Documente Academic
Documente Profesional
Documente Cultură
of the
Association of Genetic Technologists
Brain Tickler
Submitted by:
Helen Lawce
Peripheral blood was received on an Knight Diagnostic Cytogenetics Laboratory
8-year-old female with submucous cleft Oregon Health & Science University
palate. Portland, Oregon
ISSN 1523-7834
175
The Journal of the Association of Genetic Technologists Staff
Column Editors
Abstract Reviews/Genetics in the News Genetics, Government & Regulation Meeting Notices Special Interests
Jaime Garcia-Heras, MD, PhD Helen Bixenman, MBA, CLSup, CLSp(CG) Jun Gu, MD, PhD, CG(ASCP)CM Turid Knutsen, MT(ASCP), CLSp(CG)
Director of Cytogenetics San Diego Blood Bank University of Texas MD Anderson 17836 Shotley Bridge Place
The Center for Medical Genetics 3636 Gateway Center Avenue, Suite 100 Cancer Center Olney, MD 20832
7400 Fannin, Suite 700 San Diego, CA 92102 School of Health Professions 301-570-4965
Houston, TX 77054 619-400-8254 Cytogenetic Technology Program knutsent@earthlink.net
hbixenman@sandiegobloodbank.org 1515 Holcombe Blvd., Unit 2
713-432-1991
Houston, TX 77030 Test Yourself
713-432-1661 FAX Jennifer Crawford-Alvares
713-563-3094 Sally J. Kochmar, MS, CG(ASCP)CM
jgarcia@geneticstesting.com Cytogenetic Technologist II
jungu@mdanderson.org Magee-Womens Hospital
Section of Hematology/Oncology
Brain Tickler/Book Review Editor Pittsburgh Cytogenetics Lab
The University of Chicago Medicine Molecular Diagnostics
Helen Lawce, BSc, CLSp(CG) 300 Halket St., Room 1233
5841 S. Maryland Ave., Rm. I-304 Michelle Mah, MLT, MB(ASCP)CM
Clinical Cytogenetics Laboratory Chicago, IL Pittsburgh, PA 15213
Advanced Diagnostics Lab
Oregon Health Sciences University jen.crawford34@gmail.com 412-641-4882
Princess Margaret Cancer Centre
3181 SW Sam Jackson Parkway Office: 773-702-9153 skochmar@upmc.edu
University Health Network
MP-350
610 University Ave.
Portland, OR 97201 Letters to the Editor
Toronto, Ontario
503-494-2790 Mark Terry, JAGT Editor
Canada M5G 2M9
503-494-6104 FAX 1264 Keble Lane
416-946-4501 ext.5036
lawceh@ohsu.edu Oxford, MI 48371
michelle.j.mah@gmail.com
586-805-9407 (cell)
248-628-3025 (phone/FAX) Profiles & Perspectives
markterry@charter.net Hon Fong Louie Mark, PhD, FACMG
President
KRAM Corporation
2 Pine Top Road
Barrington, RI 02806
401-246-0487
HonFong_Mark@Brown.edu
Review Board
Linda Ashworth, BSc, CLSp(CG) Sue Fox, BSc, CLSp(CG) Hon Fong Louie Mark, PhD, FACMG Debra Saxe, PhD
(Cytogenetics, Molecular genetics) (Bone marrow cytogenetics, Prenatal (Molecular genetics, Somatic cell (Prenatal diagnosis, Cytogenetics)
diagnosis, Supervisory/Management) genetics, Cancer cytogenetics, Breast
Helen Bixenman, BSc, CLSp(CG), CLSup Jack L. Spurbeck, BSc, CLSp(CG)
cancer, Trisomies, Laboratory practices,
(Prenatal diagnosis) Jaime Garcia-Heras, MD, PhD (Cancer cytogenetics, Molecular
Regulatory practices, FISH)
(Clinical cytogenetics) genetics)
Judith Brown, MS, CLSp(CG), CLSp(MB)
Jennifer L. McGonigle, BA, CLSp(CG)
(Cytogenetics) Robert Gasparini, MS, CLSp(CG) Peggy Stupca, MSc, CLSp(CG)
(Cytogenetics)
(Prenatal diagnosis, Cytogenetics) (Cytogenetics, Prenatal diagnosis,
Kim Bussey, PhD
Karen Dyer Montgomery, PhD, FACMG Breakage syndromes, FISH, Regulations/
(Cancer genetics, Molecular genetics, Barbara K. Goodman, PhD, MSc,
(Cancer cytogenetics, Cytogenetics, QA)
Microdissection/PCR/DNA) CLSp(CG)
Molecular cytogenetics)
(Molecular cytogenetics) Nancy Taylor, BSc, CLSp(CG), MT(ASCP)
Mona Cant, BSc, CLSp(CG)
Stephen R. Moore, PhD, ABMG (Cytogenetics, Cancer cytogenetics)
(Cytogenetics) Michelle M. Hess, MS, CLSp(CG)
(Clinical cytogenetics, radiation biology,
(Cytogenetics, Cancer cytogenetics) Thomas Wan, PhD
Anthony Ciminski, CG(ASCP)CM toxicology; clinical molecular genetics)
(Cytogenetics, Molecular genetics,
Molecular Genetics, Molecular Lynn Hoyt, BSc, CLSp(CG), CLSup
Rodman Morgan, MS, CLSp(CG) Cancer genetics)
Cytogenetics (Classical cytogenetics)
(Cancer cytogenetics)
James Waurin, MSc, CLSp(CG)
Adam Coovadia, CLSpP(CG, MG) Peter C. Hu, PhD, MS, MLS(ASCP), CG, MB
Susan B. Olson, PhD (Prenatal diagnosis, Counseling)
(Traditional, Molecular, Regulatory) (Cytogenetics, Molecular cytogenetics,
(Cancer cytogenetics, Molecular
Education) Sara Wechter, BSc
Philip D. Cotter, PhD, FACMG genetics, Prenatal diagnosis, OB/GYN,
(Cytogenetics, Cancer)
(Prenatal diagnosis, Chromosome Denise M. Juroske, MSFS, MB(ASCP)CM Counseling, Cytogenetics)
rearrangements, Molecular genetics) (Cytogenetics, Molecular, Education) Heather E. Williams, MS, CG(ASCP)CM
Jonathan P. Park, PhD
(Cytogenetics, Molecular Genetics)
Jennifer Costanzo, MS, CLSp(CG) Julia Kawecki, BSc, CLSp(CG) (Cytogenetics, Molecular genetics,
(Cytogenetics, Molecular genetics) (Cytogenetics, Molecular genetics) Cell biology) Su Yang, BSc, CLSP(CG)
(Education, Traditional Cytogenetics)
Janet Cowan, PhD Turid Knutsen, MT(ASCP), CLSp(CG) David Peakman, AIMLT, CLSp(CG)
(Cytogenetics, Cancer genetics, (Cancer cytogenetics, CGH, SKY) (Prenatal diagnosis) Jason A. Yuhas, BS, CG(ASCP)CM
FISH, Solid tumors) (Cytogenetics, Molecular cytogenetics)
Brandon Kubala, BSc, CLSp(CG) Carol Reifsteck, BA
Lezlie Densmore, BSc, CLSp(CG) (Traditional Cytogenetics) (Breakage syndromes, Fanconis James Zabawski, MS, CLSp(CG)
(Cytogenetics, Molecular genetics) anemia, Prenatal diagnosis) (Education, Traditional Cytogenetics)
Anita Kulharya, PhD
Janet Finan, BSc, CLSp(CG) (Molecular genetics, Clinical Gavin P. Robertson, PhD
(Hemic neoplasms, Somatic cell cytogenetics) (Cytogenetics, Molecular genetics,
hybridization) Somatic cell genetics, Tumor suppressor
Helen Lawce, BSc, CLSp(CG) genes, Cancer genes)
Lakshan Fonseka, MS (Prenatal diagnosis, Solid tumors, FISH,
(Cytogenetics, Molecular genetics) Chromosome structure, Evolution) Laurel Sakaluk-Moody, MSc, MLT(CG)
(Cytogenetics, Developmental biology,
Prenatal cytogenetics)
176
A Note from the Editor
As usual, the AGT faces challenges. There are a number of of Genetic Technologists. The journal began as a few mimeographed
factors, but they include decreasing membership. Part of this pages that was mostly made up of case studies, membership
is likely related to lack of support by employers, although the news, and troubleshooting and technique-related materials. As
membership fee for AGT is fairly nominal. Its also consistent the organization began to increasingly focus on certification,
with wider trends that professional organizations are having with licensure, government-related activities, salary equality, and
dwindling memberships nationally. professional development, the journal grew as well.
Another likely factor is that the organization began 40+ years Because it has always been the most tangible sign of membership,
ago as The Association of Cytogenetic Technologists. Although it has tended to be a reflection of the organization. For a while it
karyotyping is still mostly considered the gold standard for was largely a peer-reviewed technical journal. As such, its always
chromosomal changes and chromosome-related diagnostics, had some difficulties in competing with the bigger journals, such
its clear that the inclusion of a variety of methodsFISH, as Journal of Human Genetics, Human Genetics, American Journal of
microarrays, and next generation sequencing, to name a fewis Human Genetics, Journal of Medical Genetics, Cancer Genetics and
both an adjunct and a replacement for it. Cytogenetics, etc. Which is one of the reasons why, when I took
Does that mean that karyotyping will go away? Well, never over as editor in 2000, I pushed it toward being a mix of peer-
say never, but probably not. But it may become a confirmation review technical journal and trade journal, with a combination of
test when other modalities are inconclusive, or just part of a technical articles and business and continuing education-related
laboratorys arsenal of techniques. materials.
