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AmericanSocietyofCytopathology
CoreCurriculuminMolecularBiology

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AmericanSocietyofCytopathology
CoreCurriculuminMolecularBiology
Chapter5
ApplicationsofMolecularTesting
MolecularTestsforIdentity

StephanieA.Hamilton,EdD,SCT,MB(ASCP)
MDAndersonCancerCenter
Houston,Texas

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Timeline of Identity Testing

1800s
1900
1960
1980s
1985
1990s

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Fingerprint
ABObloodgrouptyping
HLAtyping
DNAanalysis(VNTRs)
FirstDNAfingerprint
usedincourtcase
DNAanalysis(STRs)

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Mutations and Polymorphisms


Transmissible(inheritable)changeinDNAsequence
isamutationorpolymorphismwhichmayormay
notproducephenotypicdifferences
Mutation: aDNAsequencechangepresentina
relativelysmallproportionofapopulation
Polymorphism: aDNAsequencechangepresentinat
least1%ofapopulation
Variationamongindividualsofnoncoding(doesnot
codeforaprotein),repetitivesequencesinDNAiskey
toidentitytesting
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Types of Polymorphisms

SingleNucleotidePolymorphisms(SNPs)
Asinglenucleotidedifferenceinagenomic
sequence
Example:Humanleukocyteantigen(HLA)locus.
ThisisahighlypolymorphicregionwhereSNPs
occurfrequently.Variabilitycodesforpeptides
thatestablishselfidentityoftheimmunesystem.
Usedfordeterminingcompatibilityoftransplant
donors.
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Types of Polymorphisms

LongInterspersedNucleotideSequences
(LINES)
Arehighlyrepeatedsequences
68kbpinlength
ContainRNApolymerasepromoters
Containopenreadingframesrelatedtoreverse
transcriptaseofretroviruses
Morethan500,000LINESingenome
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Types of Polymorphisms

ShortInterspersedNucleotideSequences
(SINES)
0.3kbpinlength
Morethan1,000,000copiespergenome
IncludeAluelements(namedforhaving
recognitionsitesfortheALuIrestrictionenzyme)

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Types of Polymorphisms
VariableNumberTandem
Repeat(VNTR)
Alocationingenomewherea
shortnucleotidesequenceis
organizedasatandemrepeat
(clusteredtogetherand
orientedinsamedirection)
Alsoknownasminisatellite
sequences
10to100bpinlength

Variations of VNTR (D1S80)


allele lengths in 6 individuals

http://en.wikipedia.org/wiki/Variable_number_tandem_repeat/ Accessed: 6/14/10


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Types of Polymorphisms

ShortTandemRepeat(STR)
Occurswhenapatternoftwoormorenucleotides
arerepeated
Repeatedsequencesaredirectlyadjacenttoeach
other
Lengthrangesfrom2to16bp
Alsoknownasmicrosatellites

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STR Nomenclature

InternationalSocietyforForensicGeneticsrecommendednomenclaturefor
STRlociin1997

STRswithingenesaredesignatedaccordingtogenename
Examples:
TH01isinintron1ofhumantyrosinehydroxylasegeneonchromosome11
TPOXisinintron10ofhumanthyroidperoxidasegeneonchromosome2

NongeneassociatedSTRsaredesignatedbytheD#S#system
DstandsforDNA,thefollowingnumberdesignatesthechromosomewhereSTR
islocated
Sreferstoauniquesegment,followedbyanumberregisteredinthe
InternationalGenomeDatabase(GDB)

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Types of Polymorphisms

RestrictionFragmentLengthPolymorphism(RFLP)
Adifferencebetween2ormoresamplesofhomologousDNA
moleculesarisingfromdifferinglocationsofrestrictionsites
WasthefirstDNAprofilingtechniqueusedforgenemapping,
humanidentification,andparentagetesting

