羊水上清液的优化处理与核型分散的影响因素

    Optimal treatment of supernatant of amniotic fluid and influencing factors of karyotype dispersion

    • 摘要:
      目的: 通过将培养7~9 d的羊水上清液继续接种于原位培养盒,达到简化原始上清液培养瓶法培养的收获步骤,同时探索控制原位玻片法核型分散的最优温度、湿度条件。
      方法: 选取50例进行产前诊断的孕妇羊水标本为研究对象,羊水采用双线原位培养。7~9 d有多个梭形细胞克隆贴壁生长后更换新鲜的培养基,一盒上清液转入细胞培养瓶继续培养,另一盒上清液直接接种于新的原位培养盒,换液后1~3 d根据分裂期细胞形成情况考虑羊水原液的收获,羊水上清液的换液时间和收获时机同羊水原液。培养瓶法收获的羊水上清悬液经滴片、烤片、G显带制备染色体,选取原位法收获的羊水原液和羊水上清玻片100个随机分成4组,最后一次固定后,将玻片放置于相应的温度、湿度条件下进行核型的分散,A组:20 ℃,40%;B组:20 ℃,50%;C组:23 ℃,40%;D组:23 ℃,50%,80 ℃烤箱烘烤2 h或55 ℃烤箱烘烤过夜后胰酶消化G显带,比较上清液原位法和上清液培养瓶法细胞克隆的多少、核型的数量,G显带后优质核型的多少,同时根据温度、湿度分组比较不同组的染色体分散程度的差异。
      结果: 50例羊水培养成功50例,培养成功率100%。和上清液培养瓶法比较,上清液接种于原位玻片法不同的细胞克隆易于区分,细胞克隆较多,中期分裂相较多,获取的优质核型较多。A、B、C组原位玻片核型分散程度的得分(57.40 ± 8.36、65.16 ± 11.66、63.44 ± 8.75)分明显低于D组(78.16 ± 8.48)分,差异有统计学意义(P < 0.05)。
      结论: 上清液接种于原位玻片法细胞克隆较多,可以避免培养瓶法收获后滴片造成的染色体丢失,上清液原位玻片法可以获取更多的优质核型,在进行染色体分散的过程中,将玻片放置在合适的温度(23 ℃)、湿度(50%)环境中,可以保证载玻片上的染色体核型质量。

       

      Abstract: AbstractObjective: By continuing to inoculate the supernatant of the amniotic fluid cultured for 7~9 days into the in situ culture box, the harvest steps of the original supernatant culture method were simplified, and the optimal temperature and humidity conditions for controlling the karyotype dispersion of the in situ slide method were explored. Methods: The amniotic fluid samples of 50 pregnant women with prenatal diagnosis were selected as the study objects, and the amniotic fluid was cultured in situ with double lines. About 7~9 days after the growth of multiple spindle cell clones attached to the wall, fresh media was replaced. One box of supernatant was transferred to the cell culture bottle for further culture, and the other box was directly inoculated into the new in situ culture box. The collection of the amniotic fluid was considered according to the cell formation during the division period 1~3 days after the fluid exchange. The time of fluid exchange and harvest time of the supernatant were the same as that of the amniotic fluid. The supernatant suspension of amniotic fluid harvested by the culture bottle method was prepared by dropping tablets, baking tablets and G-banding. 100 glass slides of amniotic fluid and supernatant of amniotic fluid harvested by the in-situ method were randomly divided into 4 groups. After the last fixation, the glass slides were placed under the corresponding temperature and humidity conditions for karyotype dispersion. Group B: 20 ℃, 50%; Group C: 23 ℃, 40%; Group D: After baking at 23 ℃, 50%, at 80 ℃ for 2 h or overnight at 55 ℃, G banding was digested by pancreatic enzyme. The number of cell clones, karyotypes andhigh-quality karyotypes after G banding were compared between the in situ method of supernatant and the culture bottle method of supernatant. At the same time, the differences in chromosome dispersion between different groups were compared according to the temperature and humidity.
      Results Fifty cases of amniotic fluid culture successfully 50 cases, the success rate of culture is 100%. Compared with the supernatant culture bottle method, the supernatant method was easy to distinguish different cell clones, by which more cell clones, more metaphase division, and more high-quality karyotypes were obtained. The score of in situ slide karyotype dispersion in groups A, B and C (57.40 ± 8.36, 65.16 ± 11.66, 63.44 ± 8.75) points was significantly lower than those in group D (78.16 ± 8.48) points, and the difference was statistically significant (P<0.05).Conclusions: The supernatant was inoculated into the in situ slide method for more cell cloning, which could avoid chromosome loss caused by drops after harvest by the culture bottle method, while the in situ slide method for supernatant solution could obtain more high-quality karyotypes. During the process of chromosome dispersion, the quality of chromosome karyotypes on the slide could be ensured by placing the slide in a suitable temperature (23 ℃) and humidity (50%) environment.

       

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