Uniparental disomy in fetuses diagnosed with balanced Robertsonian translocations: risk estimate.

Abstract:

:Forty-two fetuses with non-homologous Robertsonian translocations were analyzed for uniparental disomy (UPD). One fetus with a de novo translocation t(13q;14q) had maternal isodisomy of chromosome 14. In a summary of the published data (including the present study), 315 cases were analyzed for UPD after prenatal diagnosis of balanced Robertsonian translocations, of these two fetuses had UPD, giving a risk estimate of 0.65% (CI 0.2-2.3). This risk justifies the recommendation of UPD analysis in fetuses diagnosed prenatally with Robertsonian translocations, with the emphasis on the chromosomes known to contain imprinted genes, such as 14 and 15. We also discuss the possibility of UPD in offspring of Robertsonian translocation carriers with normal karyotype. Based on the risk for UPD in fetuses with Robertsonian translocation we suggest to test these fetuses for UPD and to do so on amniocytes rather than chorionic villi when the risk for unbalanced karyotype is approximately 1%, comparable to the risk for UPD.

journal_name

Prenat Diagn

journal_title

Prenatal diagnosis

authors

Silverstein S,Lerer I,Sagi M,Frumkin A,Ben-Neriah Z,Abeliovich D

doi

10.1002/pd.370

subject

Has Abstract

pub_date

2002-08-01 00:00:00

pages

649-51

issue

8

eissn

0197-3851

issn

1097-0223

journal_volume

22

pub_type

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