Caracterización clínico-genético-molecular de 45 pacientes chilenos con Síndrome de Prader Willi

Background: Prader-Willi syndrome (PWS) is a neurogenetic disease characterized by neonatal hypotonia, retarded mental and motor development, hypogonadism, hyperphagia, morbid obesity and dysmorphic facial features. It has an incidence of 1:12.000-15.000 newborns and is caused by abnormalities in ge...

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Autores principales: Cortés M,Fanny, Alliende R,M. Angélica, Barrios R,Andrés, Curotto L,Bianca, Santa María V,Lorena, Barraza O,Ximena, Troncoso A,Ledia, Mellado S,Cecilia, Pardo V,Rosa
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2005
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000100005
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spelling oai:scielo:S0034-988720050001000052014-08-12Caracterización clínico-genético-molecular de 45 pacientes chilenos con Síndrome de Prader WilliCortés M,FannyAlliende R,M. AngélicaBarrios R,AndrésCurotto L,BiancaSanta María V,LorenaBarraza O,XimenaTroncoso A,LediaMellado S,CeciliaPardo V,Rosa Abnormalities, multiple Mental retardation Prader-Willi syndrome Background: Prader-Willi syndrome (PWS) is a neurogenetic disease characterized by neonatal hypotonia, retarded mental and motor development, hypogonadism, hyperphagia, morbid obesity and dysmorphic facial features. It has an incidence of 1:12.000-15.000 newborns and is caused by abnormalities in genes located in 15q11q13. PWS is one of the most frequent genetic disorders and microdeletion syndromes. It is also the most common cause of obesity from genetic origin and it was the first disease in which imprinting and uniparental disomy were recognized as cause of genetic disorders. Seventy to seventy five percent of PWS cases are due to 15q11q13 deletions, 20-25% to uniparental disomy and 1% to mutations in the imprinting center. Aim: To analyze the clinical, genetic and molecular features of patients with PWS, seen at one institution. Patients and methods: Retrospective review of 45 patients (27 males) with PWS seen at the Genetics Outpatient Clinic at INTA. Results: Twenty three (51.1%) patients had a delection, 13 (28.9%) patients did not have a deletion. In nine patients, fluorescence in situ hybridization (FISH) study was not performed, therefore the presence of deletion was unknown. The clinical score was 8 points for patients younger than 3 years (n=11) and 11.5 points for patients older than 3 years (n=34); for patients aged 12 months or less, the clinical score was 7 points. Mean clinical score was 11 points for patients with deletion and 10 points for patients without deletion. Conclusions: Most patients with PWS have a deletion; the phenotype depends on age and the clinical score is useful for Chilean patients with PWS (Rev Méd Chile 2005; 133: 33-41).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.133 n.1 20052005-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000100005es10.4067/S0034-98872005000100005
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Abnormalities, multiple
Mental retardation
Prader-Willi syndrome
spellingShingle Abnormalities, multiple
Mental retardation
Prader-Willi syndrome
Cortés M,Fanny
Alliende R,M. Angélica
Barrios R,Andrés
Curotto L,Bianca
Santa María V,Lorena
Barraza O,Ximena
Troncoso A,Ledia
Mellado S,Cecilia
Pardo V,Rosa
Caracterización clínico-genético-molecular de 45 pacientes chilenos con Síndrome de Prader Willi
description Background: Prader-Willi syndrome (PWS) is a neurogenetic disease characterized by neonatal hypotonia, retarded mental and motor development, hypogonadism, hyperphagia, morbid obesity and dysmorphic facial features. It has an incidence of 1:12.000-15.000 newborns and is caused by abnormalities in genes located in 15q11q13. PWS is one of the most frequent genetic disorders and microdeletion syndromes. It is also the most common cause of obesity from genetic origin and it was the first disease in which imprinting and uniparental disomy were recognized as cause of genetic disorders. Seventy to seventy five percent of PWS cases are due to 15q11q13 deletions, 20-25% to uniparental disomy and 1% to mutations in the imprinting center. Aim: To analyze the clinical, genetic and molecular features of patients with PWS, seen at one institution. Patients and methods: Retrospective review of 45 patients (27 males) with PWS seen at the Genetics Outpatient Clinic at INTA. Results: Twenty three (51.1%) patients had a delection, 13 (28.9%) patients did not have a deletion. In nine patients, fluorescence in situ hybridization (FISH) study was not performed, therefore the presence of deletion was unknown. The clinical score was 8 points for patients younger than 3 years (n=11) and 11.5 points for patients older than 3 years (n=34); for patients aged 12 months or less, the clinical score was 7 points. Mean clinical score was 11 points for patients with deletion and 10 points for patients without deletion. Conclusions: Most patients with PWS have a deletion; the phenotype depends on age and the clinical score is useful for Chilean patients with PWS (Rev Méd Chile 2005; 133: 33-41).
author Cortés M,Fanny
Alliende R,M. Angélica
Barrios R,Andrés
Curotto L,Bianca
Santa María V,Lorena
Barraza O,Ximena
Troncoso A,Ledia
Mellado S,Cecilia
Pardo V,Rosa
author_facet Cortés M,Fanny
Alliende R,M. Angélica
Barrios R,Andrés
Curotto L,Bianca
Santa María V,Lorena
Barraza O,Ximena
Troncoso A,Ledia
Mellado S,Cecilia
Pardo V,Rosa
author_sort Cortés M,Fanny
title Caracterización clínico-genético-molecular de 45 pacientes chilenos con Síndrome de Prader Willi
title_short Caracterización clínico-genético-molecular de 45 pacientes chilenos con Síndrome de Prader Willi
title_full Caracterización clínico-genético-molecular de 45 pacientes chilenos con Síndrome de Prader Willi
title_fullStr Caracterización clínico-genético-molecular de 45 pacientes chilenos con Síndrome de Prader Willi
title_full_unstemmed Caracterización clínico-genético-molecular de 45 pacientes chilenos con Síndrome de Prader Willi
title_sort caracterización clínico-genético-molecular de 45 pacientes chilenos con síndrome de prader willi
publisher Sociedad Médica de Santiago
publishDate 2005
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000100005
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