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Recurrence risks for Bardet-Biedl syndrome: Implications of locus heterogeneity
Journal article   Open access   Peer reviewed

Recurrence risks for Bardet-Biedl syndrome: Implications of locus heterogeneity

Julie C Sapp, Darryl Nishimura, Jennifer J Johnston, Edwin M Stone, Elise Héon, Val C Sheffield and Leslie G Biesecker
Genetics in medicine, Vol.12(10), pp.623-627
10/2010
DOI: 10.1097/GIM.0b013e3181f07572
PMCID: PMC3115203
PMID: 20949666
url
https://doi.org/10.1097/GIM.0b013e3181f07572View
Published (Version of record) Open Access

Abstract

Bardet-Biedl syndrome is a pleiotropic multiple anomaly syndrome inherited in an autosomal recessive pattern. It is now known that this disorder has locus heterogeneity, with causative mutations identified in as many as 14 genes. The aim of this study was to derive locus-specific recurrence risk estimates for family members of a proband affected with Bardet-Biedl syndrome. Mutation data from 187 probands affected with Bardet-Biedl syndrome were used. The authors counted the relative proportion of families with mutations at each of 10 loci and estimated locus-specific carrier rates for mutations using Hardy-Weinberg principles and an aggregate population frequency of 1/100,000 for the phenotype. Locus-specific recurrence risks were calculated for relatives of an affected proband. Locus-specific carrier frequencies range from 1/250 to 1/2200, and the risks for an offspring of the sibling of an affected individual range from 1/1,500 to 1/13,000. The estimate of this risk derived under a locus homogeneity model is 1/960. Variation of recurrence risks of this magnitude may have implications for genetic counseling of families with affected individuals, in particular about prenatal testing and other reproductive options. Similar analyses to determine locus-specific carrier frequencies for other phenotypes with significant locus heterogeneity may yield similarly relevant results.
Obesity Genetic Testing Risk Assessment Gene Frequency Humans Prenatal Diagnosis Genetic Loci Genetic Heterogeneity Retinitis Pigmentosa DNA Mutational Analysis Pedigree Alleles Bardet-Biedl Syndrome - diagnosis Bardet-Biedl Syndrome - genetics Heterozygote Models, Genetic Mutation Abnormalities, Multiple - genetics Genetic Carrier Screening

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