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Aside from analyzing cancer cells, the test is valuable at looking for previously unknown mutations that can lead to children with dysmorphic features, developmental delays, mental retardation, and autism.
Aside from analyzing cancer cells, the test is valuable at looking for previously unknown mutations that can lead to children with dysmorphic features, developmental delays, mental retardation, and autism.


[[Preimplantation genetic screening]] by CGH may improve the efficiency of IVF [[in vitro fertilization]] by increasing embryo implantation rate and reducing multiple pregnancies and spontaneous miscarriages.<ref>{{cite journal |author=Sher G, Keskintepe L, Keskintepe M, Maassarani G, Tortoriello D, Brody S |title=Genetic analysis of human embryos by metaphase comparative genomic hybridization (mCGH) improves efficiency of IVF by increasing embryo implantation rate and reducing multiple pregnancies and spontaneous miscarriages |journal=Fertil. Steril. |volume= 92|issue= 6|pages= 1886–1894|year=2009 |month=January |pmid=19135663 |doi=10.1016/j.fertnstert.2008.11.029 |url=}}</ref> For this purpose, CGH is replacing [[Fluorescence in situ hybridization|FISH]], and [[embryo selection]] based on CGH has resulted in live births.<ref>{{cite doi|10.1093/humupd/dms023}}</ref>
[[Preimplantation genetic screening]] by CGH may improve the efficiency of IVF ([[in vitro fertilization]]) by increasing embryo implantation rate and reducing multiple pregnancies and spontaneous miscarriages.<ref>{{cite journal |author=Sher G, Keskintepe L, Keskintepe M, Maassarani G, Tortoriello D, Brody S |title=Genetic analysis of human embryos by metaphase comparative genomic hybridization (mCGH) improves efficiency of IVF by increasing embryo implantation rate and reducing multiple pregnancies and spontaneous miscarriages |journal=Fertil. Steril. |volume= 92|issue= 6|pages= 1886–1894|year=2009 |month=January |pmid=19135663 |doi=10.1016/j.fertnstert.2008.11.029 |url=}}</ref> For this purpose, CGH is replacing [[Fluorescence in situ hybridization|FISH]], and [[embryo selection]] based on CGH has resulted in live births.<ref>{{cite doi|10.1093/humupd/dms023}}</ref>


==Limitations==
==Limitations==

Revision as of 12:05, 10 October 2012

Comparative genomic hybridization (CGH) or Chromosomal Microarray Analysis (CMA) is a molecular-cytogenetic method for the analysis of copy number changes (gains/losses) in the DNA content of a given subject's DNA and often in tumor cells.

CGH will detect only unbalanced chromosomal changes. Structural chromosome aberrations such as balanced reciprocal translocations or inversions cannot be detected, as they do not change the copy number.

During the 1990s Thomas Cremer realized together with Peter Lichter the concept of comparative genomic hybridization to metaphase chromosomes and to a matrix with DNA spots representing specific genomic sites.

Method

DNA from subject tissue and from normal control tissue (reference) are each labeled with different tags for later analysis by fluorescence. After mixing subject and reference DNA along with unlabeled human cot-1 DNA (placental DNA that is enriched for repetitive DNA sequences such as the Alu and Kpn family)[1] to suppress repetitive DNA sequences, the mix is hybridized to normal metaphase chromosomes or, for array- or matrix-CGH, to a slide containing hundreds or thousands of defined DNA probes. Using epifluorescence microscopy and quantitative image analysis, regional differences in the fluorescence ratio of gains/losses vs. control DNA can be detected and used for identifying abnormal regions in the genome.

Currently, strategically placed oligonucleotides offer a resolution typically of 20–80 base pairs, as compared to the older BAC arrays offering resolution of 100kb.

Uses

Cancer

The method is based on the hybridization of fluorescently labeled tumor DNA (frequently fluorescein (FITC)) and normal DNA (frequently rhodamine or Texas Red) to normal human metaphase preparations.

Other

Aside from analyzing cancer cells, the test is valuable at looking for previously unknown mutations that can lead to children with dysmorphic features, developmental delays, mental retardation, and autism.

Preimplantation genetic screening by CGH may improve the efficiency of IVF (in vitro fertilization) by increasing embryo implantation rate and reducing multiple pregnancies and spontaneous miscarriages.[2] For this purpose, CGH is replacing FISH, and embryo selection based on CGH has resulted in live births.[3]

Limitations

Chromosomal CGH is capable of detecting loss, gain and amplification of the copy number at the levels of chromosomes. However, it is considered that to detect a single copy loss the region must be at least 5–10 Mb in length. Detection of amplifications (e.g. tens or hundreds of copies of one or few neighboring genes) is known to be sensitive down to less than 1 Mb. Therefore, one must take into consideration that while CGH is sensitive to specific types of copy number gains, the resolution of regional deletions is more limited.

The use of array CGH overcomes many of these limitations, with improvement in resolution and dynamic range, in addition to direct mapping of aberrations to the genome sequence and improved throughput.

Due to the normalization to the most frequent ratio level as "normal", both CGH and array CGH do not provide information as to the ploidy. Since having a balanced DNA content, a tetraploid clone without further rearrangements would appear normal in CGH.

See also

References

  1. ^ Invitrogen Corporation --> Human Cot-1 DNA Retrieved on September 9, 2009
  2. ^ Sher G, Keskintepe L, Keskintepe M, Maassarani G, Tortoriello D, Brody S (2009). "Genetic analysis of human embryos by metaphase comparative genomic hybridization (mCGH) improves efficiency of IVF by increasing embryo implantation rate and reducing multiple pregnancies and spontaneous miscarriages". Fertil. Steril. 92 (6): 1886–1894. doi:10.1016/j.fertnstert.2008.11.029. PMID 19135663. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  3. ^ Attention: This template ({{cite doi}}) is deprecated. To cite the publication identified by doi:10.1093/humupd/dms023, please use {{cite journal}} (if it was published in a bona fide academic journal, otherwise {{cite report}} with |doi=10.1093/humupd/dms023 instead.

External links