“I Wit. . Q k Etfl'flmz‘ém “,9 .17... : Ign- .;'.|v‘~ VIA-(qua L .. A 4 ,. . ,. J . 27. V n? . , ,. .. . ‘ .‘u.....3;.mua,.v n< .. .. . , ’7 (Z— '" j 1 fl " 0“) LIBRARY I' Michigan State University This is to certify that the thesis entitled CRIMINAL PATERNITY DNA TESTING OF MlCROSCOPICALLY—IDENTIFIED CHORIONIC VILLI IN FORMALIN-FIXED PARAFFlN-EMBEDDED PRODUCTS OF CONCEPTION presented by ANN ELIZABETH-CHAMBERLAIN GORDON has been accepted towards fulfillment of the requirements for the MS. degree in Criminal Justice ,{x e k N M 74/ v a Major Professor’s Signature 5/44/65 Date MS U is an Affirmative Action/Equal Opportunity Institution -.~.-.--.—-—.—-c---a-.-—-u—q—-—-c-.-.-.-.—.-.-n-n—u— - ... .—.-.-c—a----n-.-c-.-—._.— PLACE IN RETURN BOX to remove this checkout from your record. TO AVOID FINES return on or before date due. MAY BE RECALLED with earlier due date if requested. DATE DUE DATE DUE DATE DUE 6/07 p:/C|RC/Date0ueindd-p.1 CRIMINAL PATERNITY DNA TESTING or MICROSCOPICALLY-IDENTIFIED CHORIONIC VILLI IN FORMALIN-FIXED PARAFFIN-EMBEDDED PRODUCTS OF CONCEPTION By Ann Elizabeth-Chamberlain Gordon A THESIS Submitted to Michigan State University In partial fulfillment of the requirements for the degree of MASTER OF SCIENCE School of Criminal Justice 2006 ABSTRACT CRIMINAL PATERNITY DNA TESTING OF MICROSCOPICALLY-IDENTIFIED CHORIONIC VILLI IN FORMALIN-FIXED PARAFFIN-EMBEDDED PRODUCTS OF CONCEPTION By Ann Elizabeth-Chamberlain Gordon Embryonic/fetal tissue was not easily discerned from maternal decidua in early abortion materials; therefore, sampling for criminal paternity DNA analysis was problematic. Microscopic identification of chorionic villi (embryonic/fetal placental tissue) for subsequent DNA testing was pursued. The resultant tissues fiom sixteen early-term elective and spontaneous abortions were examined with no embryonic/fetal anatomy identified. Fifiy specimens were formalin-fixed, paraffin-embedded, sectioned, stained, mounted on slides, and microscopically examined. Chorionic villi were identified for STR DNA analysis. Xylene deparaffinisation and tissue lysis buffer digestion were employed prior to the comparison of two DNA extraction methods— Chelex® and organic—in recovery of DNA for amplification. Significantly higher quantities of DNA and higher quality DNA profile information (full Profiler PlusTM/COfilerTM profiles) were obtained after Chelex® extraction. Varying proportions of offspring and maternal alleles—single-source profiles to equal mixtures of contributors—were observed. Discernment of offspring profiles, aided by maternal profile information, for comparison to putative fathers would be possible for determination of association. Since implementation of the Chelex® extraction method for this application at the Michigan State Police Lansing Laboratory in 2004, convictions were handed down in five cases as a direct result of analysis. To my family iii ACKNOWLEDGEMENTS I would like to thank Dr. Joyce deJong, DO, Medical Director of Forensic Pathology at Sparrow Hospital, Lansing, M1 for the continued partnership in pursuing criminal paternity DNA analysis in mid-Michigan and especially in the implementation of the microscopic identification process of chorionic villi. For the purposes of this research, Dr. deJong prepared the samples from abortion materials for subsequent DNA testing. Preparation of the tissue included the initial examination, formalin-fixation, paraffin-embedding, sectioning, and microscopic identification of the chorionic villi. I would also like to thank thesis advisor, Dr. David Foran, PhD, Director— Forensic Science Program, School of Criminal Justice and Department of Zoology, Michigan State University for approving the proposed research, guiding the methodology and manipulation of data, and painstakingly overseeing the writing of this research paper. Thank you for the encouragement and support especially in the final stages of project completion. Thank you to Dr. Christina DeJong Schweitzer, PhD, Associate Professor, School of Criminal Justice, Michigan State University for guiding the statistical portions of this research. The patience, effort, and accessibility afforded were greatly appreciated. Thank you to the Michigan Department of State Police Forensic Science Division for moral support and encouragement, financial support for reagents, and access to all necessary equipment. iv TABLE OF CONTENTS LIST OF TABLES viii LIST OF FIGURES x INTRODUCTION 1 Rape Offenses in Michigan 1 Occurrence and Reporting of Rape 2 Transfer of Biological Evidence in Rape Cases 2 Collection of Embryonic or Fetal Materials for DNA Analysis ------------- 3 Abortion Techniques and Possible Effects on Sample Collection, Preservation, and DNA Testing 3 Initial Screening and Gestational Age Determination 3 Abortion Techniques 4 Evidence Handling of Abortion Materials in Mid-Michigan Prior to 2002 5 Evidence Handling of Abortion Materials in Mid-Michigan from 2002 to Early 2003 5 Evidence Handling of Abortion Materials in Mid-Michigan in Early 2003 6 Choriom'c Villi Development 6 Forensic STR Analysis 12 Factors Affecting DNA Recovery from Tissue Samples 15 Organic and Chelex® 100 Extraction of DNA 15 Limitations in Interpretation of Genetic Testing Results 16 Goal of this Research 18 MATERIALS AND METHODS 19 Institutional Review Board (IRB) Approval 19 Sample Collection and Preparation 19 Fixation 19 Tissue Processing 20 Sectioning 20 Staining 20 Microscopic Examination 21 Preparation of Paraffin-Embedded Embryonic or Fetal Tissue and Maternal Decidua for DNA Extraction 21 Sample Preparation 21 Deparaffinisation 22 Digestion of Tissue, Purification of DNA and Concentration of DNA 23 RESULTS DISCUSSION DNA Extraction of Embryonic or Feta] Tissue and Maternal Decidua Chelex® Extraction Organic (phenol/chloroform/isoamyl alcohol) Extraction ------ Quantification of DNA DNA Amplification Sample Preparation for Electrophoresis and GeneScan Analysis ------- Data Interpretation Determination of Full vs. Partial Single-Source Profiles -------- 23 24 24 25 25 26 27 27 Determination of Full vs. Partial Mixture Profiles 28 Mixture Allele Relationships Representative of the Mother and a Full Offspring 28 Sample Concordance 28 Statistical Analyses 29 32 Paraffin Extraction 32 DNA Quantification 32 Amplification of Electrophoresis of Purified DNA 42 TS 1—Profile Results 46 TSZ—Profile Results 47 TS3—Profile Results 47 Genetic Profile Composition 48 Chelex®-Extracted and Profiler PlusTM-Amplified Samples 55 Chelex®-Extracted and COfilerTM-Amplified Samples 58 Organically-Extracted and Profiler PlusTM-Amplified Samples --------- 59 Organically-Extracted and COfilerTM-Amplified Samples 60 Concordance of Profiles Between Amplification Systems and Extraction Methods 60 Identification of Associated Samples 63 Comparison of Single-Source Female Profiles to Associated Samples 65 Peak Height Imbalance Between Loci 66 Off Ladder Alleles 70 Statistical Estimates 73 75 Historical Issues and Procedures Developed 75 DNA Recovery and Isolation of Embryonic/Fetal DNA 76 Concordance of Samples Between Amplification Systems and Extraction Methods 78 Identification of Associated Samples 79 Explanation of Superior Chelex® Results 79 Data Anomaly Observed 82 APPENDICES REFERENCES Implementation of Chelex® Extraction Method for Embryonic/Fetal Tissue in the Forensic Laboratory 84 Case 1 85 Case 2 86 Case 3 88 Case 4 90 Case 5 92 Case 6 93 Recommendations for Handling Aborted Materials in Criminal Cases 94 Conclusions 96 98 APPENDIX A STATUTORY CIRCUMSTANCES FOR CSC I and CSC II 99 APPENDIX B STATUTORY CIRCUMSTANCES FOR CSC III and CSC IV 102 APPENDIX C PROTOCOL FOR THE PREPARATION OF FORMALIN-FIXED PARAFFIN-EMBEDDED EMBRYONIC/FETAL TISSUE AND MATERNAL DECIDUA FOR DNA EXTRACTION 104 Sample Preparation 105 Deparaffinisation 105 Digestion 105 Collection and Purification 106 APPENDIX D PROTOCOL FOR CHELEX® EXTRACTION OF DNA 107 Chelex® Extraction Protocol 108 APPENDIX E PROTOCOL FOR PHENOL/CHLOROFORM /ISOAMY L ALCOHOL (ORGANIC) EXTRACTION OF DNA 109 Organic Extraction Protocol 110 111 REFERENCES vii 112 LIST OF TABLES TABLE l—Quantiblot results of human DNA recovered from Chelex® 33 extraction of Test Set 1 samples TABLE 2—Quantiblot results of human DNA recovered from Chelex® 34 extraction of Test Set 2 samples TABLE 3—Quantiblot results of human DNA recovered from Chelex® 35 extraction of Test Set 3 samples TABLE 4—Quantiblot results of human DNA recovered from organic extraction of Test Set 1 samples TABLE S—Quantiblot results of human DNA recovered from organic 36 extraction of Test Set 2 samples TABLE 6—Quantiblot results of human DNA recovered from organic 37 extraction of Test Set 3 samples TABLE 7——Full genetic profiles generated for Test Set 1 samples TABLE 8—Full genetic profiles generated for Test Set 2 samples TABLE 9—--Full genetic profiles generated for Test Set 3 samples 56 TABLE 10—Genetic profile composition of Test Set 1 samples TABLE 11—Genetic profile composition of Test Set 2 samples 57 58 TABLE lZ—Genetic profile composition of Test Set 3 samples TABLE 13—Associated samples from Test Sets 1, 2, and 3 63 85 TABLE 14A—Genetic data at 13 CODIS core loci for Case 1 TABLE l4B—Genetic data at 13 CODIS core loci for Case 1 86 TABLE ISA—Genetic data at 13 CODIS core loci for Case 2 TABLE 15B——Genetic data at 13 CODIS core loci for Case 2 87 88 TABLE 16A—Genetic data at 13 CODIS core loci for Case 3 89 viii TABLE 16B—Genetic data at 13 CODIS core loci for Case 3 TABLE 17A—Genetic data at 13 CODIS core loci for Case 4 90 91 TABLE 17B—Genetic data at 13 CODIS core loci for Case 4 TABLE 18—Genetic data at 13 CODIS core loci for Case 5 TABLE 19—Genetic data at 13 CODIS core loci for Case 6 92 93 94 FIG. FIG. FIG. FIG. FIG. FIG. FIG. FIG. FIG. FIG. FIG. FIG. FIG. FIG. LIST OF FIGURES 1—10X view of chorionic villi from the microscope slide prepared from sections of tissue block sample TS3-L 8 2—Primary chorionic villi surrounded by a thin layer of mesoderm (connective tissue) 9 3—Secondary chorionic villi surround by a thin layer of mesoderm (connective tissue) 10 4—Tertiary villi and intervillous spaces facilitate placental circulation --------- 11 5— Photograph of an embryo at 7 weeks contained within the chorionic sac 12 6—Photo graph of the paraffin block containing sample TS 1 -4A 22 7—Comparison of DNA recovery from TS-l Chelex®- and organically- extracted samples 39 8—Comparison of DNA recovery fi'om TS-2 Chelex®- and organically- extracted samples 40 9—Comparison of DNA recovery from TS-3 Chelex®- and organically- extracted samples 41 10—Number of full profiles generated for Chelex® extraction and organic extraction 43 ll—Sample TSl-l (extracted with Chelex® and amplified with the Profiler PlusTM amplification kit) exhibited a full single-source female profile----49 12—Sample TS1-7 (extracted with Chelex® and amplified with the Profiler PlusTM amplification kit) exhibited a full single-source female with additional activity profile 50 13—Sample TSl-6 (extracted with Chelex® and amplified with the Profiler PlusTM amplification kit) exhibited a single-source male profile ----------- 51 14—Sample TSl-S (extracted with Chelex® and amplified with the Profiler PlusTM amplification kit) exhibited a single-source male profile with additional activity 52 FIG. 15—Sample TSZ-ll (extracted with Chelex® and amplified with the Profiler PlusTM amplification kit) exhibited a mixture of female DNA ------------- 53 FIG. 16—Sample TS2-6 (extracted with Chelex® and amplified with the Profiler PlusTM amplification kit) exhibited a mixture of female and male DNA--54 FIG. 17—Sample TSl-7 (extracted organically and amplified with the Profiler PlusTM amplification kit) exhibited a mixture of female and male DNA (D3Sl358, amelogenin, D8S1179) 62 FIG. 18—Sample TS2-10 (extracted with Chelex® and amplified with the Profiler PlusTM amplification kit) exhibited a single-source female profile with additional activity 64 FIG. 19—Sample TS1-4B extracted with the Chelex® method (amplified with the Profiler PlusTM amplification kit) 68 FIG. 20—Sample TS1-4B extracted with the organic method (amplified with the Profiler PlusTM amplification kit) 69 FIG. 21—Sample TS2-3 (organically-extracted) with OL allele designations -------- 71 FIG. 22—Sample TS2-3 (organically-extracted) with allele designations ------------- 72 FIG. 23—List of recommendations for law enforcement personnel 95 xi INTRODUCTION Rape Offenses in Michigan Michigan law outlines in detail what constitutes rape or criminal sexual conduct (CSC). CSC offenses are assigned one of four degrees. First and third degree CSC offenses (CSC I and CSC III) involve penetration. Second and fourth degree offenses (CSC II and CSCIV) involve contact in a sexual manner. The degree of a CSC offense must be accompanied by at least one statutory circumstance. Some of the statutory circumstances that apply to CSC I and CSC II are as follows: the victim is under 13 years of age, the victim is at least 13 but less than 16 and the perpetrator is a member of the victim’s household or related by blood or in. a position of authority over the victim, the sexual act involves commission of any other felony, and the perpetrator is armed with a weapon or an article fashioned so as to lead a person to reasonably believe it is a weapon. A different set of statutory circumstances apply to CSC III and CSC IV. Some of these are as follows: the victim is at least 13 years of age but less than 16 (CSC 111 only), the victim is at least 13 but less than 16 years of age and the perpetrator is five or more years older than the victim (CSC IV), the perpetrator uses force, and perpetrator knows or has reason to know the victim is mentally incapable, mentally incapacitated, or physically helpless. Complete lists of statutory circumstances can be found in Appendix A and Appendix B. Statutory rape (non-forcible intercourse with or between individuals, which would otherwise be legal, if not for their ages) differs from forcible rape in the matter of consent. Intercourse with a minor is illegal in all 50 states, but the age of consent varies. In Michigan, as previously described, any sexual intercourse, even non-forcible, with an individual under the age of 16 is illegal and prosecutable. Occurrence and Reporting of Rape For a variety of reasons, females do not always report sexual crimes in a timely manner, or at all. Some of these include the desire to avoid embarrassment, fear of further harm (Kilpatrick et al., 1992; Kilpatrick, 2000), a statutory rape situation, or forcible rape of a minor in which discovery was prevented by the perpetrator and/or the circumstances. All of the aforementioned can make evidence recovery difficult or impossible. T_ransfer of Biological Evidence in Rape Cases Physical evidence of interest in the prosecution of rape or criminal sexual conduct cases can vary with the circumstances. The best evidence is the direct transfer of bodily fluids (vaginal secretions, semen, seminal fluid, saliva, or perspiration containing epithelial cells) between the victim and perpetrator during intercourse and the transfer of fluids to the environment or to a condom. In the crime lab, bodily fluids are located, identified, isolated, and individualized using DNA analysis methods. The results are compared and the evidence can be declared a match to the exemplar, or the exemplar can be excluded as a possible donor to the evidence. A small percentage of the time a victim becomes pregnant as a result of the assault, and in some of these cases, the pregnancy is the only evidence that a forcible or statutory rape occurred. The Rape, Abuse, and Incest National Network (RAINN) (2006) calculated that out of the 247,730 rapes that occurred in 2002, approximately 4,315 pregnancies (~1.7% of reported rapes) resulted. The calculation is based on information from the US. Department of Justice, Bureau of Justice Statistics’ 2002 National Crime Victimization Survey and medical reports. Collection of Embryonic, Fetal, and Full-Tenn Offspring Samples for DNA Analysis If a pregnancy resulting from rape is not aborted, a sample can be obtained from the embryo, fetus or the full-terrn baby and compared using paternity DNA analysis with the victim and suspect samples. Samples of chorionic villi—tiny outgrowths fi'om the outer membrane chorion surrounding an embryo that grow into the womb wall and help to form the placenta (see below)——can be obtained during gestation (Lobbiani et al., 1991; Karger et al., 2001; Mingjun et al., 1993; Reshef et al., 1999). After birth, a sample can be obtained by swabbing the infant’s mouth or by drawing a whole blood sample for analysis. If the mother decides to terminate the pregnancy, DNA analysis of the embryonic or fetal tissue obtained during an abortion procedure is possible. The present study focused on the viability of the latter method. Abortion Techniques and Possible Effects on Sample Collection, Preservation, and DNA Titing Initial Screening and Gestational Age Determination The first step in the abortion process is the actual confirmation of pregnancy (Smith, 1982). The pregnancy hormone human chorionic gonadotropin (hCG) can be detected approximately two weeks after fertilization or four weeks since the last menstrual period. A positive result from a simple 5-minute urine test is an