Detecting Chromosomal Abnormalities Flashcards

1
Q

What are ways of sourcing a prenatal sample for testing?

A

Amniocentesis - sample of amniotic fluid

Chorionic villus sampling - sample from placenta

Cell free fetal DNA

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2
Q

What are the ways of sourcing of a postnatal sample for testing?

A

Blood

Saliva

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3
Q

Describe the use of chromosome staining.

A

Most common = G-banding

G = Giesma

Chromatin can exist in 2 different forms - euchromatin and heterochromatin
Euchromatin = GC rich, loosely packed, genes active
Heterochromatin = AT- rich, tightly packed, genes innactive

Both chromatin stain differently
Uses a metaphase spread because chromosomes are most condensed and visible
Describe how the karyotype of a patient differs from expected.

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4
Q

Describe the process of analysing the karyotype of a patient using chromosome staining.

A
  1. Obtain blood sample form patient
  2. Add phytochemagglutinin
  3. Culture at 37 degrees for 3 days
  4. Fix cells using colchicine and hypotonic saline
  5. Spread cells into slide by dropping
  6. Stain with Giesma and digest with trypsin
  7. Analyse the metaphase spread
  8. Karyotype
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5
Q

Describe how FISH is used to detect chromosomal abnormalities.

A

Fluorescent in situ hybridisation

Hybridisation = single stranded nucleic acid binds to a new single stranded nucleic acid strand.

Uses fluorescent probes for SPECIFIC parts of the genome

Takes several days at least

Involves cell culturing and metaphase spread.

Looks for aneuploidies, translocations and large deletions

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6
Q

What happens in FISH?

A
  1. Fluorescent probe
  2. Denature probe and target DNA
  3. Mix probe and target DNA
  4. Probe binds to target
  5. Visualise chromosomes
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7
Q

What is a probe?

A

Single stranded DNA or RNA

20-1000 bases in length

Labelled with fluorescent or luminescent molecule

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8
Q

Describe how Array CGH (comparative genomic hybridisation) is used to detect structural abnormalities in chromosomes.

A

For detection of sub microscopic chromosomal abnormalities

Uses extracted DNA

Uses thousands of probes for different parts of the genome

Patient DNA labelled green

Control DNA labelled red

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9
Q

What occurs during Array CGH?

A
  1. Patient and control DNA are labeled with fluorescent dyes and applied to microarray
  2. Patient and control DNA compete to attach or hybridise to micro array
  3. The microarray scanner measures the fluorescent signals
  4. Computer software analysis the data and generates a plot
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10
Q

Describe how QF-PCR is used to detect chromosomal abnormalities.

A

Quantitative fluorescence polymerase chain reaction

Used to see how many copies of a chromosome a patient has.

Uses extracted DNA

Quick ~48 hours

Trisomies 13, 18, 21

Looks for aneuploidies

NEED TO KNOW WHAT YOUR LOOKING FOR

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11
Q

What are microsatellites?

A

Short repeated sequences distributed across the whole genome

Most are not within genes

Number of repeats varies between induviduals

Total length of micro satellite sequence varies between induviduals. (Di, tri or tetra nucleotide sequence with variable number of repeats)

Short tandem repeats are microsatelittes = simple sequence repeat (SSR)

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12
Q

Describe how we can detect microsatellites.

A
  1. Isolate DNA from induvidual
  2. Design primers specific to flanking sequence
  3. PCR amplification of micro satellite region
  4. Gel electrophoresis - genotype size of fragments
  5. Homozygous - single product of a specific size. Heterozygotes = two different sized products.
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13
Q

What is PCR?

A

Exponential amplification of a DNA fragment of known sequence.

Consists of incubating at three different temperatures

  • denaturation
  • annealing
  • extension
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14
Q

What are the components for a PCR reaction?

A

Template – DNA to amplify

Primers – Short pieces of ssDNA (15-30bp)

Polymerase – thermostable enzyme (Taq)

Nucleotides – single base mixture (dNTPs)

Buffer – To maintain pH

MgCl2 – Essential for polymerase activity

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15
Q

What is PCR thermal cycling?

A

Thermal cycling temperature for PCR

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16
Q

What are the steps of PCR?

A
  1. Denaturation - heat at 95 degrees to separate strands
  2. Annealing - primers anneal with template strand at 50-65 degrees
  3. Extension - DNA polymerase extends strand from primer at 72 degrees
17
Q

How is QF-PCR carried out?

A
  1. Perform PCR using primers for microsatellite known to be on chromosome 21 (if testing for Down’s)
  2. Should be two copies of microsatellite (one from mother, one from father)
  3. If homozygous, there will be a single peak of high signal.

If heterozygous, there will be two peaks of similar, lower signal.

18
Q

How is Non-invasive pre-natal testing (NIPT) and NGS to detect chromosomal abnormalities?

A

Cell free fetal DNA is compared to Maternal blood sample (uses extracted dna from mother)

Looks for aneuploidies

Trisomy testing

Utilises Next-generation sequencing

“High chance” indicator for invasive test

Screening not diagnostic