MITOTIC METAPHASE CHROMOSOME PREPARATION 

FROM PERIPHERAL BLOOD FOR 

HIGH RESOLUTION



Mitotic Metaphase Chromosome Preparation from Peripheral Blood for High Resolution 

George Spowart 


­1. Introduction 

The advent of chromosome banding techniques some 20 years ago (1,2) allowed the unequivocal identification of every chromosome in the human metaphase and provided a mapping scheme along each chro-mosome. Subsequently, a great deal of research has centered on preparing longer chromosomes with more bands visible. Chromosomes condense as they move through mitosis, and adjacent bands close up and appear to fuse. The earlier stages are longer with more bands recognized. It is not always possible to define the mitotic stage of a particular cell. 

International standards have been agreed for various numbers of bands in the haploid set. Thus we have 400-,550-, and 850-band sets (3). Other workers report the use of even longer chromosomes (4,5). High-resolution banding has undoubted advantages in many fields. As well as allowing greater accuracy in traditional karyotype analysis, there are many  reports of microdeletions and other abnormalities detected only on extended chromosomes (6). Likewise, in situ hybridization and gene  localization techniques are taking advantage of the improved resolution. 

The culture technique to prepare human chromosomes still follows  the basic scheme laid down by Hungerford (7). Lymphocytes from  peripheral blood are stimulated to divide in culture; cells are arrested  in mitosis, swollen with hypotonic solution, fixed in an acid-alcohol  fix, and spread on microscope slides by air-drying. 

Published methods on the preparation of elongated chromosomes  are abundant. As with banding techniques, different laboratories have  preferences for particular methods and have developed their own variations. None of the methods is guaranteed to work with every specimen, being the nature of biological material. There is no doubt that it is very difficult for one laboratory to reproduce exactly all the conditions in another, and it is likely that published methods need some  experimentation to optimize them for local conditions. Methods of preparation fall into three general categories. An individual protocol  may use one or more of these approaches. 


1.1. Induction of Synchrony 

Stimulated peripheral blood lymphocytes in culture grow and divide  asynchronously, and pass through the prometaphase and early metaphase stages relatively rapidly. Cells are blocked around S-phase (8) and, on release, will continue through mitosis in a wave of divisions, thus  enhancing the potential yield of early stages. Methotrexate (9) and excess  thymidine ( 1 0) are the most successful blocking agents. The timing of the  interval between release of the block and harvest is the critical stage  in the procedure and depends, in a complex way, on the various culture conditions. This is the main reason that many workers have found  it difficult to duplicate successfully published methods or to maintain a high level of success with a particular scheme. To release the cells  from the block, the blocking agent is removed, or at least overcome, and cells are encouraged to enter mitosis. The choice of release agent may be determined by the banding technique to be used subsequently. 


1.2. Use of Chemicals to Affect  the Condensation of the Chromosomes 

Chromosomes progressively condense as the cell moves through mitosis. A number of chemicals have been found to counter this (12-14).  Care must be taken to balance the reduction in contraction against 

lowering of mitotic index and/or induction of chromosome aberrations. 


1.3. Alteration of Arrest and/or Hypotonic 

Treatments after Harvest (15-17) 

Colcemid is used in most chromosome preparation techniques to destroy spindle formation and arrest cells in metaphase. Wiley et al. ( 17) questioned the necessity for co1cemid treatment, but most workers  continue to use it in a variety of concentrations and exposure times. 

Hypotonic treatment with 0.075M KCI still features in the majority of protocols, but many other formulations have been advocated, some with the specified aim of elongating chromosomes. There are various reasons why a particular method will be preferred for a line of research. However, in general, where time and material permit, it will be good practice to run tandem methods on each specimen. I will detail two protocols that have given good results. 


2. Materials 

2.1. Method 1 

2.1.1. Supplemented Culture Medium 

This will usually be prepared in bulk and aliquoted to culture vessels just before cultures are set up. The number of specimens to be processed will determine batch size. A week's supply is typical. 

