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母源 21 号染色体单亲二体导致的假排除父源性。

Maternal uniparental disomy of chromosome 21 as a cause of pseudo-exclusion from paternity.

机构信息

Medical Genomics LLC, 48 Zhelyabov Str, Tver, 170100, Russian Federation.

出版信息

Mol Genet Genomics. 2023 Nov;298(6):1389-1394. doi: 10.1007/s00438-023-02064-8. Epub 2023 Sep 1.

DOI:10.1007/s00438-023-02064-8
PMID:37656271
Abstract

Uniparental disomy (UPD) is a rare chromosomal condition, which apart from its importance in medical genetics can affect an outcome of parentage DNA testing, often causing pseudo exclusions. We describe a case of trio paternity test using 24 informative STR loci with potential exclusion at 2 systems located on chromosome 21. Consequent genotyping of an additional 25 autosomal and 27 Y-specific STRs revealed one other inconsistency, also located on this chromosome. All three inconsistent markers had the same heteroallelic state between the child and the biological mother providing evidence for maternal heterodisomy of chromosome 21. The case highlights the importance of considering UPD as a cause of genetic inconsistencies, especially when the inconsistent marker systems are located on the same chromosome.

摘要

单亲二体(UPD)是一种罕见的染色体情况,除了在医学遗传学中的重要性外,还可能影响亲子 DNA 检测的结果,通常导致假排除。我们描述了使用 24 个信息丰富的 STR 位点对三父子进行亲子鉴定的案例,这两个系统位于 21 号染色体上,具有潜在的排除性。随后对另外 25 个常染色体和 27 个 Y 特异性 STR 进行基因分型,发现另一个不一致的标记也位于这条染色体上。三个不一致的标记在孩子和生母之间都具有相同的杂合等位状态,这为 21 号染色体的母体单亲二体提供了证据。该案例强调了将 UPD 视为遗传不一致的原因的重要性,特别是当不一致的标记系统位于同一染色体上时。

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Mol Genet Genomics. 2023 Nov;298(6):1389-1394. doi: 10.1007/s00438-023-02064-8. Epub 2023 Sep 1.
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引用本文的文献

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Lessons from a phenotypically normal infant with uniparental isodisomy of chromosome 21: a Case Report and review.一名21号染色体单亲等臂双体的表型正常婴儿的经验教训:病例报告及文献复习
Front Genet. 2025 Mar 5;16:1544565. doi: 10.3389/fgene.2025.1544565. eCollection 2025.

本文引用的文献

1
Uniparental disomy of chromosome 21: A statistical approach and application in paternity tests.单亲二体性 21 号染色体:一种在亲子鉴定中的统计方法及应用。
Forensic Sci Int Genet. 2020 Nov;49:102368. doi: 10.1016/j.fsigen.2020.102368. Epub 2020 Aug 22.
2
Diagnostic testing for uniparental disomy: a points to consider statement from the American College of Medical Genetics and Genomics (ACMG).单亲二体的诊断检测:美国医学遗传学与基因组学学会(ACMG)的一份要点声明
Genet Med. 2020 Jul;22(7):1133-1141. doi: 10.1038/s41436-020-0782-9. Epub 2020 Apr 16.
3
Multiple methods used for type detection of uniparental disomy in paternity testing.
在亲权鉴定中用于单亲二体性类型检测的多种方法。
Int J Legal Med. 2020 May;134(3):885-893. doi: 10.1007/s00414-019-02215-w. Epub 2019 Dec 6.
4
A paternity case with three genetic incompatibilities between father and child due to maternal uniparental disomy 21 and a mutation at the Y chromosome.一例因母源单亲二体21和Y染色体突变导致父子之间存在三种基因不相容性的亲子鉴定案例。
Forensic Sci Int Genet. 2009 Mar;3(2):141-3. doi: 10.1016/j.fsigen.2008.09.010. Epub 2008 Nov 13.
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ISFG: Recommendations on biostatistics in paternity testing.国际法医遗传学会:亲子鉴定中的生物统计学建议。
Forensic Sci Int Genet. 2007 Dec;1(3-4):223-31. doi: 10.1016/j.fsigen.2007.06.006. Epub 2007 Aug 6.
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Mother-child exclusion due to paternal uniparental disomy 6.因父源单亲二体6导致的母婴排除。
Int J Legal Med. 2006 Sep;120(5):282-5. doi: 10.1007/s00414-006-0077-y. Epub 2006 Apr 8.
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Review and meta-analysis of systematic searches for uniparental disomy (UPD) other than UPD 15.对除15号染色体单亲二倍体(UPD)之外的其他单亲二倍体(UPD)进行系统检索的综述与荟萃分析。
Am J Med Genet. 2002 Sep 1;111(4):366-75. doi: 10.1002/ajmg.10569.
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American College of Medical Genetics statement of diagnostic testing for uniparental disomy.美国医学遗传学学会关于单亲二体诊断检测的声明
Genet Med. 2001 May-Jun;3(3):206-11. doi: 10.1097/00125817-200105000-00011.
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Mechanisms leading to uniparental disomy and their clinical consequences.导致单亲二体的机制及其临床后果。
Bioessays. 2000 May;22(5):452-9. doi: 10.1002/(SICI)1521-1878(200005)22:5<452::AID-BIES7>3.0.CO;2-K.
10
Pseudo-exclusion from paternity due to maternal uniparental disomy 16.由于母体单亲二倍体16导致的假父系排除
Int J Legal Med. 1998;111(6):328-30. doi: 10.1007/s004140050181.