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Dr. Nasser A Elhawary Professor of Medical Genetics.

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Dr. Nasser A Elhawary Professor of Medical Genetics
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Page 1: Dr. Nasser A Elhawary Professor of Medical Genetics.

Dr. Nasser A ElhawaryProfessor of Medical Genetics

Page 2: Dr. Nasser A Elhawary Professor of Medical Genetics.

A chromosome distincts into 2 “sister chromatides”.

They are linked together via a centromere

2 Chromatides

Centromere

Page 3: Dr. Nasser A Elhawary Professor of Medical Genetics.

Human metaphase

Human Chromosomes…

Contains DNA and Protein 46 chromosomes Autosomes: Pairs 1-22 Sex chromosmes

Tjio & Levan reported it is 46 chrom. in 1956

Page 4: Dr. Nasser A Elhawary Professor of Medical Genetics.

The chr’s are present in pairs ‘homologs’ (one from female, the other from male).

Diploid cells (2n): Cells that contain pairs of homologous chr’s.

Haploid cells (n): Certain cells (sperm/egg gametes) contain only one copy of each chr.

At fertilization, the fusion of haploid gametes together produces a cell carrying the diploid no. of chr’s (zygote).

Identification of Chromosomes…

Page 5: Dr. Nasser A Elhawary Professor of Medical Genetics.

Classification of Chromosomes

The centromere (1ry constriction) divides the chr into 2 arms (petit short ‘p’-arm & long ‘q’-arm).

The location of centromere in each chr is characteristic for a given chromosome.

‘Metacentric’: a chromosome with a centrally placed centromere.

‘Submetacentric’: a chromosome with a centromere close to one end than the other.

‘Acrocentric’: a chr with the centromer placed very close to one end.

Page 6: Dr. Nasser A Elhawary Professor of Medical Genetics.

Classification of Chromosomes…

Page 7: Dr. Nasser A Elhawary Professor of Medical Genetics.
Page 8: Dr. Nasser A Elhawary Professor of Medical Genetics.

Human chromosomes are arranged in groups from A to G.

Each group is defined by chromosomal size and centromere location.

In 1960s, new staining procedures were developed that resulted in banded chromosomes (‘dark’ and ‘light’).

Banding protocols: G-banding, R-banding, Q-banding, C-banding, etc.

Chromosome Banding…

Page 9: Dr. Nasser A Elhawary Professor of Medical Genetics.

Chromosome Banding…

A

karyptype

of

G-banded

Human

Chromosomes

Page 10: Dr. Nasser A Elhawary Professor of Medical Genetics.

R-banding…

Page 11: Dr. Nasser A Elhawary Professor of Medical Genetics.

Q-banding

Page 12: Dr. Nasser A Elhawary Professor of Medical Genetics.

C-banding…

Page 13: Dr. Nasser A Elhawary Professor of Medical Genetics.

What is the importance of high resolution banding?

Page 14: Dr. Nasser A Elhawary Professor of Medical Genetics.

Identification of Chromosomes…

Each arm is subdivided into numbered regions starting at the centromere.

Thus, any region can be identified by a descriptive address such as Xq27.3/

FMR1 gene

Page 15: Dr. Nasser A Elhawary Professor of Medical Genetics.

Karyotype Analysis…

The banding

pattern of the

chromosomes

in the human

karyotype.

Page 16: Dr. Nasser A Elhawary Professor of Medical Genetics.

Banding chromosomes…

G-Banding using trypsin and Giemsa stain the chromatin in 2 main forms:

Euchromatin: stains ‘light’ and consists of genes which are actively expressed.

Heterochromatin stains ‘dark’ and is made up largely of inactive unexpressed repetitive DNA.

Page 17: Dr. Nasser A Elhawary Professor of Medical Genetics.

Molecular Cytogenetics

Fluorescence In-Situ Hybridization (FISH):

It is ability of a portion of ssDNA

(i.e. probe) to anneal with its

complement-ary target sequence

on: i) a metaphase chromosome,

ii) interphase nucleus or iii)

extended chromatin fiber.

Page 18: Dr. Nasser A Elhawary Professor of Medical Genetics.

FISH is widely used in clinical

diagnostic purposes.

In FISH, the DNA probe is labeled

with a fluorochrome + patient’s

chrom visualized using

fluorescent microscope.

FISH…

Page 19: Dr. Nasser A Elhawary Professor of Medical Genetics.

1- Centromeric probes.

2- Chromosome-specific unique-

sequence probes.

3- Telomeric probes.

4- Whole chromosome paint probes.

Page 20: Dr. Nasser A Elhawary Professor of Medical Genetics.

Types of FISH… 1- Centromeric probes

FISH of interphase nuclei with

Centromeric probes for

chromosomes 18.X and Y:

showing 3 signals consistent

with trisomy 18.

Page 21: Dr. Nasser A Elhawary Professor of Medical Genetics.

2- Unique sequence probes

are useful for identifying tiny

submicroscopic deletions &

duplications.

Also, use of interphase FISH

probe to identify HER2 over-

expression in breast tumors.

Metaphase image: Chromosome band 7q11.23 showed deletion associated with Williams syndrome. Normal chrom. has 2 signals (green) for the control probe and the ELN gene probe signal (orange), but the deleted chrom. shows only the control probe signal

Page 22: Dr. Nasser A Elhawary Professor of Medical Genetics.

Telomeric probes have been used for

identifying tiny ‘cryptic’ subtelomeric

abnormalities, e.g. deletions,

translocations.

