Tish in pathology

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The most likely interpretation is FISH (Fluorescence In Situ Hybridization) - a key pathology technique - possibly with a typo. Let me search for this in the medical library alongside a web search.
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TISH pathology technique meaning

TISH is a real pathology technique - Third-Strand In Situ Hybridization. Let me get more details from the textbook and PubMed.
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third-strand in situ hybridization TISH pathology

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https://www.scribd.com/presentation/670820037/FISH-TISH-Copy

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TISH in Pathology - Third-Strand In Situ Hybridization

TISH stands for Third-Strand In Situ Hybridization. It is a molecular cytogenetic technique related to, but distinct from, the more common FISH (Fluorescence In Situ Hybridization).

What is TISH?

TISH is a method in which a synthetic oligodeoxyribonucleotide "third strand" is used to bind to intact, non-denatured duplex DNA in fixed metaphase chromosome spreads or interphase nuclei. Unlike FISH, which requires prior denaturation of the target DNA to allow probe binding, TISH exploits triple-helix (triplex) DNA formation - the probe binds as a third strand to the major groove of the native double helix.
The key technique was described by Johnson & Fresco (1999) at Princeton University (PMID: 10398847).

How TISH Works (Key Steps)

  1. Cells/chromosomes are fixed on a microscope slide (standard fixation)
  2. No denaturation step - the DNA remains in its native double-stranded form
  3. A homopyrimidine third-strand oligonucleotide probe (modified with psoralen and biotin) is applied at pH 6.0 (slightly acidic conditions favor Hoogsteen/reverse-Hoogsteen hydrogen bonding needed for triplex formation)
  4. The probe hybridizes to a specific purine-rich target sequence in the major groove
  5. UVA photofixation cross-links the psoralen-modified probe to the target, stabilizing the triplex
  6. Detection is via fluorescein isothiocyanate (FITC)-labeled avidin, rendering the signal fluorescent

How TISH Differs from FISH

FeatureFISHTISH
DNA stateDenatured (single-stranded)Native (double-stranded)
Probe binding mechanismWatson-Crick base pairingHoogsteen/triplex formation
Denaturation step required?YesNo
Probe typeAny complementary sequenceHomopyrimidine oligonucleotides targeting purine-rich regions
Target sequencesBroadSpecific purine-rich duplex sequences
Chromatin stateDisrupted by denaturationNative chromatin preserved

Why Is TISH Significant?

  • It allows interrogation of native chromatin without disrupting DNA-protein interactions (unlike FISH, which denatures the DNA and destroys associated proteins)
  • Has potential for flow cytometric applications to non-denatured chromosomes
  • Demonstrated ability to identify chromosome 17-specific D17Z1 haplotypes (centromeric alpha-satellite region) with reproducible centromere specificity
  • Potential applications in diagnostic pathology, biochemistry, and cytogenetics

Context: ISH Techniques in Pathology

For comparison, the main ISH-based techniques used in modern diagnostic pathology include (per the Tietz Textbook of Laboratory Medicine, 7th Ed.):
  • FISH - fluorescent probes, requires denaturation; gold standard for detecting gene amplifications, deletions, and translocations (e.g., BCR-ABL in CML, HER2 in breast cancer)
  • CISH (Chromogenic ISH) - similar to FISH but uses brightfield microscopy instead of fluorescence
  • RNA-ISH - detects mRNA expression in tissue (e.g., HPV RNA detection in head and neck pathology)
  • TISH - specialized technique using triplex probe binding to non-denatured DNA; primarily a research/specialized tool
TISH remains more of a research tool than a routine clinical assay, but its ability to preserve native chromatin architecture gives it unique advantages in certain biochemical and cytogenetic investigations.
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