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When do we use PCR and when FISH?

Efficient PCR primer binding requires breakpoints that occur

only at restricted, highly consistent areas of the genome.

Breakpoints in antigen receptor rearrangement (

IGH

and

TCR

)

have appropriate properties, favouring PCR.

IGH-BCL2 breakpoints are variable but partly meet the

necessary criteria; CCND1-BCL2 breakpoints are even more

variable. MYC rearranges with several partner genes, often

unknown.

FISH probes are much larger and less ‘fussy’ than PCR primers