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Maternal uniparental isodisomy causing autosomal recessive GM1 gangliosidosis: a clinical report.
[gm1 gangliosidosis]
Uniparental
disomy
is
a
genetic
cause
of
disease
that
may
result
in
the
inheritance
of
an
autosomal
recessive
condition
.
A
child
with
developmental
delay
and
hypotonia
was
seen
and
found
to
have
severely
abnormal
myelination
.
Lysosomal
enzyme
testing
identified
an
isolated
deficiency
of
beta
-galactosidase
.
Subsequently
,
homozygous
missense
mutations
in
the
galactosidase
,
beta
1
(
GLB
1
)
gene
on
chromosome
3
were
found
.
Parental
testing
confirmed
inheritance
of
two
copies
of
the
same
mutated
maternal
GLB
1
gene
,
and
no
paternal
copy
.
SNP
analysis
was
also
done
to
confirm
paternity
.
The
patient
was
ultimately
diagnosed
with
autosomal
recessive
GM
1
gangliosidosis
caused
by
maternal
uniparental
isodisomy
.
We
provide
a
review
of
this
patient
and
others
in
which
uniparental
disomy
(
UPD
)
of
a
non-imprinted
chromosome
unexpectedly
caused
an
autosomal
recessive
condition
.
This
is
the
first
case
of
GM
1
gangliosidosis
reported
in
the
literature
to
have
been
caused
by
UPD
.
It
is
important
for
genetic
counselors
and
other
health
care
providers
to
be
aware
of
the
possibility
of
autosomal
recessive
disease
caused
by
UPD
.
UPD
as
a
cause
of
autosomal
recessive
disease
drastically
changes
the
recurrence
risk
for
families
,
and
discussions
surrounding
UPD
can
be
complex
.
Working
with
families
to
understand
UPD
when
it
occurs
requires
a
secure
and
trusting
counselor
-family
relationship
.
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"first case"
symptom
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