PMID- 31680667 OWN - NLM STAT- MEDLINE DCOM- 20200702 LR - 20200702 IS - 1940-087X (Electronic) IS - 1940-087X (Linking) IP - 152 DP - 2019 Oct 20 TI - Microsatellite DNA Genotyping and Flow Cytometry Ploidy Analyses of Formalin-fixed Paraffin-embedded Hydatidiform Molar Tissues. LID - 10.3791/60366 [doi] AB - Hydatidiform mole (HM) is an abnormal human pregnancy characterized by excessive trophoblastic proliferation and abnormal embryonic development. There are two types of HM based on microscopic morphological evaluation, complete HM (CHM) and partial HM (PHM). These can be further subdivided based on the parental contribution to the molar genomes. Such characterization of HM, by morphology and genotype analyses, is crucial for patient management and for the fundamental understanding of this intriguing pathology. It is well documented that morphological analysis of HM is subject to wide interobserver variability and is not sufficient on its own to accurately classify HM into CHM and PHM and distinguish them from hydropic non-molar abortions. Genotyping analysis is mostly performed on DNA and tissues from formalin-fixed paraffin-embedded (FFPE) products of conception, which have less than optimal quality and may consequently lead to wrong conclusions. In this article, detailed protocols for multiplex genotyping and flow cytometry analyses of FFPE molar tissues are provided, along with the interpretation of the results of these methods, their troubleshooting, and integration with the morphological evaluation, p57(KIP2) immunohistochemistry, and fluorescence in situ hybridization (FISH) to reach a correct and robust diagnosis. Here, the authors share the methods and lessons learned in the past 10 years from the analysis of approximately 400 products of conception. FAU - Khawajkie, Yassemine AU - Khawajkie Y AD - Department of Experimental Medicine, McGill University. FAU - Mechtouf, Nawel AU - Mechtouf N AD - Department of Human Genetics, McGill University. FAU - Nguyen, Phuong AU - Nguyen P AD - Department of Human Genetics, McGill University. FAU - Slim, Rima AU - Slim R AD - Department of Experimental Medicine, McGill University; Department of Human Genetics, McGill University; Department of Obstetrics and Gynecology, McGill University; rima.slim@muhc.mcgill.ca. LA - eng GR - MOP-130364/CIHR/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Video-Audio Media DEP - 20191020 PL - United States TA - J Vis Exp JT - Journal of visualized experiments : JoVE JID - 101313252 RN - 0 (CDKN1C protein, human) RN - 0 (Cyclin-Dependent Kinase Inhibitor p57) SB - IM MH - Cyclin-Dependent Kinase Inhibitor p57/analysis MH - Female MH - Flow Cytometry/*methods MH - Genotyping Techniques/*methods MH - Humans MH - Hydatidiform Mole/*genetics/pathology MH - Microsatellite Repeats/*genetics MH - Paraffin Embedding MH - *Ploidies MH - Pregnancy MH - Uterine Neoplasms/*genetics/pathology EDAT- 2019/11/05 06:00 MHDA- 2020/07/03 06:00 CRDT- 2019/11/05 06:00 PHST- 2019/11/05 06:00 [entrez] PHST- 2019/11/05 06:00 [pubmed] PHST- 2020/07/03 06:00 [medline] AID - 10.3791/60366 [doi] PST - epublish SO - J Vis Exp. 2019 Oct 20;(152). doi: 10.3791/60366.