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Published on: August 17, 2022
Risk factors for nondisjunction of trisomy 21
S L Sherman1, S B Freeman, E G Allen
1Department of Human Genetics, Emory University School of Medicine, Atlanta, GA 30322, USA. ssherman@genetics.emory.edu
Abstract:
The leading cause of Down syndrome (DS) is nondisjunction of chromosome 21 occurring during the formation of gametes. In this review, we discuss the progress made to identify risk factors associated with this type of chromosome error occurring in oogenesis and spermatogenesis. For errors occurring in oocytes, the primary risk factors are maternal age and altered recombination. We review the current progress made with respect to these factors and briefly outline the potential environmental and genetic influences that may play a role. Although the studies of paternal nondisjunction are limited due to the relatively small proportion of errors of this type, we review the potential influence of paternal age, recombination and other environmental and genetic factors on susceptibility. Although progress has been made to understand the mechanisms and risk factors that underlie nondisjunction, considerably more research needs to be conducted to dissect this multifactorial trait, one that has a considerable impact on our species.
Insights
Down syndrome (DS) arises from chromosome 21 nondisjunction during gamete formation. This review identifies maternal age and recombination alterations as key risks in oogenesis, with limited data on paternal factors.
Area of Science:
- Genetics
- Reproductive Biology
- Human Biology
Background:
- Down syndrome (DS) is primarily caused by nondisjunction of chromosome 21 during meiosis.
- Understanding the risk factors for nondisjunction is crucial for reproductive health and genetic counseling.
Purpose of the Study:
- To review current knowledge on risk factors for chromosome 21 nondisjunction in oogenesis and spermatogenesis.
- To highlight areas requiring further research in the multifactorial etiology of DS.
Main Methods:
- Literature review of studies on nondisjunction risk factors.
- Analysis of established and potential influences on gamete formation errors.
Main Results:
- Maternal age and altered recombination are identified as primary risk factors for nondisjunction in oocytes.
- Paternal age, recombination, and environmental/genetic factors are discussed as potential influences in spermatogenesis, though data is limited.
Conclusions:
- Significant progress has been made in understanding nondisjunction risk factors.
- Further research is essential to fully elucidate the complex mechanisms underlying nondisjunction and its impact.
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