Paternal uniparental disomy for chromosome 1 revealed by molecular analysis of a patient with pycnodysostosis
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Updated: Oct 30, 2026

Microsatellite DNA Genotyping and Flow Cytometry Ploidy Analyses of Formalin-fixed Paraffin-embedded Hydatidiform Molar Tissues
Published on: October 20, 2019
B D Gelb1, J P Willner, T M Dunn
1Department of Pediatrics, Mount Sinai School of Medicine, New York, NY, USA. gelb@msvax.mssm.edu
Abstract:
Molecular analysis of a patient affected by the autosomal recessive skeletal dysplasia, pycnodysostosis (cathepsin K deficiency; MIM 265800), revealed homozygosity for a novel missense mutation (A277V). Since the A277V mutation was carried by the patient's father but not by his mother, who had two normal cathepsin K alleles, paternal uniparental disomy was suspected. Karyotyping of the patient and of both parents was normal, and high-resolution cytogenetic analyses of chromosome 1, to which cathepsin K is mapped, revealed no abnormalities. Evaluation of polymorphic DNA markers spanning chromosome 1 demonstrated that the patient had inherited two paternal chromosome 1 homologues, whereas alleles for markers from other chromosomes were inherited in a Mendelian fashion. The patient was homoallelic for informative markers mapping near the chromosome 1 centromere, but he was heteroallelic for markers near both telomeres, establishing that the paternal uniparental disomy with partial isodisomy was caused by a meiosis II nondisjunction event. Phenotypically, the patient had normal birth height and weight, had normal psychomotor development at age 7 years, and had only the usual features of pycnodysostosis. This patient represents the first case of paternal uniparental disomy of chromosome 1 and provides conclusive evidence that paternally derived genes on human chromosome 1 are not imprinted.
Insights
This study identifies a novel mutation causing pycnodysostosis and reveals the first case of paternal uniparental disomy of chromosome 1. This finding confirms that paternal genes on chromosome 1 are not imprinted.
Area of Science:
- Genetics and Molecular Biology
- Human Disease and Genetics
- Epigenetics and Imprinting
Background:
- Pycnodysostosis is an autosomal recessive skeletal dysplasia caused by cathepsin K deficiency.
- Uniparental disomy (UPD) occurs when an individual inherits two copies of a chromosome from one parent and none from the other.
- Genomic imprinting is an epigenetic phenomenon where only one copy of a gene is expressed, depending on its parental origin.
Observation:
- A patient with pycnodysostosis was found to be homozygous for a novel missense mutation (A277V) in the cathepsin K gene.
- The mutation was inherited from the father, while the mother had two normal alleles, suggesting paternal UPD.
- Cytogenetic and polymorphic DNA marker analyses confirmed paternal UPD of chromosome 1 with partial isodisomy, resulting from a meiosis II nondisjunction event.
Findings:
- The patient exhibited typical pycnodysostosis features but had normal birth measurements and psychomotor development.
- This case represents the first documented instance of paternal uniparental disomy for chromosome 1.
- The inheritance pattern provided conclusive evidence against imprinting for paternally derived genes on chromosome 1.
Implications:
- This study expands the understanding of pycnodysostosis genetics and the mechanisms of uniparental disomy.
- The findings contribute to the knowledge of chromosomal abnormalities and their phenotypic consequences.
- It provides definitive evidence that chromosome 1 is not subject to paternal imprinting in humans.
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