of FISH-negative cases of unequivocal melanoma are positive when analyzed by array comparative genomic hybridization (aCGH), demonstrating that false-negative results remain despite the usage of the combined criteria for evaluation of FISH data. In these 8 FISH-negative aCGH-positive cases, copy number alterations were often located on chromosomes 9p, a chromosomal locus that is not targeted by the FISH probes currently used. In conclusion, the existing criteria for the evaluation of multicolor melanocytic FISH are limited by a nonnegligeable rate of false negativity that can be reduced by using newly proposed combined criteria but at the cost of increased detection of FISH positivity in ambiguous benign melanocytic lesions.


Asunto(s)
Algoritmos , Hibridación Fluorescente in Situ/métodos , Hibridación Fluorescente in Situ/tendencias , Melanoma/diagnóstico , Neoplasias Cutáneas/diagnóstico , Cromosomas Humanos Par 9/genética , Estudios de Cohortes , Hibridación Genómica Comparativa , ADN de Neoplasias/genética , Reacciones Falso Negativas , Dosificación de Gen/genética , Humanos , Melanoma/genética , Sensibilidad y Especificidad , Neoplasias Cutáneas/genética
9.
Curr Opin Biotechnol ; 23(1): 96-102, 2012 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-22079351

RESUMEN

Fluorescence in situ hybridization (FISH) has become an indispensable tool for rapid and direct single-cell identification of microbes by detecting signature regions in their rRNA molecules. Recent advances in this field include new web-based tools for assisting probe design and optimization of experimental conditions, easy-to-implement signal amplification strategies, innovative multiplexing approaches, and the combination of FISH with transmission electron microscopy or extracellular staining techniques. Further emerging developments focus on sorting FISH-identified cells for subsequent single-cell genomics and on the direct detection of specific genes within single microbial cells by advanced FISH techniques employing various strategies for massive signal amplification.


Asunto(s)
Hibridación Fluorescente in Situ/métodos , Archaea/genética , Bacterias/genética , Cartilla de ADN/genética , Hibridación Fluorescente in Situ/tendencias , Sondas de Oligonucleótidos/genética , Sondas ARN/genética
10.
Vestn Ross Akad Med Nauk ; (9): 48-54, 2011.
Artículo en Ruso | MEDLINE | ID: mdl-22145372

RESUMEN

The non-random arrangement of chromosomes in the interphase nucleus was observed for the first time in the late XIX century. However, considerable progress in studying chromosome territories became possible only in the end of the XX century mainly due to advances in microscopy and molecular biology. At present, chromosome territories are believed to play an important role in epigenetic regulation of genome activity during various cell processes including but not limited to cell cycle, differentiation, stress response. 3D structure of genome also plays an important role in pathogenesis of various hereditary diseases and cancer. This article describes main provisions of the chromosome territory theory and current trends toward further development of human genetics based on the new knowledge about the role of chromosome territories.


Asunto(s)
Núcleo Celular , Cromosomas Humanos/metabolismo , Epigénesis Genética , Interfase/genética , Núcleo Celular/genética , Núcleo Celular/metabolismo , Núcleo Celular/ultraestructura , Cromatina/metabolismo , Epigenómica/métodos , Epigenómica/tendencias , Interacción Gen-Ambiente , Genoma Humano , Humanos , Hibridación Fluorescente in Situ/tendencias
11.
J Assist Reprod Genet ; 28(8): 747-57, 2011 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-21713549

