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Growth parameters in maternal uniparental disomy 7 and 14
1Division of Clinical Genetics, Department of Medical Genetics, Molecular and Clinical Pharmacology, Innsbruck Medical University, Schoepfstr. 41, A-6020, Innsbruck, Austria. DieterKotzot@gmx.de
Insights
Maternal uniparental disomy (UPD) 7 and 14 cause significant growth retardation. Maternal UPD 7 is associated with persistent growth issues and relative macrocephaly, while maternal UPD 14 shows distinct growth patterns, suggesting differing imprinting effects.
Area of Science:
- Genetics
- Endocrinology
- Pediatrics
Background:
- Maternal uniparental disomy (UPD) involves inheriting both copies of a chromosome from the mother.
- Growth retardation is a known, yet unquantified, feature of maternal UPD 7 and 14.
- This study systematically analyzes auxological data from literature for maternal UPD 7 and 14.
Observation:
- Maternal UPD 7 cases exhibit severe prenatal and postnatal growth retardation in length and weight.
- Occipitofrontal head circumference (OFC) is mildly reduced in maternal UPD 7.
- Maternal UPD 14 presents with concordant growth retardation in length, weight, and OFC at birth.
Findings:
- Maternal UPD 7 patients show persistent growth deficits and relative macrocephaly into adulthood.
- Maternal UPD 14 patients display above-average body mass index (BMI) post-puberty with increasing trends.
- Growth trajectories for height, BMI, and OFC differ significantly between maternal UPD 7 and maternal UPD 14.
Implications:
- Growth retardation and relative macrocephaly in maternal UPD 7 are of prenatal origin and persist throughout life.
- Distinct growth patterns in maternal UPD 14 suggest varied impacts on development.
- Genomic imprinting likely plays a crucial role, functioning differently in maternal UPD 7 versus maternal UPD 14.
Introduction:
Growth retardation has been reported in most cases of maternal uniparental disomy (UPD) 7 and 14, but has never been evaluated in a systematic approach. In this study, an analysis is presented of the auxological data from the literature at birth and on the occasion of the last evaluation of 34 cases with maternal UPD 7 (21 heterodisomy, 13 isodisomy) and 29 cases with maternal UPD 14 (22 heterodisomy, 7 isodisomy). For maternal UPD 7, statistical analysis revealed that length and weight at birth as well as on the occasion of the last evaluation were strongly below average (-2.94 SD and -2.62 SD, and -3.39 SD and -3.11 SD, respectively), whereas at both evaluations occipitofrontal head circumference (OFC) was only slightly below the average (-1.00 SD and -0.85 SD). For maternal UPD 14 at birth, growth retardation is rather concordant for length, weight, and OFC (-2.78 SD, -2.84 SD, and -1.69 SD). Later in life body mass index (BMI) is above average (1.06 SD) and continuously increasing before and after puberty (-0.58 SD and 2.07 SD).
Conclusion:
Growth retardation and relative macrocephaly are of prenatal onset and still present in adults with maternal UPD 7. For patients with maternal UPD 14, growth curves for height, BMI and OFC differ strongly. Genomic imprinting might be a major causative factor, but it seems to function differently for maternal UPD 7 and maternal UPD 14.
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