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Maternal age effect on the development of Prader-Willi syndrome resulting from upd(15)mat through meiosis 1 errors
Keiko Matsubara1, Nobuyuki Murakami, Toshiro Nagai
1Department of Molecular Endocrinology, National Research Institute for Child Health and Development, 2-10-1 Ohkura, Setagaya, Tokyo, Japan.
Insights
Advanced maternal age increases the risk of Prader-Willi syndrome (PWS) due to errors during maternal meiosis 1 (M1). This study links delayed childbearing in Japan to a higher incidence of PWS caused by M1 non-disjunction.
Area of Science:
- Genetics
- Reproductive Biology
- Pediatric Disorders
Background:
- Prader-Willi syndrome (PWS) is a complex genetic disorder.
- PWS is typically caused by deletions in chromosome 15q11.2-q13 or maternal uniparental disomy (upd(15)mat).
- Mechanisms for upd(15)mat include trisomy rescue (TR) and gamete complementation (GC), often involving errors in maternal meiosis (M1 or M2).
Purpose of the Study:
- To investigate the relationship between maternal age and the genetic causes of PWS.
- To determine if maternal age influences the specific mechanism leading to upd(15)mat.
- To assess the impact of delayed childbearing trends on PWS incidence.
Main Methods:
- Analysis of genetic data from 117 Japanese PWS patients.
- Categorization of patients into deletion and upd(15)mat groups.
- Statistical comparison of maternal ages between patient groups and across birth cohorts.
Main Results:
- Maternal age was significantly higher in patients with upd(15)mat resulting from M1 non-disjunction compared to those with deletions.
- The relative frequency of upd(15)mat from M1 errors increased in patients born after 2003, coinciding with delayed childbearing trends in Japan.
- M1 non-disjunction, a maternal age-dependent event, was identified as a key factor in upd(15)mat development.
Conclusions:
- Advanced maternal age is a significant predisposing factor for upd(15)mat in PWS.
- Increased M1 errors in older mothers contribute to the development of PWS.
- Delayed childbearing trends may lead to a higher prevalence of PWS cases caused by specific meiotic errors.
Abstract:
Prader-Willi syndrome (PWS) is primarily caused by deletions involving the paternally derived imprinted region at chromosome 15q11.2-q13 and maternal uniparental disomy 15 (upd(15)mat). The underlying mechanisms for upd(15)mat include trisomy rescue (TR), gamete complementation (GC), monosomy rescue and post-fertilization mitotic error, and TR/GC is mediated by non-disjunction at maternal meiosis 1 (M1) or meiosis 2 (M2). Of these factors involved in the development of upd(15)mat, M1 non-disjunction is a maternal age-dependent phenomenon. We studied 117 Japanese patients with PWS and identified deletions in 84 patients (Deletion group) and TR/GC type upd(15)mat through M1 non-disjunction in 15 patients (TR/GC (M1) group), together with other types of abnormalities. Maternal age was significantly higher in TR/GC (M1) group than in Deletion group (median (range), 37 (35-45) versus 30 (19-42); P=1.0 × 10(-7)). Furthermore, delayed childbearing age became obvious since the year 2003 in Japan, and relative frequency of TR/GC (M1) group was significantly larger in patients born since the year 2003 than in those born until the year 2002. The results imply that the advanced maternal age at childbirth is a predisposing factor for the development of upd(15)mat because of increased M1 errors.
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