Diagnostic Possibilities of Prader-
Willi and of Angelman Syndromes
Čalounová G.1, Bóday A.1,3, Havlovicová M.1, Zumrová A.2, Kočárek E.1, Novotná D.1, Maříková T.1, Apltová L.1, Števove J.1, Goetz P.1
1 Ústav biologie a lékařské genetiky, 2. LF UK a FN Motol, Praha 2 Klinika dětské neurologie, 2. LF UK a FN Motol, Praha 3 Onkologické centrum J. G. Mendela, Nový Jičín |
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Summary:
Prader-Willi syndrome (PWS) and Angelman syndrome (AS)
are two different multisystem neurogenetic disorders linked by
chromosomal region 15q11-q13. The part of DNA is significant
by containing some genes whose regulation of expression is
under the influence of genomic imprinting. These syndromes
are caused by the absence of inherited region 15q11-q13; either
by paternal (PWS) or maternal region (AS). The absence of
gene expression arises due to deletions, uniparental disomies,
mutations in imprinting centre and mutations in UBE3A gene.
There are lots of diagnostic tools used in laboratories detecting
causal mutations based on cytogenetics, molecular-cytogenetics
and molecular genetics. This article has presented particularly the techniques confirming PWS/AS clinic diagnoses, their effectiveness, differentiation ability, advantages
and disadvantages. Our objective is to point out the importance of combining the methods to determine and
specify the absence of inherited material with the aim to confirm diagnoses effectively, to compare genotype
with phenotype, and to estimate the recurrence risks in a proband’s family. The article has been based
on long-term routine as well as research experience, and has summarized the progression of methods used
in our laboratory.
Key words:
PWS, AS, chromosomal region 15q11-q13, FISH, STR analysis, methylation analysis
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