But an outcome of this shift has been that molecular techniques If theres a point to this column, its to get you, as members and
are used for far more than chromosomal studies. This has had a readers, to think about what this organization is for youand to
big impact on the technologists working in the field and how think very hard about what you want it to be. If its a way to go to
laboratories and their institutions split up duties. the annual meeting at a lower price, well, okay, thats fine. If its
What I mean by this is that if the microbiology laboratory, because of continuing education opportunities, thats good. If its
the hematology laboratory, etc., are using the same technology because you think having an organization to lobby government
and tech platforms, from a financial and workflow point of view, agencies, licensure and certification boards on your behalf is
it makes sense to not split them out into separate cytogenetic important, thats good.
laboratory or molecular diagnostics lab. Rather than a specific Let us know whats important to you. Drop an email to me. Or
segment of laboratories, genetic lab tests are being performed by even better, drop an email to the president or other members of
whichever laboratory has the technology that supports it. But that the executive boardlet us know how were doing, what you think
varies from institution to institution. could be done better, what you would like to see.
However, one reason the ACT became the AGT was because of And, of course, one of the ways to have an impact on the
those changes, as well as to appeal to a broader group of laboratory organization is to not only join, but volunteer, get involved.
professionals. Run for office, volunteer. Theres quite a bit going on with the
Other factors? organization, and there are plenty of committees that could use
One of the reasons ACT was originally created was as an people to participate.
opportunity for cytogenetic technologists to share information And if it is important to you, then I also encourage you to tell
that was being developed in the laboratories, and to create your peers they should join as wellits a clich, but its true, there
continuing education opportunities. Now, access to information is strength in numbers.
isnt hard thanks to the Internet. Technologists interested in
troubleshooting or information related to their field have a world
of information at their fingertips. Cheers,
As the organization evolved, so did The Journal of the Association Mark Terry, Editor
177
Case Study
Abstract
Rhesus macaque (Macaca mulatta), because of their similarity to humans, are often used to study complex neurobiology and anatomy,
cardiovascular disease, and in vaccine development. While the rhesus genome is studied on its own by primatologists, the grand majority of
rhesus macaque research is done with the intention of extrapolating the findings to human diseases and traits. As such, it makes sense that
the rhesus genome and karyotype be arranged based on homology to human chromosomes in an effort to ease the comparisons between
the two, and aide in interpreting data generated using rhesus macaque model systems. Various approaches have been utilized, including
linkage analyses using radiation hybrid markers and human microsatellite loci, and next generation sequencing, to create a comprehensive
rhesus genome. Here, we present for the first time, the rhesus macaque karyotype adjusted and renumbered to reflect human homology,
and to complement the newly completed sequencing data.
178
Case Study
rhesus genome and karyotype be arranged based on homology to Jr. A new rhesus macaque assembly and annotation for next-generation
human chromosomes in an effort to ease the comparisons between sequencing analyses. Biol Direct. 2014;9(1): 20.
the two, and aide in interpreting data generated using rhesus
macaque model systems. Therefore, we suggest that this karyotype Corresponding author:
be adopted as the standard karyotype for rhesus macaque in order Susan B. Olson, PhD, Department of Molecular and Medical
to reflect homology and align with human and great ape accepted Genetics, Oregon Health & Science University, Portland, OR
karyotypes. 97239
(T): 503-494-5964
References (F): 503-494-6104
Mller S, Wienberg J. Bar-coding primate chromosomes: molecular (E): olsonsu@ohsu.edu
cytogenetic screening for the ancestral hominoid karyotype. Hum Genet.
2001;109: 85-94.
Murphy W, Agarwala R, Schaffer A, Stephens R, Smith C, Jr., Crumpler N,
David VA, OBrien SJ. A rhesus radiation hybrid map and comparative
analysis with the human genome. Genomics. 2005;86(4): 383-95
Rogers J, Garcia R, Shelledy W, Kaplan J, Arya A, Johnson Z, Bergstrom M,
Novakowski L, Nair P, Vinson A, Newman D, Heckman G, Cameron J.
An initial genetic linkage map of the rhesus macaque (Macaca mulatta)
genome using human microsatellite loci. Genomics. 2006;87(1): 30-8.
Zimin A, Cornish A, Maudhoo M, Gibbs R, Zhang X, Pandey S, Meehan DT,
Wipfler K, Bosinger SE, Johnson ZP, Tharp GK, Marcais G, Roberts M,
Ferguson B, Fox HS, Treangen T, Salzberg SL, Yorke JA, Norgren BR
179
Teaching Case Study
Corresponding author:
Juli-Anne Gardner, MD, Department of Pathology and Laboratory
Medicine, University of Vermont Medical Center, Burlington, VT
05401
(T): 802-487-2700
(F): 802-847-3987
(E): Juli-Anne.Gardner@uvmhealth.org
180
Case Study
Abstract
Ring chromosomes, often leading to partial deletions, are found in about 2% of cases of acute myeloid leukemia (AML) and are typically
associated with a poor prognosis. Herein, we present the case of a 62-year-old female who showed markedly hypercellular marrow with
sheets of myeloblasts, monoblasts, and promonocytes, confirmed by flow cytometry and consistent with acute myelomonocytic leukemia.
Cytogenetic analysis revealed an apparent monosomy 7 and a ring chromosome in all 20 metaphases analyzed. Concurrent interphase
and metaphase FISH studies revealed centromere 7 and 7q31 signals on this ring chromosome. The karyotype was then characterized
as: 46,XX,r(7).ishr(7)(p13q32)(CEP7+,D7S486+)[20]. Despite the poor prognostic indication, follow-up cytogenetic studies after treatment
revealed a normal karyotype. According to the Mitelman Database, 35 other cases of AML with r(7) have been reported. Analysis of these
cases demonstrated that r(7) was a sole abnormality in 20%, a primary abnormality in 14%, and in the context of a complex karyotype
in 66%. The most common concomitant abnormality, seen in 26% of these cases, was 5q-, though a large variety of other concurrent
abnormalities were reported at lower frequencies. The most common r(7) breakpoints were r(7)(p22q22) and r(7)(p11q11), occurring in
20% and 13% of the cases that specified breakpoints, respectively. This case study and analysis of previously reported cases demonstrates
the diversity of cytogenetic contexts in which r(7) can occur in AML and underscores the importance of FISH in the characterization of
this abnormality. Further investigation of the role of r(7) in AML and other hematological malignancies is warranted in order to properly
characterize it and concomitant abnormalities to elucidate its clinical implications.
181
Case Study
B. FISH
FISH studies using the Vysis D7S486/Vysis CEP 7 (D7Z1)
FISH Probe Kit revealed loss of chromosome 7-specific
signals in 5.3% (16/300) of the nuclei analyzed, which is
suggestive of monosomy 7. These results are described as nuc.
ish(D7Z1,D7S486)x1[16/300]. FISH studies on previously
G-banded metaphases revealed the signal for the centromere
of chromosome 7 and an intact 7q31 signal on the marker
chromosome in all of the metaphases examined. These
results characterized the marker chromosome observed in
the conventional cytogenetic analysis as ring chromosome 7.
All of the other probes detected no aberrations in the nuclei
examined.
Discussion
Looking at the results of cytogenetics, the marker chromosomes
from the conventional cytogenetic analysis are characterized as ring
chromosome 7 using FISH. In the context of the FISH results,
ring chromosome 7 occurred in 284 out of 300 cells analyzed,
indicated by a normal signal pattern of two red and two green Figure 2. The top figure is the metaphase FISH results of
signals. Metaphase FISH indicated that one set of these signals chromosome 7 signals on the previously characterized marker
appeared on the marker chromosome, confirming that it is ring chromosome, allowing the characterization of this marker
chromosome 7. The close relationship between ring chromosome chromosome to change to that of ring chromosome 7. The
bottom figure shows the same results with labels and a different
7 and monosomy 7 is evident because FISH results indicated contrast.
monosomy 7 in 16 out of 300 cells analyzed, or 5.3%. Complete
182
Case Study
Table 1: Karyotypes and other information about the cases from the Mitelman Database of Chromosome Aberrations and Gene
Fusions in Cancer on r(7) in AML.
183
Case Study
AML and 5-7% of pediatric AML. Monosomy 7 is also the most in distal and proximal breakpoints also suggests that chromosome
common cytogenetic abnormality in leukemic cells with therapy- 7 deletions may be important in leukemogenesis because of the loss
related AML, but it rarely occurs as a sole abnormality. Cytogenetic of function of a tumor-suppressor gene within the deleted segment,
studies of 44 patients with 7q deletions at the University of but further studies are needed to pinpoint the region where this
Chicago also characterized 7q22 and 7q32-34 as possible critical gene is located. Generally, however, existing evidence suggests that
regions in the development of myeloid leukemia. The variability loss of chromosome 7 material is not an initiating event in AML,
184
Case Study
since it has been found in so many settings in which the condition without a Philadelphia chromosome. A multicenter study of 55 patients.
has already been well-established (Luna-Fineman et al., 1995). This GroupeFranais de CytogntiqueHmatologique. Cancer Genet
Cytogenet. 1988 Jun;32(2): 157-68.
