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1.
Cytogenet Genome Res ; 111(3-4): 250-5, 2005.
Article in English | MEDLINE | ID: mdl-16192701

ABSTRACT

Within the last decade, aberrant meiotic recombination has been confirmed as a molecular risk factor for chromosome nondisjunction in humans. Recombination tethers homologous chromosomes, linking and guiding them through proper segregation at meiosis I. In model organisms, mutations that disturb the recombination pathway increase the frequency of chromosome malsegregation and alterations in both the amount and placement of meiotic recombination are associated with nondisjunction. This association has been established for humans as well. Significant alterations in recombination have been found for all meiosis I-derived trisomies studied to date and a subset of so called "meiosis II" trisomy. Often exchange levels are reduced in a subset of cases where the nondisjoining chromosome fails to undergo recombination. For other trisomies, the placement of meiotic recombination has been altered. It appears that recombination too near the centromere or too far from the centromere imparts an increased risk for nondisjunction. Recent evidence from trisomy 21 also suggests an association may exist between recombination and maternal age, the most widely identified risk factor for aneuploidy. Among cases of maternal meiosis I-derived trisomy 21, increasing maternal age is associated with a decreasing frequency of recombination in the susceptible pericentromeric and telomeric regions. It is likely that multiple risk factors lead to nondisjunction, some age dependent and others age independent, some that act globally and others that are chromosome specific. Future studies are expected to shed new light on the timing and placement of recombination, providing additional clues to the link between altered recombination and chromosome nondisjunction.


Subject(s)
Aneuploidy , Meiosis , Recombination, Genetic , Female , Humans , Male , Nondisjunction, Genetic , Ovum/physiology , Spermatozoa/physiology
2.
Hum Reprod Update ; 9(4): 309-17, 2003.
Article in English | MEDLINE | ID: mdl-12926525

ABSTRACT

Trisomy is the most commonly identified chromosome abnormality in humans, occurring in at least 4% of all clinically recognized pregnancies; it is the leading known cause of pregnancy loss and of mental retardation. Over the past decade, molecular studies have demonstrated that most human trisomies originate from errors at maternal meiosis I. However, Klinefelter syndrome is a notable exception, as nearly one-half of all cases derive from paternal non-disjunction. In this review, the data on the origin of sex chromosome trisomies are summarized, focusing on the 47,XXY condition. Additionally, the results of recent genetic mapping studies are reviewed that have led to the identification of the first molecular correlate of autosomal and sex chromosome non-disjunction; i.e. altered levels and positioning of meiotic recombinational events.


Subject(s)
Chromosome Aberrations , Chromosomes, Human, X/genetics , Chromosomes, Human, Y/genetics , Klinefelter Syndrome/genetics , Recombination, Genetic , Humans
3.
Am J Hum Genet ; 69(2): 434-9, 2001 Aug.
Article in English | MEDLINE | ID: mdl-11443546

ABSTRACT

Attempts to identify genetic contributors to human meiotic nondisjunction have met with little, if any, success. Thus, recent reports linking Down syndrome to maternal polymorphisms at either of two folate metabolism enzymes, methylenetetrahydrofolate reductase (MTHFR) and methionine synthase reductase (MTRR), have generated considerable interest. In the present report, we asked whether variation at MTHFR (677C-->T) or MTRR (66A-->G) might be associated with human trisomies other than trisomy 21. We analyzed maternal polymorphisms at MTHFR and MTRR in 93 cases of sex-chromosome trisomy, 44 cases of trisomy 18, and 158 cases of autosomal trisomies 2, 7, 10, 13, 14, 15, 16, 18, or 22, and compared the distributions of genotypes to those of control populations. We observed a significant increase in the MTHFR polymorphism in mothers of trisomy 18 conceptuses but were unable to identify any other significant associations. Overall, our observations suggest that, at least for the sex chromosomes and for a combined set of autosomal trisomies, polymorphisms in the folate pathway are not a significant contributor to human meiotic nondisjunction.


