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In a retrospective study, data were assessed from cases regarding PWS/AS that underwent molecular diagnosis at the National Chen-Kung University Hospital, Tainan, Taiwan, between January 2001 and December 2014.
Prader-Willi syndrome (PWS) and Angelman syndrome (AS) are two distinct syndromes of developmental impairment that result from loss of the expression of imprinted genes on the q11-q13 region of chromosome 15 (15q11-q13). Approximately 70%--75% of individuals affected with PWS and AS have an interstitial deletion of 15q11-q13. Regarding the remaining individuals with PWS, maternal uniparental disomy is the cause in 20% of cases, imprinting errors in 3% of cases, and chromosomal translocation in approximately 1% of cases. Regarding the remaining cases of AS, paternal uniparental disomy accounts for 2% of cases and mutations in the UBE3A gene for 20% of cases.The PWS/AS critical region was examined by fluorescence in situ hybridization (FISH), methylation-specific PCR (M-PCR), and methylation-specific multiplex-ligation dependent probe amplification(MS-MLPA). In a retrospective study at the National Chen-Kung University Hospital,Tainan, Taiwan, data were reviewed from cases that were referred for molecular diagnosis between January 1, 2001, and December 31, 2014.
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| Measure | Description | Time Frame |
|---|---|---|
| M-PCR(methylation-specific PCR) | Abnormal pattern of M-PCR can identify PWS or AS | up to 4 weeks after diagnosis |
| FISH(fluorescent in-situ hybridization) | A "FISH" test will identify PWS/AS due to a deletion, but it will not identify those by UPD or an imprinting error. | up to 4 weeks after diagnosis |
| STR(short tandem repeat) for UPD (uniparental disomy) | A '"STR" test can identify PWS/AS duo to paternal or maternal UPD. | up to 4 weeks after diagnosis |
| MS-MLPA (methylation-specific multiplex-ligation-dependent probe amplification) | Use of the quantitative MS-MLPA method provides detailed information about deletions, rare duplications, and possibly UPD | up to 4 weeks after diagnosis |
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Inclusion Criteria:
Exclusion Criteria:
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During January 1, 2001, and December 31, 2014, cases were referred for molecular diagnosis such as individual with clinical features related to Prader-Willi syndrome or Angelman syndrome ; fetus with deletion or duplication of chromosome 15q11.2-q13 visible by the microscope; fetus whose mother or father has chromosomal abnormality involving 15q11.2-q13 and fetus with mosaic trisomy 15
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| Name | Affiliation | Role |
|---|---|---|
| Pao-Lin Kuo, MD | Department of Obstetrics and Gynecology, National Chen-Kung University Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Cheng-Kung University Hospital | Tainan | 70428 | Taiwan |
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| ID | Term |
|---|---|
| D001523 | Mental Disorders |
| D005315 | Fetal Diseases |
| D024182 | Uniparental Disomy |
| ID | Term |
|---|---|
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
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fetal DNA extracted from amniocyte, cord blood, or chorionic villus
| D009630 | Nondisjunction, Genetic |
| D002869 | Chromosome Aberrations |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |