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Detection of germline mosaicism in fathers of children with intellectual disability syndromes caused by de novo variants.


ABSTRACT:

Background

De novo variants are a common cause to rare intellectual disability syndromes, associated with low recurrence risk. However, when such variants occur pre-zygotically in parental germ cells, the recurrence risk might be higher. Still, the recurrence risk estimates are mainly based on empirical data and the prevalence of germline mosaicism is often unknown.

Methods

To establish the prevalence of mosaicism in parents of children with intellectual disability syndromes caused by de novo variants, we performed droplet digital PCR on DNA extracted from blood (43 trios), and sperm (31 fathers).

Results

We detected low-level mosaicism in sperm-derived DNA but not in blood in the father of a child with Kleefstra syndrome caused by an EHMT1 variant. Additionally, we found a higher level of paternal mosaicism in sperm compared to blood in the father of a child with Gillespie syndrome caused by an ITPR1 variant.

Conclusion

By employing droplet digital PCR, we detected paternal germline mosaicism in two intellectual disability syndromes. In both cases, the mosaicism level was higher in sperm than blood, indicating that analysis of blood alone may underestimate germline mosaicism. Therefore, sperm analysis can be clinically useful to establish the recurrence risk for parents and improve genetic counselling.

SUBMITTER: Frisk S 

PROVIDER: S-EPMC9000944 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature

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Publications

Detection of germline mosaicism in fathers of children with intellectual disability syndromes caused by de novo variants.

Frisk Sofia S   Wachtmeister Alexandra A   Laurell Tobias T   Lindstrand Anna A   Jäntti Nina N   Malmgren Helena H   Lagerstedt-Robinson Kristina K   Tesi Bianca B   Taylan Fulya F   Nordgren Ann A  

Molecular genetics & genomic medicine 20220204 4


<h4>Background</h4>De novo variants are a common cause to rare intellectual disability syndromes, associated with low recurrence risk. However, when such variants occur pre-zygotically in parental germ cells, the recurrence risk might be higher. Still, the recurrence risk estimates are mainly based on empirical data and the prevalence of germline mosaicism is often unknown.<h4>Methods</h4>To establish the prevalence of mosaicism in parents of children with intellectual disability syndromes cause  ...[more]

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