Subject(s)
Chromosomes, Human, Pair 18/genetics , Folic Acid/metabolism , Nondisjunction, Genetic , Oxidoreductases Acting on CH-NH Group Donors/genetics , Polymorphism, Genetic/genetics , Trisomy/genetics , Case-Control Studies , DNA Mutational Analysis , England , Female , Ferredoxin-NADP Reductase/genetics , Ferredoxin-NADP Reductase/metabolism , Fetal Diseases/enzymology , Fetal Diseases/genetics , Fetal Diseases/metabolism , Gene Frequency/genetics , Genetic Predisposition to Disease/genetics , Humans , Meiosis/genetics , Methylenetetrahydrofolate Reductase (NADPH2) , Molecular Sequence Data , Ohio , Oxidoreductases Acting on CH-NH Group Donors/metabolism , Pregnancy , Sex Chromosome Aberrations/enzymology , Sex Chromosome Aberrations/genetics , Sex Chromosome Aberrations/metabolism , Trisomy/physiopathology
4.
Hum Mol Genet ; 10(9): 963-72, 2001 Apr 15.
Article in English | MEDLINE | ID: mdl-11309370

ABSTRACT

Despite the clinical importance of human aneuploidy, we know little of the causes of mammalian non-disjunction. In part, this reflects the fact that, unlike lower organisms, segregation 'impaired' chromosomes are virtually non-existent in mammals. To address this issue, we have studied the mouse Y chromosome on the BALB/cWt ('Wt') inbred background, a system in which loss of the Y chromosome in gonadal tissue has been linked to hermaphroditism. Our results indicate that the Wt Y chromosome is stably transmitted during meiotic cell divisions, but non-disjoins at an extremely high frequency in mitosis. Surprisingly, the non-disjunction events are largely restricted to the earliest cleavage divisions, indicating that there is a temporal 'window' during which the Wt Y chromosome is susceptible to non-disjunction. The non-disjunction phenotype has both cis and trans components: the Wt Y chromosome malsegregates on a variety of genetic backgrounds, demonstrating an intrinsic defect; however, the incidence of non-disjunction is significantly influenced by strain background, indicating the existence of modifying loci and thus providing evidence for a genetic effect on mammalian non-disjunction. These studies suggest that the earliest cell divisions in mammals are non-disjunction-prone, an interpretation which provides an explanation for the high rate of chromosome mosaicism observed in studies of in vitro fertilization (IVF)-derived human preimplantation embryos. Further, our observations raise the possibility that the IVF setting adversely affects chromosome segregation and suggest that genetic quality be an important consideration in any attempt to improve or modify in vitro procedures for use on human eggs and embryos.


Subject(s)
Embryo, Mammalian/physiology , Genotype , Nondisjunction, Genetic , Y Chromosome/genetics , Animals , Blastocyst/physiology , Chromosome Mapping , Chromosome Segregation , Female , Fetus/embryology , Fetus/physiology , Genetic Markers , In Situ Hybridization, Fluorescence , Male , Meiosis/genetics , Mice , Mice, Inbred BALB C , Mice, Inbred C57BL , Mitosis/genetics , Sex Differentiation , Spermatozoa/physiology
5.
Hum Mol Genet ; 10(3): 243-50, 2001 Feb 01.
Article in English | MEDLINE | ID: mdl-11159943

ABSTRACT

Human trisomy is attributable to many different mechanisms and the relative importance of each mechanism is highly chromosome specific. The association between altered recombination and maternal non-disjunction is well documented: reductions in recombination have been reported for maternal meiosis I (MI) errors involving chromosomes 15, 16, 18 and 21 and increased recombination has been reported for meiosis II (MII) errors involving chromosome 21. We therefore investigated maternal X chromosome non-disjunction, to determine whether the effects of recombination are unique to the X chromosome or similar to any of the autosomes thus far studied. We genotyped 45 47,XXX females and 95 47,XXY males of maternal origin. Our results demonstrate that 49% arose during MI, 29% during MII and 16% were postzygotic events; a further 7% were meiotic but could not be assigned as either MI or MII because of recombination at the centromere. Among the MI cases, a majority (56%) had no detectable transitions and so absent recombination is an important factor for X chromosome non-disjunction. However, similar to trisomy 15 and unlike trisomy 21, we observed a significant increase in the mean maternal age of transitional MI errors compared with nullitransitional cases. In our studies of MII errors, recombination appeared normal and there was no obvious effect of maternal age, distinguishing our results from MII non-disjunction of chromosomes 18 or 21. Thus, surprisingly, the risk factors associated with both MI and MII non-disjunction appear to be different for virtually every chromosome that has been adequately studied.