Types of FISH… Telomeric probes

Page 23: Dr. Nasser A Elhawary Professor of Medical Genetics.

These consists of a cocktail of probes obtained

from different parts of a particular chromosome.

When this mixture of probes is used together in

a single hybridization, the entire chromosome

fluoresces (i.e. is “painted”).

Useful in rearrangements (e.g. translocations) &

additional chromosomal materials.

Types of FISH… 3- Whole-chrom paint probes

Page 24: Dr. Nasser A Elhawary Professor of Medical Genetics.

Types of FISH… Whole-chrom paint probes

Chrom painting showing a reciprocal translocation involving chrom 3 (red) & 20 (green).

Page 25: Dr. Nasser A Elhawary Professor of Medical Genetics.

M-FISH or Spectral karyotyping (SKY) uses pools of whole human chrom. paint probes to provide a multicolor human karyotype. Each homologous chrom. shows a unique color.

These are useful to detect chromosomal rearrangements (e.g. deletions, trans-locations), ring chrom, …

Types of FISH… Whole-chrom paint probes

Page 26: Dr. Nasser A Elhawary Professor of Medical Genetics.

Types of FISH… Whole-chrom paint probes

M-FISH showing complex chromosome rearrangement involving chromosomes 4, 8, 13, 18, and 21

Page 27: Dr. Nasser A Elhawary Professor of Medical Genetics.

• CGH was originally developed to overcome the difficulty of obtaining good-quality metaphase preparations from solid tumors.

• CGH enables the detection of regions of allele loss and gene amplification.

• Tumor ‘test’ DNA is labeled with green paint & control normal DNA with red paint.

• The two samples are mixed and hybridized com-petitively to normal metaphase chromosomes.

• watch the green-to-red ratio????

Page 28: Dr. Nasser A Elhawary Professor of Medical Genetics.

CGH Analysis showing areas of

gene amplification & reduction

(del) in tumor DNA.

DAPI: diamidophenylindole

FITC: Fluorescein isothiocyanate

Page 29: Dr. Nasser A Elhawary Professor of Medical Genetics.

• CGH extended to include the analysis of single cells for prenatal diagnosis following whole-genome amplification.

• CGH limits for more than 10Mb for losses and 2Mb for gains.

• Microarray or array CGH is likely to replace metaphase CGH.

CGH…

Page 30: Dr. Nasser A Elhawary Professor of Medical Genetics.

ChromosomalAbnormalities

NumericalAbnormalities

StructuralAbnormalities

Page 31: Dr. Nasser A Elhawary Professor of Medical Genetics.

Numerical Abnormalities

Aneuploidy: Loss or gain one or more chromosome

Polyploidy: Addition of one or more complete haploid sets (69, 92 chromosomes).

Monosomy: Loss of a single chromosome (Turner syndrome: 45,X0)

Trisomy: gain of a single chromosome (e.g. Down syndrome: 47,XY,+21).

Page 32: Dr. Nasser A Elhawary Professor of Medical Genetics.

Aneuploidy.. Numerical abnormality…

Down syndromeTrisomy 21

Turner syndromeMonosomy

Page 33: Dr. Nasser A Elhawary Professor of Medical Genetics.

A Karyotype of triploidy cell, 69,XXX

Page 34: Dr. Nasser A Elhawary Professor of Medical Genetics.

Mechanism of Trisomy

Page 35: Dr. Nasser A Elhawary Professor of Medical Genetics.

Structural Abnormalities

1.Translocation: Transfer a genetic material

from one chromosome to another.

2.Reciprocal translocation: Breakage in 2

chromosomes and exchanged.

3.Robertsonian translocation: Breakage

close to centromeres of acrocentric chrom.

(e.g. Down syndrome)

Page 36: Dr. Nasser A Elhawary Professor of Medical Genetics.

Translocation

Page 37: Dr. Nasser A Elhawary Professor of Medical Genetics.

Origin of translocationin mother giving Down syndrome

Page 38: Dr. Nasser A Elhawary Professor of Medical Genetics.

4- Deletions: loss of part of a chromosome (e.g. Wolf syndrome ‘4p-’, cri du chat syndrome ‘5p-’).

5- Insertions: a segment of one chromosome is inserted into another chromosome.

6- Inversions: a two-break rearrangement in a chrom. which re-inserted in the inverted positions.

7- Ring chromosome: 2 breaks leaving sticky ends which re-unit to give ring chromosome.

8- Isochromosomes: from loss of one arm of the chrom. with duplication of the other.

Structural abnormalities…

Page 39: Dr. Nasser A Elhawary Professor of Medical Genetics.

Cri du chat syndrome (5p–)http://en.wikipedia.org/wiki/Cri_du_chat

Page 40: Dr. Nasser A Elhawary Professor of Medical Genetics.

Insertion

Page 41: Dr. Nasser A Elhawary Professor of Medical Genetics.

Ring chromosome(1926)

Page 42: Dr. Nasser A Elhawary Professor of Medical Genetics.

A) Pericentric inversion

B) Paracentric inversion

Inversion:

Page 43: Dr. Nasser A Elhawary Professor of Medical Genetics.

Mosaicism & Chimerism

Mosaic: Presence of two or more cell lines in an

individual, but derived from the same zygote.

Mosaic produces from non-disjunction in an

early embryonic mitotic division (mosaic trisomy

21).

Chimerism: Presence of two or more cell lines

in an individual, derived from more than one

zygote.

Blood Chimeras & Dispermic chimeras.

Page 44: Dr. Nasser A Elhawary Professor of Medical Genetics.

Mosaicism & Chimersim mechanism


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