RESUMEN

INTRODUCTION: Embryo selection can be carried out via morphological criteria or by using genetic studies based on Preimplantation Genetic Screening. In the present study, we evaluate the clinical validity of Preimplantation Genetic Screening with fluorescence in situ hybridization (PGS-FISH) compared with morphological embryo criteria. MATERIAL AND METHODS: A systematic review was made of the bibliography, with the following goals: firstly, to determine the prevalence of embryo chromosome alteration in clinical situations in which the PGS-FISH technique has been used; secondly, to calculate the statistics of diagnostic efficiency (negative Likelihood Ratio), using 2 × 2 tables, derived from PGS-FISH. The results obtained were compared with those obtained from embryo morphology. We calculated the probability of transferring at least one chromosome-normal embryo when it was selected using either morphological criteria or PGS-FISH, and considered what diagnostic performance should be expected of an embryo selection test with respect to achieving greater clinical validity than that obtained from embryo morphology. RESULTS: After an embryo morphology selection that produced a negative result (normal morphology), the likelihood of embryo aneuploidies was found to range from a pre-test value of 65% (prevalence of embryo chromosome alteration registered in all the study groups) to a post-test value of 55% (Confidence interval: 50-61), while after PGS-FISH with a negative result (euploid), the post-test probability was 42% (Confidence interval: 35-49) (p < 0.05). The probability of transferring at least one euploid embryo was the same whether 3 embryos were selected according to morphological criteria or whether 2, selected by PGS-FISH, were transferred. Any embryo selection test, if it is to provide greater clinical validity than embryo morphology, must present a LR-value of 0.40 (Confidence interval: 0.32-0.51) in single embryo transfer, and 0.06 (CI: 0.05-0.07) in double embryo transfer. DISCUSSION: With currently available technology, and taking into account the number of embryos to be transferred, the clinical validity of PGS-FISH, although superior to that of morphological criteria, does not appear to be clinically relevant.


Asunto(s)
Hibridación Fluorescente in Situ/métodos , Diagnóstico Preimplantación/métodos , Medicina Reproductiva/métodos , Transferencia de Embrión/métodos , Fertilización In Vitro , Humanos , Hibridación Fluorescente in Situ/tendencias , Diagnóstico Preimplantación/tendencias
13.
J Clin Pathol ; 63(3): 210-9, 2010 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-20203220

RESUMEN

Assessment of ERBB2 (HER2) status in breast carcinomas has become critical in determining response to the humanised monoclonal antibody trastuzumab. The current joint College of American Pathologists and the American Society of Clinical Oncology guidelines for the evaluation of HER2 status in breast carcinoma involve testing by immunohistochemistry and fluorescence in situ hybridisation (FISH). However, neither of these modalities is without limitations. Novel bright field in situ hybridisation techniques continue to provide viable alternatives to FISH testing. While these techniques are not limited to evaluation of the HER2 gene, the extensive number of studies comparing bright field in situ techniques with other methods of assessing HER2 status allow a robust evaluation of this approach. Analysis of the literature demonstrates that, when used to assess HER2 gene status, bright field in situ hybridisation demonstrates excellent concordance with FISH results. The average percentage agreement in an informal analysis of studies comparing HER2 amplification by chromogenic in situ hybridisation with FISH was 96% (SD 4%); kappa coefficients ranged from 0.76 to 1.0. Although a much smaller number of studies are available for review, similar levels of concordance have been reported in studies comparing HER2 amplification by methods employing metallography (silver in situ hybridisation) with FISH. A summary of the advancements in bright field in situ hybridisation, with focus on those techniques with clinical applications of interest to the practicing pathologist, is presented.


Asunto(s)
Neoplasias de la Mama/genética , Genes erbB-2 , Femenino , Predisposición Genética a la Enfermedad , Humanos , Hibridación in Situ/métodos , Hibridación Fluorescente in Situ/métodos , Hibridación Fluorescente in Situ/tendencias
14.
Artículo en Inglés | MEDLINE | ID: mdl-20154468

RESUMEN

Fluorescence in situ hybridization (FISH) is an effective method for the physical mapping of genes and repetitive DNA sequences on chromosomes. Physical mapping of unique nucleotide sequences on specific rice chromosome regions was performed using a combination of chromosome identification and highly sensitive FISH. Increases in the detection sensitivity of smaller DNA sequences and improvements in spatial resolution have ushered in a new phase in FISH technology. Thus, it is now possible to perform in situ hybridization on somatic chromosomes, pachytene chromosomes, and even on extended DNA fibers (EDFs). Pachytene-FISH allows the integration of genetic linkage maps and quantitative chromosome maps. Visualization methods using FISH can reveal the spatial organization of the centromere, heterochromatin/euchromatin, and the terminal structures of rice chromosomes. Furthermore, EDF-FISH and the DNA combing technique can resolve a spatial distance of 1 kb between adjacent DNA sequences, and the detection of even a 300-bp target is now feasible. The copy numbers of various repetitive sequences and the sizes of various DNA molecules were quantitatively measured using the molecular combing technique. This review describes the significance of these advances in molecular cytology in rice and discusses future applications in plant studies using visualization techniques.