indication of pregnancy. Ultrasound and pelvic examination will attempt to confirm pregnancy and to identify growth stage (Smith, 1982). Many women have irregular menses or have experienced bleeding that was interpreted as menses, which can throw off the estimation of gestational age (Hem, 1984). Documentation of the gestational age of the pregnancy at the time of abortion is important to law enforcement, as well as pathology and forensic laboratory scientists. Once the gestational age is determined, the appropriate abortion procedure can be performed. Abortion Techniques According to the World Health Organization (2003), the vacuum aspiration technique generally performed through 12 weeks utilizes a vacuum, either manual or electric, to empty the uterine contents. An aspirator or syringe is connected to a cannula ranging in size from 4—12 mm in diameter which is connected to the vacuum source. Dilation of the cervix may be necessary for insertion of the cannula and/or syringe. The vacuum process takes 3—1 0 minutes and is performed under local anesthesia or analgesics. During the vacuum process, the tissues may suffer gross trauma, distorting them beyond recognition (Karger et al., 2001 ), making it difficult or impossible to identify fetal components for DNA analysis. Another procedure, dilatation and curettage (D&C) is used through the 12th week of pregnancy. This involves the dilation of the cervix with mechanical dilators or pharmacological agents and the use of sharp metal curettes to remove tissue from the walls of the uterus. The procedure may also distort the tissue due to gross trauma (Karger et al., 2001). The dilatation and evacuation (D&E) procedure is used after the 12th week of pregnancy until the 23rd week. The cervix is dilated and the uterus is evacuated using a vacuum and a 14—1 6 mm diameter cannula and forceps. The dilation procedure may take 2 hours to one full day. An alternative to the aforementioned procedures is the chemical induction method. It utilizes an anti-progesterone drug to interfere with the continuation of the pregnancy, and a prostaglandin to enhance uterine contractions to expel the products of conception. This method is far less destructive to tissues. Evidence Handling of Abortion Materials in Mid-Michigan Prior to 2002 Prior to 2002, the aborted embryo or fetus (resultant from rape) and the maternal materials were frozen or fixed in formalin and shipped directly to the Michigan State Police Lansing Laboratory for analysis at any stage of development. Well-developed, whole fetuses were ofien received even though swabs of the mouth or a blood sample could easily have been collected—causing adverse psychological stress to the analyst, as well as storage and disposal problems. Materials from very early abortions (approximately 2—7 weeks post-conception) exhibiting amorphous tissue were also frequently received. Identification of embryonic or fetal tissue for DNA analysis relied on visual recognition of fetal anatomy within or among the materials. According to Moore and Persaud (1993), the embryo or fetus may not be readily visible to the naked eye before the 8th or 9th week. This is especially true if the anatomy was badly distorted due to the abortion process (Karger et al., 2001). Due to the difficulty in visual identification of the embryonic or early fetal parts in early abortions, random samples from the materials would be used for genetic testing and often results were limited to the maternal profile. Evidence Handling of Abortion Materials in Mid-Michigan from 2002 to Early 2003 Difficulties with storage, disposal, and analyst stress provoked an agreement between Dr. Joyce deJong, Medical Director of Forensic Pathology at Sparrow Hospital in Lansing, Michigan and the Michigan State Police Lansing Laboratory Biology Unit, with regards to processing of abortion materials. Forensic Pathology received all aborted material cases and screened them for embryonic/fetal anatomy. If such anatomy was located, samples were collected and forwarded to the Michigan State Police Lansing Laboratory. If anatomy was not located, it was agreed that the case would not be pursued for DNA analysis. Evidence Handling of Abortion Materials in Mid-Michigan in Early 2003 In early 2003, a study conducted by Karger et al. (2001) was discovered, which discussed a procedure to identify very early embryonic tissue structures, chorionic villi, for forensic genetic testing. An agreement was reached between Dr. deJong and the Michigan State Police Lansing Laboratory to conduct further research on the topic and to attempt implementation. This procedure suggested formalin-fixation, paraffin- embedding, sectioning, and hematoxylin-eosin staining of early-term abortion materials. DNA analysis would be conducted on sections demonstrating the presence of chorionic villi. Chorionic Villi Development The stages of embryonic and fetal development are important in microscopically identifying chorionic villi—cells fiom the fetal side of the placenta (Fig. 1). According to Moore and Persaud (1993), the primitive chorionic villi appear by the end of the 2nd week following conception. The embryonic period begins at the beginning of the 3rd week just after the primitive chorionic villi appear. The primary chorionic villi (Fig. 2) begin to branch, and in several days they cover the entire chorionic sac becoming secondary chorionic villi (Fig. 3). Within a few days the venous networks are present, and the structures become tertiary chorionic villi or stem villi (Fig. 4). Blood begins to flow through the villi by the end of the 3rd week. The limb buds start to develop at the end of week four and beginning of week five. At the end of week five, the embryo is often still too small (8 mm) to identify with the naked eye. By the beginning of week six distinct fingers are beginning to form, and if left intact the embryo (13 mm) may be visually identified at the end of this week (Fig. 5). The embryo will grow to be approximately 30 mm by the end of the 8th week, when it can frequently be identified visually. During the 9th week, the fetus is easily identified visually as it is 50 mm in length. To identify the chorionic villi from an early aborted pregnancy, the maternal decidua and/or embryonic/fetal material must be chemically fixed, embedded in paraffin, sectioned, stained, and mounted. Microscopic evaluation identifies slides containing chorionic villi. FIG. l—Microscopic cross-section of chorionic villi and maternal tissues. Three layers of tissue, chorionic villi which are finger-like in appearance with lacunae (empty spaces that would contain maternal blood), maternal endometrium (spent glands exhibit saw-tooth edges—to the immediate left of the identifier), and myometrium (maternal) are represented from the top down (Duker, 2003). Uterine vessels Uterine glands Syncytiotrophoblast Cytotrophoblast ., .. .1» ."o'fm. .II"~‘ r: grin-rant)? ~' Mesoderm Intervillus space (lacunae) FIG. 2—Primary chorionic villi surrounded by a thin layer of mesoderm (connective tissue). The mesoderm is covered by cytotrophoblast and superficially with syncytiotrophoblast (cells that contact maternal blood) (Gray, 2000 (1918)). Uterine glands Uterine vessels Syncytiotrophoblast Cytotrophoblast Core of mesoderm with fetal vessels Mesoderm Intervillous space FIG. 3—Secondary chorionic villi surrounded by a thin layer of mesoderm (connective tissue). The mesoderm is covered by cytotrophoblast and superficially with syncytiotrophoblast (cells that contact maternal blood). The venous networks are present within the villi (Gray, 2000 (1918)). Limiting 01' Stratum spongiosm boundary Maternal vessels layerl Plasental septum v "" Marginal sinus FIG. 4—Tertiary villi and intervillous spaces facilitate placental circulation. Fetal and maternal blood does not intermingle—the delicate walls of the villi facilitate the exchange of waste products, and oxygen and nutritive materials. After the exchange, blood is carried back to the fetus by the umbilical vein (Gray, 2000 (1918)). FIG. 5—Photograph of an embryo at 7 weeks contained within the chorionic sac. The chorionic villi are evenly distributed—covering the chorionic sac (0 ’Rahilly and Muller, 2001). Forensic STR Analysis Today, most forensic DNA typing focuses on DNA regions with repeating units referred to as short tandem repeats, or STRs (Butler, 2001). STRs can be highly variable due to the repeat unit composition and length of the alleles. The 13 CODIS (Combined DNA Index System) STR loci (CSFIPO, FGA, THOl, TPOX, vWA, D3Sl358, D5S818, D78820, D8Sl 179, D13S3l7, D16SS39, D1885], and D2181 1) were selected because of their high discriminating power (in combination), separate chromosomal locations (to avoid linkage), result reproducibility and robustness in multiplexing (simultaneous amplification of alleles), low mutation and stutter rates, and allele lengths between 90— 500 base pairs (smaller sizes are best for degraded samples encountered in forensic testing) (Butler, 2005). Commercial kits are available that allow multiplex amplification of the CODIS loci. Profiler Plus“ and COfilerTM (manufactured by Applied Biosystems) are examples of these, with Profiler PlusTM amplifying nine of the loci (D3Sl358, vWA, FGA, D881 179, D2181 1, D1885], D58818, D13S3l7, and D78820) and COfilerTM six (D3Sl358, D168539, THO], TPOX, CSFIPO, and D78820). An allelic ladder, an artificial mixture of all of the common alleles present at each locus, is used as a “measuring stick” to determine the alleles present within a sample. The combination of allelic information fi'om the loci comprises a genetic profile. Profiles from evidence samples can be compared to known samples from victims and suspects, and conclusions regarding the source of the profiles can be drawn. Unfortunately, challenges in interpretation and comparison of forensic STR results often occur. Microvariants, mutations, DNA degradation, inhibition of amplification, and mixtures of alleles from multiple DNA contributors are commonly encountered (Butler, 2001). Microvariants are rare alleles differing from a common allele by one or more nucleotides. These often generate “off-ladder” alleles (OL alleles) as they are not present in the allelic ladder. Amplification must be repeated to confirm the “OL allele” status of a suspected microvariant. If re-analysis verifies that the allele is a true microvariant, further comparison with the allelic ladder is necessary. The allele l3 designation can be interpolated if the microvariant falls within two ladder alleles, or extrapolated if it falls outside of the allele range. Mutations in STRs usually result in single base changes or changes in repeat unit. A mutational event can result in a mismatch between a parent’s DNA profile and a child’s (see the Limitations in Interpretation of Genetic Testing Results section for further explanation). Degradation (random breakdown of DNA molecules due to environmental exposure), which is common in forensic samples, can result in incomplete or failed amplification. Larger- sized loci are more likely to disappear due to degradation, rendering amplification of intact sequences impossible. Partial profiles (comprised mainly of results from smaller- sized loci) are sometimes obtained from degraded samples but often there are no results observed (false negative). Inhibition (interference of amplification), caused by substances contaminating the DNA, can result in partial or no profile results as well. .A summary by Wilson (1997) identified three mechanisms by which inhibitors act— inactivation of the DNA polymerase, degradation or capture of nucleic acids, and interference with the lysis of cells during DNA extraction. Numerous substances (e. g. textile dyes (Shutler et al., 1999), hemoglobin (Akane et. al., 1994; Mercier et al., 1990), melanin in tissue and hair (Eckhart et al., 2000), polysaccharides and bile salts in feces (Lantz et al., 1997; Monteiro et al., 1997), humic compounds in soil (Tsai and Olson, 1992), heparin (Beutler et al., 1990), phenol (Katcher and Schwartz, 1994), plant polysaccharides (Demeke and Adams, 1992), polyamines (spermine and spermadine) (Ahokas and Erkkela, 1993), urea in urine (Khan et al., 199]; Mahoney et al., 1998), detergents (i.e. SDS) (Gelfand, 1989), and calcium alginate swab fibers and aluminum swab shafts (W adowsky et al., 1994)) have been identified as PCR inhibitors. Careful 14 consideration and selection of sample preparation methods which adequately reduce inhibitory effects is crucial for optimal amplification results (Radstrom etal., 2004). Finally, mixtures of alleles from multiple contributors can render source attribution difficult or impossible (see the Limitations in Interpretation of Genetic Testing Results section for further explanation). Factors AffectirLLDNA Recovery from Tissue Salees Romero et a1. (1997) stated that the extraction of DNA from formalin-fixed tissue embedded in paraffin has historically shown little success. Opinions as to the effects of formalin on tissue have varied over time. Formalin was originally thought to damage DNA molecules causing strand breakage. It is now understood that the formation of methyl bridges between amino groups of purine and pyrimidine bases as well as between the bases and histones, can be facilitated by formalin (Brutlag et al., 1969; Feldman, 1973; Moerkerk et al., 1990; Romero et al., 1997). The formation of these cross-links can inhibit extraction of DNA fiom fixed samples. Karger et a1. (2001) were successful at obtaining genetic profile information in a limited study of six samples of fetal/maternal decidua from an abortion. These were obtained from microscope slides prepared from formalin-fixed paraffin-embedded abortion materials. Two of these generated fetal results. Organic and Chelex® 100 DNA Extraction of DNA A popular method for DNA isolation employed in forensic laboratories uses Chelex® 100. Chelex® 100 is composed of paired inrinodiacetate ions attached to styrene divinylbenzene copolymers (plastic beads), which chelate (bind) polyvalent metal ions such as magnesium and iron; these ions can help degrade DNA, or inhibit its subsequent 15 analysis. The Chelex® procedure may be more successful at isolating higher quantities of DNA for STR-PCR testing (Walsh et al., 1991) than traditional organic extractions involving phenol/chloroform/isoamyl alcohol (see below). Further, Chelex® 100 resin is added directly to the sample tube and no DNA transfers are required; this reduces the chance of sample loss and contamination (Walsh et al., 199]). The sample is boiled in the presence of the Chelex® beads, which according to Singer-Sarn et a1. (1989) protect the DNA from degradation. Exposure to boiling (100°C) destroys the cell membranes— releasing DNA into the solution and denaturing the DNA. Organic extraction includes the use of proteinase K, a detergent, (e. g., SDS or Tween 20) and exposure to hot temperatures (e.g., 56 °C) to break down cell membranes—releasing DNA into solution. The addition of phenol/chloroform/isoamyl alcohol facilitates a physical separation of the hydrophilic DNA from the hydrophobic protein materials. (The DNA is more soluble in the aqueous phase of the solution, whereas, the proteins remain in the organic phase.) Centricon-IOOTM concentrators or similar devices can be used to purify the DNA, removing small molecules such as hemoglobin that may inhibit DNA analyses. A risk with this method is the need to transfer the aqueous DNA containing solution from one tube to another, resulting in potential sample loss. Limitations in Interpretation of Genetic Testing Results According to Karger et a1. (2001), the interpretation of DNA analysis results from aborted tissues can be challenging; often the results are a mixture of embryo or fetus and mother. Genetic inheritance is based on the combination of allelic information from both parents, thus when results are a mixture of embryo/fetus and mother, determination of the 16 embryo/fetal profile can be difficult (Butler, 2001). A known sample from a parent is crucial to the process of identifying the embryonic or fetal profile. Once the profile is identified, suspected father profiles can be compared to determine the likelihood of paunnhy. Comparison of potential suspect profiles to the profile of the embryo/fetus can also pose challenges, and association of the suspect to the embryo/fetus is never conclusive. The strongest association possible is that “the suspect cannot be excluded as a parent of the offspring”. Generation of a paternity likelihood ratio supports the association—estimating the likelihood that the suspect is a parent of the offspring versus another random individual. However, results may or may not be easy to interpret. Sometimes one or more mismatch occurs between the suspect and the offspring, and the suspect sample is readily excluded as the father. On the other hand, a mismatch between the offspring and suspect may result from a mutational event and the suspect’s sample still cannot be excluded. Paternity testing generally allows for one mismatch between the potential father and offspring due to mutational events (Butler, 2001). Most often this mutation will result in a difference i one STR repeat unit. According to Brinkmann et a1. (1998), paternal mutations are more common than maternal mutations, with a ratio of 17:3, due to the different numbers and types of cell division. The oogonia divide approximately 22 times before meiosis begins and the oocyte is formed. The spermatogonia are constantly renewed by mitosis and some continue to divide through meiosis before becoming sperm cells. The rate of mutation in older men is even higher than in younger men due to more cell divisions (Brinkmann et al., 1998). 