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CYTOGENETICS

Techniques Cytogenetic strategy

Anna Sowińska-Seidler, Phd

CYTOGENETICS

• Classical • Molecular - Karyotype analysis - Molecular probes - Banding techniques - FISH, aCGH

Elementary fibre

Chromatin fibre

Laemi loop

Chromatid

Metaphase chromosome Chromosome structure Chromosome types

Chromosome types in human:

Metacentric Submetacentric Akrocentric Human chromosome groups A 1-3 big metacentric chromosomes B 4-5 big submetacentric chromosomes C 6-12 and X medium submetacentric chromosomes D 13-15 big acrocentric chromosomes E 16-18 small submetacentric chromosomes F 19-20 small metacentric chromosomes G 21-22 and Y small acrocentric chromosomes

A B

C

D E

F G Aberrations sex chromosomes

Aberrations numerical structural Numerical abnormalities of chromosomes

Polyploidy

Triploidy Tetraploidy 3n 4n 2n +1 2n - 1 Numerical chromosomal abnormalities

Polyploidy - Triploidy (69,XXX, XXY or XYY) 1-3% of all conceptions; amost never live born; do not survive Aneuploidy (autosomes) - Nullisomy (missing a pair of homologs) Pre-implantation lethal - Monosomy (one chromosome missing) Embryonic lethal - Trisomy (one extra chromosome) Usually lethal at embryonic or fetal stages, but trisomy 13 () and trisomy 18 () could be live born and trisomy 21 () Aneuploidy (sex chromosomes) - Additional sex chromosomes (47, XXX; 47, XXY; 47, XYY) present relatively minor problems, with normal lifespan - Lacking a sex chromosome 45, X = , About 99% of cases abort spontaneously; survivors are of normal intelligence but infertile and show characteristic dismorphic features . 45, Y = not viable Triploidy 69,XXX 69,XXY 69,XYY Trisomy 47,XX+13, 47,XX+18, 47,XX+21 47,XY+13, 47,XY+18, 47,XY+21

12 47,XXY; 47,XXX; 47,XYY I 47,XXY=

II 47,XXX = Triple X Syndrome

III 47,XYY = Jacob Syndrome Monosomy 45,X

14 Structural aberration

Balanced Unbalanced

Translocation

Inversion Duplication

Ring chromosome

Isochromosome

Marker Translocations

Transfer of chromosome material between chromosomes

Types of translocation: Reciprocal Robertsonian (centric fusion) Insertional Balanced reciprocal translocation

Chromosomal material distal to breaks in two chromosomes is exchanged

Robertsonian translocation (centric fussion)

• involves two acrocentric chromosomes • two breaks at or near the centromere (short arms site) •cross fusion of the products •the decrease of the total number of chromosomes • it is balanced aberration because the loss of short arms do not cause the loss of active genes Inversion Inversion arise from two chromosomal breaks with inversion through 180° of the segment between breaks. Inversion is a balanced aberration

Paracentric inversion – both breaks are in a single arm, than the centromere is not included Pericentric inversion – breaks are on either side of the centromere and so the centromere is included Deletion Duplication A Loss of any part of chromosome Additional copy of a segment of a chromosome is present

Deletions and duplications are unbalanced aberrations – loss or gain of the genetic material

Ring chromosome

- unbalanced aberration

A ring chromosome arises from breaks in both arms of a chromosome: the terminal ends are lost and the two proximal sticky ends unite to form a ring

Isochromosome

Abnormal chromosome that has a deletion of one arm with the duplication of the other. It may arise from transverse division of the centromere Unbalanced aberration Addition

• Additional material of unknown origin attached to a chromosome region or band Marker chromosomes

• Additional small chromosomes of unknown origin, identified in 1/2500 pregnancies

• In 90% of cases they come from a short arms of acrocentric chromosomes (often involving chr 15)

When is chromosome analysis indicated?  Problems noted during early growth/development

 Stillbirths and neonatal deaths

 Fertility problems

 Pregnancy in women at age 35 or older

 Family History

 Dysmorphic features strongly suggestive for chromosomal anomalies Karyotype analysis

Various dividing cells can be used

• The most common: peripheral blood lymphocytes

• Bone marrow cells, skin fibroblasts

• Amniocytes or trophoblast cells – in prenatal diagnosis or in spontaneous abortions