Asunto(s)
Cromosomas de las Plantas/genética , Genoma de Planta/genética , Hibridación Fluorescente in Situ/métodos , Hibridación Fluorescente in Situ/tendencias , Oryza/genética , ARN Ribosómico/genética
16.
Biochim Biophys Acta ; 1779(6-7): 363-75, 2008.
Artículo en Inglés | MEDLINE | ID: mdl-18515111

RESUMEN

A parallelism exists between human cytogenetics and cytogenetic toxicology. The breakthroughs, mostly coming from and used in clinical genetics, are widely used in genetic toxicology. The birth of human cytogenetics occurred in 1956 when it was published that the diploid number of chromosomes in humans is 46. The first stage in chromosome-induced mutagenesis began in 1938 when Sax published the effects of X-rays on the chromosomes of Drosophila. In 1959, the cytogenetic anomalies for Down, Klinefelter, and Turner syndromes were described, and parallelly in 1960, the first publication on chromosomal aberrations in man caused by ionizing radiation appeared. The cytogenetic analysis of chromosomal aberrations in cell cultures is considered one of the primary methods to evaluate induced mutagenesis. At the end of the 1960s, banding techniques allowed chromosomes to be individually identified, in parallel, the sister chromatid exchange analysis technology was described. Another milestone in the history of induced mutagenesis was the discovery that mutagenic agents were able to alter chromosomal division and segregation in gonads inducing meiotic nondisjunction. Here we review new approaches and applications such as biological dosimetry, translocation scoring using FISH, and micronucleus test. Chromosomal aberrations and micronucleus test are now effective cytogenetic biomarkers of early effect used as cancer predictors. Human cytogenetics has proven to be effective over its 50-year lifespan and, although each new technique that has appeared seemed to announce its end, the fact is that the current state of cytogenetics is in reality a collection of techniques that, while common, are cheap, fast, and wide-ranging. Therefore, in genotoxicology, they continue to be useful to identify mutagenic agents as well as to evaluate and analyze exposed populations.


Asunto(s)
Citogenética , Toxicogenética , Animales , Aberraciones Cromosómicas , Cromosomas Humanos/genética , Citogenética/historia , Citogenética/tendencias , Femenino , Técnicas Genéticas/historia , Técnicas Genéticas/tendencias , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Hibridación Fluorescente in Situ/historia , Hibridación Fluorescente in Situ/tendencias , Masculino , Mutagénesis , Mutación , Toxicogenética/historia , Toxicogenética/tendencias
17.
Nat Biotechnol ; 26(6): 676-84, 2008 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-18500336

RESUMEN

The increasing availability of high-quality reference genomic sequences has created a demand for ways to survey the sequence differences present in individual genomes. Here we describe a DNA sequencing method based on hybridization of a universal panel of tiling probes. Millions of shotgun fragments are amplified in situ and subjected to sequential hybridization with short fluorescent probes. Long fragments of 200 bp facilitate unique placement even in large genomes. The sequencing chemistry is simple, enzyme-free and consumes only dilute solutions of the probes, resulting in reduced sequencing cost and substantially increased speed. A prototype instrument based on commonly available equipment was used to resequence the Bacteriophage lambda and Escherichia coli genomes to better than 99.93% accuracy with a raw throughput of 320 Mbp/day, albeit with a significant number of small gaps attributed to losses in sample preparation.