17 Goal of this Research The research presented here was designed to evaluate a combination of techniques for obtaining useful DNA profile information from the analysis of aborted embryonic or fetal tissue. It was proposed that microscopic identification of embryonic structures (chorionic villi) would reduce the chances of sampling maternal tissue during DNA testing. The exposure of the tissue to formalin fixative during the paraffin embedding process, although necessary for the preparation of quality microscopic specimens, is generally not favorable for genetic profiling. Chelex® and organic DNA extraction methods are both designed to generate analyzable DNA, therefore comparison of these was conducted to determine their relative effectiveness in obtaining DNA, and in minimizing the negative effects caused by formalin exposure. The success of either extraction method was determined based on the quantity of DNA recovered and ability to retrieve full genetic profiles from the abortion material. The generation of full profiles would enable comparison to maternal and paternal profiles to reveal paternity status. Ultimately, the goal was to apply the most effective combination of techniques to forensic casework for the purpose of enabling the most discriminating comparison of evidence to putative father profiles, thus assisting in accurate prosecution of applicable rape crimes. 18 MATERIALS AND METHODS Institutionzfi Review Board (IRB) Approval Per UCRIHS (University Committee on Research Involving Human Subjects), this research project involved only the in vitro use of de-identified human tissues; therefore, it did not require IRB approval. A certification form was submitted to Dr. Peter Vasilenko, IRB Chair, Office of Research Ethics and Standards, Michigan State University and approved under certification #CT06-002. Sample Collection and Preparation Prior to this experiment, early-terrn abortions were conducted at undisclosed facilities in Michigan and the aborted tissue was sent to Dr. Joyce deJong, Medical Director of Forensic Pathology at Sparrow Hospital, Lansing, MI. The resultant decidua and embryonic/fetal material from each abortion were examined for identifiable fetal parts. None were located. The tissue from each abortion was sliced into segments less than one centimeter in any dimension and placed into separate standard tissue embedding cassettes. Three sets of cassettes (Test Set 1 (TSl-l—IO), Test Set 2 (T82-1—20), and Test Set 3 (TS3-A—F, I—K, M—O, Q—W)) were prepared and labeled accordingly. Each set of cassettes was transferred to the Sparrow Hospital Department of Histology for processing. Fixation The histologist placed the cassettes containing tissue into a basket and then into a chamber containing 10% formalin at neutral pH. The tissue was fixed in formalin for a 19 period of approximately 10—12 hours (recommended by Greer et al. (1991) and Rogers et al. (1990)). Tissue Processing A tissue processor was used to gradually dehydrate the formalin-fixed tissue. The tissue was washed with 10% formalin and then passed through increasing strengths of ethyl alcohol (70%, 80%, 95%, and 100%). Following dehydration, xylene was used to clear the tissue of the ethyl alcohol. The cassettes were placed into metal cassette holders and passed through several changes of melted paraffin until completely embedded (in blocks of paraffin within the cassettes). Sectioning The paraffm embedded tissue was sectioned into 4.0 um slices using a microtome. The sections were floated on a warm water bath to remove wrinkles and folds. They were mounted on slides by placing the slide underneath the section and lifting it out of the water. A fixative on the slides enabled the tissue to adhere. Staining Paraffin was removed from the sectioned tissue on the slides with xylene, followed by 100% ethyl alcohol and water. The tissue was exposed to the stain hematoxylin, followed by 80% ethyl alcohol, 100% ethyl alcohol, the stain eosin, 100% ethyl alcohol again and finally xylene. The slides were placed into a processor for permanent placement of cover slips. Slides were scanned for quality control and transferred back to the pathologist. 20 Microscopic Examination Microscopic evaluation of the slides identified cassettes containing chorionic villi. These cassettes were noted. All of the cassettes (and slides) were transferred to the Michigan State Police Biology Unit for DNA analysis. Preparation of Paraffin-Embedded Embryonic or Fetal Tissue and Maternal Decidua for DNA Extgction Sample Preparation F ifiy microscope slides corresponding to specific paraffin blocks (Fig. 6) (sets identified as T81, T82, and T83) were visually analyzed and locations containing chorionic villi were identified (see Appendix C for complete protocol). Two 2—4 mm3 tissue segments were cut fiom each paraffin block (areas corresponding to chorionic villi identified on the slide) using a sterile razor blade, and were placed into separate labeled microcentrifuge tubes for paraffin removal followed by digestion and Chelex® or organic extraction. A blank tube (no tissue segment) was prepared for each extraction method, and was carried through the entire extraction process with the purpose of identifying contamination, if present, in the reagents used. The tubes containing tissue segments and the reagent blank tubes were collectively referred to as ‘samples’ from this point forward in the experiment. 21 FIG. 6—Photograph of the paraflin block containing sample TS1—4A. The slide was orientated over the paraffin block consistent with the corresponding tissue on the slide and in the block Deparafi‘inisation A xylene/ethanol deparaffinisation method (Coombs et al., 1999; Goelz et al., 1985) was utilized on both sets of fifty samples. A 1 mL aliquot of xylene was added to each of the samples to remove the paraffin wax (see Appendix C for complete protocol); the samples were then incubated for 30 minutes at room temperature, and then centrifirged for 2—5 rrrinutes at 15,300 relative centrifugal force (RCF). The liquid portion was discarded and the process repeated. A 1 mL aliquot of ethanol was added to each of the samples to remove the remaining xylene item the tissue. The samples were centrifuged at 15,300 RCF for 2—5 minutes. The liquid portion was discarded and the process repeated. The samples were dried in a Hetovac vacuum apparatus at 15—20 in. Hg for 10-20 minutes. 22 Digestion of T issue, Purification of DNA and Concentration of DNA Both sets of 50 samples were digested according to Kawaski (1990), Sepp et al. (1994), and Shimizu and Burns (1995). A 200 uL aliquot of filtered tissue lysis buffer (189 uL TE4 (10 mM Trizrna base, pH 7.5; 0.5 mM EDTA, pH 7.5), 10 uL 0.5% Tween 20, and 10 uL proteinase K (20 mg/mL)) was added to each of the samples prior to overnight incubation (12—1 8 hours) at 37°C (see Appendix C for complete protocol). The samples were centrifuged for 5 minutes at 15,300 RCF. Centricon-IOOW' concentrators were assembled according to the manufacturer’s instructions for each sample. The sample reservoirs (containing the filter unit) with attached rententate vials were fitted to filtrate vials. The liquid portion of each digested sample (approximately 200 uL) was placed into a separate Centricon-l 00““ concentrator sample reservoir (the tissue was discarded), and centrifuged for 30-60 minutes at 2000 RCF. The filtrate from each was discarded. A 2 mL aliquot of TE“1 was added to each sample, and the samples were centrifuged for 30-60 nrinutes at 2000 RCF. The filtrate was discarded and the process repeated. Following the second wash, the filtrate vials were removed fiom the concentrators and discarded. The sample reservoirs with attached retentate vials were inverted and centrifuged at 1000 RCF for 3 minutes. The concentrated DNA (rententate) was captured in the retentate vials and transferred to clean, labeled, microcentrifuge tubes was used for Chelex® 100 extraction and the other for organic extraction. DNA Extraction of Embryonic or Fetal—Tissue and Maternal Decidua One sample from each of the 50 cassettes was extracted with Chelex® (Walsh et al., 1991) and one was extracted organically (phenol/chloroform/isoamyl alcohol) (Sambrook et al., 1989). 23 Chelex® Extraction A solution of 5% Chelex® 100 was prepared by adding 2.5 g of Chelex® resin beads to 50 mL of sterile water and mixing until evenly distributed (see Appendix D for complete protocol). The pH was verified at 9.0 using a Coming 220 pH Meter and buffer solutions of pH 7.0 and pH 10.0. A 20 uL aliquot of the Chelex® 100 solution was added to each tube. The samples were vortexed briefly and incubated at 56°C for 30 minutes. The samples were then vortexed at high-speed for 5—10 seconds and placed into a boiling water bath for 8 minutes. These were vortexed again at high-speed for 5—1 0 seconds and centrifirged for 3 minutes at 15,300 RCF. Organic (phenol/chloroform/isoamyl alcohol) Extraction A 200 uL aliquot of phenol/chloroform/isoamyl alcohol 25:24:] was added to each sample (see Appendix E for complete protocol). The samples were vortexed until a milky emulsion was achieved (5—10 seconds) and then centrifuged at 15,300 RCF for 5 minutes. After centrifugation the components were separated into a lower organic solution, an interface layer of protein and cellular material, and an upper aqueous portion. The aqueous portions were transferred to clean Centricon-IOOTM concentrators and centrifuged for 30-60 minutes at 2000 RCF (the filtrate was discarded). A 2 mL aliquot of TE'4 was added to each sample, and the samples were centrifuged for 30-60 minutes at 2000 RCF. The filtrate from each was discarded and the process repeated. Following the second wash, the filtrate vials were removed from the concentrators and were discarded. The sample reservoirs with attached retentate vials were inverted and centrifuged at 1000 RCF for 3 minutes. The concentrated DNA (rententate) was captured in the retentate vials and was transferred to clean, labeled, microcentrifuge tubes. 24 Quantification of DNA The Chelex® and organically extracted samples and kit standards (known DNA quantities of 10 ng, 5 ng, 2.5 ng, 1.25 ng, 0.625 ng, 0.3125 ng, and 0.15625 ng) were quantified using a QuantiblotTM kit (manufactured by Applied Biosystems) according to the manufacturer’s instructions. The chemiluminescent method of detection was used. Membranes were placed on Kodak® X-Omat L8 film and exposed overnight (24 hours). The films were processed using a medical film processor and compatible chemistry. An estimate of DNA quantity was made in relation to the standards. If no DNA was detected, those samples were concentrated to 10 uL using Microcon-100TM Micro- concentrators according to manufacturer’s instructions. DNA Amplification A PCR master mix was prepared with primers, reaction mix, and AmpliTaq GoldTM DNA polymerase from AmpFlSTR Profiler PlusTM and AmpFlSTR CoFilerTM kits with one minor modification to the manufacturer’s instructions (total reaction volume per sample was lowered to 25 uL). Samples with no detectable DNA based on QuantiblotTM results were amplified with the Profiler PlusTM kit only using any/ all available DNA. Dilutions or concentrations of the samples (whichever was appropriate given the estimated quantity of DNA detected) and the positive control samples were prepared; targeting 1.0 ng of DNA per 10 uL of sample based on the QuantiblotTM estimates. Fifteen microliters of master mix (10.5 uL of PCR Reaction mix, 5.5 pL of the Profiler PlusTM or COfilerTM kit primers, and 0.5 uL of AmpliTaq Gold”) was combined with 10 uL of each sample and control. The negative controls were prepared with 10 uL of sterile water replacing the DNA. All were amplified using ABI 9700 thermocyclers 25 with an initial incubation at 95°C for 11 minutes to activate the AmpliTaq GoldTM enzyme. Denaturing was conducted at 94°C for 1 minute, primer annealing at 59°C for 1 minute, and extension at 72°C for 1 minute. This sequence was repeated for a total of 28 cycles. The final extension was conducted at 60°C for 45 minutes, and the plates were held at 25°C until removal from the thermocycler. Sample Preparation for Electrophoresis and GeneScan Analysis One microliter of each amplified sample, control product, or allelic ladder standard (Profiler PlusTM and COfilerTM) was added to 24 uL of deionized formamide (Bio-Rad Laboratories) and 1 uL of GS-500TM ROX internal size standard. The samples, controls and ladders were denatured at 95°C for 3—5 minutes and snap-cooled on ice for a minimum of 3 minutes. An ABI PrismTM 310 Genetic Analyzer and ABI PrismTM 310 Collection Software were used according to manufacturer’s instructions to obtain raw data of genetic profiles. These were analyzed with GeneScan® Analysis Software, while Genotyper® software was used to obtain final allele designations at each locus. Data Interpretation Determination of Full vs. Partial Single-Source Profiles The guidelines for interpretation of acceptable single-source genetic profile results were: 1. Each allele peak must fall within a minimum threshold of 150 relative fluorescent units (RFUs) and a maximum threshold of 4500 RFUs (relative fluorescent units), with the exception of the arnelogenin locus which has a maximum threshold of 7500 RFUs to qualify for interpretation. 26 2. Allelic balance for heterozygosity must equal or exceed 70 percent. Single-source profiles were considered full (complete) if alleles at each of the loci (Profiler Plus—D3Sl358, vWA, FGA, D881179, D218] 1, D1885], D58818, D1383 1 7, and D78820; COfiler—D3Sl358, THO], TPOX, CSFIPO, D78820, and D168539) fell within the 150—4500 RF Us range. The sample was also considered to have generated a full profile if enhancement utilizing a 3 pL input of amplified DNA or a decreased injection time of 1—4 seconds was expected to place all alleles within the range (defined above). Compilation of results from multiple electropherograms from the same sample was acceptable as well. Samples which generated interpretable results at the amelogenin locus and at least one allele were considered partial profiles. A sample was also considered a partial profile if enhancement utilizing a 3 uL preparation of amplified DNA was expected to place the allele(s) at the amelogenin locus and at least one additional allele above the minimum threshold of 150 RFUs. Determination of Full vs. Partial Mixture Profiles A mixture profile (DNA types detected fiom more than one donor) was considered full if alleles from at least one of the two contributors fell within the established range of RFUs. Samples which did not meet these criteria were considered firll profiles if enhancement utilizing a 3 uL preparation of amplified DNA or a decreased injection time of 1—4 seconds was expected to place all alleles from at least one contributor within the interpretable range of RFUs. Successful interpretation of loci over multiple electropherograms from the same sample was also acceptable for mixture samples. Partial profiles included interpretable amelogenin, in addition to, a minimum of one allele at one locus. A mixture sample was also considered a partial profile if 27 enhancement utilizing a 3 uL preparation of amplified DNA was expected to place the allele(s) at the amelogenin locus and at least one additional allele above the minimum threshold of 150 RFUs. Mixture Allele Relationships Representative of the Mother and a Full Oflfspring Profiles which exhibited a mixture of maternal and fetal alleles were recognized by the presence of several different allele configurations. If three alleles were present at one locus, one of them should be shared by the mother and fetus. This allele would be consistent with the proportion of the contribution from the mother and from the fetus (the other two alleles) combined. In a two—allele result the mother and fetus must be heterozygous and share the same two alleles, or one must be homozygous and the other must be heterozygous. In the former circumstance, the alleles would be equal in contribution; in the latter circumstance, the shared allele of the homozygous contributor and the heterozygous contributor should be three times as large as the remaining allele contribution (assuming a 50/50 mixture of contributors). A single allele result would indicate that the embryo/ fetus and mother were both homozygous sharing the same allele. If the maternal profile is known, which it was not in this study, it is generally simple to discern the fetal profile. Additionally, if both the maternal and putative father’s profiles are known (also not known in this research), this task becomes even easier with fewer assumptions. Sample Concordance Samples were compared between amplification sets at overlapping loci D381 358, D78820 and amelogenin, as well as between extraction sets at all loci to determine if the results were concordant. Allele