Comparative genomic hybridization (CGH) is a newly described molecular
-cytogenetic assay that globally assays for chromosomal gains and loss
es in a genomic complement. In this assay, normal human metaphase chro
mosomes are competitively hybridized with two differentially labeled g
enomic DNAs (test and reference), which upon fluorescence microscopy,
reveal the chromosomal locations of copy number changes in DNA sequenc
es between the two complements. Application of CGH to DNAs extracted f
rom fresh frozen specimens and cell lines of various tumor types has r
evealed a number of recurring chromosomal gains and losses that were u
ndetected by traditional cytogenetic analysis. Few previously known si
tes were found to be in higher copy number, or lost by CGH, while many
novel amplified regions were identified. These regions warrant furthe
r molecular genetic studies aimed at isolating the perturbed genes. Si
nce CGH can also be Performed on DNA extracted from formalin-fixed par
affin-embedded archived tumor specimens with few modifications, gains
and losses of genetic material can be determined for specimens that wo
uld otherwise be unanalyzable. Prospective and retrospective applicati
on of CGH to tumor specimens would permit correlative studies to be pe
rformed, possibly identifying diagnostic and prognostic indicators of
disease CGH may also have a future role ill detection and identificati
on of chromosomal abnormalities in prenatal diagnosis and ill dysmorph
ic anomalies.