The Simpson Lab performs Fluorescent In-Situ Hybridization (FISH) diagnostic testing. This page contains information on submitting samples for FISH testing and an FAQ section for information on this type of testing.
Please complete the two page FISH Test Submission Form and Payment Authorization Slip. Send the FISH Form with the tissues you would like diagnosed and mail or email the completed Payment Authorization Slip to Kelly Lewis.
For further inquiry, please contact the lab at email@example.com and specify 'FISH Testing Inquiry' in the subject line.
What is FISH?
What are the indications for doing FISH?
FISH analysis of colonic biopsies is a vital adjunct to the diagnosis of Boxer dog colitis, in order to assess colon biopsies for evidence of intramucosal and intracellular bacterial invasion. If bacterial invasion is present, the invading species is usually E. coli, and we use a specific probe to detect E. coli infection. Diagnosis of bacterial invasion helps to formulate a treatment plan, in conjunction with colon culture and antimicrobial susceptibility data. It is important to appreciate that colon culture alone by no means confirms E. coli invasion, and for maximal diagnostic yield, culture data must crucially be interpreted alongside FISH for spatial localization of bacteria.
FISH can also be very helpful in clinical cases where where bacterial involvement is suspected based on clinical or histological evidence, for example in chronic granulomatous diseases, cholangiohepatitis, endocarditis, suppurative pancreatitis, pyelonephritis, lymphadenitis, chronic cystitis.
I have already taken biopsies, can I still submit FISH?
Yes. We do not require biopsies to be taken into special media for FISH analysis alone. We need a minimum of 5 unstained paraffinised sections, 4-5 microns thick, on charged glass slides.
If, however, you have not already taken biopsies it may be helpful to contact us for advice. In some cases we may suggest that we send you a sampling kit to enable additional microbial analysis if warranted (e.g. 16S cloning, sequencing, microbial culture).
The exception is if you are investigating a suspected case of Boxer dog colitis. It is advisable to obtain a sampling kit from us prior to endoscopic biopsy, in order to culture the mucosa for E. coli antimicrobial susceptibilities. This is also very helpful for our ongoing research on Boxer dog colitis.
Can my regular histology lab do FISH?
Why not just do a Gram stain?
What are the limitations of FISH?
A negative FISH result does not completely exclude bacterial infection. Reasons for false negatives include the presence of dead/dying bacteria (they must be alive and metabolically active to take up the probe), low bacterial number, a patchy distribution of infection, overfixation, sulfasalazine treatment, and the presence of bacteria with thick cell walls (e.g. Listeria).
The eubacterial probe identifies most bacteria, and FISH MAY enable identification of the bacterial species present if we have the appropriate probe (though we have a limited # of species specific probes). It also does not provide any information on antimicrobial sensitivities.
False positives on FISH are also possible but unlikely, since we use additional probes as positive and negative controls.