Human Karyotyping: Sarwat Maroof
Human Karyotyping: Sarwat Maroof
Human Karyotyping: Sarwat Maroof
Sarwat Maroof
Senior. Technologist Cytogenetics section Histopathology
What is cytogenetics?
The study of chromosomes and the related
terms of chromosomes
MAIN PURPOSE
Is the visualization of changes, which
affect the normal structure and number of chromosomes of an individual. Visualization of evolution
1891 - 1956 (between 44 & 48) 1956 set as 2n = 46 (Tjio & Levan).
composition Humans: 46 chromosomes total 23 chromosome pairs, 22 pairs are autosomes 1 pair of sex chromosomes Y chromosome carries genes for male development XX = female XY = male
KARYOTYPING
Karyotyping is the arrangement of chromosomes
Pre-natal Diagnosis
Autosomal Anomalies Trisomy 13 Trisomy 18 Trisomy 21
Blood Bone Marrow Post-natal Diagnosis Autosomal Anomalies Trisomy 13 Trisomy 18 Trisomy 21 Turners syndrome Klinefelters syndrome Trisomy X Double Y syndrome Proliferated Syndrome
CHROMOSOME STRUCTURE
Human Karyotype
46,XY
Human Karyotype Procedure: blood sample centrifugation isolation of lymphocytes (phytohemaglutinin) incubation in 0.075M KCl (Hypotonic bath) 2 fixation (methanol/ethanol:acetic acid; 3:1) drop on frozen slide from 15 - 25 cm. Stain (Giemsa 4%) visualization of well spread samples. Photo karyotyping.
Banding
G: G banding pattern. Staining with Giemsa. Q: G banding pattern. staining with quinacrin orange. R: Reverse G banding pattern. Staining with Giemsa). C: Centromere and telomere banding pattern (constitutive heterochromatin). Staining with Giemsa )
Smear
Human Karyotype
46,XY
Karyotype
What can we learn from a karyotype? Sex of individual Chromosome number Euploid = 46 chromosomes Aneuploid = extra or missing chromosome(s) Trisomy: three homologous chromosomes Monosomy: one chromosome Polyploid = extra chromosome sets Large changes in chromosome structure Sex determination
AUTOSOMAL DISORDER
Downs Syndrome (3 of type 21) Edwards Syndrome (3 of type 18) Pataus Syndrome (3 of type 13) Translocations: Chronic myelogenous leukemia (type 9 and type 22)
Changes
Structural
translocations inversions insertions
ALL autosomal monosomics die, BUT XO individuals survive and are relatively normal!!! There is something different about the autosomes and sex chromosomes.
Another difference between sex chromosomes and autosomes. Autosomal trisomies die, but XXY, XYY, XXX, XXXX and XXXXX survive.
Abnormalities
15% of pregnancies end up in spontaneous abortions. 50% are chromosomal abnormalities. 25% are aneuploidies
Nomenclature
For a normal human being: 46, XY/46, XX For an abnormal number: 47, XX +21.(Downs
Syndrome)
Downs Syndrome
Studied in the 1860s - Landon Down.
Frequency: 1/800 - 1/700 In every cell: 95%
Mosaics: 2%
Robertsonian translocation: 3% Cause: Trisomy of chromosome 21
Symptoms
Patau Syndrome
Trisomy of the 13
47, XY +13/47, XY+13 Frequency = 1/12000 Life term = up to 4 years (10%)
Symptoms
Forebrain folds. cleft lip proximal heel low set ears
Edwards Syndrome
Trisomy of the 18 47, XY +18/47, XX +18 Frequency = 1/7000 - 1/3500 80% straight trisomy 10% mosaics Life term = up to one year (10%)
Symptoms
severe manner.
Overlapping fingers
Turner Syndrome
Frequency = 1/2000 45, X apparently independent of the mother's age. It seems to be the fathers chromosome that is missing.
Symptoms
Turner syndrome, XO
Female Short, wide-chested Underdeveloped breasts Rudimentary ovaries Sterile Normal intelligence
Klinefelter Syndrome
Frequency = 1/500 47, XXY (47, XYY tall & violent) Symptoms: small testis gynecomastia (male breast) mild mental retardation psychotic tendency
Modified Klinefelter
49, XXXXY: very retarded, skeletal anomalies, hypogenitalism, strabismus, wide eye set. 48, XXYY: violent behavior, taller than normal men. Others: XXXYY, XYYY, XYYYY. 47, XXX: normal women, but sometimes with abnormal sex development.
Modified Klinefelter
49, XXXXY: very retarded, skeletal anomalies, hypogenitalism, strabismus, wide eye set. 48, XXYY: violent behavior, taller than normal men. Others: XXXYY, XYYY, XYYYY. 47, XXX: normal women, but sometimes with abnormal sex development.
XYY Individuals
~5% criminals with violent and antisocial behavior are XYY, but only 0.1% of males in population XYY
XYY Syndrome
THANX
THE END