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Summary of Types of Polymorphisms


and Laboratory Methods
Polymorphism Structure

Detection Method

RFLP

One or more nucleotide changes


that affect the size of restriction
enzyme products

Southern blot

VNTR

Repeats of 10-50 base sequences Southern blot, PCR


in tandem

STR

Repeats of 1-10 base sequences


in tandem

PCR

SNP

Alterations of a single nucleotide

Sequencing, other

Buckingham L and Flaws, ML. Molecular Diagnostics: Fundamentals, Methods, & Clinical Applications. Philadelphia: F.A. Davis, 2007.
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RFLP Analysis
RFLPanalysis
DNAsampleisbrokenintopieces(digested)byrestriction
enzymes
Resultingrestrictionfragmentsareseparatedaccordingto
lengthsbygelelectrophoresisanddetectedbySouthern
blot
Fragmentsizesmayvaryduetochangesinnucleotide
sequenceinorbetweentherecognitionsitesofa
restrictionenzyme

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RFLP Analysis

AsmallsegmentofgenomeisbeingdetectedbyaDNAprobe
(thickerline)
InalleleA,genomeiscleavedbyrestrictionenzymeatthree
nearbysites(triangles)
Onlyrightmostfragmentwillbedetectedbyprobe
Inallelea,restrictionsite2hasbeenlostbyamutation
Probenowdetectsthelargerfusedfragmentrunningfrom
sites1to3

http://en.wikipedia.org/wiki/Restriction_fragment_length_polymorphism. Accessed 6/15/2010.


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RFLP Analysis
Inthisexample,theprobeandrestrictionenzymearechosen
todetectaregionwhichincludesaVNTRsegment(boxes)
Inallelecthereare5repeatsintheVNTRandprobedetects
alongerfragmentbetweenthe2restrictionsites
Inalleledthereareonly2repeatsintheVNTR,soprobe
detectsashorterfragmentbetweenthesame2restriction
sites

http://en.wikipedia.org/wiki/Restriction_fragment_length_polymorphism. Accessed 6/15/2010.


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RFLP and Parentage Testing

AgeneorregionofDNA(locus)willhave
severalversions(alleles)oftheDNAsequence
withinthatgene
Eachgenecanhavedifferentalleles
DifferentDNAsequences(alleles)canresultin
differenttraits,suchascolor
DifferentDNAsequences(alleles)canhavethe
sameresultintheexpressionofagene
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DNA-based Parentage Testing

Humansarediploid:eachpersonhas2alleles
orcopiesofeachlocus
Homozygous:allelesarethesame
Heterozygous:thetwoallelesaredifferent
Morecloselyrelatedindividualsarelikelyto
sharemoreallelesthanunrelatedpersons

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DNA-based Parentage Testing


DNAisinheritedasonechromosomecomplement
fromeachparent
Eachchromosomecarriesitspolymorphism
Offspringinheritsacombinationoftheparental
polymorphisms
Thus,throughRFLPanalysis,onecaninferaparents
contributionofallelestoasonordaughterfromthe
combinationofallelesinthechildandthoseofthe
otherparent
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RFLP and Parentage Testing


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Through RFLP analysis, the fragment


sizes of the child (electrophoresis lane 2)
is a combination of those from each parent
(father, lane 1) and (mother, lane 3)

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1
http://en.wikipedia.org/wiki/Polymerase_chain_reaction.
Accessed 6/15/2010.
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Electrophoresis of PCR-amplified DNA fragments.


(1) Father. (2) Child. (3) Mother. The child has inherited
some, but not all of the fingerprint of each of its parents,
giving it a new, unique fingerprint.

RFLP and Parentage Testing

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Animation

http://www.rvc.ac.uk/review/DNA_1/4_VNTRs.cfm

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RFLP and Parentage Testing


In a paternity test, alleles or fragment sizes of
offspring and mother are analyzed.
Remaining fragments (ones that do not match
mother) have to come from the father.
Alleged fathers are identified, or included,
based on the ability to provide remaining
alleles.
Aside from possible mutations, a difference in
just one allele may exclude paternity.
In this figure, only two loci are shown. Of the
alleged fathers (AF) shown, only one could
supply the fragments not supplied by the
mother.

Which is the alleged father?

