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The Principles of Clinical Cytogenetics - Extra Materials - Springer

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Genomic Imprinting and Uniparental Disomy 515<br />

INTRODUCTION<br />

From: <strong>The</strong> <strong>Principles</strong> <strong>of</strong> <strong>Clinical</strong> <strong>Cytogenetics</strong>, Second Edition<br />

Edited by: S. L. Gersen and M. B. Keagle © Humana Press Inc., Totowa, NJ<br />

515<br />

19<br />

Genomic Imprinting and Uniparental Disomy<br />

Jin-Chen C. Wang, MD<br />

Genomic imprinting refers to the process <strong>of</strong> differential modification and expression <strong>of</strong> parental<br />

alleles. As a result, the same gene can function differently depending on whether it is maternally or<br />

paternally derived. This concept is contrary to that <strong>of</strong> the traditional Mendelian inheritance in which<br />

genetic information contributed by either parent is assumed to be equivalent.<br />

<strong>The</strong> term “imprinting” was coined by Crouse (1) to describe the modification and the selective<br />

elimination <strong>of</strong> paternal X chromosomes from somatic and germline cells <strong>of</strong> the fly Sciara, in which<br />

the “imprint” a chromosome bears is determined only by the sex <strong>of</strong> the parent through which the<br />

chromosome has been inherited. It has since been used in many other species, including man (2).<br />

Evidence for the existence <strong>of</strong> genomic imprinting is manifold. Initial experimental approaches<br />

include studies in mouse embryos using nuclear-transplantation techniques (3–7). <strong>The</strong>se experiments<br />

involve the removal and reintroduction <strong>of</strong> pronuclei into zygotes, thus creating embryos that have either<br />

only the maternal or paternal genome. In parthenogenetic eggs (i.e., eggs that contain two maternal<br />

pronuclei and no paternal pronucleus), fetal development is relatively good but extraembryonic tissue<br />

development is poor. In contrast, in androgenetic eggs (i.e., eggs containing two paternal pronuclei and<br />

no maternal pronucleus), the development <strong>of</strong> extraembryonic tissue is good, but fetal development is<br />

poor. In either case, the embryos fail to reach term. Thus, both maternal and paternal genomes are<br />

required for normal development, and it appears that, at least in mice, the maternal genome is essential<br />

for embryogenesis, whereas the paternal genome is essential for placental development.<br />

<strong>The</strong> human equivalents to these observations in mice are the ovarian teratoma and the complete<br />

hydatidiform mole, and the two types <strong>of</strong> triploidy, namely digynic triploidy and diandric partial<br />

hydatidiform mole (see Chapter 8). Ovarian teratoma is an embryonal tumor that contains tissues<br />

predominantly derived from ectodermal germ layers, but also mesodermal and endodermal germ<br />

layers. <strong>The</strong> ovarian teratoma has been shown to be parthenogenetic and contains two sets <strong>of</strong> the<br />

maternal genome and no paternal genome (8). <strong>The</strong> complete mole, on the other hand, is androgenetic<br />

and contains two sets <strong>of</strong> the paternal genome and no maternal genome (9,10). Studies <strong>of</strong> the parental<br />

origin <strong>of</strong> the extra haploid set <strong>of</strong> chromosomes in triploids reveal that this is maternal (digynic triploidy)<br />

when severe intrauterine growth retardation and abnormally small placentas are seen, whereas<br />

it is paternal (diandric triploidy) in partial hydatidiform moles, in which the placenta is abnormally<br />

large (11–13). Intercross experiments in mice between either Robertsonian or reciprocal translocation<br />

carriers further demonstrate that maternal duplication/paternal deficiency or maternal deficiency/<br />

paternal duplication <strong>of</strong> certain mouse chromosomes or regions <strong>of</strong> chromosomes results in different<br />

phenotypic abnormalities (14).<br />

Observations <strong>of</strong> X-chromosome inactivation in different species and different tissues provide further<br />

evidence <strong>of</strong> imprinting. Although inactivation <strong>of</strong> the X chromosome in females <strong>of</strong> placental

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