Subject(s)
Nondisjunction, Genetic , Sex Chromosomes/genetics , Adult , Chromosome Mapping , Crossing Over, Genetic , Family Health , Female , Humans , Male , Maternal Age , Meiosis , Microsatellite Repeats , Mitosis , Risk Factors , Terminology as Topic , Trisomy , X Chromosome/genetics
6.
Eur J Hum Genet ; 8(10): 805-8, 2000 Oct.
Article in English | MEDLINE | ID: mdl-11039584

ABSTRACT

We have used polymorphisms within the Xp/Yp pseudoautosomal region (PAR 1) to determine the frequency and location of recombination in 80 paternally derived 47, XXY males. Of 64 informative results, there were 10 single cross-overs, one double cross-over and 53 without a cross-over. Therefore 2/3 of 47, XXY males of paternal origin result from meiosis in which the X and Y chromosomes fail to recombine. This failure was not associated with the presence of an increase in recombination in the smaller Xq/Yq pseudoautosomal region (PAR 2) or with the presence of microdeletions within PAR 1.


Subject(s)
Sex Chromosome Aberrations/pathology , X Chromosome/genetics , Y Chromosome/genetics , Adult , Case-Control Studies , DNA/analysis , Female , Gene Deletion , Humans , Male , Microsatellite Repeats , Nondisjunction, Genetic , Recombination, Genetic , Telomere , X Chromosome/pathology , Y Chromosome/pathology
7.
J Biol Chem ; 275(51): 40434-42, 2000 Dec 22.
Article in English | MEDLINE | ID: mdl-11005810

ABSTRACT

Vascular smooth muscle cells (VSMC) at capacitance arteries of hypertensive individuals and animals undergo dramatic polyploidization that contributes toward their hypertrophic phenotype. We report here the identification of a defective mitotic spindle cell cycle checkpoint in VSMC isolated from capacitance arteries of pre-hypertensive rats. These cells demonstrated a high predisposition to polyploidization in culture and failed to maintain cyclin B protein levels in response to colcemid, a mitotic inhibitor. Furthermore, this altered mitotic spindle checkpoint status was associated with the overexpression of Cks1, a Cdc2 adapter protein that promotes cyclin B degradation. Cks1 up-regulation, cyclin B down-regulation, and VSMC polyploidization were evidenced at the smooth muscle of capacitance arteries of genetically hypertensive and Goldblatt-operated rats. In addition, angiotensin II infusion dramatically increased Cks1 protein levels at capacitance arteries of normotensive rats, and angiotensin II treatment of isolated VSMC abrogated their ability to down-regulate Cks1 and maintain cyclin B protein expression in response to colcemid. Finally, transduction of VSMC from normotensive animals with a retrovirus that drives the expression of Cks1 was sufficient to alter their mitotic spindle cell cycle checkpoint status and promote unscheduled cyclin B metabolism, cell cycle re-entry, and polyploidization. These data demonstrate that Cks1 regulates cyclin B metabolism and ploidy in VSMC and may contribute to the understanding of the phenomena of VSMC polyploidization during hypertension.


Subject(s)
Cyclin-Dependent Kinases/metabolism , Muscle, Smooth, Vascular/cytology , Polyploidy , Animals , Phenotype , Rats , Rats, Inbred SHR , Rats, Inbred WKY
8.
Proc Natl Acad Sci U S A ; 97(19): 10471-6, 2000 Sep 12.
Article in English | MEDLINE | ID: mdl-10984539

ABSTRACT

Nested chromosomal deletions are powerful genetic tools. They are particularly suited for identifying essential genes in development either directly or by screening induced mutations against a deletion. To apply this approach to the functional analysis of mouse chromosome 2, a strategy for the rapid generation of nested deletions with Cre recombinase was developed and tested. A loxP site was targeted to the Notch1 gene on chromosome 2. A targeted line was cotransfected with a second loxP site and a plasmid for transient expression of Cre. Independent random integrations of the second loxP site onto the targeted chromosome in direct repeat orientation created multiple nested deletions. By virtue of targeting in an F(1) hybrid embryonic stem cell line, F(1)(129S1xCast/Ei), the deletions could be verified and rapidly mapped. Ten deletions fell into seven size classes, with the largest extending six or seven centiMorgans. The cytology of the deletion chromosomes were determined by fluorescent in situ hybridization. Eight deletions were cytologically normal, but the two largest deletions had additional rearrangements. Three deletions, including the largest unrearranged deletion, have been transmitted through the germ line. Several endpoints also have been cloned by plasmid rescue. These experiments illustrate the means to rapidly create and map deletions anywhere in the mouse genome. They also demonstrate an improved method for generating nested deletions in embryonic stem cells.