1. RPMI 1640 (GIbco, Gaithersburg, MD), 340 mL. 

2. Fetal bovine serum, 60 mL. 

3. Phytohemagglutlllm (HAI5 Wellcome, Dartford, UK), 4 mL. 

4. PenicIllin and streptomycin (0.1 g and 100,000 U/mL) (Glaxo) mIxed solution, 0.4 mL. Store at 4°C. 


­2.1.2. Blocking Agent 

Methotrexate injection (Lederle #4587-24) is obtained as 0.0025 g/mL (5 x 1O- 2 M) solution. A working solution (10- 5 M) is prepared by diluting 20 JlL with 9.980 mL sterile distilled water. This can be stored at 4°C 

for several weeks. Methotrexate is a cytotoxic drug, and due care must be taken in handling. 


­2.1.3. Release Agents 

1. ThymIdine (SIgma [St. Louis, MO] #T-9250) (l0-3M) is prepared by dissolving 2.42 mg/mL III stenle distilled water. Store at 4°C. 


2. The alternative agent is 5-bromo-2'-deoxyundine Bdu (Sigma#B-5002): 

Working solution (la- 2 M) IS prepared by dissolvmg 3 mg/mL m dIstilled water. Aliquots can be stored frozen for several months. Store vial III use at 4°C. Care must be taken in handlmg this teratogen and mutagen. 


2.1.4. Arresting Agent 

Co1cemid, 10 jlg/mL (Gibco). Store at 4°C. 


­2.1.5. Hypotonic Solution 

KCI (0.075M) (1.4 g in 250 mL deionized water): Make up fresh for each harvest, and heat to 37°C. 


2.1.6. Fix 

Acetone-free methanol and glacial acetic acid are freshly mixed in the proportion 3: 1. 


­2.2. Method 2 

2.2.1. Supplemented Culture Medium 

This will usually be prepared in bulk and aliquoted to culture vessels just before cultures are set up. The number of specimens to be processed will determine batch size. A week's supply is typical. 

1. RPMI 1640 (Gibco), 340 mL. 

2. Fetal bovine serum, 60 mL. 

3. Phytohemagglutmin (HAI5 Wellcome), 4 mL. 

4. Penic1l1Ill and streptomycin (0.1 g and 100,000 U/mL) (Glaxo) mixed solutIOn, 0.4 mL Store at 4°C. 


­2.2.2. Inducing Agent 

Actinomycin D (Sigma #A-1410) stock solution is prepared by dissolving 10 mg in I mL dimethylsulfoxide. Small aliquots are stored at -20°C. Working solution is 50 f...Ig/mL made by diluting thawed stock 200-fold in distilled water. This can be stored at 4°C for up to 2 wk. Actinomycin is poisonous, a known carcinogen and teratogen, and due care must be taken to avoid all contact. 


2.2.3. Arresting Agent 

Colcemid (Gibco) 10 jlg/mL. Store at 4°C.


2.2.4. Hypotonic Solution 

KCI (0.075M) 1.4 g in 250 mL deionized water; Make up fresh for each harvest, and heat to 37°C. 


2.2.5. Fix 

Acetone-free methanol and glacial acetic acid are freshly mixed in the proportion 3: 1.  


­3. Methods 

Aseptic laboratory procedures must be observed to avoid microbial contamination during the culture stages. All centrifugations are carried out in centrifuge with swing-out buckets in the rotor. 


­3.1. Method 1 

1. Dispense 9.5 mL of supplemented RPMI 1640 medium (see Notes 1-4) Illto a stenle culture vessel (see Note 5), and inoculate with 0.75 mL of whole blood (see Note 6). 

2. Incubate at 37°C for 72 h. 

3. Inject the culture wIth 100 ilL methotrexate solutIOn (see Note 7), and remcubate at 37°C. 

4. After 17 h, carefully remove the supernatant above the cell layer, preferably wIth a tube from a suctIon pump followmg the memscus. Pipeting can be used but IS more laborious. 

5. Flick the flask wIth the fmger to dIstribute the cells, and resuspend in 9.5 mL supplemented medium. 

6. Add 0.2 mL thymidine (see Note 8). Reincubate at 37°C for 3.75 h, or add 0.2 mL 5-bromo-2'-deoxyuridine (see Note 8). Reincubate at 37°C for 4.25 h. 

