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Final Exam
In Situ Hybridization
43
Science
Graduate
02/21/2013

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Term
What are ISH assays used for?
Definition
To localize molecular information
Term
What can ISH assays be performed on?
Definition
Tissues, cell types, or in chromosomes
Term
How is ISH interpretation performed?
Definition
under the microscope
Term
What does IHC rely on?
Definition
protein chemistry for target detection
Term
What does ISH rely on?
Definition
nucleic acid chemistry for target detection
Term
What are the three components of ISH?
Definition
Pre-analytic, analytic, and post-analytic
Term
What are the pre-analytical components?
Definition
The sample (adequate amount, immediate fixation to allow sample to adhere to the slide), and test selection (only validated tests)
Term
What are the analytical components?
Definition
sample pre-treatment, probe, hybridization conditions, detection, sample controls, probe controls and equipment and personnel
Term
What is included in the sample pretreatment?
Definition
proteases remove proteins that are closely bound to DNA and RNA, this optimizes accessibility of the nucleic acids to the probe
Term
What is included in the probe?
Definition
the key variables are the chemical nature of the probe, label and biological specificity
Term
what is included in the hybridization conditions?
Definition
the stringency and specificity of the hybridization reaction is determined by conditions of hybridization and post-hybridization washes
Term
What is included in detection?
Definition
matched to the type of label on the probe
Term
what are the post-analytical components?
Definition
interpretation, report, proficiency testing and interlaboratory comparison
Term
what is included in interpretation?
Definition
requires evaluation of control and test samples, along with control and test probes for each run
Term
what is included in the report?
Definition
ISH assay can be reported separately or included as part of the integrated interpretation, probe target and specificity should be provided
Term
what is included in proficiency testing and interlaboratory comparison?
Definition
validity of the ISH assay must be assumed by the laboratory (compared to culture or PCR results or by participation in interlaboratory comparisons programs)
Term
What is important about Automation?
Definition
it plays a key role in achieving reproducible results, essential for clinical applications
Term
What are the two types of automated ISH processing systems?
Definition
partially automated and walk-away automated
Term
What do partially automated systems perform?
Definition
pretreated device, hybridization device and signal detection device
Term
What do you do if there is a lack of signal in a positive sample control?
Definition
could be due to omission of a step or use of incorrect reagents in a step, is signal is reduced suspect the probe and detection reagents, validation for lots to lot variation
Term
what do you do if there is no signal with positive control probe on a test sample?
Definition
can be due to inadequate preservation of the target, also may be due to inadequate pretreatment step
Term
what do you do if there is a signal with negative control probe on a test sample
Definition
prevents interpretation, can be nonspecific binding of probe or cross-contamination
Term
What are research applications of ISH?
Definition
mapping genes to particular chromosomes, enumerating chromosomes in chromosome spreads, detecting cells that contain infectious or altered gene sequences, and demonstrating cellular subpopulations expressing particular genes
Term
what are the clinically applications in oncology?
Definition
can detect gene translocation, gene amplification or gene deletion
Term
What is the predominant ISH used in clinical settings?
Definition
FISH
Term
What is FISH?
Definition
allows multicolor probes to demonstrate the relationship of chromosomes
Term
What are the commercial FISH assays available?
Definition
Vysis PathVysion, Vysis UroVysion, and FISH assays for detection of lymphoma
Term
What does Vysis PathVysion detect?
Definition
Her2 and Cen17
Term
What does Vysis UroVysion detect?
Definition
aneuploidy of chromosomes 3,7,17 and 9p21 locus, and bladder cancer screening in urine cytopathology specimens
Term
What do FISH assays for lymphoma detect?
Definition
anaplastic lymphoma involving ALK gene, Burkitt lymphoma involving MYC gene and IGH gene, Follicular lymphoma and mantle cell lymphoma
Term
What are the 5 steps of FISH?
Definition
1. DNA unmasking
2. probe and target denaturation
3. probe-target DNA hybridization
4. detection
5. image analysis on fluorescent microscope
Term
What does FISH stand for?
Definition
Fluorescence In Situ Hybridization
Term
Why have different colors to fluoresce?
Definition
For differentiation. Different colors for different DNA strands
Term
What are the probes binding to?
Definition
Green fluorescence appears on the Y chromosome (Yq12) of males and orange fluorescence occurs on the centromere region of the X chromosome (Xp11.1-q11.1)
Term
What happens if you leave the slide on the illuminator or table?
Definition
photobleach/no longer fluoresce
Term
What are two differences between hybridization with Western Blot and hybridization with FISH?
Definition
1. Western blot is hybridization proteins onto a membrane that we can visualise grossly
2. with FISH we are hybridizing DNA on a glass slide that we need to visualize microscopically
Term
Why is is necessary to place your samples into the "denaturation solution" in the FISH lab?
Definition
The DNA in the cells need to be exposed and denatured into single strands so the probes can hybridize to the nucelotides
Term
What does a male see under the fluorescence microscope for the FISH lab?
Definition
one orange and one green fluoresce
Term
What does a female see under the fluorescence microscope for the FISH lab?
Definition
2 orange fluoresce
Term
Which labs use FISH?
Definition
Cytology or molecular labs to detect protein, RNA or DNA
Term
what is the probe?
Definition
60-200kb fragment of DNA attached covalently to a fluorescent molecule which hybridizes to its complmentary sequence in the sample DNA
Term
What is this method used for?
Definition
prenatal samples, tumors, and hematological malignancies
Term
What are the steps of FISH?
Definition
denaturation
hybridization
hybrid detection
washing
signal amplification
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