PMID- 1427817 OWN - NLM STAT- MEDLINE DCOM- 19921222 LR - 20190902 IS - 0888-7543 (Print) IS - 0888-7543 (Linking) VI - 14 IP - 1 DP - 1992 Sep TI - Variations in alphoid DNA sequences escape detection of aneuploidy at interphase by FISH technique. PG - 113-6 AB - The advent of a new staining technique, termed fluorescence in situ hybridization (FISH), allows the rapid identification of the genomic constitution of an individual with aneuploidy even in interphase nuclei through the use of a series of chromosome-specific DNA probes, an approach termed "interphase cytogenetics." However, alphoid DNA sequences of every centromere are polymorphic (heteromorphic), and the number of targeted sequences may be below the detection level of a specific DNA probe, thus escaping detection and resulting in the imprecise identification of the chromosomal constitution at interphase. The limitations associated with the FISH technique have dire consequences which are emphasized here with an example in which the presence of an additional chromosome 21 in two siblings born consecutively with trisomy 21 (Down syndrome) was not detected by "interphase cytogenetics." The copy number of alphoid DNA sequences of one of the paternal chromosomes 21 was low and resulted in discordance between domain numbers at interphase and actual chromosome numbers at metaphase in both children. This is an isolated incident that could have led to a misdiagnosis if FISH were the only test employed. Although the advantages of this technology are undeniably enormous, the present finding has made it apparent that precise standards and reliability of the procedure must be established prior to its routine application. FAU - Verma, R S AU - Verma RS AD - Division of Genetics, Long Island College Hospital-State University of New York Health Science Center, Brooklyn 11201. FAU - Luke, S AU - Luke S LA - eng PT - Journal Article PL - United States TA - Genomics JT - Genomics JID - 8800135 RN - 0 (DNA Probes) RN - 0 (DNA, Satellite) SB - IM MH - DNA Probes MH - DNA, Satellite/*genetics MH - Diagnostic Errors MH - Down Syndrome/*diagnosis/*genetics MH - Fluorescence MH - *Genetic Variation MH - Humans MH - Interphase MH - Nucleic Acid Hybridization EDAT- 1992/09/01 00:00 MHDA- 1992/09/01 00:01 CRDT- 1992/09/01 00:00 PHST- 1992/09/01 00:00 [pubmed] PHST- 1992/09/01 00:01 [medline] PHST- 1992/09/01 00:00 [entrez] AID - S0888-7543(05)80291-5 [pii] AID - 10.1016/s0888-7543(05)80291-5 [doi] PST - ppublish SO - Genomics. 1992 Sep;14(1):113-6. doi: 10.1016/s0888-7543(05)80291-5.