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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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    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