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to r(7), since it often involves loss of material and is associated with strongly associated with AML1/RUNX1 mutations and increased FLT3
monosomy 7. Here, the region of interest will be 7q31. expression in acute myeloid leukemia. Blood. 2007 Aug 15;110(4): 1308-
A query of the Mitelman Database of Chromosome Aberrations 16. Epub 2007 May 7..
and Gene Fusions in Cancer revealed 35 cases of r(7) in AML, Forrest DL, Nevill TJ, Horsman DE, Brockington DA, Fung HC, Toze
CL, Conneally EA, Hogge DE, Sutherland HJ, Nantel SH, Shepherd
none of which had r(7) as a secondary abnormality. Analysis of
JD, Barnett MJ. Bone marrow transplantation for adults with acute
these cases showed that r(7) was a sole abnormality in 20% of the leukaemia and 11q23 chromosomal abnormalities. Br J Haematol. 1998
cases and a primary abnormality in 14% of the cases, and 66% of Dec;103(3): 630-8.
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(9%), loss of chromosome 7 material (9%), monosomy 12 (6%),
Lampert F, Harbott J, Ritterbach J. [Chromosome aberrations in acute
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of the cases that specified breakpoints. Other breakpoints were Fluorescence in situ hybridization analysis of 110 hematopoietic disorders
r(7)(p12q36), r(7)(p22q31), r(7)(p15q35), and more (Mitelman et with chromosome 5 abnormalities: do de novo and therapy-related
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Radtke I, Mullighan CG, Ishii M, Su X, Cheng J, Ma J, Ganti R, Cai Z,
Goorha S, Pounds SB, Cao X, Obert C, Armstrong J, Zhang J, Song
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JR. Genomic analysis reveals few genetic alterations in pediatric acute
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Raimondi SC, Chang MN, Ravindranath Y, Behm FG, Gresik MV, Steuber
CP, Weinstein HJ, Carroll AJ. Chromosomal abnormalities in 478
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bmt.2011.15. Epub 2011 Feb 28.
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186
Molecular Diagnostics
Column Editor: Michelle Mah, MLT, MB(ASCP)CM
A Brief Reflection
By Michelle Mah & Anna Haasen
For the last issue in 2015, I wrote about the ushering of clinical In the example of the NanoString nCounter expression assay
genome diagnostics into the field of molecular pathology. Although the lab is testing, the use of probes attached to fluorescently labeled
whole genome sequencing is still uncommon ground in most molecular barcodes (made up of short strings of nucleotides) are
diagnostic labs, large targeted gene panels that encompass thousands hybridized to targeted sequences of interest. After the hybridization,
of sequence targets have become increasingly practical to integrate the probe-target complexes are immobilized onto the nCounter
into routine. cartridge and the individual fluorescent barcodes are counted by
The manual part of technologist workflow remains for the large the nCounter digital analyzer. The output is number of counts for
part unchanged. They produce next-generation sequencing (NSG) each target of interest per sample. Normalization of these counts
libraries which are enriched and subsequently amplified target to positive controls evaluates differential gene expression. When
sequences that will undergo massively parallel sequencing. On the assessing results at the nanoscale, sensitivity and precision is
other hand, the computer programs and commercial software used remarkable, which endorses nanoscale platforms at the forefront of
for sequencing and variant analysis has improved. The development personalized medicine.
and streamlining of the post-sequencing workflow, such as employing The most recent news about nanotechnology used in sequencing
the most appropriate programs for sequence quality filtering and is from the company Oxford Nanopore Technologies (Oxford,
variant interpretation, has increased productivity. The part of the UK). They have created what has been referred to as the third-
week devoted to the use of spreadsheets and multiple software generation sequencers (the generation after NGS), where a single
programs (sometimes for the same purpose!) has been thankfully DNA or RNA molecule is threaded through a protein nanopore
reduced. that resembles a cross membrane protein channel. The change in
For the alignment of genomic sequences and processing of nucleotide sequences alters the normal current that flows through
those sequences (also called sequencing reads), the bioinformatics the nanopore and is measured by a nanopore device that comes
team in our lab (composed of research associates with expertise in in two available models. They are the pocket-sized MinION, which
computational biology) has assembled a customized analysis pipeline measures up to 512 nanopore channels, and the PromethION, which
to intake raw sequence files and output variant call files called VCFs. is the benchtop version that can measure over a million nanopore
VCFs that contain high quality variants are extremely important channels. The portable MinION, which is four inches long and one-
for downstream reporting. For example, a technologist would inch wide, makes the notion of a DNA sequencer in every pocket a
further evaluate and prioritize variants from the VCF for formal very real possibility.
interpretation using specialized variant assessment and organization
platforms. If I had to make a direct comparison, I think as labs Towards NGS Standardization as Technology Matures
accumulate more experience in running NGS assays, looking at a and Labs Gain More Experience
VCF should be as informational as looking for targeted bands in a I recently attended the Toronto leg of the Ion World 2016 hosted
PCR agarose gel. by ThermoFisher Scientific, and learned a little more about its Ion
S5 and S5 XL sequencers. I was excited to learn about the companys
Nanotechnology in Molecular Diagnostics partnership with The Ontario Institute for Cancer Research (OICR)
Most of my column content has focused on NGS in the molecular in facilitating a collaborative partnership between leading healthcare
lab. When our lab recently acquired a new non-sequencer called the institutions in Ontario with the goal to provide better breast cancer
NanoString nCounter (NanoString Technologies, Inc., Seattle, WA), care in the province. Participating labs will use the 143 targeted
my interest in nanotechnologies was piqued. Nanotechnology with cancer gene panel on the Ion S5 XL sequencer. This is the same gene
applications in biology has been around for over a decade. As the panel used in the National Cancer Institute-Molecular for Therapy
name implies, it takes molecular diagnostics to the nanoscale. Nano- Choice Trial (NCI-MATCH) offered in many clinical sites in the U.S.
is a unit of the metric system and it is defined by a factor of one that started last August.
billionth, that is 0.000 000 001. Wikipedia defines one nanometer One of the expectations is to work towards the possibility of
as the length of three gold atoms! standardizing NGS workflows from sample processing to variant
In everyday molecular genetics and molecular cytogenetics, we calling. The construction of a shared database of knowledge and
frequently work with micro and nano amounts of DNA and RNA. expertise is scalable and can certainly extend to other forms of cancer.
There are NGS assays that use as low as 10 nanograms of DNA per
sample. To provide some prospective on how minuscule this amount Sources
is, the amount of nuclear DNA in one human diploid cell is about 6 Biotechnology Focus. Aug 2016. New retrospective study aims to identify
picograms, which is equal to 0.006 nanograms, so 10 nanograms is mutations to better diagnose breast cancer. http://biotechnologyfocus.
approximately 1,500 cells. The use of nanotechnology in molecular ca/new-retrospective-study-aims-identify-mutations-better-diagnose-breast-
diagnostics is the conversion of single strings of nucleotides directly cancer/
Cheng L. Molecular Genetic Pathology. Springer Publishing; 2013.
into electronic signatures that can be measured by different analyzers.
Hovelson DH Hovelson DH, McDaniel AS, Cani AK, Johnson B, Rhodes K,
Amplification of targeted sequences is not required, so the upfront Williams PD, Bandla S, Bien G, Choppa P, Hyland F, Gottimukkala R,
work is significantly less and faster. Liu G, Manivannan M, Schageman J, Ballesteros-Villagrana E, Grasso
187
Molecular Diagnostics
Column Editor: Michelle Mah, MLT, MB(ASCP)CM
A Brief Reflection
CS, Quist MJ, Yadati V, Amin A, Siddiqui J, Betz BL, Knudsen KE,
Cooney KA, Feng FY, Roh MH, Nelson PS, Liu CJ, Beer DG, Wyngaard
P, Chinnaiyan AM, Sadis S, Rhodes DR, Tomlins SA. Development and
validation of a scalable next-generation sequencing system for assessing
relevant somatic variants in solid tumours. Neoplasia. 2015;17(4): 385-399.
Miglani GS. Developmental Genetics. IK International Publishing House; 2013.
NanoString Technologies company website: http://www.nanostring.com/
elements/tagsets
Oxford Nanopore Technologies company website: https://nanoporetech.com/
how-it-works
Yong E. April 2016. A DNA Sequencer in Every Pocket. The Atlantic.
Available on the World Wide Web: http://www.theatlantic.com/science/
archive/2016/04/this-technology-will-allow-anyone-to-sequence-dna-
anywhere/479625/
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The Journal of the Association of Genetic Technologists 42 (4) 2016
189
Profiles and Perspectives
Column Editor: Hon Fong L. Mark, PhD, MBA, FACMG
Claudia Wiersch was once a happy stay-at-home mom. She thought that
having a family would be enough for her. She soon found that she wanted
more engagement in the bigger world. Her father was a scientist. She
thinks she inherited his curiosity and analytical mind. The first time that
I met Claudia was at Brown University/RI Hospital. I needed additional
technical help for chromosome analysis.
CW: I still love my family, but I also love the experiences I have had in
science. I started out in clinical cytogenetics, but found the balance of
techniques are taught in the program as well, which is
home in Connecticut, work in Providence and a long commute hard to
fantastic.
balance. I went to work at a biotech company performing gold particle
and DNA bombardment experiments to create transgenic corn. Very HFLM: Who do you consider your most important mentors in
little was in the news at that time about genetically modified organisms genetics at the various levels?
