Abstract
Germinal mosaicism is a major problem in risk estimation for an X-linked disease. A mutation can happen anytime in germ cell development, and the proportion of germ cells bearing the mutated gene is twice the probability of recurrence of the mutation. This proportion could be either very low in late mutations or very high in germinal and somatic mosaicism. When this heterogeneity is taken into consideration, the distribution of the recurrence risk is conveniently represented as a set of discrete classes that may be derived either from models of gametogenesis or from empirical data. A computer program taking into account germinal mosaicism has been devised to calculate the probability of a possible carrier belonging to any of these classes, in order to settle the origin of the mutation of a given family. Germinal mosaicism increases the probability of inheriting the mutation, but this effect is always lowered by the possibility of heterogeneity. When the mother of a possible carrier is not herself a carrier, the risk of her daughter being a carrier is approximately halved, even under the assumption of a high recurrence risk from mosaicism.
Full text
PDF







Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bakker E., Van Broeckhoven C., Bonten E. J., van de Vooren M. J., Veenema H., Van Hul W., Van Ommen G. J., Vandenberghe A., Pearson P. L. Germline mosaicism and Duchenne muscular dystrophy mutations. Nature. 1987 Oct 8;329(6139):554–556. doi: 10.1038/329554a0. [DOI] [PubMed] [Google Scholar]
- Bakker E., Veenema H., Den Dunnen J. T., van Broeckhoven C., Grootscholten P. M., Bonten E. J., van Ommen G. J., Pearson P. L. Germinal mosaicism increases the recurrence risk for 'new' Duchenne muscular dystrophy mutations. J Med Genet. 1989 Sep;26(9):553–559. doi: 10.1136/jmg.26.9.553. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Boileau C., Junien C. Misdiagnosed normal fetus owing to undetected germinal mosaicism for DMD deletion. J Med Genet. 1989 Dec;26(12):790–791. doi: 10.1136/jmg.26.12.790. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bowen P. Achondroplasia in two sisters with normal parents. Birth Defects Orig Artic Ser. 1974;10(12):31–36. [PubMed] [Google Scholar]
- Bröcker-Vriends A. H., Briët E., Dreesen J. C., Bakker B., Reitsma P., Pannekoek H., van de Kamp J. J., Pearson P. L. Somatic origin of inherited haemophilia A. Hum Genet. 1990 Aug;85(3):288–292. doi: 10.1007/BF00206748. [DOI] [PubMed] [Google Scholar]
- Claustres M., Kjellberg P., Desgeorges M., Bellet H., Demaille J. Germinal mosaicism from grand-paternal origin in a family with Duchenne muscular dystrophy. Hum Genet. 1990 Dec;86(2):241–243. doi: 10.1007/BF00197714. [DOI] [PubMed] [Google Scholar]
- Constantinou C. D., Pack M., Young S. B., Prockop D. J. Phenotypic heterogeneity in osteogenesis imperfecta: the mildly affected mother of a proband with a lethal variant has the same mutation substituting cysteine for alpha 1-glycine 904 in a type I procollagen gene (COL1A1). Am J Hum Genet. 1990 Oct;47(4):670–679. [PMC free article] [PubMed] [Google Scholar]
- Darras B. T., Francke U. A partial deletion of the muscular dystrophy gene transmitted twice by an unaffected male. Nature. 1987 Oct 8;329(6139):556–558. doi: 10.1038/329556a0. [DOI] [PubMed] [Google Scholar]
- Edwards J. H. The population genetics of Duchenne: natural and artificial selection in Duchenne muscular dystrophy. J Med Genet. 1986 Dec;23(6):521–530. doi: 10.1136/jmg.23.6.521. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fryns J. P., Kleczkowska A., Verresen H., van den Berghe H. Germinal mosaicism in achondroplasia: a family with 3 affected siblings of normal parents. Clin Genet. 1983 Sep;24(3):156–158. doi: 10.1111/j.1399-0004.1983.tb02232.x. [DOI] [PubMed] [Google Scholar]
- Gitschier J. Maternal duplication associated with gene deletion in sporadic hemophilia. Am J Hum Genet. 1988 Sep;43(3):274–279. [PMC free article] [PubMed] [Google Scholar]
- Grimm T., Müller B., Müller C. R., Janka M. Theoretical considerations on germline mosaicism in Duchenne muscular dystrophy. J Med Genet. 1990 Nov;27(11):683–687. doi: 10.1136/jmg.27.11.683. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hartl D. L. Recurrence risks for germinal mosaics. Am J Hum Genet. 1971 Mar;23(2):124–134. [PMC free article] [PubMed] [Google Scholar]
