Knoll J H, Glatt K A, Nicholls R D, Malcolm S, Lalande M
Division of Genetics, Children's Hospital, Boston, MA 02115.
Am J Hum Genet. 1991 Jan;48(1):16-21.
Genetic imprinting has been implicated in the etiology of two clinically distinct but cytogenetically indistinguishable disorders--Angelman syndrome (AS) and Prader-Willi syndrome (PWS). This hypothesis is derived from two lines of evidence. First, while the molecular extents of de novo cytogenetic deletions of chromosome 15q11q13 in AS and PWS patients are the same, the deletions originate from different parental chromosomes. In AS, the deletion occurs in the maternally inherited chromosome 15, while in PWS the deletion is found in the paternally inherited chromosome 15. The second line of evidence comes from the deletion of an abnormal parental contribution of 15q11q13 in PWS patients without a cytogenetic and molecular deletion. These patients have two maternal copies and no paternal copy of 15q11q13 (maternal uniparental disomy) instead of one copy from each parent. By qualitative hybridization with chromosome 15q11q13 specific DNA markers, we have now examined DNA samples from 10 AS patients (at least seven of which are familial cases) with no cytogenetic or molecular deletion of chromosome 15q11q13. Inheritance of one maternal copy and one paternal copy of 15q11q13 was observed in each family, suggesting that paternal uniparental disomy of 15q11q13 is not responsible for expression of the AS phenotype in these patients.
基因印记与两种临床症状不同但细胞遗传学特征无法区分的疾病——安吉尔曼综合征(AS)和普拉德-威利综合征(PWS)的病因有关。这一假说源于两条证据。首先,虽然AS和PWS患者中15q11q13染色体从头发生细胞遗传学缺失的分子范围相同,但这些缺失源自不同的亲本染色体。在AS中,缺失发生在母系遗传的15号染色体上,而在PWS中,缺失则出现在父系遗传的15号染色体上。第二条证据来自于没有细胞遗传学和分子缺失的PWS患者中15q11q13亲本异常贡献的缺失。这些患者有两个母系拷贝的15q11q13,而没有父系拷贝(母系单亲二体),而不是来自父母双方各一个拷贝。通过与15q11q13染色体特异性DNA标记进行定性杂交,我们现在检测了10例没有15q11q13染色体细胞遗传学或分子缺失的AS患者(其中至少7例为家族性病例)的DNA样本。在每个家族中均观察到15q11q13的一个母系拷贝和一个父系拷贝的遗传情况,这表明15q11q13的父系单亲二体与这些患者中AS表型的表达无关。