designations and ratios were expected to be identical for 28 IF: the overlapping loci of Profiler PlusTM- and COfilerTM- amplified samples with the exception of the presence of additional minor contributor alleles in COfilerTM due to greater observed sensitivity at the Lansing Laboratory. It was anticipated that the Chelex®-extracted and organically-extracted samples could vary in the ratio of allelic contribution between mother and offspring as a result of adjacent sampling. Both sets of samples needed to exhibit at least one identical allele designation at each locus to indicate concordance. While comparing samples for concordance, relationships among samples were identified. Allele designations within each extraction set and between extraction sets were compared and samples that shared one or more alleles at each locus were considered to be associated. Some samples were compared using only one amplification system or one extraction method due to limited profile information. Statistical Analyses DNA yields resulting from the organic and Chelex® extraction methods were compared. A mean of the DNA yield results was calculated for each of the methods. This value was used to conduct a two-tailed t test using the separate variance estimate (Bachman and Paternoster, 1997), indicating whether a significant difference in recovery of DNA existed between extraction methods. The following formula was used: t 2 ob! \/’ s] + $2 ("r-1) ("z—1) x1 = sample mean from first sample set x; = sample mean from second sample set s. = sample standard deviation of first set 32 = sample standard deviation of second set n. = sample size first set 112 = sample size second set 29 The following formula was used to calculate the degrees of freedom (df): _ 2 2 - s1 + s2 nl-l nz—l (If; -2 sf 2___1__+ s22 2 1 Lnl-l nl+l nz—l n2+l a $1 = sample standard deviation of first set 32 = sample standard deviation of second set n. = sample size first set 112 = sample size second set The result was rounded to the nearest integer to obtain the approximate degrees of freedom. The null hypothesis to be tested was that no significant difference in DNA recovery existed between the two extraction processes. A 2 test (Bachman and Paternoster, 1997) based on a proportion calculation of extraction attempts and the actual recovery of a full genetic profile was used to determine whether or not a significant difference existed between methods in obtaining full genetic profiles. The following formula was used: Z =[(PITP2)-(Pi—P2)] ab! 0' P142 Apl = the sample proportion for the first sample Apz = the sample proportion for the second sample p1 = the first population proportion p2 = the second population proportion op]_p2 = the standard error of the difference between proportions The pooled standard error was calculated with the following formula: nl+n2 nrnz 30 The result was then used to calculate the 20b, value. A 95% confidence interval was selected with a critical region 2 score of i 1.96. The null hypothesis to be tested was that no significant difference existed between extraction processes in obtaining full genetic profiles. 31 Jm_1 RESULTS Paraffin Extraction Upon sampling, the embryonic/fetal tissue was firm in texture and solid in appearance due to the support of the paraffin wax. Xylene exposure effectively solubilized the paraffin wax—releasing it from the tissue. At this point, the tissue was pliable and soft with a sponge-like appearance. The addition of alcohol cleared the xylene from the tissue. After removal of the final alcohol solution, the xylene odor was not detectable. Traces of alcohol were removed from the tissue through evaporation. DNA Quantification Human DNA was detected in all of the 50 Chelex®-extracted samples utilizing the QuantiblotTM kit (Tables 1—3). The quantity of DNA recovered ranged fi'om 25 ng to 1500 ng. DNA was detected in 36 of the 50 organically-extracted samples (72%) (Tables 4—6). Samples exhibited a range of DNA recovery from 0 ng to approximately 400 ng. Figures 7—9 illustrate the comparison of DNA quantity recovered from each Chelex® and organically extracted sample. Calculation of the percent difference in recovery revealed that 73.1% more DNA was acquired using the Chelex® method than with the organic method. 32 TABLE l—QuantiblotTM results of human DNA recovered fiom Chelex® extraction of Test Set 1 samples . Sampleld# p.L* ng/HLT ngtot'alzfl T8] 1 100 2.0 200 T81 3 100 10.0 1000 TS1 4B 100 10.0 i000 TSl 6 100 5.0 500 T8] 8 125 T81 10 100 15.0 1500 *Volume of supernatant recovered from the Chelex® extraction method *Quantity of DNA contained within one microliter of DNA sample zTotal quantity of DNA contained within the DNA sample 33 TABLE 2—QuantiblotTM results of human DNA recovered from Chelex® extraction of Test Set 2 samples Sample Id# T82 1 T82 2 T82 3 T82 4 T82 5 2 T82 6 T82 7 T82 8 ' TS2 9 ' TS2 10 T82 11 T82 12 T82 13 T82 14 T82 15 TS2 16 T82 17 TS2 18 T82 19 T82 20 “13" 100 100 100 100 100 . 100 100 100 100 . 100 100 100 100 150 100 100 150 100 100 350 ng/pLT 3.0 2.5 12.5 0.625 1.5 12.5 * 0.625 1.5 2.5 0.5 2.5 2.5 10.0 0.625 1.0 15.0 1.0 2.5 2.0 2.0 *Volume of supernatant recovered from the Chelex® extraction method lQuantity of DNA contained within one microliter of DNA sample *Total quantity of DNA contained within the DNA sample ng total1 300 250 1250 62.5 150 1250 62.5 I 150 250 '50 . 250 250 1000 93.8 100 1500 150 250 200 700 TABLE 3-——QuantiblotTM results of human DNA recovered from Chelex® extraction of Test Set 3 samples sample Id# nu ‘ ng/nU ng total: ' T33 A 100 2.0 200 TS3 B 175 2.0 350 T33 c 100 3.5 350 TS3 D 150 ‘ 2.5 _ 375 TS3 E 100 5.0 500 TS3 F 100 2.5 250 TS3 I 175 3.5 612.5 TS3 J 100 2.0 200 T83 K 100 3.5 350 TS3 M 150 2.5 375 T33 N 100 7.5 750 TS3 o 100 3.5 350 T33 Q 100 0.5 50 T33 R 100 2.5 250 T33 3 100 2.5 250 T33 T 100 3.5 350 T33 U 100 2.0 200 T33 V 150 3.5 525 _ TS3 w 200 2.0 400 *Volume of supernatant recovered from the Chelex® extraction method TQuantity of DNA contained within one microliter of DNA sample ITotal quantity of DNA contained within the DNA sample 35 TABLE 4—QuantiblotTM results of human DNA recovered from organic extraction of Test Set 1 samples Sample Id# 4 uL“ I ' ng/ 11Lf . i ng totalI T31 1 100 0.3125 31.25 , T311 2 150 ‘ 0.3125 46.88 T31 3 125 0.3125 39.06 TSl.4Af 100‘ 1.75 175 T81 43 75 0 0 TSl 5 100 0.3125 31.25 T316 100 0 0 T31 7 125 0.3125 16.56 T318 100 o 0 T819 125 0.5 62.5 T31 10 125 0.15625 19.531 *Volume of supernatant recovered from the organic extraction method TQuantity of DNA contained within one microliter of DNA sample ITotal quantity of DNA contained within the DNA sample 36 TABLE S—QuantiblotTM results of human DNA recovered from organic extraction of Test Set 2 samples Sample Id# pL“ ng/uLl ng totali T82 1 175 0 0 T82 2 100 O O T82 3 100 1.75 175 T82 4 100 0 0 TS2 5 100 0.3125 31.25 T82 6 100 0.15625 15.625 T82 7 100 0 0 T82 8 100 0 0 T82 9 100 0.3125 31.25 T32 10 100 0 0 TS2 11 100 0 0 T82 12 100 , 7 0 0 T82 13 100 0 0 T82 14 150 1.25 , p . '- 125 T82 15 100 0 0 T82 16 150 0.3125 46.88 TS2 17 75 1.25 93.8 TS2 18 75 1.75 131.3 T82 19 50 1.25 62.5 T82 20 100 0 0 *Volume of supernatant recovered from the organic extraction method “Quantity of DNA contained within one microliter of DNA sample iTotal quantity of DNA contained within the DNA sample 37 TABLE 6—QuantiblotTM results of human DNA recovered fiom organic extraction of Test Set 3 samples Sample Id# uL“ U ng/uLT ng total‘t T33 A 175 0.3125 54.69 T33 B ' 300 0.3125 93.757 T33 c 200 0.5 100 T33 D ‘ 150 0.5 75 TS3 E 300 0.3125 93.75 T33 F 125 0.5 62.5 T33 1 150 0.625 93.8 T33 J 75 1.75 131 f TS3 K 175 0.625 109 T33 M 75 5 375 TS3 N 75 1.75 131 TS3 o 75 2.5 187.5 T33 Q 75 1.25 93.8 TS3 R 75 2 150 T33 s 75 2 150 T33 T 75 1.25 93.8 T33 U 75 1.5 112.5 TS3 v 75 2.5 187.5 T33 w 75 1.5 112.5 *Volume of supernatant recovered from the organic extraction method TQuantity of DNA contained within one microliter of DNA sample ITotal quantity of DNA contained within the DNA sample 38 1 600 1 400 1 200 800 600 A 400 200 ‘ 1 3 T81 1 1’81 2 T81 T31 4A T81 43 T81 5 TS1 6 TS1 7 T51 8 TS1 9 T81 10 total ng recovered Sample FIG. 7—Comparison of DNA recovery from T S-I Chelex®- and organically-extracted samples. Odd columns (black) represent Chelex®-extracted samples. Even columns (gray) represent organically-extracted samples. Sample quantities were obtained using the QuantiblotTM kit procedure and were measured in ng. 39 1600 1400 total ng recovered § 600 400 200 ~ 4 w .. ‘2': -' a. ‘1 r? 0 ‘ h. Sn . TS2 TS2 TS2 T32 T82 T82 TS2 T82 TS2 T82 T82 T82 T82 T82 T82 T82 T82 T82 T82 TS2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 1‘14“; a”: . +1473 2 .ILA-ftrlo run ‘I Sample FIG. 8—Comparison of DNA recovery from T S-2 Chelex®- and organically-extracted samples. Odd columns (black) represent Chelex®-extracted samples. Even columns (gray) represent organically-extracted samples. Sample quantities were obtained using the QuantiblotTM kit procedure and were measured in ng. 40 700 600 500 400 total ng recovered 300- 200‘ r“, 1V A 'a« 1311 ~:,_‘m .r , 1 .. .‘m‘! I‘g‘rLex‘. .-' 100- L f. ("b l _§hfi l- ‘7 1.’ Vii-33$" .. T83 T83 T83 T83 T83 T83 T83 T83 T83 T83 T83 T83 T83 T83 T83 T83 T83 T83 T83 A B C D E F l J K M N O Q R S T U V W FIG. 9—Comparison of DNA recovery from T S-3 Chelex®- and organically-extracted samples. Odd columns (black) represent Chelex®-extracted samples. Even columns (gray) represent organically-extracted samples. Sample quantities were obtained using the QuantiblotTM kit procedure and were measured in ng. 41 Amplification and Electrophoresis of Purified DNA Results for all of the thirteen CODIS core loci and amelogenin were obtained from 48 of the Chelex®-extracted samples (96%) amplified with the Profiler PlusTM Amplification kit, while 37 of the organically-extracted samples (74%) generated full profiles (Fig. 10; Tables 7—9). Results using COfilerTM included 48 of the samples extracted with Chelex® (96%) and 15 of the organically-extracted samples (30%). All control samples performed as expected. 42 # of Profiles Profiler Plus COfilcr Extraction Method FIG. lO—Number of full profiles generated for Chelex01 extraction (black—1‘" and 3rd columns) and organic extraction (gray—2"“! and 4’hcolumns). Full profiles were generated for 48 samples (96%) extracted with Chelex® and amplified with the Profiler PlusTM amplification kit (black—1“ column). Full profiles were generated for 3 7 samples ( 74%) extracted organically and amplified with the Profiler PlusTM amplification kit (white—2'” column). Full profiles were generated for 48 samples (96%) extracted with Chelex‘R and amplified with the COfilerTM amplification kit (black—3rd column). Full profiles were generated for 15 samples (30%) extracted organically and amplified with the COfilerTM amplification kit (white—«4“ column). 43 TABLE 7—Full genetic profiles generated for Test Set 1 samples Chelex® ' Chelex® ' Organic A +" Organic Sample Id# Profiler COfilerTM‘i Profiler PlusTM+ COfilerTM§ _ Plusm.“ . . , . . T311 1—E> 1—E> 1—E> l—E> T312 1'—1~:> 1—13> 0—P(9) 0-P(3) T313 1 1 0—P(10) 0—P(7) ,. TS14A. 1 1 — 13> i0—P (8) p 01- P (5) TS14B 1 1 1—E>&E< l—E< T315 1 1 1 4 E> 1 — 13> T316 1—E> 1 0—P(5) O—NR T317 f 1 1—E< 1 1—E>&E< T318 1—E> l—E< l—E> 1—B>&E< T31 9 1 ' 1 1 —E> 04) (6) T3110 1 1 l—E> 0—P(5) *Chelex®-extracted and Profiler PlusTM-amplified samples IChelex®-extracted and COfilerTM-amplified samples IOrganically-extracted and Profiler PlusTM-amplified samples §Organically-extracted and COfilerTM-amplified samples 1, a full genetic profile with interpretable alleles at all 10 loci for Profiler PlusTM and 7 loci for COfilerTM was obtained; 0, a full genetic profile with interpretable alleles was not obtained; P, partial profile detected & ( ), complete loci generated; NR, amplification not conducted; E>, enhancement required 3 11L preparation; E<, enhancement required 1— 4 second injection TABLE 8—Full genetic profiles generated for Test Set 2 samples Chelex® Chelex® Organic Organic Sample Id# Profiler COfilerTM‘t Profiler PlusTM“ COfilerTM§ Plusm“ T82 l l 1 1 — E> 0 — NR T822 l-E< 1—E< 0—P(8) O—NR T82 3 l 1 - E< 1 1 — E< T824 1—E> 1—E> 1—E> 0-NR T825 l—E> 0—P(5) 1—E< 1—E< ' T82 6 1 —- E< 1 — E< 1 1 T827 0—P(2),E> 1—E> 1—E> 0—NR T82 8 1 1 l 0 — NR T82 9 1 l 0 — ND 0 — ND 'T8210 1 l l—E< 0—NR T82 11 1 1 1 0 — NR T8212 1 1 l E< _0-—NR T8213 1—E< 1—E< l- E> O—NR T82 14 1 — E> l 0— ND 0 — NR T82 15 1 1 1 0 — NR T8216 l—E< l 0—P(2) 0—P(6) T8217 0—P(8) l 0—P(9) 0—NR T8218 1 l 0—P(3),E> O-NR T82 19 1 1 1 — E> l T8220 l—E< l 0-ND O—NR *Chelex®-extracted and Profiler PlusTM-amplified samples Chelex® -extracted and COfilerTM-amplified samples *Organically-extracted and Profiler PlusTM-amplified samples §Organically-extracted and COfilerTM-amplified samples 1, a full genetic profile with interpretable alleles at all 10 loci for Profiler PlusTM and 7 loci for COfilerTM was obtained; 0, a fill] genetic profile with interpretable alleles was not obtained; P, partial profile detected & ( ), complete loci generated; NR, amplification not conducted; E>, enhancement required 3 11L preparation; E<, enhancement required 1— 4 second injection 45 TABLE 9—Full genetic profiles generated for Test Set 3 samples Chelex® Chelex® ' Organic 1 ‘ Organic Sample Id# Profiler COfilerTM)‘ Profiler Plusmi COfilerTm PlusTM“ T33A 1—E< l—E< 0—P(5) O—NR T3313 1-E< 1 lV—E> ' O—NR TS3C 1 1 0—P(9) O—NR "T3313 1—E> 1 1—E<’ O—NR TS3E 1—E< 1 1—1~:> O—NR T33 F A 1 1 — E< 1 — 13> o — NR T331 1—E< 1 l—E< 0—NR T331 1 1—E< l—E< l—E<, TS3K 1—E> 1 1—E> O—NR T83 M, ,1-;E< 1—E<, 1—,E< 1_-E< TS3N l—E< 1 1—E< l—E< ”T830 1eE< 1——E< 1-E< O—NR TS3Q 1—E>&E< l—E< 1-E< O-NR TS3R 1 1—E< 1—E< o—NR T333 1 1—E< 1—E< 0—P(5) TS3T' 1—E< 1-E< 1-‘E< O—NR TS3U 1 0—P(5) l—E> 1—E< T33 v 1 — E< 1 1 1 T33 w 1 1 1 1 — E< *Chelex®-extracted and Profiler PlusTM-amplified samples TChelex®-extracted and COfilerTM-amplified samples 2tOrganically-extracted and Profiler PlusTM-amplified samples §Organically-extracted and COfilerTM-amplified samples 1, a full genetic profile with interpretable alleles at all 10 loci for Profiler PlusTM and 7 loci for COfilerTM was obtained; 0, a full genetic profile with interpretable alleles was not obtained; P, partial profile detected & ( ), complete loci generated; NR, amplification not conducted; E>, enhancement required 3 11L preparation; E<, enhancement required 1— 4 second injection T81—Profile Results All of the Chelex®-extracted T81 samples amplified using the Profiler PlusTM and COfilerTM kits and each exhibited full profile results. Likewise, all organically-extracted T81 samples amplified using the Profiler PlusTM kit, however only seven generated full 46 profiles while four were partial. Ten of the organically-extracted TSl samples amplified using the COfilerTM kit; five resulted in full profiles and five in partial profiles. T82—Profile Results The 20 T82 samples extracted with Chelex® amplified using the Profiler PlusTM and COfilerTM kits. Eighteen samples amplified using Profiler PlusTM and nineteen samples amplified using COfilerTM produced full profiles, while two and one produced partial profiles respectively. The partial profiles originated from different samples (Table 8). Of the 20 organically-extracted samples amplified using the Profiler PlusTM kit— 13 produced full profiles, four were partial, and three showed no results (reasons undetermined). Only six organically-extracted samples were amplified using the COfilerTM kit—four generated full profiles, one was partial and no results were detected for one. Amplification of the other 14 samples was not conducted due to insufficient quantities of DNA. These samples were concentrated and consumed for Profiler PlusTM amplification due to the limited quantity of DNA present. T83—Profile Results All 19 of the Chelex®-extracted T83 samples amplified using the Profiler PlusTM and COfilerTM kits. Nineteen samples amplified with Profiler PlusTM produced full profiles. Eighteen samples amplified using COfilerTM generated filll profiles and one produced a partial profile. Nineteen of the organically-extracted T83 samples amplified using the Profiler PlusTM kit and full profiles were generated for seventeen of them; two produced partial profiles. Of seven samples amplified using the COfilerTM kit, six resulted in full profiles 47 and one a partial profile. Due to the limited quantity of DNA present, the other 12 samples were not amplified, and instead were concentrated and consumed for Profiler PlusTM amplification. Genetic Profile Composition Electropherograms of Chelex®- and organically-extracted samples were evaluated and compared. Based on the results, six categories were appropriate for explanation of the genetic information obtained—single-source female (Fig. 11), single-source female with additional activity (Fig. 12), single-source male (Fig. 13), single-source male with additional activity (Fig. 14), mixture of females (Fig. 15), and mixture of a female and a male (Fig. 16). Samples were categorized by allele presence and balance at the amelogenin locus, by the number of alleles present at the other loci and the balance between those alleles. Additionally, the presence of any allele at any locus which did not meet the minimum threshold for reporting (150 RFUs) and was not an artifact (pull-up, fluorescent spike, or noisy baseline) was termed ‘activity’ and suggested an additional DNA contributor. Results which could be attributed to an embryo/fetus were observed in the following sample categories: single-source male, single-source male or female with additional activity, mixture of females, and mixture of a female and a male. Source attribution (embryo/fetus or mother) of the single-source female profiles and the single- source female with additional activity profiles was not discemable without comparison to known samples fi'om the mothers. 