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Published on: October 22, 2016
Birth seasonality studies in a large Prader-Willi syndrome cohort
Merlin G Butler1, Virginia Kimonis2, Elisabeth Dykens3
1Department of Psychiatry, Behavioral Sciences and Pediatrics, University of Kansas Medical Center, Kansas City, Kansas.
Insights
This study found no evidence of birth seasonality in Prader-Willi syndrome (PWS) cases, despite theories linking environmental factors to chromosomal changes. Advanced genetic analysis of 355 individuals did not support earlier findings of seasonal birth patterns in PWS.
Area of Science:
- Genetics
- Developmental Biology
- Environmental Health
Background:
- Prader-Willi syndrome (PWS) is typically caused by paternal deletions in chromosome 15q11-q13 or maternal disomy 15.
- Advanced maternal age is associated with maternal disomy 15.
- Environmental factors like chemical exposure, infections, and irradiation are hypothesized to cause chromosomal changes, potentially influencing PWS etiology.
Purpose of the Study:
- To investigate potential links between environmental factors and PWS by examining birth seasonality.
- To determine if birth seasonality differs between PWS subtypes: paternal 15q11-q13 deletion and maternal disomy 15.
- To assess the validity of earlier studies suggesting birth seasonality in PWS.
Main Methods:
- Analysis of birth seasonality data from a national cohort of 355 individuals with PWS.
- Comparison of birth months and quarterly seasonal patterns between individuals with 15q11-q13 deletion and maternal disomy 15.
- Utilized advanced genetic testing methods for accurate PWS subtyping.
Main Results:
- No significant differences in birth seasonality were observed when comparing individuals with PWS caused by 15q11-q13 deletion versus maternal disomy 15.
- Quarterly seasonal patterns did not reveal significant variations across PWS subtypes.
- The study's large cohort size and advanced genetic methods did not corroborate previous findings of birth seasonality in PWS.
Conclusions:
- The study did not find evidence supporting a link between birth seasonality and the genetic causes of Prader-Willi syndrome.
- Environmental factors, while implicated in chromosomal abnormalities, do not appear to manifest as distinct birth seasonality patterns in PWS.
- Further research may be needed to fully elucidate the role of environmental influences on PWS etiology.
Abstract:
Prader-Willi syndrome (PWS) is generally due to sporadic paternal deletions of the chromosome 15q11-q13 region followed by maternal disomy 15. Advanced maternal age is more commonly seen in those with maternal disomy 15. Environmental factors (e.g., drug use, occupational chemical exposure, infectious agents, and irradiation) could account for chromosome changes. Previous evidence of differences in male and female gametogenesis could suggest an environmental role in the causation of the paternal 15q11-q13 deletion seen in PWS. Certain occupations such as hydrocarbon-exposing occupations (e.g., landscaping, farming, and painting) and viral exposure (e.g., human coronavirus 229E causing upper respiratory infections in adults with an incorporation site in the human genome at chromosome 15q11) can be seasonal in nature and contribute to chromosome damage. To assess, we reviewed birth seasonality data in a large cohort of individuals with PWS recruited nationally (N = 355) but no significant differences were seen by month between those with the 15q11-q13 deletion compared with maternal disomy 15 when analyzing quarterly seasonal patterns. Although early evidence supported birth seasonality differences in PWS, a larger number of individuals in our recent study using advanced genetic testing methods did not find this observation.
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