(GMO) and the work was a blast, literally. CW: There are so many talented people that I have had the
pleasure to meet and work with, its hard to say
HFLM: After that she was at a pharmaceutical company, using
her cytogenetic expertise in the risk assessment of developing drugs. HFLM: What do you consider to be the most interesting or
Company restructuring and outsourcing eliminated that job. She worked most important project that you have ever done? Please
under a grant at an aquarium, then at a manufacturing facility that elaborate.
made ointments and creams in quality assurance, performing annual CW: My career in clinical cytogenetics was interrupted by family
product reviews and releasing product. How she missed cytogenetics. obligations, but I never lost my love for chromosomes. I
worked in a genetic toxicology laboratory at a pharmaceutical
CW: Luckily, a full circle has found her about to embark on another company, looking for effects that drug candidates may have
adventure back into a cytogenetics laboratory, this time with a world of on chromosomes from healthy donors. Many labs are using
experience. mouse lymphoma cells now for drug safety studies, but we
used human lymphocytes.
HFLM: As a bright young woman, obviously there were many HFLM: You did grow to love flow cytometry as well. You worked
options open to you when you decided to go to college. for a while at the Mystic Aquarium in Connecticut
What was the main reason that you decided to attend performing immunophenotyping on wild and captured
The University of Connecticut School of Allied Health whales and dolphins, supporting stress studies on these
(Mark, 1999; Mark, 2000)? animals for Dr. Trac Romano.
CW: I had two wonderful science professors, Professor Copeland CW: Working in an environment where animals other than
and Professor Kirkpatrick, at what was then Mohegan humans are a top priority was a real eye-opening and
Community College, who encouraged me to explore the humbling experience.
sciences. Professor Kirkpatrick mentioned this field of
cytogenetics, and I was instantly interested and applied to HFLM: What do you think is the most urgent scientific question
the University of Connecticut program. to be answered in our field in the coming years?
HFLM: Why did you choose to enter this specialized field of CW: How is basic science going to thrive in our current
genetics? environment? There is so much pressure to produce
something practical, which is important, but sometimes
CW: Really, I fell in love with chromosomes. I loved looking the practical doesn't arrive until some basic questions are
at them under the microscope and when I realized the answered.
information that could be gleaned from their banding
patterns, I know I found something I wanted to study. HFLM: What do you think is the most pressing nonscience-
related problem facing molecular geneticists today?
HFLM: Please describe your training. CW: How do we scientists continue to engage the public about
CW: The University of Connecticut has a wonderful Medical scientific matters, so people will love and support science
Laboratory Science Program. When I went, the specialty of through philanthropy, voting, and general understanding.
cytogenetics encompassed the theoretical, the practical and HFLM: In what direction do you see molecular genetics going
the ethical facets of this discipline. It was all cytogenetics in the next century?
at the time I went, but now the molecular diagnostic
190
Profiles and Perspectives
References
Mark HFL. Cytogenetics in the 1960s. J Assoc Genet Tech.
1999;26: 72-73.
191
Brain Tickler
Results: 46,XX,der(4)t(4;11)(p16.3;p15.4)
Based upon microarray analysis, there is an
approximately 3.81 Mb terminal deletion of 4p16.3,
the Wolf-Hirschhorn syndrome (WHS) deletion
region.
192
Continuing Education Opportunities
Column Editor: Sally J. Kochmar, MS, CG(ASCP)CM
a. M9291and M9290
b. V617F and H574R
c. H574R and R683G
d. H574R and M9291
The Journal of the Association of Genetic Technologists 42 (4) 2016
193
Continuing Education Opportunities
Column Editor: Sally J. Kochmar, MS, CG(ASCP)CM
10. Which of the following is a favorable cytogenetic 15. IQMH requirements include guidelines categorized into ___
abnormality in AML? tenets of quality management.
I. deletion 5 a. ten
II. translocation (6;9) b. twelve
III. inversion 16 c. eleven
IV. 11q23 abnormalities d. fifteen
194
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9.____ 15.____ 2. d 8. d 14. a 20. d
3.____
3. a 9. a 15. b 21. d
4.____ 10.____ 16.____ 4. c 10. b 16. d 22. c
5.____ 11.____ 17.____ 5. c 11. c 17. d 23. c
6.____ 12.____ 18.____ 6. a 12. d 18. a 24. c
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READING LIST 54 General Content Area: Peripheral Lymphocytes at Different Cell- GABARAP and DLG4 are Associated with
Chromosome Breakage Syndromes2006 Cycle Phases Vulnerability to Nicotine Dependence in
1. Chromosome Breakage Syndromes and European-Americans
READING LIST 58 General Content Area:
Cancer 2. Genomewide Linkage Scan for Nicotine
Solid Tumor and FISH2007
2. DEB Test for Fanconi Anemia Detection in Dependence: Identification of a
1. Methylthioadenosine Phosphorylase Chromosome 5 Risk Locus
Patients with Atypical Phenotype
Gene Deletions are Frequently Detected
3. Nijmegen Breakage Syndrome: Clinical 3. Genetic Linkage to Chromosome 22q12
by Fluorescence in situ Hybridization in
Manifestation of Defective Response to for a Heavy-Smoking Quantitative Trait in
Conventional Chondrosarcoma
DNA Doublestrand Breaks Two Independent Samples
2. Solid Pseudopapillary Neoplasms of
READING LIST 55 General Content Area: the Pancreas are Associated with READING LIST 62 General Content Area:
Array Based Prenatal Genetics2006 FLI-1 Expression, but Not with EWS/FLI-1 Somatic Mutation Detection2007
1. Array-based Comparative Genomic Translocation 1. Inferring Somatic Mutation Rates Using
Hybridization Facilitates Identification 3. High Incidence of Chromosome 1 the Stop-Enhanced Green Fluorescent
of Breakpoints of a Novel der(1)t(1;18) Abnormalities in a Series of 27 Renal Protein Mouse
(p36.3;q23)dn in a Child Presenting with Oncocytomas: Cytogenetic and 2. Paternal Age at Birth is an Important
Mental Retardation Fluorescent In Situ Hybridization Studies Determinant of Offspring Telomere
2. Detection of Cryptic Chromosome Length
READING LIST 59 General Content Area:
Aberrations in a Patient with a Balanced 3. Genome-Wide SNP Assay Reveals
Treatment of Prader-Willi Syndrome with
t(1;9)(p34.2;p24) by Array-based Structural Genomic Variation, Extended
Growth Hormone2008
Comparative Genomic Hybridization Homozygosity and Cellline Induced
1. Two Years of Growth Hormone Alterations in Normal Individuals
3. Jumping Translocations in Multiple
Therapy in Young Children with
Myeloma READING LIST 63 General Content
Prader-Willi Syndrome: Physical and
READING LIST 56 General Content Area: Neurodevelopmental Benefits - American Area: Polyglutamine Neurodegenerative
Leukemia2007 Journal of Medical Genetics Part A, Disorders2007
1. Fluorescence in situ Hybridization Analysis Volume 143A, Issue 5, pages 443-448, 1 1. CAG- Encoded Polyglutamine Length
of Minimal Residual Disease and the March 2007 Polymorphism in the Human Genome
Relevance of the der(9) Deletion in 2. Growth Hormone Therapy and Scoliosis 2. Polyglutamine Neurodegenerative
Imatinib-treated Patients with Chronic in Patients with Prader-Willi Syndrome Diseases and Regulation of Transcription:
Myeloid Leukemia 3. Cause of Sudden, Unexpected Death Assembling the Puzzle
2. Characterization of the t(17;19) of Prader-Willi Syndrome Patients with or 3. Pathogenesis and Molecular Targeted
Translocation by Gene-specific without Growth Hormone Treatment Therapy of Spinal and Bulbar Muscular
Fluorescent in situ Hybridizationbased READING LIST 60 General Content Area: Atrophy
Cytogenetics and Detection of the
Generics of Autism2008 READING LIST 64 General Content Area:
E2A-HLF Fusion Transcript and Protein in
1. 15q11-13 GABAa Receptor Genes are Clinical Applications of Noninvasive
Patients Cells
Normally Biallelically Expressed in Diagnostic Testing2008
3. Combination of Broad Molecular
Brain yet are Subject to Epigenetic 1. Digital PCR for the Molecular Detection
Screening and Cytogenetic Analysis for
Dysregulation in Autism-Spectrum of Fetal Chromosomal Aneuploidy
Genetic Risk Assignment and Diagnosis
Disorders 2. Noninvasive Testing for Colorectal
in Patients with Acute Leukemia
2. Characterization of an Autism- Cancer: A Review
READING LIST 57 General Content Associated Segmental Maternal 3. Novel Blood Biomarkers of Human Urinary
Area: Premature Chromosome Heterodisomy of the Chromosome 15q11- Bladder Cancer
Condensation2007 13 Region
1. Premature Chromosome Condensation 3. 15q Duplication Associated with Autism READING LIST 65 General Content Area:
in Humans Associated with Microcephaly in a Multiplex Family with a Familial Diabetes2010
and Mental Retardation: A Novel Cryptic Translocation t(14;15)(q11.2;q13.3) 1. The Development of c-MET Mutation
Autosomal Recessive Condition Detected Using Array-CGH Detection Assay
2. Chromosome Condensation: DNA 2. Molecular Mechanisms of Insulin
READING LIST 61 General Content Area:
Compaction in Real Time Resistance in Chronic Hepatitis C
Genetics of Nicotine Addiction2008
3. Phosphatase Inhibitors and Premature 3. A Genetic Diagnosis of HNF1A Diabetes
1. Fine Mapping of a Linkage Region
Chromosome Condensation in Human Alters Treatment and Improves
on Chromosome 17p13 Reveals that
197
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Glycaemic Control in the Majority of Mass in Dominican Families: The READING LIST 75 General Content Area:
Insulin-Treated Patients Family Study of Stroke Risk and Carotid Multiple Myeloma: Molecular Markers and
Atherosclerosis Tests2010
READING LIST 66 General Content Area:
3. Genome-Wide Association Study 1. Multiple Myeloma: Lusting for NF-B
Diabetes2010
Identifies Single-Nucleotide 2. Functional Interaction of Plasmacytoid
1. Distribution of Human Papillomavirus Polymorphism in KCNB1 Associated with
Genotypes in Invasive Squamous Dendritic Cells with Multiple Myeloma
Left Ventricular Mass in Humans: The Cells: A Therapeutic Target
Carcinoma of the Vulva HyperGEN Study
2. Distribution of HPV Genotypes in 282 3. High-resolution genomic profiles define
Women with Cervical Lesions: Evidence READING LIST 71 General Content Area: distinct clinico-pathogenetic subgroups
for Three Categories of Intraepithelial Detection of Clarithromycin Resistance in of multiple myeloma patients
Lesions Based on Morphology and HPV H. Pylori2010 READING LIST 76 General Content Area:
Type 1. Rapid Detection of Clarithromycin Colorectal Cancer and Loss of Imprinting
3. Evaluation of Linear Array Human Resistance in Helicobacter Pylori Using a of IGF22010
Papillomavirus Genotyping Using PCR-based Denaturing HPLC Assay 1. Loss of imprinting of IGF2 as an
Automatic Optical Imaging Software 2. Rapid Screening of Clarithromycin epigenetic marker for the risk of human
Resistance in Helicobacter Pylori by cancer
READING LIST 67 General Content Area:
Pyrosequencing 2. Temporal stability and age-related
Pancreatic Cancer and its Biomarkers2010
3. Quadruplex Real-Time PCR Assay prevalence of loss of imprinting of the
1. Molecular Profiling of Pancreatic
Using Allele-Specific Scorpion insulin-like growth factor-2 gene.
