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Uniparental isodisomy for paternal 7p and maternal 7q in a child with growth retardation
F A Eggerding1, S A Schonberg, F F Chehab
1Applied Biosystems Division, Perkin Elmer Corporation, Foster City, CA 94404.
Insights
This study reports a rare case of uniparental isodisomy in a growth-retarded infant with chromosome 7 isochromosomes. Analysis revealed paternal 7p and maternal 7q origin, suggesting a novel mechanism for genetic disorders.
Area of Science:
- Genetics
- Human Molecular Genetics
- Reproductive Biology
Background:
- Uniparental isodisomy, where both homologous chromosomes come from one parent, is rare.
- Isochromosomes involve the presence of two identical arms (p and q) of a chromosome.
- This case involves simultaneous isochromosomes of both 7p and 7q arms, replacing normal homologues.
Purpose of the Study:
- To investigate a rare case of uniparental isodisomy in a growth-retarded infant.
- To determine the parental origin and extent of heterozygosity of the rearranged chromosomes.
- To explore potential mechanisms leading to the formation of chromosome 7 isochromosomes.
Main Methods:
- Cytogenetic analysis of the infant's chromosomes.
- Microsatellite marker analysis of the proband and parents to trace allele origins.
- Comparison of phenotypic features with previously reported cases.
Main Results:
- The infant presented with simultaneous isochromosomes of 7p and 7q, replacing normal chromosome 7 homologues.
- Microsatellite analysis confirmed paternal origin of 7p alleles and maternal origin of 7q alleles.
- The infant exhibited homozygosity for all analyzed chromosome 7 loci.
Conclusions:
- The findings suggest a potential mechanism involving incomplete mitotic interchange and sister-chromatid reunion in early zygotic division.
- The observed phenotype, including short stature and growth retardation, aligns with maternal isodisomy 7, highlighting the importance of paternal gene contribution from 7q.
Abstract:
Uniparental isodisomy resulting from the simultaneous presence of isochromosomes of the p and q arms of a chromosome and absence of a normal homologue is an exceptionally rare event. We have observed a growth-retarded female infant in whom the normal chromosome 7 homologues were replaced by what appeared cytogenetically to be isochromosomes of 7p and 7q. Polymorphic microsatellite loci spanning the length of 7p and 7q were analyzed in the proband and her parents to ascertain the parental origin and extent of heterozygosity of the proband's rearranged chromosomes. These studies demonstrated that the 7p alleles of the proband were derived only from the father, the 7q alleles were derived only from the mother, and there was homozygosity for all chromosome 7 loci analyzed. The mechanisms leading to the formation of the proband's isochromosomes could reflect abnormalities of cell division occurring at meiosis, postfertilization mitosis, or both. We believe that the present case may result from incomplete mitotic interchange in the pericentromeric regions of chromosome 7 homologues, with resolution by sister-chromatid reunion in an early, if not first, zygotic division. Phenotypically, our proband resembled three previously reported cases of maternal isodisomy for chromosome 7, suggesting that lack of paternal genes from 7q may result in a phenotype of short stature and growth retardation.
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