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Birth seasonality in Korean Prader-Willi syndrome with chromosome 15 microdeletion
Aram Yang1, Yeon Hee Lee1, Soon Young Nam1
1Department of Pediatics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Insights
Birth seasonality correlates with Prader-Willi syndrome (PWS) in Korean patients with chromosome 15 microdeletions. This suggests environmental factors may influence PWS pathogenesis, warranting further investigation into seasonal effects.
Area of Science:
- Genetics
- Environmental Health
- Pediatrics
Background:
- Prader-Willi syndrome (PWS) is a genetic disorder often caused by chromosome 15 microdeletions.
- Environmental factors are hypothesized to play a role in PWS pathogenesis.
- Investigating birth seasonality can offer insights into potential environmental influences.
Purpose of the Study:
- To investigate the potential correlation between birth seasonality and Prader-Willi syndrome in a Korean population.
- To compare seasonal birth patterns in PWS patients with deletion or maternal uniparental disomy (UPD) to the general population.
Main Methods:
- Analysis of 211 Korean PWS patients diagnosed via methylation polymerase chain reaction.
- Comparison of birth data from deletion and UPD groups (born 2000-2013) with the general population using Walter and Elwood method and cosinor analysis.
- Statistical evaluation of seasonal and monthly birth variations.
Main Results:
- No significant seasonal birth variation was observed in the total PWS cohort.
- A significant monthly birth variation was found in the PWS deletion group compared to the general population (P<0.05).
- The PWS deletion group showed a statistically significant peak birth month in January and nadir in July.
Conclusions:
- Birth seasonality is correlated with Prader-Willi syndrome in Korean patients with chromosome 15 microdeletions.
- The findings suggest a potential role for seasonal environmental factors in the microdeletion mechanism of PWS.
- Further research is needed to elucidate the specific mechanisms linking seasonal effects and chromosome 15 microdeletions in PWS.
Purpose:
Prader-Willi syndrome (PWS) is a well-known genetic disorder, and microdeletion on chromosome 15 is the most common causal mechanism. Several previous studies have suggested that various environmental factors might be related to the pathogenesis of microdeletion in PWS. In this study, we investigated birth seasonality in Korean PWS.
Methods:
A total of 211 PWS patients born from 1980 to 2014 were diagnosed by methylation polymerase chain reaction at Samsung Medical Center. Of the 211 patients, 138 were born from 2000-2013. Among them, the 74 patients of a deletion group and the 22 patients of a maternal uniparental disomy (UPD) group were compared with general populations born from 2000 using the Walter and Elwood method and cosinor analysis.
Results:
There was no statistical significance in seasonal variation in births of the total 211 patients with PWS (χ(2)=7.2522, P=0.2982). However, a significant difference was found in the monthly variation between PWS with the deletion group and the at-risk general population (P<0.05). In the cosinor model, the peak month of birth for PWS patients in the deletion group was January, while the nadir occurred in July, with statistical significance (amplitude=0.23, phase=1.2, low point=7.2). The UPD group showed the peak birth month in spring; however, this result was not statistically significant (χ(2)=3.39, P=0.1836).
Conclusion:
Correlation with birth seasonality was identified in a deletion group of Korean PWS patients. Further studies are required to identify the mechanism related to seasonal effects of environmental factors on microdeletion on chromosome 15.
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