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What Is a Chromosome?A long, continuous strand of DNA, plus several
types of associated proteins, and RNA.
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Cytogenetics: the study of chromosomes, theirstructure, and their inheritance.
The importance of chromosomes in medicine: Clinical diagnosis Eg, Turner syndrome
Gene mapping Eg, cystic fibrosis
Cancer cytogenetics Eg, retinoblastoma
Prenatal diagnosis Eg, Don syndrome
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Stal!
p
"#
#$
ACR%C&N'RIC(&'AC&N'RIC S)*(&'AC&N'RIC
Stal
CentromereSatellite
!+ongArm
!-
Short
Arm
p-p
p
!
"#
Size:
! chromosome " is largest, chromosome ## smallest
Centromere position:
! metacentric, submetacentric, acrocentric
! all chromosomes ha$e a shorter arm, p, and a longer arm, q.
Karyotype: a picture of all the chromosomes arranged by type:Karyotype also refers to the standard chromosome set of an individual or a species.
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G-banding:
pattern subdi$ides
each chromosome
arm into regions.
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". Cells %from blood, amniotic fluid, or chorionic $illus& are gron in culture.
'itogens may be re(uired: lymphocytes re(uire phytohemagglutinin
#. Colcemid stops cells at metaphase.
). *ypotonic shoc+ ruptures -Cs, sells lymphocytes.
. Cells are fi/ed in 'e0*1*02c.
3. Chromosomes are spread on a slide.
4. Trypsini5ation and staining ith Giemsa re$eals G6bands.
7. The chromosome spread is photographed and arranged by type.
Karyotypes are made from metaphase chromosomes:
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8deogram of G6banding
pattern at 396band
stage:
*igh6resolution bandings of 339639 bands can
be made from prometaphase chromosomes.
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8ntroduction of molecular
cytogenetics: D;2 in chromosome spreads is denatured and
hybridi5ed to probes:
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=>?: chromosome6specific probes
Normal karyotype Cancer cell karyotype
note: translocations, polysomy, monosomy
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Cells used for +aryotyping: -lood cells:
T6lymphocytes from peripheral blood are easily collected Groth in culture re(uires mitogens %phytohemagglutinin&
Cultures are short6li$ed
=+in cells
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8ndications for chromosome analysis:
non chromosomal abnormality of first6degree relati$e
Pre$ious child ith chromosomal aberration
ecurrence ris+ "6# 2d$anced maternal age: F)3 years
'other carries 6lin+ed disorder
'ale offspring ould be at ris+
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Prenatal testing:
Chorion
*ladder
Catheter
)terus
Developing
placenta
Rectum
Amniotic
cavity
Chorionic
villi)ltrasound to monitor
procedure
Developing fetus
Amniocentesis: Chorionic villus sampling:
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0ther reasons for chromosome analysis:
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>elainan >romosom Pada 2bortus
=pontan
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>elainan >romosom Pada -ayi -aru
Hahir