Abstract |
Hirschsprung disease (HSCR, aganglionic megacolon) is a complex and heterogeneous disease with an incidence of 1 in 5000 live births. Despite the multifactorial determination of HSCR in the vast majority of cases, there is a monogenic subgroup for which private rare RET coding sequence mutations with high penetrance are found (45% of HSCR familial cases). An asymmetrical parental origin is observed for RET coding sequence mutations with a higher maternal inheritance. A parent-of-origin effect is usually assumed. Here we show that a differential reproductive rate for males and females also leads to an asymmetrical parental origin, which was never considered as a possible explanation till now. In the case of HSCR, we show a positive association between penetrance of the mutation and parental transmission asymmetry: no parental transmission asymmetry is observed in sporadic RET CDS mutation carrier cases for which penetrance of the mutation is low, whereas a parental transmission asymmetry is observed in affected sib-pairs for which penetrance of the mutation is higher. This allows us to conclude that the explanation for this parental asymmetry is that more severe mutations have resulted in a differential reproductive rate between male and female carriers.
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Authors | Anne-Sophie Jannot, Jeanne Amiel, Anna Pelet, Francesca Lantieri, Raquel M Fernandez, Joke B G M Verheij, Merce Garcia-Barcelo, Stacey Arnold, Isabella Ceccherini, Salud Borrego, Robert M W Hofstra, Paul K H Tam, Arnold Munnich, Aravinda Chakravarti, Françoise Clerget-Darpoux, Stanislas Lyonnet |
Journal | European journal of human genetics : EJHG
(Eur J Hum Genet)
Vol. 20
Issue 9
Pg. 917-20
(Sep 2012)
ISSN: 1476-5438 [Electronic] England |
PMID | 22395866
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
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Chemical References |
- Proto-Oncogene Proteins c-ret
- RET protein, human
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Topics |
- Alleles
- Female
- Gene Frequency
- Hirschsprung Disease
(genetics)
- Humans
- Inheritance Patterns
- Male
- Mutation Rate
- Open Reading Frames
- Pedigree
- Penetrance
- Proto-Oncogene Proteins c-ret
(genetics)
- Reproduction
(genetics)
- Sex Factors
- Siblings
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