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Prenatal findings and epimutations for paternal uniparental disomy for chromosome 14 syndrome
Takafumi Watanabe1, Hayato Go2, Masayo Kagami3
1Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Insights
This study details a rare genetic condition, epimutation, mimicking paternal uniparental disomy for chromosome 14 (UPD(14)pat). Findings highlight distinct prenatal and neonatal features associated with this UPD(14)pat-like phenotype.
Area of Science:
- Genetics
- Developmental Biology
- Epigenetics
Background:
- Paternal uniparental disomy for chromosome 14 (UPD(14)pat) presents distinct phenotypes due to alterations in the 14q32.2 imprinted region.
- Understanding imprinting disorders is crucial for diagnosing complex genetic conditions.
Observation:
- Prenatal ultrasound revealed a narrow thorax and polyhydramnios.
- Neonatal examination showed a small narrow thorax, diastasis recti, and specific dysmorphic facial features.
- Placentomegaly was identified after delivery.
Findings:
- The case presented an epimutation associated with a UPD(14)pat-like phenotype.
- Genetic analysis confirmed epimutation at the intergenic differentially methylated region (IG-DMR) and MEG3-DMR.
Implications:
- This case expands the understanding of genetic alterations causing UPD(14)pat-like phenotypes.
- Highlights the importance of considering epimutations in imprinting disorders.
- Provides valuable data for prenatal and neonatal diagnosis of similar conditions.
Abstract:
The phenotypes associated with paternal uniparental disomy for chromosome 14 (UPD(14)pat) are clinically distinctive and caused by genetic alterations at the 14q32.2 imprinted region. Here we describe prenatal and neonatal findings in a case of epimutation associated with UPD(14)pat-like phenotype. A 25-year-old Japanese woman was referred to hospital at 32 weeks of gestation for management of threatened premature delivery. Fetal ultrasound and magnetic resonance imaging showed a narrow thorax and polyhydramnios. At 35 weeks of gestation, emergency cesarean section was performed and placentomegaly was identified. Physical examination of the neonate indicated a small narrow thorax, diastasis recti, and dysmorphic facial features that included hirsute forehead, broad flat nasal bridge, micrognathia, small ears, and a long protruding philtrum. Genetic analysis identified epimutation at the intergenic differentially methylated region (IG-DMR) and at MEG3-DMR.
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