Routine cytogenetic prenatal diagnosis using dynamic banding (RBG-GBG): a highly reproducible method for amniocytes, fetal cord blood, and chorionic villus investigations

Prenat Diagn. 1991 Dec;11(12):883-91. doi: 10.1002/pd.1970111202.

Abstract

Dynamic banding (RBG-GBG) using pulse 5-bromodeoxyuridine (5-BrdU) incorporation during part of the last S-phase before harvesting has been used in prenatal investigations. This method has already been routinely applied in 1344 cytogenetic investigations. GBG and RBG bandings produced almost identical patterns to classical G- and R-banding methods except for heterochromatic portions and some euchromatic segments. Nevertheless, these discordances may be somewhat helpful for cytogenetic diagnosis (i.e., X numerical abnormalities). The results showed particularly good contrast and staining; 5-BrdU incorporation did not prevent additional staining. Likewise, previous RBG or GBG disclosure allowed further chromosomal identification with C-banding or nucleolar organizer staining. Simplicity and reproducibility were very helpful in cases with a low mitotic index. 5-BrdU had no significant effect on in-vitro damage because only 0.31 percent of cells were affected; so, we believe that dynamic banding should be used more extensively in cytogenetic investigations. Moreover, the staining and contrast qualities were very suitable for automatic methods of analysis now in use: i.e., metaphase finding and computer-assisted karyogram creation.

Publication types

  • Comparative Study

MeSH terms

  • Amniocentesis
  • Bromodeoxyuridine
  • Chorionic Villi Sampling
  • Chromosome Aberrations / diagnosis*
  • Chromosome Banding / methods*
  • Chromosome Disorders
  • Diagnosis, Computer-Assisted
  • Female
  • Fetal Blood / cytology
  • Humans
  • Karyotyping
  • Pregnancy
  • Prenatal Diagnosis / methods*
  • S Phase

Substances

  • Bromodeoxyuridine