Basics of molecular biology and its applications: III. Polymerase chain reaction and in situ hybridization.

Immunohistochemistry (IHC) has been successfully used to detect protein products and infective, microbial or viral particles in cells. One of its limitations is its inability to detect these agents when they are present in minute quantities. In situ hybridization (ISH) has an advantage over immunohistochemistry in its ability to demonstrate specific messenger RNA (mRNA). ISH can be combined with IHC in the same section to detect gene products as well as the mRNA encoding them. The polymerase chain reaction (PCR) offers an even more sensitive method. Genes code for proteins which are the final synthetic products expressed in the cells. Increased expression of the genes is reflected by an increased synthesis of protein products and higher levels of expression of transcribed mRNA. This principle is utilized in the application of ISH and PCR for the diagnosis of disease. The techniques of ISH and PCR are potentially useful in any situation that requires the examination of RNA or DNA. They have been used in the study of infectious, malignant and genetic diseases. With recent modifications and refinements, these techniques have transcended from the level of research tools to use in routine diagnostic laboratories.

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