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New diagnostic method for Pallister-Killian syndrome: Detection of i(12p) in interphase nuclei of buccal mucosa by fluorscence in situ hybridization
Authors:Hirofumi Ohashi  Satoshi Ishikiriyama  Yoshimitsu Fukushima
Abstract:
Detection of the supernumerary isochromosome 12p [i(12p)] was performed on buccal smear preparations from 2 patients with Pallister-Killian syndrome, 21 (patient 1) and 15 months (patient 2) old, by interphase fluorescence in situ hybridization (FISH) using a chromosome 12-specific alpha satellite probe. Isochromosome 12p-positive cells were identified by observing 3 signals over the nucleus, while diploid cells had 2 signals. The proportion of i(12p)-positive cells thus identified was high in the epithlial cells of buccal mucosa at 68 and 53% from patients 1 and 2, respectively. Further, the frequencies of i(12p)-positive cells were also studied in PHA-stimulated peripheral lymphocytes, cultured skin fibroblasts (both patients), and directly harvested T and B-cells (patient 1). Of these tissues, buccal mucosa showed the highest proportion of i(12p)-positive cells. These findings indicate that epithelial cells of buccal mucosa are likely to retain i(12p)-positive cells. Detection of i(12p) using direct buccal smear preparations by interphase FISH is a rapid, effective and non-invasive method for confirming the diagnosis of the Pallister-Killian syndrome. © 1993 Wiley-Liss, Inc.
Keywords:Pallister-Killian syndrome  isochromosome 12p  buccal smear  interphase cytogenetics  fluorescence in situ hybridization
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