UNIPARENTAL DISOMY (UPD): A CONSEQUENCE OF NON-DISJUNCTION AND THE IMPLICATIONS IN PRENATAL DIAGNOSIS
Velissariou V*
*Corresponding Author: Dr. Voula Velissariou, Cytogenetics Laboratory, Department of Genetics and Molecular Biology, Mitera Hospital, Erythrou Stavrou 7, Maroussi, Athens 11523, Greece; Tel.: +30-210-686-9869; Fax: +30-210-689-9476; E-mail: voulavel@ hol.gr
page: 55

UNIPARENTAL DISOMY AND ABNORMAL PHENOTYPE

Uniparental disomy has been recognized for most chromosomes. For some, like chromosomes 3, 12, 13, 18, 19 and 21, there is no apparent phenotypic consequence (Fig. 2). For others, like chromosomes 2, 4, 5, 8, 9, and 10, there may be, and sporadic cases have been described [5]. For chromosomes 6, 7, 11, 14, 15, 16 and 20, it has been well documented that UPD causes abnormality (Ta­ble 2) [5,11]. Kalousek and Barrett [12]caution that a phenotypic defect may be due to an accompanying placen­tal trisomy or undetected low-level mosaicism in the fetus rather than to the UPD itself. This might be a major reason for both normal and abnormal phenotypes in cases with UPD for the same chromosome.

 

Figure 1. The genesis of segmental UPD (of part of the short arm). In one cell of the early conceptus, the paternal and maternal homologues of a chromosome pair (a) undergo somatic recombination between the short arms (b, c). Segregation at mitosis (d) produces daughter cells with segmental UPD.

 

 

 

 

Term

 

Mechanism of Formation

 

Trisomy rescue

 

A disomic gamete is fertilized by a monosomic gamete. The resulting trisomic zy­gote loses one chromosome in early mitotic division. In one-third of cases, UPD for that chromosome is the result.

 

Mitotic duplication

 

A monosomic gamete is fertilized by a nullisomic gamete. The monosomic chromo­some is then duplicated in an early mitotic division.

 

Postfertilization error

 

A normal gamete is fertilized by a normal gamete. Then, in an early mitotic divi­sion, one homologous chromosome is lost, and subsequently, the one is duplicated or vice versa.

 

Gamete complementation

 

A disomic gamete is fertilized by a nullisomic gamete; UPD is already present in the zygote.

 

Table 1. Formation of uniparental disomy.

 




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