Adenocarcinoma and Chronic
Primers for Detection of Mutations 3. Epigenetics at the Epicenter of Modern
Pancreatitis Identifies Multiple Genes
Conferring Clarithromycin Resistance to Medicine
Differentially Regulated in Pancreatic
Helicobacter pylori
Cancer READING LIST 77 General Content Area:
2. Effect of Recombinant Adenovirus Vector READING LIST 72 General Content Area:
Health Effects Associated with Disruption of
Mediated Human Interleukin-24 Gene Werner Syndrome Gene2010
Circadian Rhythms2011
Transfection on Pancreatic Carcinoma 1. Telomeric protein TRF2 protects Holliday
1. Circadian Polymorphisms associated with
Growth junctions with telomeric arms from
Affective Disorders
3. Highly Expressed Genes in Pancreatic displacement by the Werner syndrome
2. A new approach to understanding
Ductal Adenocarcinomas: A helicase
the impact of Circadian Disruption on
Comprehensive Characterization and 2. WRN controls formation of
Human Health
Comparison of the Transcription Profiles extrachromosomal telomeric circles
Obtained from Three Major Technologies 3. Circadian Rhythm and its Role in
and is required for TRF2DeltaBmediated
Malignancy
telomere shortening
READING LIST 68 General Content Area:
Influenza A(H1N1) Virus2010
3. Sequence-specific processing of READING LIST 78 General Content Area:
telomeric 3' overhangs by the Werner Role of Hedgehog Signaling Pathway in
1. Detection of Influenza A(H1N1)v Virus by
syndrome protein exonuclease activity Diffuse Large BCell Lymphoma2010
Real-Time RT-PCR
2. Economic Consequences to Society READING LIST 73 General Content Area: 1. Sonic hedgehog signaling proteins and
of Pandemic H1N1 Influenza 2009 Diagnosis of Melanoma Using Fluorescence ATP-bindig cassette G2 are aberrantly
expressed in diffuse large B-cell
Preliminary Results for Sweden in Situ Hybridization2011
lymphoma
3. Response after One Dose of a 1. Using Fluorescence in situ Hybridization
Monovalent Influenza A (H1N1) 2009 2. Sonic Hedgehog Signaling Pathway
(FISH) as an Ancillary Diagnostic Tool in
Vaccine Preliminary Report is Activated in ALK-Positive Anaplastic
the Diagnosis of Melanocytic Neoplasms
Large Cell Lymphoma
2. Transcriptomic versus Chromosomal
READING LIST 69 General Content Area: 3. Sonic Hedgehog is Produced by Follicular
Prognostic Markers and Clinical Outcome
The Development of c-MET Mutation Dendritic Cells and Protects Germinal
in Uveal Melanoma
Detection Assay2010 Center B Cells from Apoptosis
3. Detection of Copy Number Alterations
1. Somatic Mutations in the Tyrosine Kinase
in Metastatic Melanoma by a DNA READING LIST 79 General Content Area:
Domain of the MET Proto-Oncogene in
Fluorescence In situ Hybridization Probe Whole Genome Amplification & 1986
Papillary Renal Carcinomas
Panel and Array Comparative Genomic Chernobyl, Ukraine Nuclear Power Plant
2. Expression and Mutational Analysis of Hybridization: A Southwest Oncology
MET in Human Solid Cancers Accident2010
Group Study (S9431) 1. BAC-FISH assays delineate complex
3. Role of cMET Expression in Non-Small-Cell
Lung Cancer Patients Treated with EGFR chromosomal rearrangements in a case
Tyrosine Kinase Inhibitors of post-Chernobyl childhood thyroid
READING LIST 74 General Content Area: cancer.
Role of Short Interfering RNA in Gene 2. Whole Genome Amplification
READING LIST 70 General Content Area: Silencing2011 Technologies - Eliminating the Concern
Molecular Cardiology2010 1. Highly Specific Gene Silencing by Over Running Out of DNA Samples Mid
1. Identification of a Pleiotropic Locus on Artificial miRNAs in Rice. Experiment.
Chromosome 7q for a Composite Left 2. Gene silencing by RNAi in mouse Sertoli 3. A break-apart fluorescence in situ
Ventricular Wall Thickness Factor and cells. hybridization assay for detecting
Body Mass Index: The HyperGEN Study 3. Retrovirus-delivered siRNA. RET translocation in papillary thyroid
2. Novel Quantitative Trait Locus is Mapped carcinoma.
to Chromosome 12p11 for Left Ventricular
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READING LIST 80 General Content Area: of Schizophrenic Patients. Strategies for Rapid Molecular Resource
Expression of miRNA in Diffuse Large B-Cell 3. Reduced Expression of Human Development from an Invasive Aphid
Lymphoma2010 Endogenous Retrovirus (HERV) W GAG Species.
1. Differentiation stage specific expression Protein in the Cingulate Gyrus and 3. Evaluation of next generation
of microRNAs in B lymphocytes and Hippocampus in Schizophrenia, Bipolar sequencing platforms for population
diffuse large B-cell lymphomas. Disorder, and Depression. targeted sequencing studies.
2. Coordinated Expression of MicroRNA-155 READING LIST 85 General Content Area: READING LIST 91 General Content
and Predicted Target Genes in Diffuse Esophageal Cancer2010 Area: Hutchinson-Gilford Progeria
Large B-cell Lymphoma.
1. The Changing Face of Esophageal Syndrome2011
3. Specific expression of miR-17-5p and Cancer 1. Epidermal expression of the truncated
miR-127 in testicular and central nervous
2. Epidermal Growth Factor- prelamin a causing Hutchinson
system diffuse large B-cell lymphoma.
Induced Esophageal Cancer Cell Gilford progeria syndrome: effects on
READING LIST 81 General Content Area: Proliferation Requires Transactivation keratinocytes, hair and skin
The Genetics of Bipolar Disorder2010 of-Adrenoceptors 2. Defective Lamin A-Rb Signaling in
1. Gene-wide analyses of genome- 3. Esophageal cancer risk by type of Hutchinson-Gilford Progeria Syndrome
wide association data sets: evidence alcohol drinking and smoking: a case- and Reversal by Farnesyltransferase
for multiple common risk alleles for control study in Spain Inhibition
schizophrenia and bipolar disorder and 3. Increased expression of the Hutchinson
READING LIST 86 General Content Area:
for overlap in genetic risk Gilford progeria syndrome truncated
p53 Family and Its Role In Cancer2010 lamin a transcript during cell aging.
2. Subcortical Gray Matter Volume
1. Telomere dysfunction suppresses
Abnormalities in Healthy Bipolar READING LIST 92 General Content Area:
spontaneous tumorigenesis in vivo
Offspring: Potential Neuroanatomical Risk
by initiating p53-dependent cellular Severe Combined Immunodeficiency
Marker for Bipolar Disorder?
senescence. Screening and Patient Studies2011
3. Genetic and Environmental Influences on
2. Shaping genetic alterations in human 1. Long-term Outcome after Hematopoietic
Pro-Inflammatory Monocytes in Bipolar
cancer: the p53 mutation paradigm. Stem Cell Transplantation of a Single-
Disorder
3. p53 polymorphisms: cancer implications. center Cohort of 90 Patients with Severe
READING LIST 82 General Content Area: Combined Immunodeficiency.
READING LIST 87 General Content Area:
Role and Detection of Human Endogenous 2. Why Newborn Screening for Severe
Proteins Involved with Chronic Myleloid Combined Immunodeficiency Is Essential:
Retroviruses in Rheumatoid Arthritis2011
Leukemia and Other Myleoprolifertive A Case Report.
1. Increase in Human Endogenous
Disorders2011 3. Development of a Routine Newborn
Retrovirus HERV-K(HML-2) Viral Load in
Active Rheumatoid Arthritis. 1. Gain-of-Function Mutation of JAK2 in Screening Protocol for Severe Combined
Myeloproliferative Disorders. Immunodeficiency.
