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376    Chapter 11    Analyzing Genomic Variation


              Figure 11.14  Preimplantation embryo diagnosis. Plucking one cell from an eight-cell embryo for the direct detection of genotype.
              The genomic DNA from the one cell is extracted and subjected to genotyping after PCR amplification. The remainder of the embryo survives
              and can be implanted into the mother’s uterus.
              © Benoît Rajau/Science Source








                   Ovary



                  1. Mature eggs are retrieved  2. Extracted eggs are  3. At 6–10-cell stage,
                      from the ovary with a syringe.      fertilized with sperm.      one cell is removed
                                                                      from each embryo.



              embryo diagnosis begins when a woman is injected with   essential concepts
              follicle stimulating hormone (FSH) to stimulate the matu-
              ration of about 10 eggs in her ovaries. An obstetrician then   •  PCR amplifies specific regions of DNA defined by two
              removes these eggs from the ovaries and fertilizes them in   oligonucleotide primers. Repeated cycles of synthesis
              vitro with her partner’s sperm. The fertilized eggs are then   increase exponentially the number of copies of the target
              incubated for several days, allowing several cycles of mi-  DNA region.
              totic division so as to produce early embryos containing   •  PCR product sequencing constitutes a simple method for
              6–10 cells.                                              genotyping many polymorphisms. Small insertions or
                  Specially trained technicians next use micropipettes to   deletions of DNA (DIPs and SSRs) can also be genotyped
              remove a single cell from each of these early embryos    by examining PCR product sizes on gels.
              (Fig. 11.14). These early embryonic cells are not yet deter-  •  Fetuses can be genotyped in utero by obtaining fetal cells
              mined to become particular cell types or organs; indeed,   via amniocentesis. In preimplantation diagnosis, a single
              embryos that split naturally at this stage can develop into   cell from an early embryo produced by in vitro fertilization
              healthy identical twins. Thus, the removal of a single cell   is genotyped.
              does not harm the embryos nor prevent them from devel-
              oping  normally. 
                  The technicians then prepare genomic DNA from the
              single cell obtained from each embryo and PCR amplify
              the specific region containing the site of the disease-
              causing mutation. They then analyze the PCR products   11.3   Sampling DNA Variation
              by sequencing or sizing. In consultation with the physi-  in a Genome
              cians, the parents can select healthy embryos with geno-
              types that would not result in the disease (homozygous
              for the normal allele, or heterozygous for a recessive   learning objectives
              disease-causing allele). Usually two or three such em-
              bryos are placed into the mother’s womb to improve the   1.  Explain why a relatively small number of SSR loci are
              chances that at least one will implant properly into the   sufficient to provide a DNA fingerprint of an individual.
              uterus.                                                2.  Describe how a DNA microarray is constructed and how
                  That embryos can be genotyped within a few days       to genotype millions of loci on this microarray.
              after fertilization by looking at the DNA from a single
              cell is conceptually and technically astonishing, but pre-
              implantation embryo diagnosis has been used success-  The vast majority of polymorphisms present in any genome
              fully in tens of thousands of pregnancies worldwide. The   do not cause disease or otherwise affect phenotypes. Sev-
              procedure is complex and expensive, costing thousands of   eral good reasons nonetheless exist for determining peo-
              dollars, but the information it provides can be invaluable   ple’s genotypes at these anonymous loci. Genotyping such
              to couples whose children would otherwise be at risk for   loci allows people to be identified by their DNAs, which is
              serious genetic diseases.                            highly useful for forensic purposes and for studying human
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