- Hawn C. B. An Outbreak of Typhoid Fever in Inoculated Soldiers. Clinical Study. Proc R Soc Med. 1919;12(SECT):1–5. doi: 10.1177/003591571901201401. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hendriks R. W., Mensink E. J., Kraakman M. E., Thompson A., Schuurman R. K. Evidence for male X chromosomal mosaicism in X-linked agammaglobulinemia. Hum Genet. 1989 Oct;83(3):267–270. doi: 10.1007/BF00285169. [DOI] [PubMed] [Google Scholar]
- Higuchi M., Kochhan L., Olek K. A somatic mosaic for haemophilia A detected at the DNA level. Mol Biol Med. 1988 Feb;5(1):23–27. [PubMed] [Google Scholar]
- Jeanpierre M. A simple method for calculating risks before DNA analysis. J Med Genet. 1988 Oct;25(10):663–668. doi: 10.1136/jmg.25.10.663. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Karel E. R., te Meerman G. J., Ten Kate L. P. On the power to detect differences between male and female mutation rates for Duchenne muscular dystrophy, using classical segregation analysis and restriction fragment length polymorphisms. Am J Hum Genet. 1986 Jun;38(6):827–840. [PMC free article] [PubMed] [Google Scholar]
- Lanman J. T., Jr, Pericak-Vance M. A., Bartlett R. J., Chen J. C., Yamaoka L., Koh J., Speer M. C., Hung W. Y., Roses A. D. Familial inheritance of a DXS164 deletion mutation from a heterozygous female. Am J Hum Genet. 1987 Aug;41(2):138–144. [PMC free article] [PubMed] [Google Scholar]
- Lebo R. V., Olney R. K., Golbus M. S. Somatic mosaicism at the Duchenne locus. Am J Med Genet. 1990 Oct;37(2):187–190. doi: 10.1002/ajmg.1320370206. [DOI] [PubMed] [Google Scholar]
- Luria S. E., Delbrück M. Mutations of Bacteria from Virus Sensitivity to Virus Resistance. Genetics. 1943 Nov;28(6):491–511. doi: 10.1093/genetics/28.6.491. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Monaco A. P., Bertelson C. J., Colletti-Feener C., Kunkel L. M. Localization and cloning of Xp21 deletion breakpoints involved in muscular dystrophy. Hum Genet. 1987 Mar;75(3):221–227. doi: 10.1007/BF00281063. [DOI] [PubMed] [Google Scholar]
- Müller C. R., Grimm T. Estimation of the male to female ratio of mutation rates from the segregation of X-chromosomal DNA haplotypes in Duchenne muscular dystrophy families. Hum Genet. 1986 Oct;74(2):181–183. doi: 10.1007/BF00282088. [DOI] [PubMed] [Google Scholar]
- Philip N., Auger M., Mattei J. F., Giraud F. Achondroplasia in sibs of normal parents. J Med Genet. 1988 Dec;25(12):857–859. doi: 10.1136/jmg.25.12.857. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Reiser C. A., Pauli R. M., Hall J. G. Achondroplasia: unexpected familial recurrence. Am J Med Genet. 1984 Oct;19(2):245–250. doi: 10.1002/ajmg.1320190206. [DOI] [PubMed] [Google Scholar]
- Sykes B. Human genetics. Bone disease cracks genetics. Nature. 1990 Nov 1;348(6296):18–20. doi: 10.1038/348018a0. [DOI] [PubMed] [Google Scholar]
- Taylor S. A., Deugau K. V., Lillicrap D. P. Somatic mosaicism and female-to-female transmission in a kindred with hemophilia B (factor IX deficiency). Proc Natl Acad Sci U S A. 1991 Jan 1;88(1):39–42. doi: 10.1073/pnas.88.1.39. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wallis G. A., Starman B. J., Zinn A. B., Byers P. H. Variable expression of osteogenesis imperfecta in a nuclear family is explained by somatic mosaicism for a lethal point mutation in the alpha 1(I) gene (COL1A1) of type I collagen in a parent. Am J Hum Genet. 1990 Jun;46(6):1034–1040. [PMC free article] [PubMed] [Google Scholar]
- Wijsman E. M. Recurrence risk of a new dominant mutation in children of unaffected parents. Am J Hum Genet. 1991 Apr;48(4):654–661. [PMC free article] [PubMed] [Google Scholar]
- Wood S., McGillivray B. C. Germinal mosaicism in Duchenne muscular dystrophy. Hum Genet. 1988 Mar;78(3):282–284. doi: 10.1007/BF00291677. [DOI] [PubMed] [Google Scholar]
- Wright S, Eaton O N. Mutational Mosaic Coat Patterns of the Guinea Pig. Genetics. 1926 Jul;11(4):333–351. doi: 10.1093/genetics/11.4.333. [DOI] [PMC free article] [PubMed] [Google Scholar]
- van Essen A. J., Abbs S., Baiget M., Bakker E., Boileau C., van Broeckhoven C., Bushby K., Clarke A., Claustres M., Covone A. E. Parental origin and germline mosaicism of deletions and duplications of the dystrophin gene: a European study. Hum Genet. 1992 Jan;88(3):249–257. doi: 10.1007/BF00197255. [DOI] [PubMed] [Google Scholar]