2. A role for human endogenous
retrovirus-K (HML-2) in rheumatoid 2. Kinase domain mutants of Bcr enhance
Bcr-Abl oncogenic effects. READING LIST 93 General Content
arthritis: investigating mechanisms of
3. Destabilization of Bcr-Abl/Jak2 Network Area: Biological and Physical Hazards
pathogenesis
by a Jak2/Abl Kinase Inhibitor ON044580 Encountered in the Laboratory2011
3. Lack of Detection of Human Retrovirus-5
Overcomes Drug Resistance in Blast Crisis 1. Lab Safety Matters.
Proviral DNA in Synovial Tissue and
Blood Specimens From Individuals With Chronic Myelogenous Leukemia (CML). 2. Virus Transfer from Personal Protective
Rheumatoid Arthritis or Osteoarthritis. Equipment to Healthcare Employees
READING LIST 88 General Content Area: Skin and Clothing. Emerging Infectious
READING LIST 83 General Content Area: DNA Topology2010 Diseases.
Roles of Oncogenes in Breast Cancer2010 1. The why and how of DNA unlinking. 3. Prevalence of Hepatitis C Virus Infection
1. The Nuclear Receptor Coactivator 2. Bacterial DNA topology and infectious Among Health-Care Workers: A 10-Year
Amplified in Breast Cancer-1 Is Required disease. Survey.
for Neu (ErbB2/HER2) Activation, 3. DNA topoisomerase II and its growing
repertoire of biological functions. READING LIST 94 General Content
Signaling, and Mammary Tumorigenesis
in Mice. Area: Rapid whole-genome mutational
READING LIST 89 General Content Area: profiling using nextgeneration sequencing
2. Dysregulated miR-183 inhibits migration in
LPL Waldenstrom Macroglobulinemia2010 technologies2011
breast cancer cells.
1. Spontaneous splenic rupture in 1. Comparison of next generation
3. Current and emerging biomarkers in
Waldenstrom's macroglobulinemia. sequencing technologies for
breast cancer: prognosis and prediction
2. How I Treat Waldenstrom's transcriptome characterization.
Macroglobulinemia. 2. ShortRead: a bioconductor package for
READING LIST 84 General Content Area: 3. International prognostic scoring system input, quality assessment and exploration
Elevated Levels of Human Endogenous for Waldenstrm Macroglobulinemia. of highthroughput sequence data.
Retrovirus-W in Patients With First Episode of READING LIST 90 General Content 3. Next-Generation Sequencing: From Basic
Schizophrenia2010 Area: Next Generation Sequencing Research to Diagnostics.
1. Elevated Levels of Human Endogenous Platforms2010 READING LIST 95 General Content Area:
Retrovirus-W Transcripts in Blood
1. Rapid whole-genome mutational Cell Death2011
Cells From Patients With First Episode
profiling using next-generation 1. Hypoxia induces autophagic cell death
Schizophrenia.
sequencing technologies. in apoptosis-competent cells through a
2. Endogenous Retrovirus Type W GAG and
2. Combining Next-Generation Sequencing mechanism involving BNIP3.
Envelope Protein Antigenemia in Serum
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Continuing Education Opportunities
2. Truncated forms of BNIP3 act as 3. Evidence for Three Loci Modifying Age- neuronal trigger for inflammation and
dominant negatives inhibiting hypoxia- at-Onset of Alzheimers Disease in Early- Alzheimers pathology.
induced cell death. Onset PSEN2 Families. 3. The inflammasome: a caspase-1-
3. Hypoxia-Induced Autophagy Is activation platform that regulates
READING LIST 101 General Content Area:
Mediated through Hypoxia-Inducible immune responses and disease
Multiplex PCR and Emerging Technologies
Factor Induction of BNIP3 and BNIP3L via pathogenesis.
Their BH3 Domains. for the Detection of Respiratory
Pathogens2011 READING LIST 106 General Content Area:
READING LIST 96 General Content Area: 1. A multiplex one-step real-time RT-PCR DNA Barcoding2011
Genetic Associations of Cerebral Palsy assay for influenza surveillance. 1. Commercial Teas Highlight Plant DNA
2011 2. Taking New Tack, PrimeraDx Offers Barcode Identification Successes and
1. Mannose-binding lectin haplotypes may MDx Tech as Open Platform for Test Obstacles.
be associated with cerebral palsy only Developers. 2. Mutational Patterns and DNA Barcode
after perinatal viral exposure. 3. Comparison of Automated Microarray for Diagnosing Chikungunya Virus.
2. Methylenetetrahydrofolate Reductase Detection with Real-Time PCR Assays 3. The Barcode of Life Data Portal: Bridging
Gene Polymorphisms and Cerebral Palsy for Detection of Respiratory Viruses in the Biodiversity Informatics Divide for
in Chinese Infants. Specimens Obtained from Children. DNA Barcoding.
3. Apolipoprotein E genotype and cerebral
READING LIST 102 General Content Area: READING LIST 107 General Content Area:
palsy.
Single Nucleotide Polymorphism (SNP) HERV-K and Its Correlation With Melanoma
READING LIST 97 General Content Area: Array Analysis2011 Cells2011
Treatments for HIV/AIDs2011 1. A fast and accurate method to detect 1. Expression of human endogenous
1. Early Antiretroviral Therapy Reduces allelic genomic imbalances underlying retrovirus K in melanomas and
AIDS Progression/Death in Individuals mosaic rearrangements using SNP array melanoma cell lines Cancer.
with Acute Opportunistic Infections: A data. 2. Expression of HERV-K correlates with
Multicenter Randomized Strategy Trial. 2. SAQC: SNP array quality control. status of MEK-ERK and p16INK4A-CDK4
2. Asia can afford universal access for aids 3. Calibrating the performance of SNP pathways in melanoma cells cancer.
prevention and treatment. arrays for whole-genome association 3. An endogenous retrovirus derived from
3. Trends in reported aids defining illnesses studies. human melanoma cells.
(adis) among participants in a universal
antiretroviral therapy program: an READING LIST 103 General Content READING LIST 108 General Content Area:
observational study. Area: Research of BRAF Gene Related to Refractory Myeloma2011
Cancer2011 1. Pomalidomide plus low-dose
READING LIST 98 General Content Area: 1. Kinase-Dead BRAF and Oncogenic RAS dexamethasone in myeloma refractory
Myosin Light Chain Kinase (MYLK) Gene Cooperate to Drive Tumor Progression to both bortezomib and lenalidomide:
Mutation Affect in Smooth Muscle Cells through CRAF. comparison of 2 dosing strategies in
2012 2. Distinct patterns of DNA copy number dual-refractory disease.
1. Myosin light chain kinase is central to alterations associate with BRAF mutations 2. Relapse/Refractory Myeloma Patient:
smooth muscle contraction and required in melanomas and melanoma derived Potential Treatment Guidelines.
for gastrointestinal motility in mice. cell lines. 3. Emerging role of carfilzomib in treatment
2. Mutation in myosin light chain kinase 3. Pharmacodynamic Characterization of relapsed and refractory lymphoid
cause familial aortic dissections. of the Efficacy Signals Due to Selective neoplasms and multiple myeloma.
3. Chemical genetics of zipper-interacting BRAF Inhibition with PLX4032 in Malignant
READING LIST 109 General Content Area:
protein kinase reveal myosin light Melanoma.
Short Tandem Repeat (STR) Technology in
chain as a bona fide substrate in
READING LIST 104 General Content Forensic Community2011
permeabilized arterial smooth muscle.
Area: Microarray Single Nucleotide 1. An integrated microdevice for high-
READING LIST 99 General Content Polymorphism (SNP) Troubleshooting2011 performance short tandem repeat
Area: Chromosome 6 and Its Associated 1. Model-based clustering of array CGH genotyping.
Diseases2011 data. 2. A comparison of the effects of PCR
1. Novel Cleft Susceptibility Genes in 2. Application of a target array inhibition in quantitative PCR and
Chromosome 6q. comparative genomic hybridization to forensic STR analysis.
2. A susceptibility locus on chromosome prenatal diagnosis. 3. Generating STR profile from "Touch DNA".
6q greatly increases risk lung cancer risk 3. A model-based circular binary
READING LIST 110 General Content Area:
among light and never smokers. segmentation algorithm for the analysis
Methods of Screening and Evaluation of
3. The identification of chromosomal of array CGH data.
translocation, t(4;6)(q22;q15), in prostate
Hepatitis C Virus2011
cancer. 1. Hepatitis c virus: prevention, screening,
and interpretation of assays.
READING LIST 100 General Content READING LIST 105 General Content Area: 2. Serial follow-up of repeat voluntary
Area: Early onset of autosomal dominant Inflammasome Activation by Proteins2011 blood donors reactive for anti-hcv elisa.
Alzheimer disease2011 1. Activation of the NLRP3 inflammasome 3. Comparison of fibrotest-actitest with
1. Genetics of Alzheimer Disease. by islet amyloid polypeptide provides a histopathology in demonstrating fibrosis
2. New mutation in the PSEN1 (E120G) gene mechanism for enhanced IL-1 2 in type 2 and necroinflammatory activity in
associated with early onset Alzheimers diabetes. chronic hepatitis b and c.
disease. 2. ER stress in Alzheimers disease: A novel
200
Continuing Education Opportunities
READING LIST 111 General Content Area: high resolution array comparative READING LIST 116 General Content Area:
Pharmacogenomics2011 genomic hybridization. Autism - 2015
1. Pharmacogenomic testing: Relevance 3. Microarray-based comparative genomic 1. Intellectual disability and autism
in medical practice: Why drugs work in hybridization. spectrum disorders: Causal genes and
some patients but not in others. molecular mechanisms.
