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Myeloid Leukemia

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Chimerism Analysis 293<br />

Table 2<br />

Commonly Encountered Problems in Chimerism Calculation and Recommended<br />

Measures<br />

Possible cause Recommended measure<br />

Extra signals:<br />

Contamination with extraneous DNA Use appropriate precautions and controls<br />

(aerosol-resistant pipette tips)<br />

DNA input too high Decrease amount of template DNA or<br />

reduce the number of Polymerase chain<br />

reaction (PCR) cycles<br />

Sample not completely denatured Heat sample to 93°C for 3 min before<br />

capillary electrophoresis<br />

Faint or no signals:<br />

Impure DNA: Presence of inhibitors Test different extraction methods<br />

combined with filtration of DNA<br />

through a spin column<br />

Insufficient template DNA Increase amount of DNA template<br />

Primer concentration too low Increase primer concentration<br />

Incorrect PCR program Check the PCR program<br />

Wrong MgCl 2 concentration Test different concentrations of MgCl 2<br />

25. Rubber cement must be completely dry to avoid leakage of probe solution. The<br />

incubation is performed in darkness to avoid fading of fluorescence.<br />

26. Hybridization for 4 h is sufficient, but may be carried out overnight or even over<br />

the weekend (for convenience) without any negative effect.<br />

27. Under the storage conditions indicated, the fluorescence remains stable for years,<br />

thus permitting analysis of the slides at any later time point.<br />

28. The reported average sensitivity in detecting minor (in most instances recipientderived)<br />

cell populations using different microsatellite markers ranges from 1 to<br />

5%. The sensitivity may to a large extent depend on the size (i.e., amplicon length)<br />

of the informative recipient allele(s), the allelic constellation, and the number of<br />

alleles co-amplified. In practice, however, some markers from the panels used at<br />

individual centers tend to provide higher sensitivity than others and are therefore<br />

used preferentially.<br />

Acknowledgments<br />

Supported by the Österreichische Kinderkrebshilfe. The authors wish to acknowledge<br />

the contribution of the following colleagues from the CCRI,<br />

Vienna, Austria: Dieter Printz and Gerhard Fritsch (flow-sorting), Margit<br />

König (FISH analysis), Helga Daxberger and Sandra Preuner (STR-PCR and<br />

capillary electrophoresis).

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