Karyotyping |Close it

Karyotype gives a complete number and appearance of chromosomes in eukaryotic organisms especially clinical samples from humans, in respect to their length, position of centromere, banding patterns etc. Different types of tissue specimens are used to identify abnormalities in metaphase chromosmes of humans that play a major role in genetical disorders like down’s syndrome, turners syndrome etc. different tissue specimen include
1) Peripheral blood
2) Cord blood
3) Bone marrow
4) Amniotic fluid
5) chorionic villi sampling
6) Fetal products
Detection of these chromoasomal abnormlities is important in identifying a couple, suffering from infertility , to identify abnormalities in suspected new born. Karyotyping also plays an important role in prenatal diagnosis to manage baby health , outcome of pregnancy, future status of the baby to continue or discontinue, to better understand regarding the outcome of future pregnancy.

PCR/Sequencer |Close it

Y-chromosome microdeletions:
Microdeletions of the Y chromosome are a recently discovered cause of spermatogenetic failure resulting in male infertility. The molecular diagnosis of deletions has become an important diagnostic test in the workup of male infertility. The portion of the male –specific region of the Y chromosome, comprising 95% of the Y chromosome and flanked by pseudoautosomal regions, which is affected by deletions has been classically subdivided into three regions called AZFa, AZFb, AZFc respectively. Microdeletions are relatively frequent among infertile men. Azoospermic men have a higher incidence of microdeletions than oligozoospermic men.
Beta thalassemia detection:
Beta thalassemia is a genetic disorder resulting in the defective production of hemoglobin, caused by mutations in the beta globin gene. There are approximately 200 mutations found to be responsible for causing beta thalassemia. Individuals heterozygous for the mutation have only one copy of mutant gene and other copy with a normal gene and are referred to as thalassemia minor. Individuals homozygous for the mutation have mutation in both the genes, and are referred to as thalassemia major. ARMS PCR is performed to detect the below mentioned mutations and as well as to detect whether, the patient is thalassemia minor or major.
Sickle cell anemia
Mycobacterium Tuberculosis
Deafness screening:
Hearing impairment is the most common sensory disorder, present in 1 of every 500 newborns. Hearing loss can be caused due to environmental or genetic factors. Genetic hearing loss is hereditary and is monogenic. To date, 46 genes have been identified as casually related to nonsyndromic HL. Mutations in these genes do not occur at the same frequencies across ethnicities. The most causative genes are the ones which express the connexin protein, a structurally related transmembrane protein, which play an important role in intracellular communication. There are different types of connexins of which three have been screened in this test, GJB2, GJB3, GJB6. Sequencing the coding region of these genes helps to identify mutations that cause abnormal protein synthesis.
Aneuploidy screening:
The method employed by TrueScience™ Aneuploidy Kit uses the Quantitative Fluorescence-Polymerase Chain Reaction (QF-PCR) technique. Using PCR amplification, fluorescent dye labelled primers target highly polymorphic regions of DNA sequence called short tandem repeats (STRs) that are located on the chromosomes of interest. A normal diploid sample has the normal complement of two of each of the somatic chromosomes, thus two alleles of a chromosome specific STR are determined by the QF-PCR technique as two peaks in a 1:1 ratio. The observation of an extra STR allele as either a three-peak pattern in a 1:1:1 ratio or a two-peak pattern in 2:1 peak ratio is diagnostic of the presence of an additional sequence which in turn may represent an additional chromosome, as in the case of a trisomy.

Genetics

Facilities

AB 3500 Genetic Analyzer
Roche-CobasTaqman 48
AB-Veriti 96-Well Thermal Cycler
Agilent 2100 Bio Analyzer
MJ Research Mini Cycler
Gel-imaging Transilluminator
Heraeus Multifuge X3R

Research Projects

1) Study on sperm DNA fragmentation, sperm nuclear protein (PRM1 and PRM2) polymorphisms and sperm maturation status of ejaculated spermatozoa in infertile patients.

Publications

1) 1) Vitrification of human early cavitating and deflated expanded blastocysts: clinical outcome of 474 cycles. J Assist Reprod Genet 2009; 26: 523–529.
2)Neonatal outcome after vitrified day 3 embryo transfers: a preliminary study. Fertil Steril 2009; 92 : 143–148.
3)Meiotic spindle and zona pellucida characteristics as predictors of embryonic development: A preliminary study using PolScope imaging. Reproductive BioMedicine Online 2007; 14: 166-174.
4) Successful pregnancy with laparoscopic oocyte retrieval and in-vitro fertilisation in mullerian agenesis. Singapore Med J 2006; 47: 329-331. 5Vitrification: An Emerging Technique for Cryopreservation in Assisted Reproduction Programmes. Embryo Talk 2006; 1: 210-227.
6Vitrification of human 8-cell embryos, a modified protocol for better pregnancy rates. Reproductive BioMedicine Online 2005; 11: 434–437.
71) Vitrification of human embryos-Is it safe for clinical use? In Frozen Life: A Comprehensive Manual of Cryobiology for Assisted Reproduction and Stem Cells Edited by Pankaj Talwar, JP Medical Publishers, pp: 369-372, 2009.
8Vitrification of embryos In Atlas of Human Assisted reproductive Technologies edited by mangala telang, JP Medical Publishers, pp: 195-202, 2007.