Buckingham, L and Flaws, ML. Molecular Diagnostics: Fundamentals, Methods, & Clinical Applications. Philadelphia: F.A. Davis Company, 2007.
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Parentage Testing
Aparentagetestrequiresanalysisofatleasteight
loci.
Themorelocitested,thehighertheprobabilityof
positiveidentificationofthefather.
PaternityIndex(PI):
Calculatedforeachlocusinwhichallegedfatherandchild
shareanallele
Isanexpressionofhowmanytimesmorelikelythechilds
alleleisinheritedfromallegedfatherthanbyrandom
occurrenceofthealleleinthegeneralpopulation
AlleleoccurringfrequentlyinpopulationhaslowPI;arare
allelehasahighPI
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Other Methods for Detecting


Polymorphisms
IncontrasttoVNTRs,smallerSTRscanbeamplified
byPCR

Lessspecimenneeded
Shortertimeforanalysis
Multiplexingandautomationisfacilitated
Canusefluorescencetechnologyandcapillary
electrophoresis

Reversedotblotprocedure:usesanarrayof
immobilizedprobestodetectsequence
polymorphisms
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Gender Identification
Amelogeningene
LocatedontheXandYchromosomes
NotaSTR

Amelogeninlocus
Polymorphismlocatedinsecondintronofamelogenin
gene
YalleleofgeneissixbplargerinthisregionthanXallele
Amplificationandelectrophoreticresolutionreveals2
bandsorpeaksformales(XY)andonebandorpeakfor
females(XX)

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Amelogenin Locus

Males are heterozygous for the amelogenin locus (XY), and


females are homozygous for this locus (XX). Amplification of
amelogenin will produce a male-specific 218 bp product (Y allele)
in addition to the 212 bp product found on the X chromosome (X
allele).

Buckingham, L and Flaws, ML. Molecular Diagnostics: Fundamentals, Methods, & Clinical Applications.
Philadelphia: F.A. Davis Company, 2007.
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Y-STRs
YSTRsarerepresentedonlyoncepergenomeand
onlyinmales
AsetofYSTRallelescomprisesahaplotype,or
seriesoflinkedallelesalwaysinheritedtogether,
becauseYchromosomecannotexchange
information(recombine)withanotherY
chromosome.
MarkerallelesonYchromosomeareinheritedfrom
generationtogenerationinasingleblock.
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Y-STRs

LesspowerfulthanautosomalSTR
Usefulwhereevidenceconsistsofamixtureof
maleandfemaleDNA(ex.rapecases)
Usedalsoinlineagestudiesinvolving
paternallylinkedrelationshipsand
identification(ex.inheritanceclaims)

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Mitochondrial DNA

Mitochondriacontainacirculargenomeof16,569
basepairs
StructureistwostrandsofcircularmtDNA
HaveanasymmetricdistributionofGsandCs
GeneratingaGrichheavy(H)strandandaCrichlight(L)
strand

mtDNAareinheritedmaternally
Usedinforensicanalysis(ex.opencasefiles,missing
personscases,andtypingancientspecimens)
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Identity Testing: Applications

