Chromatin bridge
DAPI staining allows for visualization of deoxyribonucleic acid portions of the two daughter cells. The thin “string-like” DNA connecting them is defined as a chromatin bridge.
Specialty	Pathology

Chromatin bridge is a mitotic occurrence that forms when telomeres of sister chromatids fuse together and fail to completely segregate into their respective daughter cells. Because this event is most prevalent during anaphase, the term anaphase bridge is often used as a substitute. After the formation of individual daughter cells, the DNA bridge connecting homologous chromosomes remains fixed. As the daughter cells exit mitosis and re-enter interphase, the chromatin bridge becomes known as an interphase bridge. These phenomena are usually visualized using the laboratory techniques of staining and fluorescence microscopy.^[1][2]

Background

The faithful inheritance of genetic information from one cellular generation to the next heavily relies on the duplication of deoxyribonucleic acid (DNA), as well as the formation of two identical daughter cells. This complicated cellular process, known as mitosis, depends on a multitude of cellular checkpoints, signals, interactions and signal cascades for accurate and faithful functioning. Cancer, characterized by uncontrollable cell growth mechanisms and high tendencies for proliferation and metastasis, is highly prone to mitotic mistakes. As a result, several forms of chromosomal aberrations occur, including, but not limited to, binucleated cells, multipolar spindles and micronuclei.^[3] Chromatin bridges may serve as a marker of cancer activity.

Process of formation

Chromatin bridges may form by any number of processes wherein chromosomes remain topologically entangled during mitosis. One way in which this may occur is the failure to resolve joint molecules formed during homologous recombination mediated DNA repair, a process that ensures that replicated chromosomes are intact before chromosomes are segregated during cell division. In particular, genetic studies have demonstrated that the loss of the enzymes BLM (Bloom's Syndrome Helicase) or FANCM each result in a dramatic increase in the number of chromatin bridges. This occurs because loss of these genes causes an increase in chromosome fusions, either in an end-to-end manner or through topological entrapment (e.g., catenation or unresolved DNA cross-links), have also been associated with chromatin bridge formation. When viewed under a fluorescence microscope and immunostained for cytological markers, these chromatin bridges appear to emanate from either centromeres, telomeres or DNA crosslinks (as marked by FANCD2).^[4]

Fluorescence techniques

Chromatin bridges can be viewed utilizing a laboratory technique known as fluorescence microscopy. Fluorescence is the process that involves excitation of a fluorophore (a molecule with the ability to emit fluorescent light in the visible light spectrum) using ultraviolet light. After the fluorophore becomes chemically excited by the presence of UV light, it emits visible light at a specific wavelength, producing different colors. Fluorophores may be added as a molecular tag to different portions of a cell. DAPI is a fluorophore that specifically binds to DNA and fluoresces blue. In addition, immunofluorescence may be used as a laboratory technique to tag cells with specific fluorophores using antibodies, immune proteins created by B lymphocytes. Antibodies are utilized by the immune system in the identification and binding of foreign substances. Tubulin is a monomer of microtubules that compose the cellular cytoskeleton. The antibody anti-tubulin specifically binds to these tubulin monomeric subunits. A fluorophore can be chemically attached to the anti-tubulin antibody, which then fluoresces green. Numerous antibodies may bind to microtubules in order to amplify the fluorescent signal. Fluorescence microscopy allows for the observation of different components of the cell against a dark background for high intensity and specificity.

Practical applications

Detection

Chromatin bridges are easiest and most readily visible when observing chromosomes stained with DAPI. DNA bridges appear to be a blue, “string-like” connection between two separated daughter cells. This effect is created when sticky ends of chromosomes remain connected to one another, even after mitosis. A chromatin bridge may also be observed using indirect immunofluorescence, in which anti-tubulin emits a green coloration when bound to microtubules in the presence of UV light. Because microtubules maintain the positions of the chromosomes during mitosis, they appear to be densely pinched between the two dividing, daughter cells. Chromatin bridges can be difficult to locate utilizing fluorescence microscopy, as this phenomenon is not incredibly abundant and tend to appear faint against the dark background.

Cancer

Recently, chromatin bridges have been implied as a diagnostic marker for cancer, while having been linked to tumorigenesis in humans.^[5] This premise is based on the fact that as the mitotic cell divides and the daughter cells move further apart, stress on the DNA bridge leads to breakages in the chromosome at random points. As previously stated, the disruptions in the chromosome may lead to single chromosome mutations, including deletion, duplication and inversion, among others. This instability, defined as frequent changes in chromosomal structure and number, may be the basis of the development of cancer. While the frequency of chromatin bridges may be greater in tumor cells relative to normal cells, it may not be practical to utilize this phenomenon as a diagnostic tool. The process of staining and mounting sample cells using indirect immunofluorescence is time-consuming. Even though DAPI staining is quick, neither laboratory technique can guarantee the presence of the bridges under the fluorescence microscope. The rarity of chromatin bridges, even in cancerous cells, makes this phenomenon difficult to be widely accepted diagnostic marker for cancer.