Subject(s)
Chromosome Deletion , Receptors, Cell Surface , Transcription Factors , Animals , Hybrid Cells , Membrane Proteins/genetics , Mice , Molecular Sequence Data , Plasmids , Receptor, Notch1
9.
Clin Genet ; 57(5): 349-58, 2000 May.
Article in English | MEDLINE | ID: mdl-10852369

ABSTRACT

Paternal uniparental disomy (UPD) for chromosome 15 (UPD15), which is found in approximately 2% of Angelman syndrome (AS) patients, is much less frequent than maternal UPD15, which is found in 25% of Prader-Willi syndrome patients. Such a difference cannot be easily accounted for if 'gamete complementation' is the main mechanism leading to UPD. If we assume that non-disjunction of chromosome 15 in male meiosis is relatively rare, then the gain or loss of the paternal chromosome involved in paternal and maternal UPD15, respectively, may be more likely to result from a post-zygotic rather than a meiotic event. To test this hypothesis, the origin of the extra chromosome 15 was determined in 21 AS patients with paternal UPD15 with a paternal origin of the trisomy. Only 4 of 21 paternal UPD15 cases could be clearly attributed to a meiotic error. Furthermore, significant non-random X-chromosome inactivation (XCI) observed in maternal UPD15 patients (p < 0.001) provides indirect evidence that a post-zygotic error is also typically involved in loss of the paternal chromosome. The mean maternal and paternal ages of 33.4 and 39.4 years, respectively, for paternal UPD15 cases are increased as compared with normal controls. This may be simply the consequence of an age association with maternal non-disjunction leading to nullisomy for chromosome 15 in the oocyte, although the higher paternal age in paternal UPD15 as compared with maternal UPD15 cases is suggestive that paternal age may also play a role in the origin of paternal UPD15.


Subject(s)
Aneuploidy , Angelman Syndrome/genetics , Chromosome Segregation/genetics , Chromosomes, Human, Pair 15/genetics , Adult , DNA/analysis , Female , Gene Silencing , Humans , In Situ Hybridization, Fluorescence , Infant, Newborn , Male , Maternal Age , Microsatellite Repeats , Mosaicism/genetics , Paternal Age , Polymorphism, Restriction Fragment Length , X Chromosome/genetics , Zygote
10.
Am J Hum Genet ; 66(6): 1807-20, 2000 Jun.
Article in English | MEDLINE | ID: mdl-10801385

ABSTRACT

The origin of human triploidy is controversial. Early cytogenetic studies found the majority of cases to be paternal in origin; however, recent molecular analyses have challenged these findings, suggesting that digynic triploidy is the most common source of triploidy. To resolve this dispute, we examined 91 cases of human triploid spontaneous abortions to (1) determine the mechanism of origin of the additional haploid set, and (2) assess the effect of origin on the phenotype of the conceptus. Our results indicate that the majority of cases were diandric in origin because of dispermy, whereas the maternally-derived cases mainly originated through errors in meiosis II. Furthermore, our results indicate a complex relationship between phenotype and parental origin: paternally-derived cases predominate among "typical" spontaneous abortions, whereas maternally-derived cases are associated with either early embryonic demise or with relatively late demise involving a well-formed fetus. As the cytogenetic studies relied on analyses of the former type of material and the molecular studies on the latter sources, the discrepancies between the data sets are explained by differences in ascertainment. In studies correlating the origin of the extra haploid set with histological phenotype, we observed an association between paternal-but not maternal-triploidy and the development of partial hydatidiform moles. However, only a proportion of paternally derived cases developed a partial molar phenotype, indicating that the mere presence of two paternal genomes is not sufficient for molar development.


Subject(s)
Abortion, Spontaneous/complications , Abortion, Spontaneous/genetics , Chromosome Aberrations/genetics , Hydatidiform Mole/complications , Hydatidiform Mole/genetics , Polyploidy , Abortion, Spontaneous/physiopathology , Androgens/physiology , Chromosome Aberrations/physiopathology , Chromosome Disorders , Embryo Loss/complications , Embryo Loss/genetics , Embryo Loss/physiopathology , Female , Fetal Death/complications , Fetal Death/genetics , Fetal Death/physiopathology , Genotype , Gestational Age , Humans , Likelihood Functions , Male , Maternal Age , Meiosis/genetics , Microsatellite Repeats/genetics , Models, Genetic , Phenotype , Placenta/pathology , Polymorphism, Genetic/genetics , Pregnancy , Sex Characteristics , Spermatozoa/metabolism , Spermatozoa/pathology
11.
Arch Dis Child ; 81(2): 147-50, 1999 Aug.
Article in English | MEDLINE | ID: mdl-10490523