READING LIST 114 General Content Area:
2. Clinical assessment incorporating a 2. Aberrant tryptophan metabolism: the
mFISH2012
personal genome. unifying biochemical basis for autism
1. Human interphase chromosomes:
3. Genomics and drug response. spectrum disorders?
a review of available molecular
3. Decreased tryptophan metabolism in
READING LIST 112 General Content Area: cytogenetic technologies.
patients with autism spectrum disorders
Adrenoleukodystrophy2011 2. Establishment of a new human
1. Novel exon nucleotide deletion causes pleomorphic malignant fibrous
adrenoleukodystrophy in a Brazilian histiocytoma cell line, FU-MFH-2:
family. molecular cytogenetic characterization
2. X-linked adrenoleukodystrophy: ABCD1 by multicolor fluorescence in situ
de novo mutations and mosaicism. hybridization and comparative genomic
hybridization.
3. Identification of novel SNPs of
ABCD1, ABCD2, ABCD3, and ABCD4 3. CD5-negative Blastoid Variant Mantle
genes in patients with Xlinked Cell Lymphoma with Complex CCND1/
adrenoleukodystrophy (ALD) based IGH and MYC Aberrations.
on comprehensive resequencing and READING LIST 115 General Content Area:
association studies with ALD phenotypes. Cystic Fibrosis - 2014
READING LIST 113 General Content Area: 1. Rapid Detection of the ACMG/ACOG-
Quality Assurance and Quality Control Recommended 23 CFTR Disease-
of Microarray Comparative Genomic Causing Mutations Using Ion Torrent
Hybridization2011 Semiconductor Sequencing
1. Customized oligonucleotide array-based 2. Long-Term Evaluation of Genetic
comparative genomic hybridization as Counseling Following False-Positive
a clinical assay for genomic profiling of Newborn Screen for Cystic Fibrosis
chronic lymphocytic leukemia. 3. Rapid Transport of Muco-Inert
2. Comparison of familial and sporadic Nanoparticles in Cystic Fibrosis Sputum
chronic lymphocytic leukaemia using Treated with N-acetyl cysteine
Copyright law prohibits AGT from supplying readers with the actual journal articles (electronically or otherwise). Availability of articles online does not imply the service is free.
Some journals require a subscription or impose a fee. The web addresses are included for the convenience of those wishing to obtain the articles in this way.
201
Continuing Education Opportunities
Discussion and Question Set for Reading List No. (Please enter the number of copies requested next to each Journal Club
Number)
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202
Association Business
If you have gotten this far without reading Mark Terrys editorial, please go back and read it now. It is a brilliant
assessment of why AGT finds itself in a financial and identity conundrum. Its definitely worth a read. The only
additional benefit of AGT membership that I would add to his list is the establishment of a wide-reaching network
that will bring an abundance of technical expertise and joy to both your professional life and your personal life. Every
time I attended an AGT conference (every year since 1982) I came away energized and excited. Not only did I have the
opportunity to find answers to my technical questions, but I also was able to assist others with their difficulties, thus
validating my own techniques. Its very nice to know that your expertise is appreciated!
Perhaps the greatest motivation for me to attend as many AGT conferences as I could was to spend time with my
growing network of colleagues who ultimately became lifelong friends. No, friends is not an adequate assessment,
they are family. I urge you to start your new family by attending the 2017 AGT conference in Saint Louis, Missouri.
As AGT president I have the opportunity to listen in on the conference planning updates. Let me tell you, I am very
excited about next years program. The meeting directors, Jennifer Sanmann and Tina Mendiola, have done a stellar
job, with changes to the meeting structure, more platform presentations, and more opportunities for face-to-face
interaction.
Molecular and cytogenetics topics are just about equal on the program, so please urge your colleagues in the molecular
lab to check out the program. Genetics trivia will be back, so you better re-read your genetics textbooks! I dont want
to give too much away, but the keynote speaker is awesome!!! Just a hint, do you know why elephants dont get cancer?
The Gordon Dewald speaker, a colleague of Gordys, is also great, and very entertaining! So, if I have piqued your
interest, please remember to renew your membership so you can get the conference discount.
If any of your colleagues are not members, please urge them to join and go to the conference with you! No funding?
Whose career is it? Is it yours or your employers?? Take charge of your professional lifeI guarantee that you wont
regret it! Why not take advantage of one of the awards that AGT and FGT sponsor? They come with cash, and what
better way to spend it than to attend an AGT conference? Why not look into it? Will I meet you in St. Louis, Louie??
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Association Business
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Association Business
AGT 2017 Call for Abstracts ABSTRACT DUE DATE: Friday, February 3, 2017
Dialogue and the sharing of ideas is critical to the success of our field, so we want to hear about the work being done
in your laboratories. The 42nd Annual Meeting Program Committee invites all interested persons to submit abstracts
for the AGT 42nd Annual Meeting, June 15-17, 2017, in St. Louis, Missouri. New
New in 2017: Meeting
A significant increase in the number of submissions selected for a platform presentation
Multiple platform presentation sessions throughout the scientific meeting
Format!
Focused platform presentation sessions, such as cytogenetics and molecular genetics
Expanded areas of interest, to include topics such as clinical genetics, genetic counseling and regulatory affairs
Abstracts will be printed in the Final Program Book and in the 2017 Third Quarter issue of the Journal of the Association
of Genetic Technologists if they are presented at the meeting.
All abstracts must contain:
a description of the study design,
a statement of results (including data), and
an informative conclusion.
Abstracts will be assigned to platform or poster presentations by a Review Committee. The Committee will consider the authors
preference and the time constraints of the meeting.
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Association Business
Eligibility Criteria
Individuals/students eligible to submit abstracts for the award are: A purpose for the experiment or investigation where the
Those enrolled in a NAACLS Serious Applicant Status scientific merit or contribution is stated.
or Accredited undergraduate or certificate program in A hypothesis, which indicates scientific expectations of the
Cytogenetics or Diagnostic Molecular Science (U.S. Programs). investigation and should be appropriate for the purpose.
Those enrolled in a Canadian Society of Laboratory Scientific methods which are appropriate to the investigation,
Technology Approved undergraduate or certificate program concise and organized.
in Cytogenetics or Molecular Biology (Canadian programs). Data resulting from the investigation/experiment should be
Those attending formal undergraduate or certificate concise, specific and organized.
programs outside of the United States and Canada if the The interpretation should be consistent with the data.
program is recognized at the national level of the country in The conclusions should be consistent with the data and
which the program is located. interpretation. They may be intertwined with the interpretation,
Applicants MUST be enrolled in the program between March1, should support or refute the hypothesis, and should include the
2016 and March 4, 2017. need for further investigation or suggest how other variables
may influence the results.
Individuals/students graduated prior to March 1, 2016 are not
eligible. References should be used when appropriate. The institution
name or any other identifying information should not be
Applicants must be members of the Association of Genetic included in the abstract.
Technologists at the time of application to be eligible to
win the Vicki Hopwood Student Research Award, but non- Submission Requirements
members may submit an abstract in the student category.
Abstracts must be submitted electronically at: https://www.
Information regarding AGT membership is available from your surveymonkey.com/r/AGT2017StudentAbstracts. If you are
program director or the AGT Executive Office. submitting more than one abstract, you must submit each abstract
The applicant will be required to be the first author on the separately.
abstract. It is important that you follow all instructions within the online
The applicant and a program official will be required to validate submission site carefully. Abstracts submitted incorrectly will not
that: the research was conducted during enrollment and be considered for presentation.
completed prior to graduation from the program, the applicant
was the primary investigator, and the abstract submitted is the Student Research Award
work of the applicant. The recipient will be notified by April 28, 2017.
Applications may be submitted throughout the year in order to The winner will receive complimentary 2017 Annual Meeting
be considered for the 2017 Student Research Award. All entries registration and expenses to travel to the meeting.
received after March 3, 2017 will be considered for the 2018 The recipient will be invited to present his/her research in a
Student Research Award. 10-minute platform presentation.
All other submissions will be considered for poster presentation.
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2017 AGT Outstanding Achievement
Award Nomination
Nominations are open for the 2016 AGT Outstanding Achievement Award. We are looking for those who are committed to
furthering the field of genetics as demonstrated by their work, attitude and AGT activities. If you have a colleague who
performs above and beyond the call of duty, nominate him or her for the AGT Outstanding Achievement Award today. All
nominees must be AGT members, however they cannot be current AGT Board members or on its Council of
Representatives.
Nominees Name:
Company/Institution:
Address:
City, State, Zip:
Phone: Email:
I am nominating this person for the AGT Outstanding Achievement Award because:
Nominated by (Name):
Address:
City, State Zip
Phone: Email:
AGT accepts classified job advertising for:
Posting on Jobline page of the web site; Online postings are also
included in the monthly e-news blast to members.
E-blast to AGT members
For publication in JAGT (Journal of the Association of Genetic
Technologists)
For publication in AGT e-news only - monthly blast to members
To place your order for advertising, please complete the appropriate form
and submit to the AGT Executive Office via email
agt-info@kellencompany.com.
The Foundation for Genetic Technology (FGT) was organized exclusively for scientific and educational purposes. It is a non-profit
organization whose funds and assets are used to promote education in genetic technology and provide professional opportunities for
training through grants, scholarships and awards.
