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[Uniparental disomy: a review of causes and clinical sequelae]

E Engel1

  • 1Division de Génétique Médicale, Centre Médical Universitaire, Genève, Suisse.

Annales De Genetique
|January 1, 1995
PubMed

Insights

Uniparental disomy (UPD) occurs when a child inherits both chromosomes of a pair from a single parent, potentially causing genetic disorders through altered imprinting or increased recessive disease risk.

Area of Science:

  • Genetics
  • Epigenetics
  • Human Biology

Context:

  • Uniparental disomy (UPD) is a rare genetic condition where an individual inherits two copies of a chromosome from one parent and none from the other.
  • UPD can arise from various chromosomal mechanisms and has been observed across numerous human chromosomes, including sex chromosomes.

Purpose:

  • To elucidate the mechanisms and phenotypic consequences of Uniparental Disomy (UPD).
  • To highlight the impact of UPD on genomic imprinting and the risk of genetic disorders.
  • To discuss the clinical implications of UPD in relation to Mendelian inheritance and evolution.

Summary:

  • UPD results from inheriting a chromosome pair solely from one parent, leading to potential health issues via isodisomy (homozygous state), genomic imprinting disruption, or residual aneuploidy.
  • Isodisomy increases the risk of recessive genetic disorders like cystic fibrosis and thalassemia, while both iso- and heterodisomy can disrupt imprinting, causing syndromes such as Angelman and Prader-Willi.
  • UPD can cause morbidity or lethality by affecting imprinting, mimicking deletions/duplications, triggering recessive disorders, or promoting cancer, challenging traditional inheritance patterns and raising questions about genomic imprinting's evolutionary role.

Impact:

  • UPD contributes to a spectrum of congenital disorders and genetic diseases, underscoring the importance of parental origin in gene expression.
  • Understanding UPD is crucial for accurate genetic diagnosis, counseling, and comprehending the complex interplay between inheritance, imprinting, and disease.
  • This research sheds light on the fundamental processes of inheritance and gene regulation, with potential implications for developmental biology and personalized medicine.

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