UPD is the presence of two paternal
or two maternal chromosomes
and the lack of the alternate parental chromosome, which
may reveal gene or genes having genomic imprinting
or cause the expression of an autosomal recessive gene
the parent has contributed one copy of each chromosome,
termed heterodisomy. Genomic imprinting is, simply to
say, the genes inherited from the mother, while identical
in DNA sequence to those inherited from the father, do
not function interchangeably. Genomic imprinting may
cause a developmental imbalance due to the expression
of one rather than two genes. If
a parent has contributed two copies of one chromosome
it is termed isodisomy. It could also imply the
presence of two identical mutated genes if it is
isodisomy. UPD studies can be performed for all chromosomes.
Methodology:Polymerase Chain Reaction (PCR)/Microsatellite markers on the chromosome of interest are used to test DNA from parents and child for the presence of uniparental disomy.
Purpose: Evaluation of patients presenting with mosaicism, or Robertsonian translocations. Evaluation of patients presenting with features of disorders known to be associated with uniparental disomy (eg, Russell-Silver syndrome).
Test Requisition: Molecular Requisition
CPT Code: 81402 Cost: $412.00 (Oklahoma Medicaid requires preauthorization for this test)
Turn-around-time: 28 days