Ruangvutilert P, Delhanty J D, Rodeck C H, Harper J C
Department of Obstetrics and Gynaecology, University College London, London, UK.
Prenat Diagn. 2000 Feb;20(2):159-62. doi: 10.1002/(sici)1097-0223(200002)20:2<159::aid-pd760>3.0.co;2-2.
Chromosome specific probes that are used in interphase fluorescence in situ hybridization (FISH) analysis are usually tested on disomic control samples. When used for preimplantation or prenatal diagnosis the aim is to detect aneuploidy, most frequently trisomy. In this study, skin fibroblast cultures from non-mosaic trisomic and triploid fetuses were analysed by FISH to assess probe efficiency regarding interphase detection of trisomy. Skin fibroblast cultures were used because they are considered to be stable in culture. FISH experiments were performed using centromeric probes for chromosomes X, Y, 18 and locus specific probes for chromosomes 13 and 21. In metaphase nuclei, the expected signals were found in 100% of at least 30 metaphases counted on each sample and this also confirmed non-mosaicism in agreement with conventional karyotyping of the fetuses. On interphase nuclei, however, only 80-89% of nuclei per population displayed the expected signals for autosomal probes and 90% for probes for the sex chromosomes. For each probe, a range of percentages was obtained that can be regarded as indicative of non-mosaic trisomy in uncultured specimens. In the case of prenatal samples, the expected presence of maternal cells may lead to a lowering of the threshold for a trisomic diagnosis. In the case of preimplantation diagnosis, the accuracy can be improved by the use of two probes per chromosome or by the analysis of two cells from each embryo.
用于间期荧光原位杂交(FISH)分析的染色体特异性探针通常在二体对照样本上进行测试。当用于植入前或产前诊断时,目的是检测非整倍体,最常见的是三体。在本研究中,通过FISH分析了非嵌合三体和三倍体胎儿的皮肤成纤维细胞培养物,以评估探针在间期检测三体方面的效率。使用皮肤成纤维细胞培养物是因为它们在培养中被认为是稳定的。使用针对X、Y、18号染色体的着丝粒探针以及针对13和21号染色体的位点特异性探针进行FISH实验。在中期细胞核中,在每个样本至少计数30个中期相中,100%发现了预期信号,这也与胎儿的传统核型分析一致,证实了非嵌合性。然而,在间期细胞核中,每个群体中只有80 - 89%的细胞核显示常染色体探针的预期信号,性染色体探针为90%。对于每个探针,获得了一系列百分比,可被视为未培养标本中非嵌合三体的指示。在产前样本的情况下,母体细胞的预期存在可能导致三体诊断阈值降低。在植入前诊断的情况下,通过每条染色体使用两个探针或分析每个胚胎的两个细胞可以提高准确性。