As always, behind the scenes, the dedicated members of the Foundation work throughout the year to strive to continue the mission of
the FGT. Along with support from AGT, the Foundation is able to fund the scholarships and grants that were presented at the Annual
AGT Meeting. None of this would have been possible without the help of the donors, vendor sponsorships and the members-at-large of
AGT. Once again, the Foundation is fiscally solvent this year, which is a tribute to our many hard-working and dedicated members.
A major source of income for FGT comes from the sale of the study guides for the Cytogenetic and Molecular exams. These are available
year-round and can be purchased by visiting the AGT website, and accessing FGT from the Resources tab. Another financial resource
has been regional meetings sponsored by FGT. The West Coast meeting is usually in March, and the East Coast meeting is scheduled in
September. Please refer to the website for further meeting information.
The Silent Auction at the AGT Annual Meeting was a tremendous success, with over $600 of donated items. This event has proven to
be a great way for the FGT to raise money and also promote interaction among the attendees. Thank you to everyone who participated
those of you who donated items, the winners of our auction and those who stopped by the FGT booth to inquire about us. Your input is
important, and your interest is vital to keep FGT opportunities available. For more information, email Pat LeMay at plemay1945@aol.
com.
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Association Business
Outstanding Technologist Grant ($500) Honors an outstanding AGT member technologist who is BOC-certified with
three or more years of work experience in the genetic industry. Sponsored by Leica Microsystems.
Florence Dowling Genome Award ($500) Acknowledges and honors outstanding technologists in cytogenetics and
molecular genetic technology. This award program contributes to the growth of genetic technology as a profession by
recognizing individuals with superior professional commitment. Sponsored by Patricia Dowling.
New Horizons Award ($750) Honors newly certified AGT members who submit an essay about their genetic experience and
desire to attend the AGT Annual Meeting. Sponsored by Rainbow Scientific.
EXCEL Award ($500) AGT members enrolled in a formal university/hospital or laboratory-based program in diagnostic
molecular technology or a NAACLS-accredited certificate or undergraduate cytogenetics or molecular program may be eligible
to compete for free student registration to the AGT 42nd Annual Meeting, as well as one full-day or two half-day workshops.
Sponsored by Oxford Technology.
Barbara J. Kaplan Scholarship ($1,000) AGT members enrolled in a formal training program, including university/
hospital, laboratory-based or a NAACLS-accredited program for molecular genetics or cytogenetics may be eligible for the
$1,000 scholarship. Program directors may visit the FGT website for more information. Sponsored by FGT.
Joseph Waurin Excellence in Education Award ($500) Honors an outstanding AGT member educator in the genetic
community that is BOC-certified and has a minimum of five years of teaching experience. Sponsored by James Waurin.
Best Poster Award ($300) All AGT members attending the AGT Annual Meeting may vote for the poster that fits the
winning criteria (i.e., interesting and informative topic, well-organized, clear and concise data, best illustrations, clinical/
laboratory correlation and cutting-edge technology) submitted by an AGT member by the abstract deadline. Sponsored by
Irvine Scientific.
Best Platform Presentation Award ($500) All AGT members attending the platform presentations at the AGT Annual
Meeting may vote for the presentation that best fits the winning criteria (i.e., presentation must be given by a technologist, be an
interesting and informative topic, have clinical/laboratory correlation and present cutting-edge technology). An AGT member
must be among the authors of the abstract submitted by the abstract deadline. Sponsored by FGT.
Please refer to the website listed above for the details and the
application forms for all of these awards, grants and scholarships.
210
Association Business
211
AGT 42nd Annual Meeting
212
WE HOPE TO SEE YOU
IN ST. LOUIS!
213
Explore our degree program in
Cytogenetic Technology including on
campus part-time enrollment, on-
campus full-time enrollment, and hybrid
online enrollment
Explore our Internet-Based Review
Course in Clinical Cytogenetics with
ongoing enrollment
Explore our Annual Comprehensive
Review Course in Clinical Cytogenetics
to prepare for ASCP-BOC (CG) exam
Method of Payment:
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Phone No. Signature on Account
Email
AGT Executive Office, 4400 College Boulevard, Suite 220, Overland Park, KS 66211 Please allow
Fax (913) 222-8606 Email: agt-info@kellencompany.com Website: www.agt-info.org 2-4 weeks
for shipping.
Meeting/Workshop Announcements
2017
American Association for Cancer Research (AACR) Washington, April 1-5, 2017 www.aacr.org
Annual Meeting DC
American Chemical Society (ACS) National Meeting San Francisco, April 2-6, 2017 www.acs.org
& Exposition CA
American Societyfor Biochemistry & Molecular Chicago, IL April 22-26, 2017 www.asbmb.org
Biology (ASBMB) Annual Meeting
AmericanSocietyforInvestigativePathology (ASIP) Chicago, IL April 22-26, 2017 www.asip.org
Annual Meeting at Experimental Biology
American Transplant Congress (ATC) Chicago, IL April 29 www.atcmeeting.org
May 3, 2017
Cambridge Healthtech Institutes 7th Annual Philadelphia, May 2-4, 2017 www.biomarkerworldcongress.
Biomarker World Congress 2011 PA com
American Association of Clinical Endocrinologists Austin, TX May 3-26, 2017 www.aace.com
(AACE) Annual Meeting and Clinical Congress
5th Quadrennial Meeting of the World Federation of Zurich, May 4-7, 2017 https://www.eano.eu/wfnos-
Neuro-Oncology Societies (WFNOS) Switzerland 2017-meeting/welcome/
The Journal of the Association of Genetic Technologists 42 (3) 2016
216
Meeting/Workshop Announcements
European Society of Human Reproduction & Geneva, July 2-5, 2017 www.eshre.com
Embryology (ESHRE) Annual Meeting Switzerland
American Association for Clinical Chemistry (AACC)s San Diego, CA July 30 www.aacc.org
Annual Meeting August 3, 2017
American Society of Clinical Laboratory San Diego, CA July 30 www.ascls.org
Science(ASCLS) Annual Meeting August 4, 2017
Society for Inherited Metabolic Disorders (SIMD) Rio de Janeiro, September 5-8, www.simd.org
AnnualMeeting Brazil 2017
International Congress of Pediatric Laboratory Durban, October 20-22, www.icplm2017.org
Medicine (ICPLM) SouthAfrica 2017
2018
American Chemical Society (ACS) National Meeting New Orleans, March 18-22, 2018 portal.acs.org
& Exposition LA
American Association for Cancer Research(AACR) Chicago, IL April 14-18, 2018 www.aacr.org
Annual Meeting
International Union of Basic and Clinical Kyoto, Japan July TBD, 2018 www.iuphar.org
Pharmacology (IUPHAR) World Congress of Basic and
Clinical Pharmacology
American Chemical Society (ACS) National Meeting Boston, MA August 19-23, portal.acs.org
& Exposition 2018
American Association of Blood Banks (AABB) Boston, MA October 13-16, www.aabb.org
AnnualMeeting & CTTXPO 2018
American Society of Human Genetics (ASHG) San Diego, CA October 16-20, www.ashg.org
AnnualMeeting 2018
217
Regular Members. Regular membership shall be available
to persons who are professionally interested in the field of
genetics.
Student Members. Student membership shall be available to
persons who are pursuing a full or part-time course of study at
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Journal Hard Copy Order: Although The Journal of Genetic Technologists is available online to ALL MEMBERS, only North American members
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resident and would like a hard copy of the Journal, please remit the additional fee with your membership application by checking the box and
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The Journal of the Association of Genetic Technologists
The Journal of the Association of Genetic Technologists is a peer-reviewed journal, and scientific materials for publication containing original
research will be reviewed by independent referees. Manuscripts that require revision or that contain major editorial changes will be returned to the
senior author of the article. Materials submitted will not be retained following publication nor will photographs, disks, or hard copies of manuscripts
be returned to authors. Rejected manuscripts will not normally be returned, although an effort will be made to return original photographs and prints.
Manuscript content is the responsibility of the author(s). All articles published, including editorials, letters, book reviews, invited articles, Brain Ticklers,
columns, and reviews, represent the opinions of the authors and do not reflect the official policy of AGT or the institution with which the author
is affiliated unless specified by the author. AGT, its members, and the editor of The Journal of the Association of Genetic Technologists make no
warranty and assume no liability with respect to the information contained herein.
Journal Article
Brothman AR, Zhu XL, Maxell T, Cui J, Derbler DA. Advances in the cytogenetics of prostate cancer. J Assoc Genet Technol. 1999;25(1):1-6.
Book Chapter
Barch MJ and Lawce HJ. The cell and cell division. In: Barch MJ, Knutsen T, Spurbeck JL (eds). The AGT Cytogenetics Laboratory Manual, 3rd ed. Philadelphia:
Lippincott-Raven; 1997:1-18.
Book
Mark HFL. Medical Cytogenetics. New York: Marcel Dekker; 2000.
All references should be complete. Accuracy is the responsibility of the authors. Only published articles and those in press may be included in
the reference list. If necessary, unpublished data and submitted manuscripts should be cited parenthetically within the text.
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Reprints are produced on 60# white offset paper, saddle-stitched (unless under four pages), and will appear exactly as they do in the journal.
Price is based on article length, quantity ordered, and color requirements. Orders are not processed until payment is received. Once payment
is received, allow four weeks for printing and shipping. Prices quoted include shipping by UPS ground; expedited shipping is available at an
additional charge. Journal copies can be purchased by AGT members for $5/each and by non-members for $25/each, if copies are available.
Please forward reprint orders or questions regarding price quotations to the AGT Executive Office (see inside front cover for address).
ISSN 1523-7834