PMID- 21403624 OWN - NLM STAT- MEDLINE DCOM- 20110610 LR - 20211020 IS - 1940-087X (Electronic) IS - 1940-087X (Linking) IP - 48 DP - 2011 Feb 23 TI - FISH for pre-implantation genetic diagnosis. LID - 2570 [pii] LID - 10.3791/2570 [doi] AB - Pre-implantation genetic diagnosis (PGD) is an established alternative to pre-natal diagnosis, and involves selecting pre-implantation embryos from a cohort generated by assisted reproduction technology (ART). This selection may be required because of familial monogenic disease (e.g. cystic fibrosis), or because one partner carries a chromosome rearrangement (e.g. a two-way reciprocal translocation). PGD is available for couples who have had previous affected children, and/or in the case of chromosome rearrangements, recurrent miscarriages, or infertility. Oocytes aspirated following ovarian stimulation are fertilized by in vitro immersion in semen (IVF) or by intracytoplasmic injection of an individual spermatozoon (ICSI). Pre-implantation cleavage-stage embryos are biopsied, usually by the removal of a single cell on day 3 post-fertilization, and the biopsied cell is tested to establish the genetic status of the embryo. Fluorescence in situ hybridization (FISH) on the fixed nuclei of biopsied cells with target-specific DNA probes is the technique of choice to detect chromosome imbalance associated with chromosome rearrangements, and to select female embryos in families with X-linked disease for which there is no mutation-specific test. FISH has also been used to screen embryos for spontaneous chromosome aneuploidy (also known as PGS or PGD-AS) in order to try and improve the efficiency of assisted reproduction; however, the predictive value of this test using the spreading and FISH technique described here is likely to be unacceptably low in most people's hands and it is not recommended for routine clinical use. We describe the selection of suitable probes for single-cell FISH, spreading techniques for blastomere nuclei, and in situ hybridization and signal scoring, applied to PGD in a clinical setting. FAU - Scriven, Paul N AU - Scriven PN AD - Department of Cytogenetics, GSTS-Pathology, Guy's & St Thomas' NHS Foundation Trust, Guy's & St Thomas' Centre for Preimplantation Genetic Diagnosis. FAU - Kirby, Toby L AU - Kirby TL FAU - Ogilvie, Caroline Mackie AU - Ogilvie CM LA - eng PT - Journal Article PT - Video-Audio Media DEP - 20110223 PL - United States TA - J Vis Exp JT - Journal of visualized experiments : JoVE JID - 101313252 SB - IM MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Pregnancy MH - Preimplantation Diagnosis/*methods PMC - PMC3197414 EDAT- 2011/03/16 06:00 MHDA- 2011/06/11 06:00 PMCR- 2013/02/23 CRDT- 2011/03/16 06:00 PHST- 2011/03/16 06:00 [entrez] PHST- 2011/03/16 06:00 [pubmed] PHST- 2011/06/11 06:00 [medline] PHST- 2013/02/23 00:00 [pmc-release] AID - 2570 [pii] AID - 10.3791/2570 [doi] PST - epublish SO - J Vis Exp. 2011 Feb 23;(48):2570. doi: 10.3791/2570.