48 50 100 150 200 250 300 350 400 A1 -PPTS1-1 2 Blue PPT81-1 vWA PC A 800 D31358 500 00 200 lst box = allele call 2nd box = base pair size 3rd box = RFU signal strength (peak height) A1 -PPTSl-1 2 Green PPTSl-l 4000 amelogenin 088] 179 D2181] D1885 l 3000 2000 1000 1 A 1 7 IE 299.64 260' 18 308.1 1 326 A1-PPTS1-1 2 Yellow PPTSl -1 D13S3l7 D78820 900 D58818 600 00 2-1-2----“ -__- ._ 222.2 - FIG. ll—Sample T S] -I (extracted with Chelex® and amplified with the Profiler PlusTM amplification kit) exhibited a full single-source female profile. Alleles at the D1353] 7 locus did not fit the 70% rulefor interpretation. With 3 uL enhancement, this profile was expected to be interpretable at all loci shown and the imbalance at D1353] 7 may be resolved. 49 I I I I I I I I l I I I I I ' I I I I 50 100 150 200 250 300 350 400 A7-PF’T 81 -7 8 Blue PPTS1-7 vWA PO A 3000 D38 1358 2000 I 1000 AA- - l A. _ lst box = allele call 2nd box = base pair size [131.74] Bum 3rd box = RFU signal strength (peak height) A7-PPT31-7 a Green PPT31-7 D881179 D2181] 018851 6000 amelogenin 4000 ll 2000 17 [103.75] M495] 6830 2576] II! [31952 162.67 101 A7-PPT31-7 a Yellow PPT31-7 . D13S317 2000 D58818 ”3830 1500 1000 500 FIG. lZ—Sample TS1-7 (extracted with Chelex® and amplified with the Profiler PlusTM amplification kit) exhibited a full single-source female profile with additional activity. Three allele calls, 13, I4, and 1 7, were observed at the D8S1] 79 locus. The I 7 allele fell below the minimum threshold of150 RF Us for interpretation; therefore, this allele was not considered. An additional allele (7) was present at the D5S818 locus. Since the base pair size matches the I 7 allele at the D3Sl358 locus, this call may have resulted from pull-up. It was not considered to be an allele or activity for this reason. 50 50 100 150 200 250 300 350 400 A6-PPTS16 7 Blue PPTS1-6 FGA 1000 D3Sl358 WA 500 -m-- 2-. JJi ..L. -2_. -2 [5E] E lst box = allele call [131.72] [1 7535 224893 2nd box = base pair size 329 3rd box = RFU signal strength 191 , 23 (peak height) 267 A6-PPTSl-6 7 Green PPTSl-G amelogenin D881 179 150° 1321511 D18851 1000 h 500 .. - -h 1 - 1 1 266 A6-PPTSl-6 7 Yellow PPTSl-6 D78820 800 D58818 33 200 9 , 268.70 125 10 272.83 82 FIG. 13—Sample TS1-6 (extracted with Chelex® and amplified with the Profiler PlusTM amplification kit) exhibited a single-source male profile. With 3 uL enhancement, this profile was expected to be interpretable at all loci shown. 51 50 100 150 200 250 300 350 400 AS-PPT 81-5 6 Blue PPTS1-5 1000 D3Sl358 500 __.J.il- 4 - 1 A . lst box = allele call 2nd box = base pair size 3rd box = RF U signal strength (peak height) A5-PPT81 -5 6 Green PPT81-5 amelogenin D8511” D2181] 018351 2000 1000 158.37 7 A5—PPTS1-5 6 Yellow PPTS15 0133317 073820 12:33 058818 1000 500 FIG. 14—Sample T S] -5 (extracted with Chelex® and amplified with the Profiler PlusTM amplification kit) exhibited a single-source male profile with additional activity. Three allele calls, 8, 10, and 13, were observed at the D1353] 7 locus. The 10 allele fell below the minimum threshold of 150 RF Us for interpretation; therefore, it was classified as activity and was not considered. 52 50 100 150 200 250 300 350 400 Bl1-PPT82-11 25 Blue PPT82-11 800 600 400 200 - ‘A A4 - A A J - A.“ lst box = allele call 2nd box = base pair size 3rd box = RFU signal strength (peak height) Bl1-PPT82-11 25 Green PPT82-11 . D881179 D18851 2000 amelogenin 1000 _ 4 l [1 | [283.13] 410] 14 291.42 404 Bll-PPTSZ-H 25 Yellow PPT82-11 D1383]? D58818 D78820 2000 1000 FIG. lS—Sample T 52-1 1 (extracted with Chelex® and amplified with the Profiler PlusTM amplification kit) exhibited a mixture of female DNA. The presence of three alleles at two of the loci (D851] 79 and D1353] 7) and the imbalance of alleles at the vWA, D2151], and D75820 loci indicate two donors with shared alleles consistent with heredity by a full offspring. The ratio of contribution (female to female) is approximately 2:]. 53 III|III‘IIIIIIIIIIIIIII'IIIIIII‘IIIIIII'III'IIIIIIIIIII|III|III.III'III'III‘III‘III 20 40 60 80 100 120 140 160 160 200 220 240 260 280 300 320 340 360 360 400 BB4¥W826 ZDBMB PPT826 vWA F G A from D3Sl358 2000 1000 lst box = allele call 2nd box = base pair size 3rd box = RFU signal strength (peak height) eerp'rsz-e 20 Green PPTSZ-G D2181] 913351 76000 Amelogenin D881 1 79 :40“ -2ooo A b Be-PPTSZ-G , 20 Yellow PP'rsz-e Dl3S317 D7 '820 T°°°° US$818 S 4000 12000 FIG. 16—Sample T 52-6 (extracted with Chelex® and amplified with the Profiler PlusTM amplification kit) exhibited a mixture of female and male DNA (D351 358, vWA, F GA, amelogenin, D851] 79, D215] 1, and D1855] are depicted above). The presence of the 1’ allele at amelogenin, the imbalance of the X and Yallele at amelogenin, the presence of three alleles at three of the loci (F GA, D851] 79, and D18551) and the imbalance of the remaining alleles indicate two donors with shared alleles consistent with heredity by a full offspring. The ratio of contribution (male to female) is approximately 2:]. 54 While the isolation of embryonic/fetal DNA was indicated in results from both extraction methods, the profiles generated from organically-extracted samples were frequently deemed insufficient for comparison purposes or suitable only for limited comparison. Significantly less DNA was recovered from the organically-extracted samples (see Statistical Estimates below) and there was a possible relationship between unsuccessful organic results and the amount of DNA observed in the QuantiblotTM procedure; partial profile or no profile results were more prevalent for samples that contained less than the target 1.0 ng of DNA. With fewer interpretable alleles identified, assuming many were attributable to the embryo/fetus; comparative power of the sample was diminished. Chelex®-Extracted and Profiler PlusTM-Amplified Samples Data (electropherograms) from samples extracted with Chelex® and amplified with Profiler PlusTM were examined for embryonic/fetal profiles (Tables 10—12). Two samples, T81-6 (Fig. 13) and T81-9, generated single-source male profiles. One sample, T81-5, produced a single-source male profile with additional allelic activity detected that fell below reporting threshold. Eight samples, T81-7 (Fig. 12), T82-10, T82-14, T83-A, T83-B, T83-E, T83-J, and T83-V, generated single-source female profiles with additional allelic activity that fell below reporting threshold. The following 25 samples were mixtures of two females: T81-2, T81—3, T82-8, T82-9, TS2-11 (Fig. 15), T82-12, T82-13, T82-15, T82-16, T82-17, T82-18, T82-19, T83-C, T83-D, T83-F, T83-I, TS3- K, T83-M, T83-N, T83-O, T83-Q, T83-S, T83-T, T83-U, and T83-W. Nine samples were mixtures of a male and female (Fig. 16), T81-4A, T81-4B, T82-1, T82-2, T82-3, 55 T82-4, T82-5, TS2-6 (Fig. 17), and TS2-20. Five samples, T81-l (Fig. 11), T81-8, T81- 10, T82-7, and T83-R, produced single source female profiles. TABLE lO—Genetic profile composition of T est Set 1 samples 2‘“ ‘1 I H " Chelex® ‘1 Sample Id# Profiler , . PlusTM’l‘ T8] 1 SS—F T512 . ' I . MX-F TSl 3 MX-F T81 4A ’ , .. MX-M , T81 4B MX-M . .TSLS _, SST-MM), T8] 6 SS-M '. TS'I.7..’]".'. '33-F(A) T81 8 SS-F SS-F (A) SS-F (A) SS-F . (T8191, V. . .SSrM. (SS-1M, SS-F . SS-F” T81 10 SS-F SS-F SS-F SS-F *Chelex®-extracted and Profiler PlusTM-amplified samples TChelex®-extracted and COfilerTM-amplified samples IOrganically-extracted and Profiler PlusTM-amplified samples §Organically-extracted and COfilerTM-amplified samples 88, single-source; MX, mixture; F, female; M, male; (A), allelic activity below reporting threshold; empty field, amplification not conducted—no sample results 56 TABLE ll—Genetic profile composition of Test Set 2 samples Chelex® Chelex® Organic Organic Sample Id# Profiler COfilerTM'l' Profiler PlusTM‘t COfilerTM§ PlusTM* T82 1 MX-M MX-M SS-M “ 1 -- "T52 '2‘ ' Mx-‘M ., . ~ WM - MX~M . TS2 3 MX-M MX—M MX—M MX-M TS2 5 MX-M MX—M MX-M TS2 6 MX-M MX-M MX-M MX-M T82 7 SS-F SS-F (A) SS—F (A) T82 8 MX-F ‘ SS-F (A) MX—F T82 9 MX-F MX-F T82 10 , SS-F (A) SS—F MX-F T82 11 MX-F SS-F (A) MX—F T82 12 MX—F SS-F MX-F T82 13 MX-F MX-F MX-F T82 14 SS-F (A) SS-F (A) T82 15 MX-F SS-F (A) MX—F T82 16 MX-F SS-F (A) SS—F (A) SS-F T32 17 MX-F 33—1: (A) SS-F (A) T82 18 MX-F MX-F SS-F T82 19 MX-F MX-F MX—F MX-F .2 T82 20 i i , MX-M 7 MX—M *ChelexG-extracted and Profiler PlusTM-amplified samples IChelex®-extracted and COfilerTM-amplified samples IOrganically-extracted and Profiler PlusTM-amplified samples §Organically-extracted and COfilerTM-amplified samples 88, single-source; MX, mixture; F, female; M, male; (A), allelic activity below reporting threshold; empty field, amplification not conducted—no sample results 57 TABLE 12—Genetic profile composition of Test Set 3 samples Chelex® Chelex® Organic + Organic Sample ld# Profiler COfilerTM'l' Profiler PlusTM“ COfllerTm Plusm“ . T83 A SS-F (A) SS-F (A) SS-F TS3'B SS-F (A) SS-F (A) SS-F T83 C MX-F MX-F SS—F (A) T33 D MX-F ' MX-F MX~F T83 E SS-F (A) SS-F (A) MX-F T83 F . MX—F MX-F MX-F T83 l MX-F MX-F MX-F T83 J SS-F (A) ' SS-F (A) SS-F (A) SS-F (A) T83 K MX-F MX-F SS-F (A) T83 M MX-F MX-F MX-F MX-F T83 N MX—F MX-F MX—F MX-F T83 O MX-F MX—F MX-F T83 Q MX-F MX-F SS-F (A) T83 R SS-F ‘ SS—F SS-F (A) T83 S MX-F MX-F SS-F (A) SS-F T83 T MX-F MX-F MX-F T83 U MX-F MX-F MX-F MX-F T83 V SS-F (A) SS-F (A) MX-F MX-F T33 w MX-F MX-F SS-F (A) SS-F (A) *Chelex®-extracted and Profiler PlusTM-amplified samples lChelex®—extracted and COfilerTM-amplified samples lOrganically-extracted and Profiler PlusTM-amplified samples g‘Organically-extracted and COfilerTM-amplified samples 88, single-source; MX, mixture; F, female; M, male; (A), allelic activity below reporting threshold; empty field, amplification not conducted—no sample results Chelex®-Extracted and COfilerTM-Amplified Samples Electropherograms from samples extracted with Chelcx® and amplified with COfilerTM were examined for embryonic/fetal profiles (Tables 10—12). Three samples— TSl-S, T81-6, and T81-9 are single-source male profiles. Results from 13 samples were single-source female profiles with additional allelic activity that fell below reporting 58 threshold (T81-8, T82-7, T82-8, T82-11, T82-14, T82-15, T82-l6, T82-17, T83-A, T83-B, T83-E, T83-J, and T83-V). Nineteen were mixtures of two females (T81-2, T8 1 - 3, T82-9, T82-13, T82-18, T82-19, T83-C, T83-D, T83-F, T83-I, T83-K, T83-M, TS3- N, T83-O, T83-Q, T83-S, T83-T, T83-U, and T83-W). Nine were mixtures of a male and a female (T81-4A, T81-43, T82-l, T82-2, T82-3, T82-4, T82-5, T82-6, and T82- 20). Six samples, T81-1, T81-7, T81-10, T82-10, T82-12, and T83-R, were single- source female profiles. Q_rg_anicallv-Extracted and Profiler PlusTM-Amplified Sarmales Results for samples organically-extracted and amplified with Profiler PlusTM were examined for embryonic/fetal profiles (Tables 10—12). Sample T82-l was a single- source male profile. Two, T81-4B and T81-5, were single-source male profiles with additional activity detected which did not meet reporting threshold. Thirteen samples, T81-2, T81-3, T81-8, T82-7, T82-16, T82-17, T83-C, T83-J, T83-K, T83-Q, T83-R, T83-S, and T83-W, were single-source female profiles with additional activity detected which fell below reporting threshold. Seventeen were mixtures of two females (T82-8, T82-10, T82-11, T82-12, T82-13, T82-15, TS2-19, T83-D, T83-E, T83-F, T83-I, T83- M, T83-N, T83-O, T83-T, T83-U, and T83-V). Seven were mixtures of a male and a female (T81-4A, T81-7, T82-2, T82-3, T82-4, T82-5, and T82-6). Seven samples, TSl- l, T81-6, T81-9, T81-10, T82-18, T83-A, and T83-B, were single-source female profiles. No results were obtained for the following samples: T82-9, T82-14 and T82- 20. 59 Organically-Extracted and COfilerTM-Amplified Samples Organically-extracted sample sets were amplified with COfilerTM and examined for embryonic/fetal profiles (Tables 10—12). Two samples, T81-4B and T81-5, were single-source male profiles with additional allelic activity which did not meet reporting threshold. Samples T81-2, T81-3, T83-J, and T83-W were single-source female profiles with additional activity detected which fell below reporting threshold. Five samples, T82-19, T83-M, T83-N, T83-U and T83-V, were mixtures of two female profiles. Five were mixtures of a male and a female profile (T81-4A, T81-7, T82-3, T82-5, and T82- 6). Six samples were single-source female profiles (T81-1, T81-8, T81-9, T81-10, T82- 16, and T83-8). There were no results observed for the following samples: T81—6, T82- ], T82-2, T82-4, T82-7, T82-8, T82-9, T 82-10, T82-11, T82-12, TS2-13, T82-14, T82- 15, T82-17, T82-18, T82-20, T83-A, T83-B, T83-C, T83-D, T83-E, T83-F, T83-I, TS3- K, T83-O, T83-Q, T83-R, and T3S-T. Concordance of Profiles Between Amplification Systems and Extraction Methods Each Chelex®-extracted Profiler PlusTM-amplified sample was compared to the same Chelex®-extracted COfilerTM-amplified sample at overlapping loci D3Sl358 and D7 8820. Results were consistent for all samples that exhibited this information. The same comparison was made between the organically-extracted Profiler PlusTM and COfilerTM samples. This comparison was not conducted for the following samples based on the lack of results for one or both amplifications: T81-6, T82-1, T82-3, T82-7, T82-8, T82-9, T82-10, T82-11, T82-12, T82-13, T82-14, T82-15, T82-l7, T82-18, T82-20, T83-A, T83-B, T83-C, T83-D, T83-E, T83-F, T83-I, T83-K, T83-O, T83-Q, T83-R, and T83-T. There were no inconsistencies observed between the remaining samples that 60 exhibited results at the D3Sl358 and D78820 loci. All samples were examined for the presence of additional alleles. None of the samples exhibited more than the expected maximum of three alleles at any locus. Further comparisons of the collective profile information from the Chelex®-extracted Profiler PlusTM- and COfilerTM-amplified samples and the organically-extracted samples were conducted. The alleles generated from analysis of the Chelex®- and the organically-extracted samples were concordant, however, not identical. The Chelex®- (Fig. 12) and organically— (Fig. 17) extracted Profiler-PlusTM amplified T81-7 samples illustrate this point. The Chelex® T81-7 result is a single-source female profile with additional activity and the organic is a mixture of female and male DNA. The Y allele at amelogenin, the 15 allele (activity) at D1885] , and the 16 allele at D381358 dropped out of the Chelex® sample. 61 50 100 150 200 250 300 350 400 450 AB-PPT81-7 9 Blue PPTS]-7 . FGA 3000 0331358 ‘WA 2000 1000 lst box = allele call 2nd box = base pair size 3rd box = RFU signal strength (peak height) A8-PPTSl-7 9 Green PPT81-7 D1885] 6000 D8Sll79 D2181] Amelogenin 4000 2000 103. 87 6273 A8-PPTS1-7 9 Yellow PPT81-7 D13S317 973320 1500 US$818 1000 500 11 1 1 11 1 l 1 1 1 1 1 1 272.80 295 FIG. l7—5ample T51-7 (extracted organically and amplified with the Profiler PlusTM amplification kit) exhibited a mixture of female and male DNA (D351358, ame'IOgenin, D851] 79). The presence of the Y allele at amelogenin, the imbalance of the X and Y allele at amelogenin, the presence of three alleles at the D851] 79 locus and the imbalance of the D351358 and D1855] alleles indicate two donors with shared alleles. 62 Identification of Associated Samples Based on the comparison of the sample profile results (all loci—Profiler PlusTM and COfilerTM) for both extraction methods, 16 different abortions were identified (Table 13). Some determinations were made utilizing results fi'om only one extraction procedure due to the lack of results for the other. Some were made based on results from one amplification system (Profiler PlusTM or COfilerTM) due to the lack of results from the other. Figures 15 and 18 illustrate the association of two profiles fi'om abortion number 12. TABLE 13—Associated samples from Test Sets 1, 2, and 3 3 T31-4A, T81-4B 5 T31-6 6 , j , _ T81-7 7 T81—8 .. 8. , . , ,. . _ . . T81-9 , 9 T81-10 ‘10 ' _ ,_ 7 ‘ ,,T32-'l,T32-2,‘T'32’-3,T324 11 T82-5, T82-6, T82-7 12 ' T32-8, T32-9, T82-10, T82—1 1, T32-12, T82-13, T32-l4 l3 T82-17, T82-18 14 ' ‘ ’ T82-19 15 TS2-20 . 16 i ' All samples fiom T83 63 50 100 150 200 250 300 350 400 BlGPPTSZ-lo 24 Blue PPT82-10 1500 0331358 100° 500 __...ue - - - 1 - lst box = allele call 20d box = base pair size 3rd box = RF U signal strength (peak height) B10-PPT82-1O 24 Green PPT82-10 Dgsmg 021311 018351 :33: amelogenin 2000 l 1000 A . 153 91 1889 Bio-PPTSZ-‘IO 24 Yellow PPT82-10 4000 D58818 D13S317 D78820 3000 2000 1000 FIG. 18—5ample T 52-10 (extracted with Chelex® and amplified with the Profiler PlusTM amplification kit) exhibited a single-source female profile with additional activity. The presence of activity at one locus (D1353! 