PMID- 19421899 OWN - NLM STAT- MEDLINE DCOM- 20091001 LR - 20221207 IS - 1355-008X (Print) IS - 1355-008X (Linking) VI - 36 IP - 1 DP - 2009 Aug TI - Clinical and genetic analysis for four Chinese families with Prader-Willi syndrome. PG - 37-44 LID - 10.1007/s12020-009-9203-1 [doi] AB - Prader-Willi syndrome (PWS) is a complex, genetic, multisystem disorder. Its major clinical features include neonatal hypotonia and failure to thrive, mental retardation, hypogonadism, short hands and feet, hyperphagia-caused obesity, and characteristic appearance. The genetic basis of PWS is also complex. It is caused by the absence of expression of the active paternal genes such as the SNRPN, NDN, and possibly others in the PWS critical region on 15q11-13. PWS is in effect a contiguous gene syndrome resulting from deletion of the paternal copies of the imprinted. Consensus in clinical diagnostic criteria was established in 1993. However, identifying relevant patients for tests remains a challenge for most practitioners, as many features of the disorder are nonspecific, and others can be subtle or evolved over time. Consequently, molecular genetic tests can be used to diagnose PWS accurately, allowing early diagnosis of the syndrome. High resolution G-banding, high resolution cytogenetic methylation-specific PCR (MS-PCR), and fluorescence in situ hybridization (FISH) are routinely used to diagnose PWS. In this study, four Chinese patients, with typical PWS features, were detected by MS-PCR and FISH. Three were cytogenetically normal, but lacked paternal expression of proximal chromosome 15q because of maternal uniparental disomy (UPD). The other one, however, demonstrated an unbalanced de novo translocation 46, XX, t (7; 15). FAU - Zhang, Yu-wen AU - Zhang YW AD - Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Shanghai Jiaotong University School of Medicine, Shanghai, 200025, People's Republic of China. FAU - Jia, Hui-ying AU - Jia HY FAU - Hong, Jie AU - Hong J FAU - Ge, Yan AU - Ge Y FAU - Zhang, Hui-jie AU - Zhang HJ FAU - Shen, Chun-fang AU - Shen CF FAU - Ye, Lei AU - Ye L FAU - Cui, Bin AU - Cui B FAU - Li, Xiao-ying AU - Li XY FAU - Gu, Wei-qiong AU - Gu WQ FAU - Zhang, Yi-fei AU - Zhang YF FAU - Wang, Wei-qing AU - Wang WQ FAU - Ning, Guang AU - Ning G LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090507 PL - United States TA - Endocrine JT - Endocrine JID - 9434444 SB - IM MH - Adolescent MH - Asian People/*genetics MH - Child MH - *Chromosomes, Human, Pair 15 MH - DNA Methylation MH - Family Health MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Obesity, Morbid/genetics/pathology MH - Polymerase Chain Reaction MH - Prader-Willi Syndrome/*genetics/pathology MH - *Translocation, Genetic MH - Young Adult EDAT- 2009/05/08 09:00 MHDA- 2009/10/02 06:00 CRDT- 2009/05/08 09:00 PHST- 2009/02/17 00:00 [received] PHST- 2009/04/09 00:00 [accepted] PHST- 2009/03/23 00:00 [revised] PHST- 2009/05/08 09:00 [entrez] PHST- 2009/05/08 09:00 [pubmed] PHST- 2009/10/02 06:00 [medline] AID - 10.1007/s12020-009-9203-1 [doi] PST - ppublish SO - Endocrine. 2009 Aug;36(1):37-44. doi: 10.1007/s12020-009-9203-1. Epub 2009 May 7.