PMID- 12820695 OWN - NLM STAT- MEDLINE DCOM- 20031125 LR - 20061115 IS - 1090-6576 (Print) IS - 1090-6576 (Linking) VI - 7 IP - 1 DP - 2003 Spring TI - Prenatal diagnosis of tetrasomy 18p using multiplex fluorescent PCR and comparison with a variety of techniques. PG - 1-6 AB - We report genetic characterization of isochromosome 18p using a combination of cytogenetic and molecular genetic methods, including multiplex fluorescent PCR. The patient was referred for chorionic villus sampling (CVS) due to advanced maternal age and maternal anxiety. The placental karyotype was 47,XX,+mar, with the marker having the appearance of a small supernumerary isochromosome. Because differentiating between isochromosomes and other structural rearrangements is normally very difficult, a variety of genetic tests including fluorescence in situ hybridization (FISH), PCR, and multiplex fluorescent PCR were undertaken to determine chromosomal origin and copy number and, thus, allow accurate diagnosis of the corresponding syndrome. FISH determined that the marker chromosome contained chromosome 18 material. PCR of a variety of short tandem repeats (STRs) confirmed that there was at least one extra copy of the maternal 18p material. However, neither FISH nor PCR could accurately determine copy number. Multiplex fluorescent PCR (MF-PCR) of STRs simultaneously determined that: (1) the marker included 18p material; (2) the marker was maternal in origin; (3) allele copy number indicated tetrasomy; and (4) contamination of the sample could be ruled out. Results were also rapid with accurate diagnosis of the syndrome tetrasomy 18p possible within 5 hours. FAU - Irwin, D L AU - Irwin DL AD - Australian Genome Research Facility, University of Queensland, Brisbane, Australia. FAU - Bryan, J L AU - Bryan JL FAU - Chan, F Y AU - Chan FY FAU - Matthews, P L AU - Matthews PL FAU - Healey, S C AU - Healey SC FAU - Peters, M AU - Peters M FAU - Findlay, I AU - Findlay I LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Genet Test JT - Genetic testing JID - 9802546 SB - IM MH - Adult MH - *Aneuploidy MH - Chorionic Villi Sampling MH - Chromosomes, Human, Pair 18/*genetics MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Isochromosomes/*genetics MH - Karyotyping MH - Polymerase Chain Reaction/*methods MH - Pregnancy MH - Prenatal Diagnosis/*methods EDAT- 2003/06/25 05:00 MHDA- 2003/12/03 05:00 CRDT- 2003/06/25 05:00 PHST- 2003/06/25 05:00 [pubmed] PHST- 2003/12/03 05:00 [medline] PHST- 2003/06/25 05:00 [entrez] AID - 10.1089/109065703321560868 [doi] PST - ppublish SO - Genet Test. 2003 Spring;7(1):1-6. doi: 10.1089/109065703321560868.