PMID- 20626178 OWN - NLM STAT- MEDLINE DCOM- 20101008 LR - 20100714 IS - 0024-7758 (Print) IS - 0024-7758 (Linking) VI - 55 IP - 5-6 DP - 2010 May-Jun TI - Simultaneous detection of imprinted gene expression (p57(KIP2)) and molecular cytogenetics (FICTION) in the evaluation of molar pregnancies. PG - 219-28 AB - OBJECTIVE: To simultaneously evaluate the p57(KIP2) antibody expression and genotype of individual cells from paraffin sections of molar pregnancies. STUDY DESIGN: Paraffin sections from 10 typical and unusual molar pregnancies were evaluated with the FICTION technique (Fluorescence Immunophenotyping and Interphase Cytogenetics as a Tool for the Investigation of Neoplasms), using immunofluorescence staining for the p57(KIP2) antibody and enumeration fluorescence in situ hybridization (FISH) probes. The unusual cases included androgenetic/ biparental chimeric complete hydatidiform moles (CHM) and mosaic partial hydatidiform moles (PHM). The unusual molar conceptions provided insight into interpreting atypical p57(KIP2) staining patterns and identifying androgenetic cells. RESULTS: The androgenetic/biparental chimeric CHMs demonstrated a negative p57(KIP2) Staining pattern for the androgenetic cells and positive staining for the biparental cells. Concordantly, the FISH results showed delineation between the androgenetic cells and the biparental cells, indicating 2 distinct genotypes. Also, in the 2 cases of mosaic PHM, the partial loss of p57(KIP2) antibody staining was due to mosaic loss of chromosome 11, assumed to be the maternal copy. This provides a biological explanation as to how false interpretation could occur when evaluating p57(KIP2) immunostaining results. CONCLUSION: The FICTION technique is a valuable ancillary tool for simultaneously evaluating the genotype and p57(KIP2) expression in unusual molar pregnancies. FAU - Hoffner, Lori AU - Hoffner L AD - Magee-Women's Research Institute, Pittsburgh, PA 15213, USA. FAU - Parks, W Tony AU - Parks WT FAU - Swerdlow, Steven H AU - Swerdlow SH FAU - Carson, Jason C AU - Carson JC FAU - Surti, Urvashi AU - Surti U LA - eng PT - Journal Article PL - United States TA - J Reprod Med JT - The Journal of reproductive medicine JID - 0173343 RN - 0 (Autoantibodies) RN - 0 (Cyclin-Dependent Kinase Inhibitor p57) SB - IM MH - Autoantibodies/*analysis/metabolism MH - Chimera/*genetics MH - Cyclin-Dependent Kinase Inhibitor p57/*genetics/immunology MH - Female MH - Gene Expression MH - Humans MH - Hydatidiform Mole/*genetics/pathology MH - In Situ Hybridization, Fluorescence MH - Karyotyping/methods MH - Mosaicism MH - Pregnancy MH - Uterine Neoplasms/*genetics/pathology EDAT- 2010/07/16 06:00 MHDA- 2010/10/12 06:00 CRDT- 2010/07/15 06:00 PHST- 2010/07/15 06:00 [entrez] PHST- 2010/07/16 06:00 [pubmed] PHST- 2010/10/12 06:00 [medline] PST - ppublish SO - J Reprod Med. 2010 May-Jun;55(5-6):219-28.