Liu Ning, Shi Panlai, Liu Li'na, Kong Xiangdong
Genetics and Prenatal Diagnosis Center, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450012, China.
Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2024 Jun 10;41(6):685-695. doi: 10.3760/cma.j.cn511374-20231113-00244.
Uniparental disomy (UPD)-related imprinting disorders are a group of congenital disorders which can lead to severe birth defects. Their molecular etiology is the occurrence of UPD in the genomic imprinting regions, which may cause disturbed expression of parent-of-origin imprinted genes. With the widespread applications of genetic testing techniques, the prenatal diagnosis of UPD-related imprinted diseases has gradually become clinical routines. However, due to the complicated pathogenesis of such disorders, currently there is still a lack of standards and norms for the understanding, diagnosis, management and genetic counseling. By referring to the relevant guidelines and consensus, the latest progress of research, and opinions from experts in the relevant fields, the writing group has formulated a consensus over the prenatal diagnosis and genetic counseling for UPD-related imprinting disorders, with an aim to provide a more accurate and rational evaluation in prenatal clinics.
单亲二体(UPD)相关的印记障碍是一组可导致严重出生缺陷的先天性疾病。其分子病因是基因组印记区域发生UPD,这可能导致源自亲本的印记基因表达紊乱。随着基因检测技术的广泛应用,UPD相关印记疾病的产前诊断已逐渐成为临床常规操作。然而,由于此类疾病的发病机制复杂,目前在认识、诊断、管理和遗传咨询方面仍缺乏标准和规范。写作组参考相关指南和共识、最新研究进展以及相关领域专家的意见,制定了关于UPD相关印记障碍产前诊断和遗传咨询的共识,旨在为产前诊所提供更准确、合理的评估。