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Prevalence of Angelman syndrome and Prader–Willi syndrome in Estonian children: Sister syndromes not equally represented
Author(s) -
ÕiglaneShlik Eve,
Talvik Tiina,
Žordania Riina,
Põder Haide,
Kahre Tiina,
Raukas Elve,
Ilus Tiiu,
Tasa Gunnar,
Bartsch Oliver,
Väisänen MarjaLeena,
Õunap Katrin
Publication year - 2006
Publication title -
american journal of medical genetics part a
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.064
H-Index - 112
eISSN - 1552-4833
pISSN - 1552-4825
DOI - 10.1002/ajmg.a.31423
Subject(s) - angelman syndrome , uniparental disomy , chromosomal translocation , chromosome 15 , genetics , robertsonian translocation , chromosome , medicine , point mutation , biology , pediatrics , karyotype , mutation , gene
In 2000–2004, we performed a focused search for individuals with Angelman syndrome (AS) and Prader–Willi syndrome (PWS) aiming to establish the prevalence data for the individuals born between 1984 and 2004 in Estonia. All persons with probable AS or PWS (n = 184) were studied using the DNA methylation test. Individuals with abnormal methylation were all further tested by chromosomal and FISH analysis, and if necessary for uniparental disomy and UBE3A gene mutation. Nineteen cases with abnormal methylation test result were identified. Seven of them had AS, including six (85.7%) due to 15q11‐13 deletion and one paternal UPD15. Twelve subjects had PWS: 4 (33%) 15q11‐13 deletions, 6 (50%) maternal UPD15, 1 unbalanced chromosome 14;15 translocation resulting in a chromosome 15pter‐q13 deletion, and 1 Robertsonian 15q;15q translocation. The minimum livebirth prevalence in 1984–2004 for AS was 1:52,181 (95% CI 1:25,326–1:1,29,785) and for PWS 1:30,439 (95% CI 1:17,425–1:58,908). The livebirth prevalence of AS and PWS increased within this period, but the change was statistically significant only for PWS ( P = 0.032), from expected 1:88,495 (95% CI 1:24,390–1:3,22,580) to expected 1:12,547 (95% CI 1:540–1:29,154). Six individuals with AS and 11 with PWS were alive on the prevalence day (January 1, 2005), indicating the point prevalence proportion of 1:56,112 (95% CI 1:25,780–1:1,52,899) and 1:30,606 (95% CI 1:17,105–1:61,311), respectively. Our results showing the birth prevalence of AS 1.7 times less than PWS challenge the opinion that both syndromes are equally represented, and are in line with the view that mutations in sperm and oocytes occur at different frequencies. © 2006 Wiley‐Liss, Inc.