Asunto(s)
Mapeo Cromosómico/tendencias , Sondas de ADN/genética , Hibridación Fluorescente in Situ/tendencias , Análisis de Secuencia de ADN/métodos , Predicción , Evaluación de la Tecnología Biomédica
18.
Wien Med Wochenschr ; 157(19-20): 476-81, 2007.
Artículo en Alemán | MEDLINE | ID: mdl-18030551

RESUMEN

Diagnosing fungal infections remains a problem, particularly in the immunocompromised patient. Symptoms are mostly non-specific and colonization is difficult to distinguish from invasive disease. Existing diagnostic tools often lack sensitivity. Thus, the combination of various diagnostic tools is mandatory to allow earlier diagnosis of systemic fungal infections. Microscopy, culture based methods, antigen detection and molecular techniques such as PCR may help to facilitate and accelerate the diagnosis. Sensitive and specific PCR assays to detect fungal DNA are an important part of the diagnostic approach. But extensive validation and standardization is strongly needed before PCR assays can be used in a routine laboratory.


Asunto(s)
Micología/tendencias , Micosis/diagnóstico , Antígenos Fúngicos/sangre , ADN de Hongos/sangre , Predicción , Humanos , Hibridación Fluorescente in Situ/tendencias , Técnicas Microbiológicas/tendencias , Microscopía/tendencias , Micología/métodos , Infecciones Oportunistas/diagnóstico , Reacción en Cadena de la Polimerasa/tendencias , Valor Predictivo de las Pruebas
19.
Expert Rev Mol Diagn ; 7(3): 231-6, 2007 May.
Artículo en Inglés | MEDLINE | ID: mdl-17489730

RESUMEN

Inappropriate and inaccurate antimicrobial therapy can lead to adverse patient outcomes and also the development of antimicrobial resistance. Peptide nucleic acid (PNA) fluorescence in situ hybridization (FISH) gives rapid reporting with highly sensitive and specific results to clinicians within 3 h after blood cultures turn positive, thereby offering targeted therapeutics where necessary. It is simple to establish compared with real-time PCR and has resulted in significant cost savings for hospitals. PNA FISH is a promising future technology for the microbiology laboratory that will impact on patient management and clinical guidelines. This article will review the clinical data supporting these new technologies.


Asunto(s)
Infecciones Bacterianas/diagnóstico , Infecciones Bacterianas/terapia , Candidiasis/diagnóstico , Candidiasis/terapia , Predicción , Hibridación Fluorescente in Situ/tendencias , Ácidos Nucleicos de Péptidos , Infecciones Bacterianas/economía , Candidiasis/economía , Humanos , Hibridación Fluorescente in Situ/economía , Hibridación Fluorescente in Situ/métodos , Reproducibilidad de los Resultados , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa/tendencias
20.
Ginekol Pol ; 78(11): 881-7, 2007 Nov.
Artículo en Polaco | MEDLINE | ID: mdl-18306922

RESUMEN

The traditional "gold standard" for prenatal diagnosis of chromosome abnormalities involves analysis of banded chromosomes obtained from cultured amniotic fluid or chorionic villus cells. Most studies are performed because of increased risk of aneuploidy of chromosomes 13, 18 and 21. It constitute 65-85% of all chromosome aberrations diagnosed prenataly. At present more rapid (in 1-3 days) methods than conventional cytogenetics, enabling the diagnosis of aneuploidy are available. They include FISH (fluorescence in situ hybridization), QF-PCR (quantitative fluorescence polymerase chain reaction) and MLPA (multiplex ligation-dependent probe amplification) techniques. However, it is important to know how many other chromosomal abnormalities would not be detected using these tests for the estimation of their clinical utility. Currently, most laboratories perform rapid tests for aneuploidy together with full karyotype. The criteria of using of rapid aneuploidy tests as a stand-alone test in prenatal diagnosis are currently discussed. Here, the diagnostic capacity and limitations of rapid tests for aneuploidy detection as well as debate on the change of the policy for cytogenetic prenatal diagnosis is presented.


Asunto(s)
Aneuploidia , Análisis Citogenético/tendencias , Diagnóstico Prenatal/tendencias , Amniocentesis , Líquido Amniótico/citología , Cromosomas Humanos Par 13 , Cromosomas Humanos Par 18 , Cromosomas Humanos Par 21 , Análisis Citogenético/métodos , Femenino , Predicción , Humanos , Hibridación Fluorescente in Situ/tendencias , Embarazo , Diagnóstico Prenatal/métodos
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