Both techniques rely on the efficiency and specificity of nucleic acid hybridization to locate specific DNA and RNA sequences in cells and tissues. FISH, or fluorescence in situ hybridization, relies on DNA or RNA probes directly labeled with fluorophores or with biotin. When biotin labels are used, detection is achieved with fluorophore-labeled biotin binding proteins like streptavidin. Imaging in FISH requires an epifluorescence microscope equipped with the appropriate filters for visualizing the light emitted by the fluorophores used. Typically, fluorescence microscopes need to be equipped with a CCD camera and the results are usually processed with image analysis software. One distinct advantage of FISH is that multicolor staining (multiplexing) is possible.
CISH relies on DNA and RNA probes labeled with non-fluorescent haptens like biotin and digoxigenin. These haptenylated probes are detected in a second step using streptavidin or anti-hapten antibodies conjugated to enzymes like HRP and alkaline phosphatase. Chromogenic substrates for these enzymes are used for localizing the target nucleic acids in the sections. Such chromogens as DAB, AEC, NBT/BCIP, and Fast Red yield insoluble, colored precipitates which stain the nucleic acid targets.
An ordinary light microscope can be used to image CISH results, and unlike FISH, histological evaluation of the tissues is possible simultaneously if the slides are counterstained appropriately. Although multicolor CISH has been performed, it is much more difficult to do successfully, compared to FISH. However, unlike FISH, slides stained with CISH can be archived like any other pathology slides.
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