• 2-5 ml (1 ml in newborns) of peripheral blood is taken

• Special heparin containing tubes are needed

• Blood should be stored at 4ºC or 37 ºC (depending on lab procedures)

• Blood samples can be send by post

PHA Colcemid Preparation

Blood Mitogen

Cells

Culture Centrifugation

Culture Cell medium Pellet

KCl- hypotonic Centrifugation

Pipeting Centrifugation

Cell Slide preparation Fixation pellet

Staining Cover Drying slide

Slide Analysis Giemsa solution

Karyotyping Microscope

Chromosome documentation

Karyogram preparation Metaphase, chromosome spread Methods

Cytogenetic Methods

Banding techniques

- G-banding with Giemsa stain - Q (fluorochrome: quinacrine) - C-banding (centromeres) - AgNor (satelites of acrocentric chromosomes) - R-banding (reverse to G-bandning)

Banding patterns allow individual chromosomes to be identified

Provide location of genes

Information about structural aberrations

34 G - banding

Chromosomes are subjected to controlled digestion with trypsin before staining with Giemsa, a DNA-binding chemical dye.

G-positive – dark bands contain less genes, AT-rich G-negative – pale G - bands bands contain more genes, GC-rich Q - banding Methods

Fluorescent dye (ex. Quinacrine, DAPI) binds to AT- rich DNA

Q - bands C - banding

Is thought to demonstrate constitutive heterochromatin, mainly at the centromeres.

C - bands Ag-NOR - banding

Is thought to demonstrate satellites of acrocentric chromosomes

Ag-NOR - banding R - banding

R-banding (Reverse) to G- banding pattern

R - bands Human ideogram (with accompanying ideogram) is shown at increasing levels of resolution: 400, 550 and 850 bands per haploid set General principles of karyotype description

1) Total number of chromosomes 2) Sex chromosome constitution 3) Abnormality designation (if occurs)

• Examples:  46,XY 46,XX – normal karyotype  47,XX,+21 - trisomy of 21  46,XX,del(15)(q11.2-q13)

Down syndrome 47,XY,+21 Patau syndrome 47,XX,+13 Edwards syndrome 47,XX,+18 Turner syndrome 45,X

X Klinefelter syndrome 47,XXY

21 22 20 19

Y X X

Chromosomal mosaicism

mos 47,XX,+21[25]/46,XX[25] Molecular cytogenetics

FISH – fluorescence in situ hybridization Slide with chromosomes Slide with chromosomes Molecular probe

Denaturation of chromosomal Double stranded DNA DNA

Probe denaturation, probe labelling

In situ hybridization

or

Indirect probe detection Direct probe detection

Microscopic analysis of the fluorescent signal on the slide FISH in

• Diagnostics of submicroscopic chromosomal aberrations • Identification of the complex chromosomal aberrations • Identification of the additional genetic material in genome • Identification of marker chromosomes • Rapid prenatal diagnostics FISH

Probes used in FISH:

• Painting probes (wcp. – ang. whole chromosome paint/one arm painting probes)

• alfa-satelite (centromeric, telomeric)

• specific (unique) hybridizing to special locus or special sequence on chromosome FISH

Target cells used in FISH:

• fibroblasts • lymphocytes • Bone marrow cells • Amniotic fluid cells • Trophoblast cells • Paraffin embedded tissues FISH – most commonly used fluorohromes:

• FITC (Fluorescein isothiocyanate) • TRITC (rhodamine) • Texas Red • Aqua • DAPI • PJ (propidium iodide) • Cy3 • Cy5 Painting probes Chromoprobe multiprobe system

WCP 20 WCP 15 WCP 2

Interphase FISH

SKY – spectral karyotyping aCGH (Array based Comparative Genomic Hybridization)

Advantages:  Whole genome screening  High resolution  Detects unbalanced aberrations  Does not require metaphase chromosomes

Limitations:  Cannot detect balanced aberration  Interpetation

Case: Deletion of locus TAR in (1q21.1) as the cause of TAR Syndrome ( with absent radius) Resolution of cytogenetic techniques

46,XX,t(4;7)(p15.2;q11.2) GTG: 5 – 10 Mbp aCGH: 5 - 10 kbp

M. Connor, M. Ferguson-Smith, Podstawy genetyki medycznej, PZWL 1998 FISH: 40 - 250 kbp