7) indicates two donors. The additional activity allele at D351358 was due to pull-up and was not considered. Comparison of Single-Source Female Profiles to Associated Samples Results from four of the Chelex®-extracted Profiler PlusTM-amplified samples were single-source female profiles (T81-l, T81-8, T81-10, and T83-R). T81-1 originated from the same abortion as T81-2. Results for sample T81-2, however, revealed a mixture of females. Because of this, it was not possible to discern if T8 1 -1 could be attributed to the mother or the female fetus. T81-8 and T81-10 were the only samples from two different abortions; therefore, no firrther comparison to aid in the determination of the profile source was possible. All of the samples fi'om T83 were from one abortion. Other samples from this abortion revealed mixtures of the same two female profiles (T83-C, D, E, F, I, K, M, N, O, Q, S, T, U, V and W), therefore, no firrther source determination was possible. Six of the Chelex®-extracted COfilerTM-amplified samples, T81-l, T81-7, T81-10, T82-10, T82-12, and T83-R, were single-source female profiles. The sources of T81-l and T83-R were not identifiable (see above). Samples T81-7 and T81-10 were the sole samples from two separate abortions. No further information regarding source was obtained. Single source female samples T82-10 and T82-12 were from the same abortion; however, other samples indicated a mixture of female DNA. The comparison did not further aid in source determination. Results from six samples extracted with the organic method and amplified with Profiler PlusTM were single-source female profiles. These included T81-1, T81-6, T81-9, T81-10, T83-A, and T83-B. Comparisons of T81-1 , T83-A and T83-B to associated samples were not helpful (previous paragraph). T81-6, T81-9, and T81-10 were the only samples from three different abortions, so, there were no samples to compare. 65 Six of the organically-extracted COfilerTM-amplified samples were single-source female profiles (T81-1, T81-8, T81-9, T81-10, T82-l6, and T83-S). Other samples from the abortion which resulted in T82-16 were from a mixture of female profiles. Peak Height Imbalance Between Loci Samples that were extracted organically displayed more severe imbalances in peak height between loci than those extracted with Chelex®. In the most extreme example of this—organically-extracted Profiler PlusTM-amplified TSl-4B—the smaller- sized loci D3Sl358, D881179, D58818, and amelogenin (base pair size ranges less than 171) had large peak heights near or exceeding the upper threshold for interpretation (4500 RFUs), while the F GA, D1 8851, and D78820 loci (base pair size ranges greater than 215) exhibited RFU values near or below the minimum interpretation guideline (150 RFUs). Comparison of Chelex®-extracted (Fig. 19) and the organically-extracted (Fig. 20) sample results for T81-4B illustrate imbalances of peak height between loci. The highest peak height allele for the D58818 locus and the lowest peak height allele for the D78820 locus were considered for both T81-4B samples. The lowest at D78820 for the Chelex® extracted sample was 291 RFUs and the highest at D58818 was eight times larger at 2477 RFUs. The lowest for the organically-extracted sample was 72 RFUs. The highest was approximately 83 times larger at 5952 RF Us. The difference between the allelic ratios of the two samples is approximately 10 fold. Further evidence for this difference was observed upon comparison of single-source result Profiler PlusTM- amplified samples where the alleles at the D58818 and D78820 loci were designated as either heterozygous at each (peak height relationship must be at least 70%) or homozygous at each. Chelex®-extracted samples fit these criteria: T81-1, T81-4B, T8 1 - 66 6, T81-9, T81-10, T82-14, T83-A, T83-B, T83—E, T83-J, T83-R and T83-V. The organically—extracted samples that fit the criteria were as follows: T8 1 -l , T81-4B, TS3- B, T83-C, T83-E, T83—F, T83-J, T83-K, T83-Q, T83-R, T83-S, and T83-U. Ratios were calculated for the highest allele peak height observed at D58818 and the lowest at D78820 for each. The average ratio of the Chelex®-extracted samples was 1 to 6 while the average for the organically-extracted samples was 1 to 14. 67 III'III'IIIIIII'III'III'IIIIIIIIIII'III‘III|III|III‘III‘III‘III‘III‘III‘III'III‘III 20 40 60 80 100 120 140 160 180 200 220 240 260 280 300 320 340 360 380 400 E6-PPTS] ~48 59 Blue PPTS1-4B vWA FGA 1 500 1000 500 D3Sl358 l AAJJb11 111 lst box = allele call 2nd box = base pair size 3rd box = RFU signal strength (peak height) E6—PPTS] 4B 59 Green PPTSMB -1 1 -11 13 109.35 149.52 2369 Amelogenin E6-PF’T81-48 59 Yellow PPT81-4B 2000 1500 1000 D58818 1 500 A A- A - -1 1 FIG. l9—5ample T51-4B extracted with the Chelex® method and amplified with the Profiler PlusTM amplification kit. The 1] allele at the D55818 locus had a peak height of 24 7 7 RF Us which was 8.5 times larger than the 13 allele at the D75820 locus which had a peak height of 29] RF Us. All alleles from the major DNA contributor fell within interpretational guidelines. 68 50 100 150 200 250 300 350 400 450 A5-PPTS1-4B 6 Elm PPTSl-4B vWA FGA 3:83 2000 1000 D381358 lst box = allele call 2nd box = base pair size 3rd box = RFU signal strength (peak height) A5-PP'TS1-48 6 Green PPTS1-4B D881179 DZISll DISSSI 000 000 2000 Amelogenin A5-PPTSl-48 6 Yellow PPTSl-48 000 000 2000 D58818 FIG. 20—Sample TS1-4B extracted with the organic method and amplified with the Profiler PlusTM amplification kit. The 1 1 allele at the D55818 locus had a peak height of 5952 RF Us which was 83 times larger than the 13 allele at D75820 which had a peak height of 72 RF Us. The 1] allele at D55818 exceeded the maximum threshold for reporting (4500 RF Us). The 13 allele did not meet the minimum threshold for reporting (150 RF Us). Enhancement of this sample to reduce the D55818 allele RF Us (1—4 seconds) and to increase the D75820 allele RF Us (3 uL preparation of amplified DNA) was necessary but would require interpretation to be conducted over two electropherograms. 69 Ofi‘ Ladder Alleles The Genotyper® software assigned off-ladder allele designations (OL alleles) to all of the peaks generated for organically-extracted, Profiler PlusTM-amplified samples T82-1, T82-2, T82-3 (Fig. 21) and T82-4. No definitive conclusions could be made for three of these, as TSZ-l, T82-2, and T82-4 were consumed for amplification on the initial attempt. The samples should have been re-injected immediately, or the amplified product should have been re-prepared and injected. Neither option was available at the time of analysis. Since sample T82-3 was not consumed, it was re-amplified with the Profiler PlusTM kit. The peak pattern remained the same; however, the base pair sizes of the alleles differed by approximately 0.5—1.5 base pairs between amplifications. Allele designations were assigned for each of the peaks (Fig. 22). 7O IIIIIIUIIll'lll'lll'lll'lll'lll'Ill'lll'lll'IIOIIII'III'II‘l'lll'IIQ'IIIIIII'IIIIIII'lll.ll 20 40 60 50 100 120 140 160 180 200 220 240 250 280 300 320 340 360 380 400 420 440 BZ-PPTSZG 16 BUB PPTSZ-3 D381 358 2°°° J 1000 4“- A A or :Hlele :2 _ lst box - allele call . 2nd box = base pair srze 3rd box = RFU signal strength (peak height) Bz-PPTsz-a 16 Green PPrsz-a D1885] 3°°° Amelogenin D881179 D213] 1 4000 2000 - [OT Ailelfi] [0L Allele-1’] OL Allele ? 424 424 0L Allele '? 154 35 BZ-PPT82-3 16 Yellow PPTSZ-S D1353 l 7 D78820 r3000 D58818 3"” 71000 8 0L Allele ? or Angle . OL Allele 7 149 40 206.41‘ 3268 l834 0L Allele 7 0L Allele . 153 91 218.64 1799 1330 FIG. 21—Sample T 52-3 (organically-extracted) with 0L allele designations. The Genotjyper® software was not able to designate alleles for the D3Sl358, F GA, vWA, amelogenin, D851 1 79, D21S11, D1855], D55818, D13S3I 7, and D7S820 loci due to the .5—1.5 base pair shift of the alleles in comparison to the Profiler Plus TM ladder. 71 illllllllll'lll'lll'lilllllllIt'lll'lll'llI'lllllll'lll'llllIII.III|III'|II|IIIIll 20 40 30 30 100 120 I40 150 130 200 220 240 260 230 300 320 340 330 380 400 ALP-“32.3 23.18 P+T32-3 WA FGA i3°°° V -2ooo D381358 L1 000 lst box = allele call 2nd box = base pair size 3rd box = RFU signal strength (peak height) A1_P+T82-3 2 Green P-l-TSZ-a D851179 D2181] . ooo Amelogenin D1 8831 F000 A1_P+T32-3 2 Yelovr P+rsa-3 D138317 D75820 D58818 Fm” 1000 FIG. 22—Sample T S2-3 (organically-extracted) with allele designations. The sample was re-amplified with the Profiler Plus TM kit. Upon comparison to the ladder, the D3S1 358, F GA, vWA, amelogenin, D8S1] 79, D2151], D18S51, D55818, D1333] 7, and D7S820 alleles were designated correctly. 72 Statistigil Estimates A two-tailed t test using the separate variance estimate (Bachman and Paternoster, 1997) was used to determine whether a significant difference in recovery of DNA existed between extraction methods. The following were used to calculate the tom value and degrees of freedom: x. = 438.69 uL xz = 70.85 uL 51 = 386.50 82 = 73.48 r11 = 50 samples extracted with Chelex® r12 = 50 samples extracted organically The average amount of DNA recovered from the Chelex®-extracted samples was 438.69 uL compared to 70.85 uL from organically-extracted. DNA recovery with Chelex® was approximately six times higher than organic extraction. The calculated tom value was 6.54, with 55 degrees of freedom. The critical value of t with 55 degrees of fi'eedom and alpha value of .05 is 2.00. The calculated value of tom falls outside the critical region of i200. Thus, the null hypothesis was rejected and a significant difference in recovery of DNA existed between extraction methods. A 2 test (Bachman and Paternoster, 1997) for the difference between proportions was applied-to the attempts made at extraction versus the actual recovery of a full genetic profile. The 2 test was used to determine whether a significant difference existed between extraction methods in obtaining full genetic profiles (Tables 7-9). The following were used to calculate the Zobt and Gp1-p2 values: 131 = .96 p2 = .52 GP] p2 = .062 73 Ninety-six Chelex-, but only fifty-two organically-extracted samples resulted in full profiles. The associated sample proportions where .96 and .52, respectively. The pooled standard error was calculated as .062. The calculated 20m value was 7.09. When using a 95% confidence interval, the z scores of the critical region are :1: 1.96. The calculated value of zobt falls outside the critical region of i1 .96. Therefore, the Chelex® and organic extraction methods differ significantly in recovery of full genetic profiles. 74 DISCUSSION Historical Issues and Procedures Developed Sampling from early abortion materials collected within two to twelve weeks of conception for criminal DNA paternity testing poses multiple problems. The ability to visually discern embryonic or fetal tissue from maternal tissue is generally not possible before eight weeks. The Michigan State Police Lansing Laboratory frequently utilized random tissue sampling techniques during these time periods, which ofien failed to detect embryonic/fetal profiles due to the presence of overwhelming amounts of uterine tissue. Karger et a1. (2001) developed a procedure to identify chorionic villi among recovered tissues for DNA testing in an effort to ensure embryonic/fetal profile results while saving time and money. The tissue was formalin-fixed and suspended in paraffin blocks for microsectioning and microscopic identification of the chorionic villi, followed by DNA testing. Six samples from one abortion—one with identified chorionic villi—were amplified targeting ten STR loci, nine of which were CODIS core loci. Profiles were obtained from the six samples—one was a mixture and five were single source. Four of the samples only produced partial profiles (4 loci) and were consistent with the mother. One sample was a mixture of alleles consistent with the mother and an offspring. Analysis of the sample in which chorionic villi were identified resulted in a full profile consistent with an offspring of the mother and putative father. Karger et a1. (2001) referenced extraction methods from two papers (Iwasa et al. (1997) and Klintschar et a1. (1999)) each of which utilized a different extraction method—Chelex® and modified alkaline lysis respectively, although it is not clear which of these Karger et al. (2001) 75 used. Likewise, their sampling source—tissue from prepared slides or paraffin blocks— was not outlined. There was no indication of quantity and quality of recovered DNA. Finally, since few samples were tested, it was not clear if the level of success could be reproduced. DNA Recovery and Isolation of Embryonic/Fetal DNA The goals of the research presented here were to test the microscopic identification of chorionic villi across a broad scope of samples, to compare the Chelex® and organic extraction methods in their ability to generate the highest quantity of DNA from the embedded tissue, and to attempt amplification of the recovered DNA with Profiler PlusTM and COfilerTM kits in an effort to generate full CODIS profiles representative of the embryo/fetus. The method which resulted in the most complete embryonic/ fetal DNA would provide greater discriminatory power upon comparison with suspect samples. Upon comparison of the quantification data from samples comprised of formalin-fixed embryonic/fetal tissue and maternal decidua it was found that significantly greater quantities of DNA were recovered using the Chelex® method (Tables 1—3) than the organic method (Tables 4—6). Further comparison of profile data following electrophoresis revealed significantly more full profiles were produced with Chelex® extraction than with the organic extraction method (Tables 7—9). A relationship appeared to exist between the quantity of DNA recovered and the generation of a full profile. Many of the organically-extracted samples did not yield enough DNA for amplification with both kits; therefore, the maximum number of loci was nine instead of thirteen. Data were compared from each extraction method. The organically-extracted samples exhibited more severe imbalances of peak height between loci. The most 76 illustrative example of this was sample TS 1-4B, in which the ratio of the lowest peak height from the D78820 locus to the highest peak height from the D58818 locus was 1:83 (Figure 20). The same ratio for the Chelex-extracted sample T81-4B was 1:8 (Figure 19). The average ratio of the lowest peak height at D78820 to the highest peak height at D58818 was 1:6 for the Chelex®-extracted samples and 1:14 for the organically-extracted samples. Reasons for imbalance of peak height between loci include DNA degradation and/or the presence of a PCR inhibitor (see Explanation of Chelex® Success below). The difference in average peak height ratio obtained for the Chelex®-extracted samples was less drastic than that of the organically-extracted samples, indicating DNA of higher quality. The electropherograms from Chelex®- and organically-extracted samples were examined for the presence of embryonic/fetal profile information. Six classifications of profile results were observed—single-source female, single-source female with additional activity, single-source male, single-source male with additional activity, mixture of females, and mixture of a male and a female. All classifications confirmed the presence of embryonic/fetal alleles except single-source female profiles, in which case the alleles may be attributed to the embryo/fetus or to the mother. It was impossible to determine the donor (embryo/fetus or mother) of the single-source female profiles, unless other associated abortion samples (Table 13) contained male DNA. In those instances it was clear that the male DNA was attributed to the embryo/fetus and the female DNA to the mother. All of the single-source female profiles were compared to associated abortion samples if they existed (Table 13), but these yielded no further information for discernment. 