Uniparental disomy: expanding the clinical and molecular phenotypes of whole chromosomes

Uniparental disomy (UPD) refers to as both homologous chromosomes inherited from only one parent without identical copies from the other parent. Studies on clinical phenotypes in UPDs are usually focused on the documented UPD 6, 7, 11, 14, 15, and 20, which directly lead to imprinting disorders. Thi...

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Main Authors: Qi Chen, Yunpeng Chen, Lin Shi, Ying Tao, Xiaoguang Li, Xiaolan Zhu, Yan Yang, Wenlin Xu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-10-01
Series:Frontiers in Genetics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2023.1232059/full
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author Qi Chen
Yunpeng Chen
Lin Shi
Ying Tao
Xiaoguang Li
Xiaolan Zhu
Yan Yang
Wenlin Xu
author_facet Qi Chen
Yunpeng Chen
Lin Shi
Ying Tao
Xiaoguang Li
Xiaolan Zhu
Yan Yang
Wenlin Xu
author_sort Qi Chen
collection DOAJ
description Uniparental disomy (UPD) refers to as both homologous chromosomes inherited from only one parent without identical copies from the other parent. Studies on clinical phenotypes in UPDs are usually focused on the documented UPD 6, 7, 11, 14, 15, and 20, which directly lead to imprinting disorders. This study describes clinical phenotypes and genetic findings of three patients with UPD 2, 9, and 14, respectively. Chromosomal microarray (CMA), UPDtool, methylation-specific multiplex ligation-dependent probe amplification (MS-MLPA) and whole-exome sequencing (WES) analysis were performed to characterize the genetic etiology. The CMA revealed a homozygous region involving the whole chromosome 2 and 9, a partial region of homozygosity in chromosome 14. UPD-tool revealed a paternal origin of the UPD2. MS-MLPA showed hypomethylation of imprinting gene MEG3 from maternal origin in the UPD14 case. In addition, UPD14 case displayed complex symptoms including growth failure, hypotonia and acute respiratory distress syndrome (ARDS), accompanied by several gene mutations with heterozygous genotype by WES analysis. Furthermore, we reviewed the documented UPDs and summarized the clinical characteristics and prognosis. This study highlighted the importance to confirm the diagnosis and origin of UPD using genetic testing. Therefore, it is suggested that expanding of the detailed phenotypes and genotypes provide effective guidance for molecule testing and genetic counseling, and promote further biological investigation to the underlying mechanisms of imprinted disorders and accompanied copy number variations.
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spelling doaj.art-183f217200ab4ab99e7e4ab534a1b9de2023-10-04T08:28:00ZengFrontiers Media S.A.Frontiers in Genetics1664-80212023-10-011410.3389/fgene.2023.12320591232059Uniparental disomy: expanding the clinical and molecular phenotypes of whole chromosomesQi Chen0Yunpeng Chen1Lin Shi2Ying Tao3Xiaoguang Li4Xiaolan Zhu5Yan Yang6Wenlin XuGenetic and Prenatal Diagnosis Center, Fourth Affiliated Hospital of Jiangsu University, Zhenjiang, ChinaGenetic and Prenatal Diagnosis Center, Fourth Affiliated Hospital of Jiangsu University, Zhenjiang, ChinaDepartment of Ultrasound, Fourth Affiliated Hospital of Jiangsu University, Zhenjiang, ChinaGenetic and Prenatal Diagnosis Center, Fourth Affiliated Hospital of Jiangsu University, Zhenjiang, ChinaGenetic and Prenatal Diagnosis Center, Fourth Affiliated Hospital of Jiangsu University, Zhenjiang, ChinaReproductive Medicine Center, Fourth Affiliated Hospital of Jiangsu University, Zhenjiang, ChinaGenetic and Prenatal Diagnosis Center, Fourth Affiliated Hospital of Jiangsu University, Zhenjiang, ChinaUniparental disomy (UPD) refers to as both homologous chromosomes inherited from only one parent without identical copies from the other parent. Studies on clinical phenotypes in UPDs are usually focused on the documented UPD 6, 7, 11, 14, 15, and 20, which directly lead to imprinting disorders. This study describes clinical phenotypes and genetic findings of three patients with UPD 2, 9, and 14, respectively. Chromosomal microarray (CMA), UPDtool, methylation-specific multiplex ligation-dependent probe amplification (MS-MLPA) and whole-exome sequencing (WES) analysis were performed to characterize the genetic etiology. The CMA revealed a homozygous region involving the whole chromosome 2 and 9, a partial region of homozygosity in chromosome 14. UPD-tool revealed a paternal origin of the UPD2. MS-MLPA showed hypomethylation of imprinting gene MEG3 from maternal origin in the UPD14 case. In addition, UPD14 case displayed complex symptoms including growth failure, hypotonia and acute respiratory distress syndrome (ARDS), accompanied by several gene mutations with heterozygous genotype by WES analysis. Furthermore, we reviewed the documented UPDs and summarized the clinical characteristics and prognosis. This study highlighted the importance to confirm the diagnosis and origin of UPD using genetic testing. Therefore, it is suggested that expanding of the detailed phenotypes and genotypes provide effective guidance for molecule testing and genetic counseling, and promote further biological investigation to the underlying mechanisms of imprinted disorders and accompanied copy number variations.https://www.frontiersin.org/articles/10.3389/fgene.2023.1232059/fulluniparental disomychromosmal microarray analysiswhole exome sequencingchromosome aberrationphenotype
spellingShingle Qi Chen
Yunpeng Chen
Lin Shi
Ying Tao
Xiaoguang Li
Xiaolan Zhu
Yan Yang
Wenlin Xu
Uniparental disomy: expanding the clinical and molecular phenotypes of whole chromosomes
Frontiers in Genetics
uniparental disomy
chromosmal microarray analysis
whole exome sequencing
chromosome aberration
phenotype
title Uniparental disomy: expanding the clinical and molecular phenotypes of whole chromosomes
title_full Uniparental disomy: expanding the clinical and molecular phenotypes of whole chromosomes
title_fullStr Uniparental disomy: expanding the clinical and molecular phenotypes of whole chromosomes
title_full_unstemmed Uniparental disomy: expanding the clinical and molecular phenotypes of whole chromosomes
title_short Uniparental disomy: expanding the clinical and molecular phenotypes of whole chromosomes
title_sort uniparental disomy expanding the clinical and molecular phenotypes of whole chromosomes
topic uniparental disomy
chromosmal microarray analysis
whole exome sequencing
chromosome aberration
phenotype
url https://www.frontiersin.org/articles/10.3389/fgene.2023.1232059/full
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