Team

Mr. Sivanarayana
Mr. Ravi Krishna

Price List

Sr. No.

Test code

Test Name

price

Method

Sample type/ volume

Container type

Temp

TAT (days)

1.

KIVF001

Karyotyping from peripheral blood

2,500

Karyotyping

4ml Blood

Sodium Heparin tube (Green top)

Room temperature

15

2.

KIVF002

Karyotyping of cord blood

2,500

Karyotyping

2-3 ml cord blood

Sodium Heparin tube (Green top)

Room temperature

15

3.

KIVF003

Karyotyping of amniotic fluid

5,000

Karyotyping

15-20 ml of Amniotic fluid

Split into 2 plain sterile centrifuge tubes

Room temperature

18-21

4.

KIVF004

CVS

7,000

Karyotype

20 mg (2-3 bunches)

CVS in sterile centrifuge tube  with tissue culture media

Room Temperature

21-30

5.

KIVF005

POC /Fetal products

5,000

Karyotype

100mg

Tissue in sterile normal saline

Room temperature

21-30

6.

KIVF006

Y Chromosome microdeletions (AZF regions)

5000

Multiplex PCR

3-4ml blood

EDTA Vacutainer (purple top)

Room temperature

4

7.

KIVF007

Beta thalassemia Mutation analysis  by ARMS PCR (5 Common mutations)

2,000

ARMS PCR

3-4 ml blood

EDTA Vacutainer (purple top)

Room temperature

4

8.

KIVF008

Sickle cell anemia

1500

ARMS PCR

3-4ml blood

EDTA Vacutainer (purple top)

Room temperature

4

9.

KIVF009

Prenatal Diagnosis for Beta thalassemia Mutation analysis by ARMS PCR (5 Common mutations)

2500

ARMS PCR

15-20 ml of Amniotic fluid + maternal blood and paternal blood samples

Split into 2 plain sterile centrifuge tubes

Room temperature

7-10

10.

KIVF010

Prenatal Diagnosis for Sickle cell anemia

1,500

ARMS PCR

15-20 ml of Amniotic fluid + maternal blood and paternal blood sample

Split into 2 plain sterile centrifuge tubes

Room temperature

7-10

11.

KIVF11

Mycobacterium Tuberculosis

2,000

Real-time PCR

Endometrial biopsy 50-100mg

Tissue in normal saline

Room temperature

2-3days

12.

KIVF12

Deafness Screening (GJB2, GJB3, GJB6)

9,000

PCR Followed by gene sequencing

3-4ml blood

EDTA Vacutainer (purple top)

Room temperature

7 days

13.

KIVF13

Aneuploidy screening  (21, 13, 18, X, Y)

5000

PCR followed by fragment analysis using STR markers

10ml of amniotic fluid/ 2-3 bunches of CVS/ EDTA blood

EDTA blood in purple color vaccutainer/ amniotic fluid in sterile centrifuge tubes/ CVS in normal saline

Room temperature

2 days

14.

KIVF14

Karyotype+Aneuploidy screening

8000

Karyotype+ PCR followed by fragment analysis using STR markers

10ml of amniotic fluid/ 2-3 bunches of CVS

Amniotic fluid in sterile centrifuge tubes/ CVS in normal saline

Room temperature

21 days

Note:
1. TAT: Turn around time after the sample received in the lab
2. For quries regarding the tests please contact below mentioned phone numbers.
For Contact:
T.Sivanarayana: 9885941568 Ch.Ravi Krishna: 9581222244

OverView
Our genetics lab offers various services related to male and female infertility in the field of cytogenetics and molecular genetics. Genetics lab has advanced genetic testing tools viz. RT-PCR, Genetic Analyzer, Bio Analyzer and Thermo cycler. Our cytogenetic services includes, karyotype analysis of Peripheral blood, Cord blood, Bone marrow, Amniotic fluid, chorionic villi and fetal products. Molecular genetic services includes Aneuploidy screening, Y-chromosome microdeletions, Beta thalassemia detection and Deafness screening.