ABSTRACT

AIMS: To examine the age of onset of insulin dependent diabetes mellitus (IDDM) in children with Down's syndrome compared with non-trisomic individuals, and to assess whether differences might be related to disomic homozygosity at the autoimmune polyglandular disease type 1 (APECED) gene locus. METHODS: Children with Down's syndrome and IDDM were identified through the Down's syndrome association newsletter and from paediatricians. DNA was extracted from mouthbrush preparations provided by the parents and patients using standard techniques. Mapping techniques were then used to identify areas of reduction to homozygosity, including a marker that overlaps the locus for APECED. The frequency of disomic homozygosity for all markers (n = 18) was compared with a control group of 99 patients with Down's syndrome and their parents. The families also answered a questionnaire concerning diabetes and related autoimmune conditions in the family. Details were compared with the British Paediatric Surveillance Group 1988 diabetes study. RESULTS: Children with Down's syndrome and IDDM were diagnosed significantly earlier than the general population (6.7 v 8.0 years) with a far higher proportion diagnosed in the first 2 years of life (22% v 7%). There was no evidence of increased disomic homozygosity in the region of the APECED locus in Down's syndrome patients with IDDM compared with simple Down's syndrome. CONCLUSIONS: The natural history of IDDM in Down's syndrome is different from that of the general population. Although children with Down's syndrome have features similar to cases of APECED, disomic homozygosity in this region does not explain the predilection for autoimmune disease.


Subject(s)
Autoimmunity/genetics , Diabetes Mellitus, Type 1/genetics , Down Syndrome/genetics , Homozygote , Polyendocrinopathies, Autoimmune/genetics , Adolescent , Child , Child, Preschool , Chromosome Mapping , DNA/analysis , Diabetes Mellitus, Type 1/complications , Down Syndrome/complications , Humans , Infant , Infant, Newborn , Parents , Polyendocrinopathies, Autoimmune/complications
12.
Am J Ind Med ; 36(2): 230-8, 1999 Aug.
Article in English | MEDLINE | ID: mdl-10398931

ABSTRACT

BACKGROUND: A study of the prevalence of sperm aneuploidy among pesticide factory workers was conducted in Anhui, China. METHODS: We recruited 75 men: 32 subjects from a large pesticide-manufacturing plant and 43 subjects from a nearby textile factory free of pesticide exposure. Each subject met the following criteria: age of 20-40 years; continuous work in the plant for 3 months prior to the study, no congenital anomalies or acquired disease of the external genitalia and no history of recent febrile illness or mumps. Within one hour after collection from each subject, semen was evaluated in terms of several parameters and smear slides were prepared. RESULTS: Exposure assessment revealed that workers in the pesticide plant were exposed to ethyl parathion or methamidophos, each of which is a potent organophosphate pesticide, at a median level of 0.02 mg/m3 (8-hour time weighted average as measured by personal pump) while workers in the control plant had no such occupational exposure. Twenty-nine semen slides (13 from the exposed group and 16 from the unexposed group) were randomly chosen for aneuploidy scoring by the three-color fluorescence in situ hybridization (FISH) method with scorers being unaware of exposure status. Median semen parameters were as follows for exposed (and unexposed) men: abstinence period, 3 days (4 days); sperm concentration, 52.8x10(6)/ml (53.1x10(6)/ml); proportion of sperm with normal motility, 50.5% (61.3%); and proportion of sperm with normal morphology, 59% (61.5%). The specific chromosome abnormalities of interest were disomy for chromosome 18 and the three different types of sex chromosome disomy (i.e. XX, XY, YY disomy). The crude proportion of all aneuploidy combined was 0.30% and 0.19% for sperm from exposed and unexposed men, respectively. Poisson regression with overdispersion adjustment yielded significantly different crude risks of aneuploidy - 3.03 and 1.94 per 1,000 sperm from exposed and unexposed men, respectively - giving a rate ratio of 1.56 (95% CI, 1.06-2.31). The regression coefficients remained statistically significant after adjustment for inter-technician variability giving a rate ratio of 1.51 (95% CI, 1. 04-2.20). CONCLUSIONS: We conclude that occupational exposure to organophosphate pesticides moderately increases the prevalence of sperm aneuploidy.