7. MaIlltain the culture at 37°C while adding 60 ilL colcemid (see Note 9), and mcubate for a further 10 min. 

8. Gently shake the flask, and transfer the culture to a comcal-based centrifuge tube. 

9. Centrifuge at 150g for 10 min. 

10. Suck off the supernatant to around 3 mm above the cell pellet. 

11. Flick the tube to dIstnbute the cells and pipet m 10 mL of prewarmed KCI (see Note 10). 

12. Incubate at 37°C for 10 min. 

13. Centnfuge at 150g for 10 min. 

14. Three layers should be visIble, a red cell pellet at the bottom, a slightly opaque layer of whIte cells, and the supernatant. Suck off the supernatant to within 3 mm of the whIte cell layer. 

15. Flick the tube to loosen the cells. Use a vortex mIxer to stIr the cells more thoroughly while carefully addmg a pipetful of fIX dropwise to the middle of the vortex (see Note 11). Add two more pipetfuls of fix, 

and allow to stand for at least 30 mm. 

16. Centnfuge at 150g for 10 min, and remove most of the supernatant. Flick tube to resuspend cells, and add 2 pipetfuls of fIX. 

­17. Centnfuge at 150g for 10 min, and remove most of the supernatant. 

Flick tube to resuspend cells, and add 1 pipetful of fix. 

18. Centrifuge at 150g for 10 mIll, and remove supernatant to Just above cell pellet. Flick tube to resuspend cells, and add fix to give about 0.5 mL suspension. 

19. Mix the suspension gently wIth a pipet and place a drop on a clean pohshed microscope shde (see Note 12). Allow to air-dry and examme under microscope to check cell density, spreading of chromosomes, and so forth. If cells are too densely packed, add more fix. If too sparse, spin down and reduce volume. Different methods of spreading may have  to be adopted. 


­3.2. Method 2 

1. Dispense 9.5 mL of supplemented RPMI 1640 medmm (see Notes 1-4)  into a sterile culture vessel (see Note 5), and moculate wIth 0.75 mL of  whole blood (see Note 6) 

2. Incubate at 37°C for 68 h. 

3. Inject the culture with 100 ilL actinomycm D solution (see Note 13), followed by 60 ilL colcemid solution (see Note 9), and reincubate at  37°C for 4 h. 

4. Transfer to 15 mL conical-based centnfuge tube, and SpIll at 150g for 10 min. 

5. Suck off the supernatant to around 3 mm above the cell pellet. 

6. Flick the tube to distribute the cells, and pIpet in 10 mL of pre warmed KCl (see Note 10). 

7. Incubate at 37°C for 10 min. 

8. Centrifuge at 150g for 10 min. 

9. Three layers should be visible, a red cell pellet at the bottom, a slightly opaque layer of white cells, and the supernatant. Suck off the supernatant to withm 3 mm of the whIte cell layer. 

10. FlIck the tube to loosen the cells. Use a vortex mixer to stir the cells more thoroughly whIle carefully addmg a pipetful of fix dropwise (see Note 11). Add two more pipetfuis of fix and allow to stand for at least 30 min. 

11. Centnfuge at 150g for 10 mm and remove most of the supernatant. FlIck tube to resuspend cells, and add 2 pipetfuls of fIX. 

12. Centnfuge at 150g for 10 mm and remove most of the supernatant.  FlIck tube to resuspend cells, and add 1 pipetful of fix. 

13. Centnfuge at 150g for 10 min and remove supernatant to Just above the  cell pellet. FlIck tube to resuspend cells, and add fix to give about 0.5 mL  suspension. 

­14. Mix the suspension gently with a pipet and place a drop on a clean polished microscope slIde (see Note 12). Allow to air-dry, and examine under mIcroscope to check cell density, spreading of chromosomes, and  so on. If cells are too dense, add more fix. If too sparse, spin down and  reduce volume. DIfferent methods of spreading may have to be adopted. 

4. Notes 

1. Good results have been obtained with a number of culture media, including RPMI 1640, RPMI 1603, TC199, and McCoy's 5A. I have chosen  the readIly available RPMI 1640 (Gibco). 