77 The presence of embryonic/fetal profile information was indicated in the majority of samples; however, the usefulness of the profile information could not be determined in many circumstances. Results classified as single-source female profiles with activity could contain interpretable profile information from either the embryo/fetus or the mother. If the activity portion of the profile was attributed to the embryo/fetus, the information would be useless for associative purposes in a criminal proceeding. Incomplete mixtures of two females could contain the embryonic/fetal profile as the major donor (complete) and the maternal profile as the minor component (incomplete) or the reverse. Associations would be less discriminating if the minor contributor was the embryo/fetus. Single-source female profiles may contain exclusively embryonic/fetal DNA or maternal DNA; no confirmations were possible. If these profiles were confirmed as embryonic/fetal, ay be very useful for association if was not determined. The profiles may be attributed to either the embryo/fetus or the mother. the profile would be useful only if it was attributed to the embryo/ fetus. Concordance of Samples Between Amplification Systems and Exugction Methods Allelic information obtained from Chelex®-extracted samples was concordant with that of the organically-extracted samples in all cases. However, in many instances the allele calls at each locus were not identical, but were consistent with heredity relationships between an individual and its full offspring in varying proportions. This result is likely due to the tissue sampling technique. Tissue sections were taken from adjacent areas of the same paraffin block in these experiments, and obtaining an identical ratio of embryonic/fetal tissue to maternal decidua was improbable due to the variation 78 present in each block. Allelic information at shared loci (D3Sl358, D7S820, and amelogenin) between Profiler PlusTM and COfilerTM amplified samples was also concordant. Less variation was observed with DNAs between amplification sets than between extraction sets, as these were amplified from the same extracted sample. Identification of Associated Samples All electropherograms were compared and profile relationships discerned in order to identify related samples among the 50 cassettes analyzed. It was determined that the three test sets of formalin-fixed, paraffin-embedded embryonic/fetal tissue and maternal decidua were comprised of materials from sixteen abortions (Table 13). Since this discernment was possible, it is further evidence of the utility of the research methods in obtaining useful allelic information for interpretation. The combination of sample data from each abortion most often generated more profile information—increasing the comparative power of the samples for paternity determination. Electropherograrns from TS2-11 (Fig. 15) and TS2-10 (Fig. 18), which are associated abortion samples, illustrate this point. Explanation of Superior Chelex® Results Explanations for the greater success observed with Chelex® extraction compared to organic extractions include more effective removal of inhibitors such as iron in heme molecules present in blood, decrease in nuclease activity catalyzed by magnesium, and reduction in formalin-protein and formalin-DNA interaction. According to Wilson (1997), inhibitors interfere with PCR amplification (inactivation of the DNA polymerase), degrade or capture nucleic acids, and interfere with cell lysis in extraction. It is possible that the Chelex® process is more successful in removing common PCR 79 inhibitors such as porphyrin compounds in blood (Walsh et al., 1997) than is the organic preparation. Hemoglobin, a protein containing heme, is found in blood and is released by proteinase K (used in both extraction procedures of this experiment) during the extraction process. Chelex® beads can bind iron (carried by heme) separating it fiom the DNA (Walsh et al., 1997), whereas the organic procedure may not effectively reduce or remove enough iron to facilitate complete PCR amplification. Romero et al. (1997) stated that historically, DNA from formalin-fixed tissues does not amplify well due to degradation. During the fixation process, DNA degrades rapidly, the effects of which can cause poor amplification of larger sized loci. Chung et al. (2004) observed poor amplification for loci within the 300 to 500 base pair (bp) range in samples exposed to formalin. Shibata et al. (1994) found that PCR amplification of formalin-fixed tissue was optimal between target lengths of 80 and 170 bp. In the research presented here, nine of the Profiler PlusTM and COfilerTM amplicons exceed 170 bp in length; however, the effects of degradation were exhibited in loci greater than 200 bp (considered larger sized loci). It is possible that the use of mini-STR sets, with smaller amplicon sizes of approximately 100 bp (Butler et al., 2003), could be utilized to reduce or eliminate the effects of degradation (W iegand and Kleiber, 2001). The use of multiplex systems such as Profiler PlusTM and COfilerTM (used in this research) require fewer amplifications of the DNA sample and are therefore less labor intensive than mini- STR sets. However, the loss of data for larger loci at the minimum threshold (150 RFUs) and smaller loci at the maximum threshold (4500 RFUs) is a risk when using the multiplex systems. In this research, the differences in peak height of alleles at small versus large loci of the Chelex®-extracted samples were less pronounced than in samples 80 extracted organically. Samples extracted with Chelex® contained more interpretable allelic information at more loci than did samples extracted organically. Both extraction processes include digestion with tissue lysis buffer that contains EDTA, which binds magnesium, blocking it from activating nucleases that destroy DNA. The iminodiacete ions, attached to plastic Chelex® beads, chelate (bind) more of the remaining divalent metal ions. The beads are collected at the bottom of the extraction tube by centrifugation, separating them from DNA in the solution, further reducing degradation in these samples. During the fixation process, exposure of tissues to formalin results in the formation of methyl bridges (cross-links) between the amino groups of purine and pyrimidine bases (DNA) and proteins, and also between proteins (Brutlag et al., 1969; Feldman, 1973; Kieman 2000; Moerkerk et al., 1990; Romero et al., 1997). Cross- linking may occur in many different configurations, comprised of primarily linked proteins or of a combination of DNA and proteins, and both may reduce input DNA for PCR. This reduction may be purely mechanical, chemical, or a combination of both. The organic extraction method relies on phase separation of organic solvents and aqueous components and is effective due to the hydrophobic affinity of proteins and hydrophilic affinity of DNA. The formation of long cross-linked chains of proteins could cause mechanical interference during phase separation, trapping DNA molecules in the organic and interface layers. Likewise, cross-linked molecules containing DNA and proteins may have a hydrophobic affinity, chemically interfering with phase separation and carrying DNA molecules into the organic and interface layers. In both circumstances, the upper aqueous layer would be collected, and the interface and organic solvent layers, containing some DNA, discarded. In this research, samples extracted organically recovered 81 significantly less DNA than those extracted with Chelex®. The Chelex® extraction method does not require separation; therefore more DNA may remain in the extraction solution. The digestion of tissue prior to either extraction method was accomplished with tissue lysis buffer containing Tween 20 (detergent) and proteinase K to break open cells and denature proteins. Cross-linked proteins caused by formalin exposure may not be as easily denatured with proteinase K, possibly reducing the quantity of available DNA for amplification. The Chelex® extraction method utilizes a boiling step (100°C) to denature proteins and break open cells. This additional denaturing of proteins and subsequent release of DNA from cells could have increased DNA recovery. According to Overton and McCoy (1996), temperatures of 75°C are known to disrupt cross-links between formalin and DNA, which may also have increased input DNA for PCR. Data Anomaly Observed In this study, four samples—TS2-1, T82-2, T82-3 and TSZ-4——extracted organically and amplified with Profiler PlusTM exhibited off-ladder allele (OL allele) designations for many or most of the alleles (Fig. 21 ). According to Applied Biosystems (1997), variation commonly occurs between samples injected with the same capillary. However, variation causing measurement errors greater than i .5 base pairs results in the designation of OL allele assignments. Six sample injections of the Profiler PlusTM ladder were attempted. The first two (PPLADDER and PPLADDER-2) failed. These were injected nearest samples T82—1 , T S2-2, T82-3 and T82-4. Allele peak heights for both injections fell below the minimum threshold (150 RFU) for interpretation, therefore, could not be used. PPLADDER also exhibited 0L allele designations for many of the 82 alleles due to failure of the ROX internal size standard. The ROX peaks came off at higher scan numbers consistently and the resolution of the peaks became progressively broader throughout the electrophoresis. According to Applied Biosystems (1997) this problem was most likely due to syringe malfunction—polymer did not fill the capillary before injection (Applied Biosystems, 2006). This could occur if air bubbles were present in the syringe, if the pump arm was not aligned correctly, or if the capillary fitting was malfunctioning (Applied Biosystems, 2006). Samples TS2-1, T82-2, T82-3, and T82-4 exhibited ROX peaks which came off at lower scan numbers consistently throughout the electrophoresis. According to Applied Biosystems (1997) this problem occurs when water is present in the syringe. This can be avoided if the syringe is primed correctly with polymer to help remove water before the final polymer filling. The aforementioned problems worked themselves out by the sixth injection. Under normal circumstances those six samples would have been re-injected immediately; however, the 310 instrument was not available. Alleles present in samples T82-1, T82-2, TS2-3, and T82—4 were not designated upon comparison to PPLADDER- 3, PPLADDER-4, PPLADDER-5 or PPLADDER-6 due to inaccurate sizing of the ROX peaks. The samples all exhibited allele peak shifts of +0.5—1 .5 base pairs. Applied Biosystems (1997), recommends re-injection of samples that contain 0L alleles above minimum reporting threshold to verify reproducibility. If the OL alleles are reproduced after re-injection, re-amplification is recommended and reproducibility would confirm the presence of a true 0L allele. As was mentioned previously, re-injection of the aforementioned samples was not possible due to equipment constraints. At a later date, sample T82-3 (the only sample with the appropriate quantity of DNA remaining for 83 amplification) was re-amplified and analyzed. Results revealed acceptable internal size standard peaks and allele call designations (Fig. 22), none were reproduced as OL alleles. Implementation of Chelex® Extraction Method for Embryonic/Fetal Tissue in the Forensic Laboratog The research presented utilized the following combination of methods: formalin- fixation, paraffin-embedding, microscopic identification of chorionic villi, sampling of the chorionic villi, xylene deparaffinisation, digestion (tissue), Chelex® or organic extraction, quantification, amplification with Profiler PlusTM and COfilerTM amplification kits, electrophoresis, and analysis of the data. Since Chelex® extraction proved superior to organic extraction, it in combination with the aforementioned methods was adopted as standard operating procedure (SOP) and implemented at the Michigan State Police Lansing Laboratory. Validation was completed in February 2004 and technical review accepted it in May of 2004. This was a simple process as it involved only the comparison of extraction methods (all other procedures were previously validated) and minimal expense for reagents. Since May of 2004, numerous cases have been successfully adjudicated in Michigan Circuit Courts. Six of these cases were analyzed from the two year period since implementation. Of the six, five had associated known samples fi'om the mother and putative father. Associations to the putative father were made on all of these. One of the cases was analyzed in J une of 2006 and known samples have not been received by the submission date of this research. However, the case had defined results which indicated the maternal profile and the embryo/fetal profile. Data from these cases were included to illustrate the types of profiles that were generated—all identifying information has been removed. 84 Case 1 Sample 1 (cassette containing formalin-fixed, paraffin-embedded embryonic/fetal tissue and maternal decidua from an abortion) generated a mixture profile with the most embryonic/fetal alleles (Table 14A). Sample 3 was a single-source female profile consistent with the mother. Samples 2 and 4 produced mixture profiles which exhibited some embryonic/fetal alleles. Upon comparison with the mother and putative father, sample 1 was consistent with a full offspring of the mother and putative father (Table 14B). The allelic mismatch at D18S818 was most likely due to a mutation (either paternal or maternal). Both parents have a 17 allele as does the offspring and the offspring’s 15 allele is one repeat greater than the additional paternal allele and one repeat less than the additional maternal allele. TABLE l4A—Genetic data at 13 CODIS core loci for Case 1 Loci D3 S l 3 58 vWA . , FGA Amelogenin , D8Sll79 V 1321311 1318351 D53818 , D13S317 ' 1373820 r1101 TPOX CSFIPO 13163539 Sample 1 16,17 14,17,(19) (19),20,28 ,. X , (101,13 27,30.2,(312) 15,17 12‘ 8,11 8,a A 7,(9),9.3 8,10,a 11 9,12 Sample 2 16,07) 17,19 19,20 X 10,13 302,312 16,17 12 11 8 9.9.3 8,11 A 9,12 Sample 3 16 17,19 19,20 . X 10,13 302,312 A 12 11 8 9,9.3 8,11 A 9,12 Sample 4 16,(17) (14),17,19‘ 19,20 f -X . 10,13 81,302,312 16,17 .. 12 _ 11,a 8,a " 9,9.3,a 8,ll,a 11 9,12 ( ), allelic activity of a minor contributor; a, additional activity detected that failed to meet reporting standards; comma, separates multiple alleles present; period, indicates an allele with deletion of one or more bases 85 TABLE l4B—Genetic data at 13 C ODIS core loci for Case 1 Mother Putative Discemed Loci Father Offspring Profile D3Sl358 16 15,17 m,l7 vWA 17,19 14,15 14g FGA 19,20 20,28 E28 amelogenin I X X,Y X D8Sll79 10,13 12,13 13 D2181] 30.2,31.2 27,28 27,3_0; D18851 16,17 14,17 15*,17 D58818 12 8,12 12 D13S3l7 11 8,13 8,fl D78820 8 8,10 8 THOl 9,93 7,8 1% TPOX 8,1 1 8,10 8,10 CSFl PO 1 l 7,1 l l l 7 D168539 9,12 9,12 9,12 underlined, allele contributed by mother, bold, allele contributed by father; *, mutational event suspected Case 2 Sample 1 generated a mixture profile of female DNA with the most embryonic/fetal alleles (Table 15A). Sample 3 was a single-source female profile consistent with the mother. Sample 2 did not generate adequate allelic information for a useful comparison. Sample 3 produced a single-source female profile. Upon comparison with the mother and putative father, samples 1 and 3 were consistent with a full offspring of the mother and putative father (Table 15B). Loci D3Sl358 vWA FGA Amelogenin D881179 ,[D2131 1' D1885] D58818 , D13S317 "D7S820 THOl ', TPOX . . c31=11>o ,- ‘D163539 _ i ' Sample 1" 16,18 14,06) 20,21 X 13,15 27,29,(31) 12,14,a ‘1 1,0 2) (8),11,13 8,11;a_. 6,(8),9 . 3,11 _ . 10,11 ' Sample 2 I 18 A A X 13 A ND ND ND _ ND . ND TABLE ISA—Genetic data at 13 CODIS core loci for Case 2 “Sample 3‘ 18 14,16 20,21 X 13 29,31 A 11,12 8,a A 8,9 A ND 11 Sample 4 16,18 14 20,21 X 13,15 27,29 3 11 a a _ l 6,9 8,11 ND ,_ w_11 ( ), allelic activity of a minor contributor; a, additional activity detected that failed to meet reporting standards; comma, separates multiple alleles present; period, indicates an allele with deletion of one or more bases; ND, no alleles detected for this locus 87 TABLE 15B—Genetic data at 13 CODIS core loci for Case 2 Mother Putative Discemed Loci , Father Offspring Profile D3Sl358 18 14,16 16$ vWA _ _ 14,16 14,18 14 FGA 20,21 20,21 20,21 melogemn , X ' X,Y D881 179 13 D18851 D13S317 D7S820 THOl TPOX CSFIPO D168539 11 11,12 11 underlined, allele contributed by mother; bold, allele contributed by father Case 3 Samples 1, 2, and 3 generated mixture results of female and male DNA (Table 16A). Sample 4 produced a single-source male profile. Upon comparison with the mother and putative father, sample 1 generated the most complete embryonic/fetal profile and was consistent with a full offspring of the mother and putative father (Table 16B). The allelic mismatch at CSFl P0 was most likely due to a mutation (maternal or paternal). Both parents and the offspring have a 13 allele, and the offspring’s 11 allele is one repeat greater than the additional maternal allele and one repeat less than the additional paternal allele. Loci D3Sl358 vWA FGA Amelogenin D881179 ‘D21811 D1885] D58818 D138317 ' ,D7S820 _ TH01 (TPOX , csrrpo " . D168539) .. 3" Sample 1 16,18 16,17 20,23,a X,Y 10,(13),16 29,31.2,a 12,15 10,12,(l3) 9,13,a 10,1 1‘ 6,7 9,11 13 . .1 1,1,3 Sample 2 16417)]8 16,17,a 20,23 X,Y 10,(13),16 29,31.2,a 12,15 10,12,(1 3) 9,13,a 10,a 6,7 9,1 1 13 ,. 