Subject(s)
Aneuploidy , DNA/drug effects , In Situ Hybridization, Fluorescence , Insecticides/adverse effects , Occupational Diseases/chemically induced , Spermatozoa/drug effects , Adult , Chemical Industry , China , Chromosomes, Human, Pair 18/drug effects , Chromosomes, Human, Pair 18/genetics , Confidence Intervals , Humans , Male , Methyl Parathion/adverse effects , Occupational Diseases/diagnosis , Occupational Exposure , Odds Ratio , Organothiophosphorus Compounds/adverse effects , Parathion/adverse effects , Poisson Distribution , Prevalence , Regression Analysis , Sperm Count/drug effects , Sperm Motility/drug effects , Textile Industry , X Chromosome/drug effects , X Chromosome/genetics , Y Chromosome/drug effects , Y Chromosome/genetics
13.
Hum Reprod ; 14(5): 1151-6, 1999 May.
Article in English | MEDLINE | ID: mdl-10325252

ABSTRACT

Male mammals with two X chromosomes are sterile due to the loss of virtually all germ cells in the differentiating testis. The survival of rare germ cells, however, can give rise to patches of normal-appearing spermatogenesis in the adult testis. Intracytoplasmic sperm injection (ICSI) makes possible the establishment of a pregnancy using spermatozoa from severely oligozoospermic men and, indeed, has been successful using spermatozoa from human 47,XXY (Klinefelter syndrome) males. The risk of an abnormal pregnancy, however, may be significantly increased since several studies have demonstrated elevated levels of aneuploidy in spermatozoa from Klinefelter syndrome men. This has been suggested to reflect the consequences of meiotic segregation in XXY germ cells; however, it is also possible that it is a consequence of abnormalities in meiotic regulation in the XXY testis. We have addressed this question experimentally in the XXY male mouse. Analysis of testicular spermatozoa from XXY and control males demonstrates a significant increase in meiotic aneuploidy in the XXY mouse. Since previous studies have demonstrated that germ cells in the adult XXY testis are exclusively XY, the meiotic abnormalities observed must be attributable to segregation errors in XY germ cells. These findings have potential significance for ICSI pregnancies using spermatozoa from other types of male factor infertility patients, since they raise the possibility that increased meiotic errors are a generalized feature of the severely oligozoospermic testis.


Subject(s)
Aneuploidy , Klinefelter Syndrome/genetics , Meiosis , Testis/physiology , Animals , Cell Differentiation/physiology , Cell Survival/physiology , Diploidy , Disease Models, Animal , Environment , Genetic Testing , Humans , In Situ Hybridization, Fluorescence , Male , Mice , Reproducibility of Results , Risk Factors , Spermatogenesis/physiology
14.
Genet Med ; 1(3): 80-8, 1999.
Article in English | MEDLINE | ID: mdl-11336457

ABSTRACT

PURPOSE: We examined maternal smoking and oral contraceptive use as possible risk factors in the genesis of cases of trisomy 21 of maternal origin. This is the first epidemiological study to categorize cases of trisomy 21 by parent of origin and timing of the meiotic error before assessing possible risk factors. METHODS: We used chromosome 21-specific DNA markers to assign origin to each case. Structured interviews were employed to determine maternal smoking and oral contraceptive use around conception. RESULTS: The odds ratio (OR) for maternal smoking was significantly increased among younger mothers (OR = 2.98; 95% CI = 1.01-8.87), but only in a particular subset of meiotically-derived cases. The combined use of cigarettes and oral contraceptives increased the risk further (OR = 7.62; 95% CI = 1.63-35.6); however, oral contraceptive use alone was not a significant risk factor. CONCLUSION: Our results indicate that categorizing cases of trisomy 21 by parent and timing of the meiotic error allows more precision in identifying risk factors and may shed light on mechanisms of meiotic nondisjunction.


Subject(s)
Contraceptives, Oral/adverse effects , Down Syndrome/epidemiology , Smoking/adverse effects , Adult , Blotting, Southern , Case-Control Studies , Down Syndrome/etiology , Down Syndrome/genetics , Drug Interactions , Epidemiologic Factors , Female , Genetic Markers , Humans , Infant, Newborn , Interviews as Topic , Odds Ratio , Polymerase Chain Reaction , Pregnancy , Risk Factors , Surveys and Questionnaires
15.
J Med Genet ; 35(11): 924-31, 1998 Nov.
Article in English | MEDLINE | ID: mdl-9832040

ABSTRACT

Recently, there have been several molecular studies of trisomic fetuses and liveborns which have examined the parent and meiotic stage of origin of nondisjunction. However, little is known about the possible phenotypic effects of the origin of trisomy. For trisomic spontaneous abortions, no distinct phenotype has been described, although some have been reported to have features, such as trophoblastic hyperplasia, similar to hydatidiform moles. In the present report, we describe molecular and histological studies of spontaneous abortions with trisomies 2, 7, 15, or 22, conditions occasionally linked to trophoblastic hyperplasia. Our results provide strong evidence for chromosome specific mechanisms of nondisjunction, with trisomy 2 having a high frequency of paternally derived cases and trisomy 7 typically originating postzygotically. In studies correlating parental origin of trisomy with phenotype, we found no difference in the proportion of cases with trophoblastic hyperplasia, fetal tissue, nucleated red blood cells, or hydropic villi among paternally or maternally derived trisomies 2, 7, 15, or 22. However, paternally derived trisomies tended to abort earlier than maternally derived trisomies. This suggests that parental origin might affect the developmental stage at which abortion occurs but not other features of placental phenotype.


