细胞凋亡

Molecular Analysis and Results DNA

TheoryofCGHComparativegenomichybridization(CGH)isafairlynewmolecularcytogenetictechniquethatallowsdetectionofDNAsequencecopynumberchangesthroughoutthegenomeinasinglehybridization.CGHisbasedonco-hybridizationofdifferentiallylabeledtumorandnormalDNAtohumanmetaphasechromosomes.Inatypicalexperiment:

  • ThetumorDNAislabeledwithFITC-dUTPandnormalDNAwithTexasRed-dUTPpriortohybridization.
  • Threeimagesofthehybridization,representingbothfluorescentlabelsaswellasDNAcounterstain(DAPI),areacquiredusingepifluorescencemicroscopyandaCCDcamerainterfacedtoacomputer.
  • Subsequently,animageanalysissoftwareprogramisusedtocalculategreen-redfluorescenceintensityratioprofilesalongallchromosomes.
  • RegionsofthegenomethatareeithergainedorlostinthetumorareindicatedbythedifferencesbetweenbindingofthetwolabeledDNAsasevidencedbythefluorescenceintensityratioprofiles.

Thus,inasinglehybridizationitispossibletoscreenallchromosomalsitesthatmaycontaingenesthatareeitherdeletedoramplifiedincancer.

SensitivityThesensitivityofCGHindetectinggainsandlossesofDNAsequencesisapproximately2-20Mb.Forexample,a10-foldamplificationofa200kbregionshouldbedetectableunderoptimalhybridizationconditions.EarlyCGHexperimentsweredoneusingDNAisolatedfromfreshlyfrozentumortissues.However,ithasnowbeenshownthatDNAextractedfromformalin-fixedparaffin-embeddedarchivaltissueblockscanbeusedaswell.PriortoCGHhybridization,DNAcanbeuniversallyamplifiedusingdegenerateoligonucleotide-primedPCR(DOP-PCR),whichallowstheanalysisof,forexample,microdissectedtumorsamples.Thelattertechniqueis,however,moredifficultandlessreliablethanCGHwithoutPCRpre-amplificationstep.

ApplicationsofCGHCGHhasbeenusedtodetectgeneticaberrationsinavarietyofmalignancies:

  • Ithasalreadyrevealedacomplexgeneticnatureofcancerandindicatedseveralnovelchromosomalregionsthatarefrequentlyalteredintumors.
  • SeveralCGHstudiesonprostatecancerhavebeenpublished,e.g.,lossof6q,8p,13q,and16q,aswellasgainsof7p,7q,8qandXq,havebeenfoundtobecommonalterationsinprostatecancer.
  • CGHfindingsledalsotothediscoveryofandrogenreceptor(AR)geneamplificationinhormone-refractoryrecurrentprostatecarcinomas.

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