Summary The molecular cytogenetic techniques of comparative genomic hybridization (CGH) and reverse in situ hybridization (REVISH) allow the entire genomes of tumours to be screened for genetic changes without the requirement for specific probes or markers. In order to define the ability of REVISH to detect and map regions of amplification associated with drug resistance, we investigated a panel of cell lines selected for resistance to doxorubicin and intrinsic sensitivity to topoisomerase 11-inhibitory drugs. We have defined a modified REVISH protocol, which involves double hybridizations with genomic DNA from the test cell lines and chromosome-specific whole chromosome paints to identify the chromosomes to which the amplicons localize. Sites of amplification are then mapped by fractional length measurements (Flpter), using published genome databases. Our findings show that amplification of the topoisomerase lla gene is readily detected and mapped, as is amplification of the MDR and MRP loci. Interestingly, REVISH detected a new amplicon in the doxorubicin-resistant lung cancer cell line, GLC4-ADR, which mapped to chromosome 1 q. REVISH is therefore ideally suited to characterize genetic changes specific for drug resistance within a background of genetic anomalies associated with tumour progression.Keywords: molecular cytogenetics; fluorescence in situ hybridization; chromosome painting; drug resistance; gene amplification; gene mapping; reverse in situ hybridization Many tumours respond to a range of cytotoxic agents. However, resistance often develops (van der Zee et al, 1995;Harrison, 1995). Understanding the mechanisms of resistance may provide new therapeutic options (Kastan et al, 1995;FroelichAmmon and Osheroff, 1995). At the cellular level, a number of resistance mechanisms can potentially operate. These mechanisms include drug efflux via membrane pumps, such as p-glycoprotein or multidrug resistance protein (MRP), drug metabolism, including inactivation or failure to activate a prodrug, an alteration in abundance of the target protein, for example topoisomerase II (topoll) enzyme, mutation of target protein and inactivation of pathways leading to cell death, such as apoptotic signalling (Booser and Hortobagyi, 1994;Harrison, 1995;Kastan et al, 1995;van der Zee et al, 1995). It is likely that in any one particular tumour, response to therapy is dependent on concurrent expression of multiple mechanisms. Even for extensively studied drugs, such as etoposide, which is a known topoll inhibitor, resistance is a complex issue (Su et al, 1992;Takano et al, 1992;Booser and Hortobagyi, 1994;Chen and Liu, 1994;Pommier et al, 1994;Sinha, 1995). The recent association of reduced kinesin expression with etoposide resistance, as identified by a genetic suppressor element approach, highlights the usefulness and requirement for new approaches to define potential components of the drug resistance repertoire (Gudkov et al, 1994;Roninson et al, 1995).A major drawback to many of the conventional approaches used to investig...