Subject(s)
Chromosomes, Human, Pair 15 , Chromosomes, Human, Pair 22 , Chromosomes, Human, Pair 2 , Chromosomes, Human, Pair 7 , Genomic Imprinting , Nondisjunction, Genetic , Placenta/pathology , Trisomy , Abortion, Spontaneous/etiology , Abortion, Spontaneous/genetics , Female , Humans , Pregnancy , Trophoblastic Neoplasms/genetics , Trophoblastic Neoplasms/pathology , Trophoblastic Tumor, Placental Site/genetics , Trophoblastic Tumor, Placental Site/pathology
16.
Am J Med Genet ; 80(3): 213-7, 1998 Nov 16.
Article in English | MEDLINE | ID: mdl-9843040

ABSTRACT

Mental retardation and hypotonia are found in virtually all Down syndrome (DS) individuals, whereas congenital heart defects (CHDs) are only present in a subset of cases. Although there have been numerous reports of the frequency of CHDs in DS, few of the studies have had complete ascertainment of DS in a defined geographic area. The Atlanta Down Syndrome Project, a population-based study of infants born with trisomy 21, provides such a resource. In the first 6.5 years of the study, 243 trisomy 21 livebirths were identified in the five-county Atlanta area (birth prevalence: 9.6/10,000). Cardiac diagnoses were available on 227 (93%) of the cases and 89% of these evaluations were made by echocardiography, cardiac catheterization, surgery, or autopsy. Of the 227 DS infants, 44% had CHDs including 45% atrioventricular septal defect (with or without other CHDs), 35% ventricular septal defect (with or without other CHDs), 8% isolated secundum atrial septal defect, 7%, isolated persistent patent ductus arteriosus, 4% isolated tetralogy of Fallot, and 1% other. This report is unique in that it contains the largest number of trisomy 21 infants ascertained in a population-based study where modern techniques for diagnosing cardiac abnormalities predominate.


Subject(s)
Down Syndrome/physiopathology , Heart Defects, Congenital , Humans , Infant, Newborn
17.
Am J Med Genet ; 79(5): 366-72, 1998 Oct 12.
Article in English | MEDLINE | ID: mdl-9779803

ABSTRACT

About 20% of all human conceptuses are estimated to be trisomic and trisomy of all chromosomes remains a common cause of early fetal loss. Uniparental disomy (UPD) has been reported for most human chromosomes and may be an underrecognized contributor to embryonic lethality. To investigate the contribution of UPD to spontaneous abortions, we devised a genome-based screening strategy to identify holochromosomic UPD in 18 fetal losses. No cases of UPD were identified using this approach. Based on our data, UPD does not appear to be a significant contributor to early embryonic lethality. The results of the study are presented along with a review of the cases of UPD reported in the literature by chromosome, parental origin, mode of ascertainment, and phenotypic consequences due to imprinting.


Subject(s)
Chromosomes, Human/genetics , Fetal Death , Chromosomes, Human, 1-3/genetics , Chromosomes, Human, 13-15/genetics , Chromosomes, Human, 16-18/genetics , Chromosomes, Human, 19-20/genetics , Chromosomes, Human, 21-22 and Y/genetics , Chromosomes, Human, 4-5/genetics , Chromosomes, Human, 6-12 and X/genetics , Female , Genetic Markers , Genomic Imprinting/genetics , Humans , Karyotyping/methods , Male , Mosaicism , Polymorphism, Genetic/genetics , Pregnancy , Trisomy/genetics , X Chromosome/genetics
18.
Hum Mol Genet ; 7(8): 1221-7, 1998 Aug.
Article in English | MEDLINE | ID: mdl-9668162