Applications
Parentage
Immigration
Criminalinvestigation(forensics)
Clinical

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Application: Immigration
TheFirstCase,1985
AyoungboyfromGhanaleavestheU.K.tobereunitedwithhis
fatherinGhana.HethenreturnstotheU.K.Tobereunited
withhismother.
Washethesonorthenephewofthiswoman?
HLAtechniquesatthattimeweretoocrudetoresolvethisissue.
Usingminisatellite probesforhypervariable regionsinhuman
DNA,AlecJeffreys indisputablyshowedthatthiswasindeed
thesonandnotthenephewofthiswoman.Thisimmigration
caseledthewayforDNAfingerprinting.
Tsongalis, GJ and Coleman, WB. Molecular Diagnostics: A Training and Study Guide. Washington, DC: American Association for Clinical
Chemistry (AACC) Press, 2002.
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Application: Forensics
TheFirstMurderCase,1986
TwoschoolgirlsinthequiettownofLeicesterwere
murdered,onein1983andonein1986.The
circumstancesoftherapesandmurderwere
identical.Sowhenayoungmanconfessed,the
authoritiesthoughttheyhadtheassailantforboth
crimes.Semenswabshadbeentakenfrombothgirls
andDNAanalysiswasrequested.Thesampleswere
fromthesameindividual,butnottheonewhohad
confessed.
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Application: Forensics
TheFirstMurderCase,1986(cont.)
Acallwasthenputouttoalllocalmalesbetweenthe
agesof17and34tobesubjectedtoDNAfingerprint
analysis.Thetruemurdererhadaworkmategoinhis
place.Astheinvestigationdraggedon,theproxytold
afriendatthelocalpubthathehadstoodinfor
someoneaspartoftheDNAtest.Awoman
overheardtheconversationandreportedthisto
authorities.
Tsongalis, GJ and Coleman, WB. Molecular Diagnostics: A Training and Study Guide. Washington, DC: American Association for
Clinical Chemistry (AACC) Press, 2002.
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Applications for Identity Testing in


Clinical Laboratory

Specimenidentification
Urinedonoridentification(toxicology)
Preemploymentdrugtesting
Confirmationforothercivilcases
Monitoringbonemarrowtransplant
chimerism

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Application: Specimen Identification

A51yearoldmanunderwentcorebiopsyofthe
prostatetoruleoutcarcinoma.SeveralH&E
slideswerereceivedthatshowedafragment
ofcarcinomatousepitheliumadjacentto
benignprostatecoresamples.Theoriginof
theneoplastictissuewasquestioned.

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Specimen Identification Testing Results


Specimen

LDLR

GYPA

HBGG

D7S8

GC

TPO

THO

Blank

-----

-----

-----

-----

-----

-----

-----

Control

B,B

A,B

A,A

A,B

B,B

182/194

243

Prostate

B,B

A,B

A,B

A,A

C,C

230 bp

181 bp

? Tissue

A,B

A,B

A,B

A,A

A,C

230 bp

181/189 bp

The blank and control results indicated there were no problems


during the testing; however, since there are 2 loci (LDLR and GC)
that differ from the patients benign prostate tissue and the neoplastic
tissue, it is possible there was contamination during the tissue
processing.
Tsongalis, GJ and Coleman, WB. Molecular Diagnostics: A Training and Study Guide. Washington, DC:
American Association for Clinical Chemistry (AACC) Press, 2002.
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Application: Pre-employment Drug


Screening

Apreplacementurinedrugtestconductedina
youngmanwaspositivefor480ng/mL
benzolylecognine.Whencontactedbythe
medicalreviewofficer,thedonordeniedusing
drugsandsaidthecollectormusthavemixed
upsamples.

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Pre-employment Drug Screening Results


Specimen

DQA1

LDLR

GYPA

HBGG

D7S8

GC

Blank

-----

-----

-----

-----

-----

-----

Control

1.1,4

B,B

A,B

A,A

A,B

B,B

Urine

1.1,1.2

A,A

A,B

B,B

A,A

B,B

Blood

1.1,1.2

A,A

A,B

B,B

A,A

B,B

The blank and control results indicated there were no


problems during testing; however, a blood sample taken
from the applicant matched the loci of the applicants urine
sample, thus confirming the urine sample was his.

Tsongalis, GJ and Coleman, WB. Molecular Diagnostics: A Training and Study Guide. Washington, DC: American
Association for Clinical Chemistry (AACC) Press, 2002.
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Bone Marrow Transplant Typing and


Monitoring
Potentialdonorsaretestedforimmunological
compatibility
PerformedbyanalyzingHLAlocususingsequencespecific
PCRorsequencebasedtyping

Engraftment:Donorcellsreconstitutetherecipients
bonemarrow
Recipientisgeneticchimera(recipienthasbodyand
bloodcellsofseparategeneticorigins)
EngraftmentmonitoringbyPCRamplificationofSTRs,
capillaryelectrophoresis,andfluorescentdetection
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