PMID- 37223137 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230525 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 15 IP - 4 DP - 2023 Apr TI - The Diagnosis and Genetic Mechanisms of Prader-Willi Syndrome: Findings From a Moroccan Population Study. PG - e37866 LID - 10.7759/cureus.37866 [doi] LID - e37866 AB - Background Prader-Willi syndrome (PWS) is a complex genetic disorder caused by a deficit in gene expression on the paternal inherited chromosome 15q11.2-q13. It affects various aspects of growth and development, including feeding, cognitive function, and behavior. Early diagnosis and management of PWS can significantly improve outcomes for patients and their families. Methods In this study, we analyzed a group of 29 clinically diagnosed patients suspected of PWS. All patients were referred to the medical genetics and onco-genetics service for genetic consultation and molecular analysis. We used DNA methylation analysis and fluorescence in situ hybridization (FISH) to confirm the diagnosis and identify the underlying genetic mechanisms. Results Our analysis showed that five out of seven patients (71.43%) with a positive methylation-specific PCR (MSP) had chromosomal deletion by FISH and presented major clinical signs summarized by morbid obesity in 65.21% of cases and neonatal hypotonia in 42.85% of cases. This finding indicates that paternal 15q11-q13 deletion is the most common genetic mechanism involved in PWS. Conclusion The results of this study highlight the importance of early diagnosis and molecular analysis in the management of Prader-Willi syndrome. Our findings contribute to a better understanding of the genotype-phenotype correlation in the Moroccan population and provide families with a rigorous molecular diagnosis, relevant genetic counseling, and multidisciplinary support. Further research is needed to explore the underlying mechanisms of PWS and develop effective interventions to improve outcomes for affected individuals. CI - Copyright (c) 2023, Ahakoud et al. FAU - Ahakoud, Mohamed AU - Ahakoud M AD - Medical Genetics and Onco-Genetics Laboratory, Hospital University Hassan II, Fez, MAR. FAU - Daha Belghiti, Hanae AU - Daha Belghiti H AD - Medical Genetics and Onco-Genetics Laboratory, Hospital University Hassan II, Fez, MAR. FAU - Nedbour, Ayoub AU - Nedbour A AD - Medical Genetics and Onco-Genetics Laboratory, Hospital University Hassan II, Fez, MAR. FAU - Bouramtane, Abdelhamid AU - Bouramtane A AD - Medical Genetics and Onco-Genetics Laboratory, Hospital University Hassan II, Fez, MAR. FAU - Chaouki, Sana AU - Chaouki S AD - Pediatric Neurology, Hospital University Hassan II, Fez, MAR. FAU - Bouguenouch, Laila AU - Bouguenouch L AD - Medical Genetics and Onco-Genetics Laboratory, Hospital University Hassan II, Fez, MAR. FAU - Ouldim, Karim AU - Ouldim K AD - Medical Genetics and Onco-Genetics Laboratory, Hospital University Hassan II, Fez, MAR. LA - eng PT - Journal Article DEP - 20230420 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC10202671 OTO - NOTNLM OT - fluorescence in situ hybridization (fish) OT - methyl-pcr OT - paternal 15q11-q13 deletion OT - prader-willi syndrome OT - syndromic mental retardation COIS- The authors have declared that no competing interests exist. EDAT- 2023/05/24 13:08 MHDA- 2023/05/24 13:09 PMCR- 2023/04/20 CRDT- 2023/05/24 11:43 PHST- 2023/04/19 00:00 [accepted] PHST- 2023/05/24 13:09 [medline] PHST- 2023/05/24 13:08 [pubmed] PHST- 2023/05/24 11:43 [entrez] PHST- 2023/04/20 00:00 [pmc-release] AID - 10.7759/cureus.37866 [doi] PST - epublish SO - Cureus. 2023 Apr 20;15(4):e37866. doi: 10.7759/cureus.37866. eCollection 2023 Apr.