2. Published methods suggest a wIde range of supplements. Most consider bovine serum the appropriate source of necessary growth factors, but pooled human serum and even artificIal supplements have their advo- 

cates. There IS strong evidence that the serum chosen affects the tImIng of the mitotic cycle, and since It IS diffIcult to maintain a source of  unchangmg matenal, it must be antIcipated that regular checks wIll have 

to be kept to optImize tImings, especially of the interval between release  and harvest 15% fetal bovme serum is chosen here. 


3. AntibIOtIcs are normally added to avoid microbial mfection. Pelllc 11 I III and streptomycIll are the usual choice. The relatIvely short culture time  means that mycoplasma mfection is not a problem. 


4. Phytohemagglutmm is unnvaled as mitogen to stimulate lymphocytes  to divide. LyophilIzed HA15 (Wellcome) is reconstitued with distilled  water and added to the culture medium in the proportion 1: 100. With a 

few hematological conditions, It may be necessary to use pokeweed  mitogen as well. 


5. Heparinized penpheral venous blood is the most readIly available and  convenient material to produce chromosome preparations. Some workers prefer to enrich the proportion of leukocytes III the inoculum by 

centrIfugation and taking plasma and white cell layers along wIth some of the red cell layer. I do not do this routinely, but if the medIcal history of the donor suggests high red cell or low white cell count, it could be 

advantageous. Specimens from patients on drug therapy or that have taken several days to reach the laboratory often benefit from havIllg  plasma replaced by pooled human serum. Blood from neonates nor- 

mally contaIlls a very high number of leukocytes, and a smaller moculum wIll suffIce. 


6. Several types of culture vessel give good results, and choice may be determined by budget and availability. There is a complex relationship among various dimensIOns of culture vessel in whole blood culture. In 

general, glass or plastic can be used, although it is safer to use plastIcware  that is desIgned for tIssue culture. The ratio of cell volume of culture to area of base of the vessel is Important, and so is the volume of the gas phase above the culture. Plastic or glass UnIversal contamers with a base area 4-5 sq cm are excellent for the recommended 10 mL culture. 

Tissue culture flasks wIth similar area of end wall can be used standmg on end. If available speCImen volume demands smaller culture, then 15 mL glass McCartney bottles gIve good results with 5-mL cultures usmg  0.5 mL blood. PlastIc Universals wIth conical base are not suitable. 


7. Methotrexate is the most widely used reagent in blocking cells to encourage synchronization to enrich the harvest of chromosomes in early metaphase. Most reliable IS Methotrexate injectIon (Lederle) eqUIva- 

lent to 25 mg in 1 mL. This IS dIluted to a workmg solution of 10- 5 M and used to give a fmal concentratIon of 10-7 M. 


8. Cells are released from the S-phase block by removing the blockIllg agent and resuspending the cells in medium enriched in thymidine or its analog 5-bromo-2'-deoxyuridine. Some published methods reqUIre 

the blocking agent to be washed from the cells, but I prefer to minimize the handling of the culture, which may result in cell loss or damage and also reqUIres more tIme and labor. The medIUm is sImply sucked from 

above the cells, and the cell are resuspended m fresh medIUm with the release agent. Thymidine IS used as release agent for cultures that wIll be banded to show G-bands, whereas bromodeoxyundine incorporation IS far better for stainIng of R-bands. Although dIfferent laborato- ries may prefer one type of bandmg, most agree that it is better to have  preparatIons available from both for confirmatory analysis. I run two sets of cultures, one to be released with thymidine and the other wIth bromodeoxyuridine. 


9. There is some debate over the role and efficacy of colcemid used to arrest cells. However, there IS no doubt that if it is not used, then the mItotic index drops dramatically, although the proportion of early stages is increased.  On balance, I prefer to use 60 ­ of 10 flg/mL for a 10 mL culture. 


10. The hypotonic stage of the harvest IS crucial. Many formulatIOns are published, but the most popular is still 0.075M potassIUm chloride. In my experience, It IS better if this solutIOn is made up III deionIzed rather 

than distilled water. 


