Dual impact of uniparental disomy in imprinting and recessive disorders: a case of UPD(15) with unexpected inheritance and literature review

STRENGTHS AND LIMITATIONS OF THIS STUDY

  • Uniparental disomy can cause both imprinting disorders and recessive diseases in the same patient.

  • We report here the first case of Tay-Sachs disease transmitted via heterodisomy from a homozygous mother.

  • Trio analysis is crucial to detect uniparental disomy and guide accurate genetic counselling.

  • Introduction

    First described in 1980, the concept of UPD refers to the presence, in an individual, of either part or whole chromosomal pair inherited from a single parent.1 There are three subtypes of UPD: (1) isodisomy (isoUPD) in which the same identical chromosome is inherited twice from the same parent (whole chromosomal homology); (2) heterodisomy (heteroUPD) defined by the presence of two different homologous chromosomal pairs from the same parent; (3) mixed iso-/heterodisomy (mixedUPD) when both isodisomic and heterodisomic segments occur in one chromosome, resulting from meiotic recombination. UPD is estimated to occur in approximately 1 in 2000 births and is…