SINCE the first description of comparative genomic hybridization (CGH) by Anne Kallioniemi et al. in 1992 (1,2), the technique became the most effective tool to scan copy number variations in both tumor and normal genome (3). Conventional cytogenetic analysis of chromosome abnormalities in different diseases has been exceptionally important in identifying different level of alterations, however, for some tumor entities, classical cytogetenetics has been less successful because the complexity chromosomal alterations or difficulty culturing tumor cells in vitro (4). The use of CGH methods in research has accelerated the speed of gene discovery in human genetics. During the last 15 years it provided a wide spectrum of comprehensive information that is useful in clinical oncology, medical genetics, and basic science (5–7). In a classical CGH experiment, total genomic DNA originated from a test and reference tissues or cell populations are labeled with different fluorescent dyes and hybridized to normal chromosomes and location of copy number variations between test and reference genomic DNAwas mapped to he physical position on the normal chromosomes. The copy number of a given sequences were calculated from the relative fluorescence intensity of the hybridized genomic DNAs (8). A few years later, the target chromosomes have been replaced with small DNA elements that are mapped directly to the genome sequence. During the last 10 years array CGH profiling has allowed a deeper insight into the biology of a variety of tumor types and in the near future will undoubtedly prove to be a key technology leading to better molecular classification of different malignancies, prediction of more accurate outcome and prognosis. Array CGH as a revolutionary platform was adopted in the clinical laboratory just recently (9). High-resolution array CGH in combination with interphase fluorescence in situ hybridization (I-FISH) provides a complete description of genomic imbalances together with an evaluation of the contribution of cellto-cell variation to copy number changes at a single-cell level (10) and gives important (7,11,12) information about the chromosome instability present in the tumor genome. Most human solid tumors exhibit different level of chromosomal instability (CIN) including gains or losses of whole or different parts of chromosomes and chromosome rearrangements. The term, CIN has to be clearly distinguished from genomic instability as it was summarized recently by Geigl et al. (13). Beside CIN, genomic instability involves microsatellite instability, epigenetic alterations, and yet other not known forms of instabilities (13). Determination of CIN requires techniques that can monitor cell-to-cell variability of chromosomal alterations. Current methods for the assessment of cell-to-cell variability of chromosome alterations include interphase fluorescence in situ hybridization (I-FISH), different approaches of color karyotyping, and single-cell comparative genomic hybridization. Using I-FISH, we can detect aneusomies of chromosomes with centromere specific DNA probes, identify segmental copy number changes (DNA gains
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