11. The first fixation stage is the most Important. The red cells wIll fuse mto  insoluble clumps entrapping the lymphocytes If the cells are not vortexed  and the fix added dropwise to the middle of the vortex. Acetone-free methanol may require to be ftltered before use. Three parts methanol and one part glacIal acetic aCid should be mIxed in quantity required Just before use. 


­12. The spreading of cells on the slide depends on the SIze of the drop of cell suspension, cell density, slide surface, ambient temperature, humidity, and so on. If spreadmg is not satisfactory on a dry polished slIde, the 

following can be tried: 

a. Breathmg on the slide Just before placing the drop. 

b. Suspending shde above an open 60°C water bath. 

c. ChIlling slide. 

d. Reducmg or Increasing SIze of drop. 

e. Altering the height above the slide from WhICh to drop the cells. 


13. I agree wIth Wiley et al. (17) that actinomycin D and colcemid together give a high mitotIc mdex. Although actlllomycm alone gives a hIgher proportion of early stages, I prefer to have more cells of all stages to chose 

from. I agree also that lower concentration of actinomycm is supenor. 








­References 

Caspersson, T., Lomakka, G, and Zech, L (1971) The 24 fluorescence patterns of the human metaphase chromosomes-dlstmgUlshlng characters and vanabIhty Hereditas 67,89-102 


2. Sumner, A T., Evans, H. J , and Buckland, R. A (1971) New technique for dIstmguishing between human chromosomes. Nature New Bioi 232, 31-32 


3. ISCN, (1985) An InternatIOnal System/or Human Chromosome Nomenclature (Harnden, D G. and Klinger, H P., eds.) S Karger, Basel 


4 YUnlS, J J (1981) Mid prophase human chromosomes; the attamment of 2000 bands Hum. Genet 56, 295-298 


5. Droum, R., Lemieux, N., and Richer, C -L. (1988) High-resolutIOn R-bandmg at the 1250-band level. II Schematic representatIon and nomenclature of human RBG-banded chromosomes. Cytobios 56, 425-439.


6. Schmzel, A (1988) MicrodeletlOn syndromes, balanced translocatlOns, and gene mappmg. J Med Genet 25, 454-462 


7 Hungerford, D A (1965) Leukocytes cultured from small inocula of whole blood and the preparatIOn of metaphase chromosomes by treatment with hypotonic KCI Stain Technol. 40,333-338.


8. Camargo, M. and Cervenka, J (1980) Pattern of chromosomal replicatIOn m synchronised lymphocytes I. Evaluation of the methotrexate block Hum. Genet. 54,47-53 


9. Yunis, J. J., (1976) High resolutIOn of human chromosomes Science 191, 1268-1269. 


10. Viegas-PeqUIgnot, E and Dutrillaux, B. (1978) Une methode simple pour obtemr des prophases et des prometaphases Ann. Genet. 21, 122-125. 


11 Schwartz S , and Palmer, C G. (1984) High-resolution chromosome analysIs. I. ApphcatlOns and hmltations. Am J Med. Genet 19,291-299 


12. Rybak, J., Tharapel, A, Robmett, S., GarcIa, M., Mankmen, C ,and Freeman, M. (1982) A simple reproducible method for prometaphase chromosome analy-sis. Hum Genet 60, 328-333 


­13 Matsubara, T. and Nakagone, Y. (1983) High-resolution bandmg by treating cells wIth acridine orange before fixation. Cytogenet Cell Genet 35, 148-151 


14 IkeuchI, T. (1984) Inhibitory effect ofethidium bromIde on mItotic chromosome condensation and its application to high-resolution chromosome banding Cytogenet. Cell Genet. 38, 56-61. 


15 Bigger, T. R L and Savage, J. R. K. (1975) Mapping G-bands on human prophase chromosomes Cytogenet Cell Genet 15, 112-121. 


16 R­nne, M., Netlsen, K V, and Erlandsen, M (1979) Effect of controlled colcemid exposure on human metaphase chromosome structure. Hereditas 91, 49-52. 


17. WIley, J. E, Sargent, L M., Inhorn, S. L., and Meisner, L. F. (1984) Comparison of prometaphase chromosome techniques with emphasIs on the role of colcemid In Vitro 20, 937-941










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