ABSTRACT

Paternal non-disjunction of chromosome 21 accounts for 5-10% of Down syndrome cases, therefore, relative to the maternally derived cases, little is known about paternally derived trisomy 21. We present the first analysis of recombination and non-disjunction for a large paternally derived population of free trisomy 21 conceptuses ( n = 67). Unlike maternal cases where the ratio of meiosis I (MI) to meiosis II (MII) errors is 3:1, a near 1:1 ratio exists among paternal cases, with a slight excess of MII errors. We found no paternal age effect for the overall population nor when classifying cases according to stage of non-disjunction error. Among 22 MI cases, only five had an observable recombinant event. This differs significantly from the 11 expected events ( P < 0.02, Fisher's exact), suggesting reduced recombination along the non-disjoined chromosomes 21 involved in paternal MI non-disjunction. No difference in recombination was detected among 27 paternal MII cases as compared with controls. However, cases exhibited a slight increase in the frequency of proximal and medial exchange when compared with controls (0.37 versus 0.28, respectively). Lastly, this study confirmed previous reports of excess male probands among paternally derived trisomy 21 cases. However, we report evidence suggesting an MII stage-specific sex ratio disturbance where 2.5 male probands were found for each female proband. Classification of MII cases based on the position of the exchange event suggested that the proband sex ratio disturbance was restricted to non-telomeric exchange cases. Based on these findings, we propose new models to explain the association between paternally derived trisomy 21 and excessive male probands.


Subject(s)
Chromosomes, Human, Pair 21 , Down Syndrome/genetics , Recombination, Genetic , Female , Humans , Male , Paternal Age , Trisomy
19.
Chromosoma ; 107(3): 166-72, 1998 Jun.
Article in English | MEDLINE | ID: mdl-9639654

ABSTRACT

In species with chiasmate meioses, alterations in genetic recombination are an important correlate of nondisjunction. In general, these alterations fall into one of two categories: either homologous chromosomes fail to pair and/or recombine at meiosis I, or they are united by chiasmata that are suboptimally positioned. Recent studies of human nondisjunction suggest that these relationships apply to our species as well. However, methodological limitations in human genetic mapping have made it difficult to determine whether the important determinant(s) in human nondisjunction is absent recombination, altered recombination, or both. In the present report, we describe somatic cell hybrid studies of chromosome 21 nondisjunction aimed at overcoming this limitation. By using hybrids to "capture" individual chromosomes 21 of the proband and parent of origin of trisomy, it is possible to identify complementary recombinant meiotic products, and thereby to uncover crossovers that cannot be detected by conventional mapping methods. In the present report, we summarize studies of 23 cases. Our results indicate that recombination in proximal 21q is infrequent in trisomy-generating meioses and that, in a proportion of the meioses, recombination does not occur anywhere on 21q. Thus, our observations indicate that failure to recombine is responsible for a proportion of trisomy 21 cases.


Subject(s)
Centromere/genetics , Nondisjunction, Genetic , Chromosomes, Human, Pair 21/genetics , Down Syndrome/genetics , Electrophoresis, Gel, Pulsed-Field , Family Health , Female , Genetic Markers/genetics , Genotype , Humans , Hybrid Cells/metabolism , Male , Meiosis/genetics , Mothers , Recombination, Genetic/genetics , Trisomy
20.
Hum Mol Genet ; 7(6): 1011-9, 1998 Jun.
Article in English | MEDLINE | ID: mdl-9580665

ABSTRACT

Non-disjoined chromosomes 15 from 115 cases of uniparental disomy (ascertained through Prader-Willi syndrome) and 13 cases of trisomy of maternal origin were densely typed for microsatellite loci spanning chromosome 15q. Of these 128 cases a total of 97 meiosis I (MI) errors, 19 meiosis II (MII) errors and 12 mitotic errors were identified. The genetic length of a map created from the MI errors was 101 cM, as compared with a maternal length of 137 cM based on CEPH controls. No significant differences were detected in the distribution of recombination events along the chromosome arm and a reduction was seen for most of the chromosome 15 intervals examined. It was estimated that 21% of tetrads leading to MI non-disjunction were achiasmate, which may account for most or all of the reduction in recombination noted. The mean age of mothers of cases involving MI errors which showed no transitions from heterodisomy to isodisomy was significantly lower (32.7) than cases showing one or more observable transitions (36.3) (P < 0.003, t -test). However, even among chiasmate pairs the highest mean maternal age was seen for multiple exchange tetrads. Chromosome-specific differences in maternal age effects may be related to the normal distribution of exchanges (and their individual susceptibilities) for each chromosome. However, they may also reflect the presence of multiple factors which act to ensure normal segregation, each affected by maternal age in a different way and varying in importance for each chromosome.


Subject(s)
Chromosomes, Human, Pair 15 , Maternal Age , Meiosis , Nondisjunction, Genetic , Recombination, Genetic , Female , Genetic Markers , Humans , Trisomy
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