11,13, TABLE l6A—Genetic data at 13 CODIS core loci for Case 3 Sample 3 16,18 16,17 ND X,Y 10,(13),16 A ND 10,12 ND ND A ND- ND ..ND, _., Sample 4 16,18 16,17 20,23 X,Y 10,16 29,312 12,15 10,12,a 9,13 11,a 6,7 9,1] A (11,a ( ), allelic activity of a minor contributor; a, additional activity detected that failed to meet reporting standards; comma, separates multiple alleles present; period, indicates an allele with deletion of one or more bases; ND, no alleles detected for this locus 89 TABLE l6B—Genetic data at 13 CODIS core loci for Case 3 Mother Putative Discerned Loci Father Offspring Profile 13331358 16 16,18 1_6,18 ' vWA 17,19 16,19 16,11 FGA 20,23 22,23 20,23 amelogenin ’ x X,Y X,Y D8Sll79 10,13 12,16 19,16 D21311 ‘ 29,322 30,312 _2_9_,31.2 1318351 15,19 12,20 12,15 1353818 12,13 10,13 fro,_1_2_ D133317 9,12 12,13 2,13 1373820 11 10 10,11 TH01 6,7 6,7 6,1 TPOX 11 9,11 V9,_1__1_ CSFlPO 10,13 12,13 11*,13 D168539 , ,11 ‘ 11,12 _ 11 underlined, allele contributed by mother; bold, allele contributed by father; *, mutational event suspected Case 4 Sample 1 generated a partial single-source female profile (COfilerTM only) (Table 17A). Sample 2 generated a mixture of male and female DNA (Profiler PlusTM only). Sample 3 produced a mixture of female DNA (full profile Profiler PlusTM and COfilerTM). Sample 2 contained the most complete embryonic/fetal allelic information even though it was a partial profile including only Profiler PlusTM data. Upon comparison to the mother and putative father samples, sample 2 was consistent with at least one firll offspring of the mother and putative father (Table 17B). The presence of the Y allele and additional allelic presence and balance in sample 2 indicates that this may have been a multiple pregnancy. Sample 1 was consistent with a full offspring of the mother and putative father. Since the overlapping D3Sl358 allele matches the Discerned Offspring Profile 1, 90 it most likely reflects the same source. Sample 3 was consistent with the mother and a full offspring of the mother and putative father. TABLE l7A—Genetic data at 13 CODIS core loci for Case 4 Sample 1 Sample 2 Sample 3 Loci D3Sl358 l7 17 17 vWA ND 15,16 14,15,16 FGA ND 22.2,a 19,222,232 amelogenin X X,(Y) X D881179 ND 8,12,16 8,12,16 ‘ D2181] ND 29,30 29,30 D1885] ND ND l3,15,a , D58818 , ND 11,13 11,12,13 D138317 ND 9,13 9,13 1373820 9 ’ ND ‘ 9,10 TH01 5,6 ND 5,6,9.3 TPOX 8,12 ND 8,12 CSFIPO 12 ND 12,14 D168539 11,12 ND ,, 11,12 ( ), allelic activity of a minor contributor; a, additional activity detected that failed to meet reporting standards; comma, separates multiple alleles present; period, indicates an allele with deletion of one or more bases; ND, no alleles detected for this locus; alleles detected in Sample 1 are from the COfilerTM amplification only; alleles detected in Sample 2 are from the Profiler PlusTM amplification only 91 TABLE 17B—Genetic data at 13 C ODIS core loci for Case 4 Mother Pirtative Discerned Discerned Loci Father Offspring Offspring Profile 1 Profile 2 D3Sl358 17 15,17 17 mg vWA 14,15 14,16 15,16 15 FGA 19,232 2122.2 222m UK Amelogenin x X,Y x x D8Sll79 12,16 8,15 8,3 8,]_2__ f 1321311 30 29,31 29,19 29,10 D18S51 13,15 12,20 UK UK ' "053818 12,13 11,13 rr,_1_:_l'_ UK D133317 9,13 11,13 2,13 UK ' D7S820 9,10 9,10 9 UK . TH01 6,9.3 5,9.3 5,6 UK TPOX _, 8 8,12 8,12 UK CSFIPO 12,14 11,12 12 UK __.D1.68539 _ .. .1132... .5 11 .¥ ., 11.1.2. _ . -UK underlined, allele contributed by mother; bold, allele contributed by father Case 5 Sample 1 was a single-source female profile and was consistent with a full offspring of the mother and putative father (Table 18). 92 TABLE 18—Genetic data at 13 CODIS core loci for Case 5 Sample 1' " ' ‘ Mother Putative ' ' DiScerned Loci Father Offspring Profile D3Sl358 15,16 15,16 16 1_5_,16 vWA 14,17 17,18 14,17 14,11 FGA 23 19,23 20,23 23 Amelogenin X X X,Y X D831179 13 13 13,14 13 1321311 29,30 29,30] _ 28,29 29,39 D18351 14 14,15 14,15 14 f D53818 11,12 11,12 ‘ 7,11, 11,12 ‘ D13S317 12,13 13 11,12 12,13 " D7S820 10,11 10 8,11. _1_Q,11 TH01 9,9.3 6,9 9.3 9,93 (TPOX [8,11 8 " 8,11 , 8.11.,_ CSFIPO 10 10 10,12 10 ’ .D168__5_39 ‘_1.1,12.,___ . V, 1112 e __ 9,12 .6 , 11.12 ( ), allelic activity of a minor contributor; a, additional activity detected, but it failed to meet reporting standards; ND, no alleles detected at this locus; underlined, allele contributed by mother; bold, allele contributed by father Case 6 Sample 1 generated a single-source male profile with additional activity (Table 19). Samples 2 and 3 generated mixtures of female and male DNA and were comprised of higher ratios of maternal to embryo/ fetal DNA. Sample 3 was predominantly maternal and was used to compare to sample 1. Profiles of the mother and offspring were discemable. Known samples would of course be necessary for confirmation. Alleles contributed by the father were able to be determined also. 93 TABLE l9—Genetic data at 13 CODIS core loci for Case 6 Sarnplel Sarnple'2 Sample 3' . Discerned Loci Offspring Profile D331358 16,17,a 17 (16),17 16,11 vWA 14,15 14,18,a l4,(15),18 14,15 FGA 20,23 " 20,22,a 20,22,(23) 20,23 Amelogenin X,Y X,Y X,Y X,Y D8Sll79 12,13,a 12,(13) 12,(13) £13 . D21311 30,312 30,(31.2) 30,(31.2) 39,312 D18351 13,132,a 12,13,a 12,13,(13.2) 13,132 1353818 ' 11 ‘ 11 ’ 11 ’ 11 D133317 8,12 (8),11,12 (8),11,12 8,12 1373820 10,1 1* 10,a, 10,(_1 1) " ,_1_l_3_,11 TH01 6,7 6,(7),9.3 6,(7),9.3 _6_,7 TPOX ‘ 8 . 8 _ 8' ' ‘ 8 CSFIPO 12 11,12 11,12 12 D168539" _ ., 12. _,12,13.. __.12,13. .12 ( ), allelic activity of a minor contributor; a, additional activity detected that failed to meet reporting standards; comma, separates multiple alleles present; period, indicates an allele with deletion of one or more bases; underlined, allele contributed by mother; bold, allele contributed by father Recommendations for Handling Aborted Materials in Criminal Cases A detailed protocol for handling rape complaints resulting in pregnancy is necessary. The law enforcement officer, doctor performing the abortion, forensic pathologist, DNA testing laboratory scientist, and prosecutor have crucial roles in evidence collection, preservation, and viability. Establishment of a clear method— agreed upon by all potential parties involved—would logically aid in proper handling of rape resulting in pregnancy cases. It would seem that the education of law enforcement personnel would be of the utmost importance as these individuals are usually responsible for evidence transfer facilitation. A list of recommendations for law enforcement personnel has been developed (Fig. 23). 94 10. . Obtain written consent or a search warrant to allow confiscation of the aborted embryonic or fetal materials. Contact the medical facility performing the abortion to request the following: A. Written results of the estimated term of pregnancy from an ultrasound procedure B. The abortion procedure used C. That the tissue be placed into a clean, sterile container and secured with evidence tape, and initialed and dated by the collector D. That the tissue be frozen fresh and not placed into fixative. E. Obtain written chain of custody information at the time of receipt Transport the materials frozen or maintain at the coldest temperature possible—use a cooler with ICC if the facility does not provide something comparable. If the term of pregnancy is 12 weeks or less or unknown, contact the facility that performs autopsies for your agency and request an examination of the materials. If the term of pregnancy is greater than 12 weeks take the materials directly to the forensic laboratory that services your jurisdiction (skip #7). Arrange to transport the processed fetal/embryonic tissue fiom the pathologist to the forensic laboratory. Notify the forensic laboratory of the contents so that they are stored appropfiately(fiozen) prior to and following analysis. Obtain victim known buccal swabs or known whole blood in an EDTA (purple-topped) blood collection tube and transport it to the laboratory with a request for comparison to the aborted embryonic or fetal materials. Obtain a warrant or written consent for the suspect’s known buccal swabs. Collect buccal swabs from the putative father and transport them to the laboratory for analysis with a request for comparison to the aborted embryonic or fetal materials. FIG. 23—List of recommendations for law enforcement personnel. If followed, these ensure proper handling, documentation, and analysis of the embryonic/fetal tissues. Recommendation 1 ensures that the embryonic/fetal materials have been legally seized and will be admissible in court proceedings. The medical facility will demand this for release of the materials as well. Recommendation 2A is necessary to determine which facility will receive the materials for firrther processing (see 5 and 6). 2B provides information as to the possible state of the materials after the abortion procedure, which 95 may assist the pathologist in screening. 2C will aid in tracking of the materials for court admissibility purposes. 2D will reduce the risk of additional DNA degradation (Butler, 2005). Recommendation 3 is necessary because this may not be recorded at the medical facility, and the officer may be creating the sole record of the transfer (necessary for admissibility in court). The fourth recommendation for frozen transport will reduce the risk of additional DNA degradation (Butler, 2005). Recommendations 5, 6, and 7 ensure that the appropriate professional is receiving the materials for preparation for DNA analysis. Recommendation 8, if followed by the receiving agency, ensures that the materials are identified and stored correctly to avoid additional DNA degradation or inhibition. Recommendations 9 and 11 provide known samples fiom the mother and putative father for DNA analysis and comparison to the embryonic/fetal tissues. The known samples are necessary for determination of paternity and calculation of the supporting likelihood ratio. Recommendation 10 ensures court admissibility of the suspect’s DNA profile. Conclusions The samples tested contained varying proportions of forrnalin-exposed, microscopically identified chorionic villi and maternal tissues fiom abortion procedures. All samples were subjected to xylene deparaffinisation, extracted using either the Chelex® method or the organic method, amplified with Profiler PlusTM/COfilerTM kits and analyzed using capillary electrophoresis. Samples extracted with the Chelex® method resulted in significantly higher quantities of DNA than samples extracted organically. Likewise, the Chelex®-extracted samples exhibited significantly higher quality DNA with less severe peak height imbalances between loci (presumably caused by degradation or 96 inhibition) and more complete profile information. The source (embryo/fetus or mother) of the profile was not discernible in some circumstances (i.e. single-source female profiles and single-source female profiles with additional activity). Mixture results exhibited embryonic/fetal profile information, however, the usefulness of the information is dependant on the ratio of the allelic contribution from the donors determined by the presence and balance of alleles. Comparisons were conducted on all test set sample data and resulted in the identification of sixteen different abortions. This further illustrates the . utility of the microscopic examination and identification of chorionic villi. Experiments including known maternal and paternal samples are necessary for identification of the contributors to each sample and, in turn, the likelihood of obtaining full embryonic/fetal genetic information from analysis. Results of data to date fi'om implementation of the procedures with Chelex® extraction have been favorable. In five of six cases, association of embryonic/fetal results with putative father samples was possible. Based on the results of this research, both extraction methods isolated STR DNA profile information from abortion materials; however, the Chelex® extraction method was superior in DNA quantity and quality recovered for criminal paternity comparison. 97 APPENDICES 98 APPENDIX A STATUTORY CIRCUMSTANCES FOR CSC I and CSC II 99 Victim under 13 years of age. Victim at least 13 but less than 16 years of age, AND any of the following: > Perpetrator is a member of the same household as victim; > Perpetrator is related to victim by blood or affinity to the fourth degree; OR, > Perpetrator is in a position of authority over the victim, AND used this authority to coerce the victim to submit. Sexual act involves the commission of any other felony. Perpetrator aided or abetted by one or more other persons, AND either of the following: > Perpetrator knows or has reason to know that the victim is mentally incapable, mentally incapacitated, or physically helpless, OR > Perpetrator uses force OR coercion. Perpetrator armed with a weapon OR an article fashioned so as to lead a person to reasonably believe it is a weapon. Perpetrator uses force or coercion AND causes personal injury. Perpetrator causes personal injury and knows or has reason to know the victim is mentally incapable, mentally incapacitated or physically helpless. Victim is mentally incapable, mentally disabled, mentally incapacitated or physically helpless and one of the following: > Perpetrator is related to the victim by blood or affinity to the fourth degree; OR, )> Perpetrator is in a position of authority over the victim and used this authority to coerce the victim to submit. Perpetrator is an employee, contractual employee, OR volunteer with the Department of Corrections AND knows that the victim is under its jurisdiction (CSC II only). Perpetrator is an employee, contractual employee, OR volunteer with a private vendor that operates a youth correctional facility AND knows that the victim is under the jurisdiction of the Department of Corrections (CSC 11 only). Perpetrator is an employee, contractual employee, OR volunteer with a county or the Department of Corrections AND knows that the victim is prisoner or probationer under the jurisdiction of the county (CSC II only). 100 Perpetrator is an employee, contractual employee, OR volunteer with the facility in which the victim is detained awaiting trial OR hearing OR in which the victim is committed as a result of having been found responsible for committing an act that would be a crime if committed by an adult (CSC 11 only). 101 APPENDIX B STATUTORY CIRCUMSTANCES FOR CSC III and CSC IV 102 Victim is at least 13 but less than 16 years of age (CSC 111 only). Victim is at least 13 but less than 16 years of age AND the perpetrator is five OR more years older than the victim (CSC IV only). Perpetrator uses force OR coercion. Perpetrator knows OR has reason to know the victim is mentally incapable, mentally incapacitated, OR physically helpless. Perpetrator is related to the victim by blood OR affinity to the third degree AND sexual penetration OR contact occurs under circumstances not otherwise prohibited by the CSC Act. Perpetrator is a mental health professional AND sexual contact occurs during OR within two hears after victim was patient OR client of perpetrator AND victim was not the perpetrator’s spouse (CSC IV only). 103 APPENDIX C PROTOCOL FOR THE PREPARATION OF FORMALIN-FIXED PARAFFIN- EMBEDDED EMBRYONIC/FETAL TISSUE AND MATERNAL DECIDUA FOR DNA EXTRACTION 104 Sample Preparation 1. Observe microscope slides which correspond to paraffin blocks identified as containing chorionic villi and locate the areas with villi for sampling. 2. Cut away the outer layer of the paraffin block with a sterile blade and obtain a small segment of tissue (approximately 2—4 mm3) from the block and place in a labeled microcentrifuge tube. Deparaffinisation 1. Add 1.0 mL of xylene to each tube (perform in chemical hood) to remove paraffin wax. 2. Incubate for 30 minutes at room temperature and centrifuge for 2—5 minutes at 15,300 RCF. Remove and discard the supernatant into the appropriate waste container. U) Repeat steps 1 and 2 for a total of 2 xylene washes. 4. Add 1.0 mL of ethanol to each tube to remove xylene. 5. Centrifuge for 2-5 minutes at 15,300 RCF. Remove and discard the ethanol into the appropriate waste container. 6. Repeat steps 4 and 5 for a total of 2 ethanol washes. 7. Dry tissue for 10—20 minutes at 15—20 in. Hg in a Hetovac vacuum apparatus. Digestion 1. Prepare Tissue Lysis Buffer (fresh daily). Add 200 nL of Tissue Lysis Buffer to each tube. Tissue Lysis Buffer 1.89 mL TE“ Buffer (10 mM, pH 7.5) 10 11L Tween 20 (0.5%) m 11L Protdpwe K (20 ng/mL) 2.0 mL Total 2. Incubate at 37°C overnight. Centrifuge for 5 minutes at 15,300 RCF. 105 1. Collection and Purification Remove the solution (sample) from the digestion tube and transfer to a Centricon- 100TM concentrator assembled according to the manufacturer’s instructions (sample reservoir with attached retentate vial was fitted to a filtrate vial). Discard any remaining tissue. Centrifuge for 30—60 minutes or longer if necessary (until most of the liquid passes through filter into the filtrate vial leaving the filter membrane moist) at 2000 RCF. Discard filtrate. Add 2.0 mL of TE buffer to the sample reservoir. Centrifuge 30—60 minutes or longer if necessary at 2000 RCF. Discard filtrate. Repeat once. Remove and discard the filtrate vial, invert the sample reservoir with retentate vial attached and centrifuge for 3 minutes at 1000 RCF. Transfer the retentate (concentrated sample) directly from the Centricon-IOOTM concentrator to a labeled microcentrifuge tube. The samples are ready for extraction. 106 APPENDIX D PROTOCOL FOR CHELEX EXTRACTION OF DNA 107 Chelex® Extraction Protocol 1. 2. Add 20 uL of 5% Chelex® solution to the sample tube and vortex briefly. Incubate at 56° C for 30 minutes then vortex at high speed for 5—1 0 seconds. Incubate in a boiling water bath for 8 minutes then vortex at high speed for 5—1 0 seconds. Centrifuge for 3 minutes at 15,300 RCF. Samples are ready for quantification. For short-term storage place at 2—8°C on the Chelex® beads. Repeat steps 2, 3 and 4 before use. For long term storage, transfer the supernatant fi'om the Chelex® beads to a new tube and freeze at -20°C. 108 APPENDIX E PROTOCOL FOR PHENOL/CHLOROFORM/ISOAMY L ALCOHOL (ORGANIC) EXTRACTION OF DNA 109 Organic Extraction Protocol 1. 2. Add 200 11L of phenol/chloroform/isoamyl alcohol to the sample tube. Vortex until a milky emulsion is produced. Centrifuge in microcentrifuge for 5 minutes at 15,300 RCF. 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