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. 2014 Oct 2;95(4):345–359. doi: 10.1016/j.ajhg.2014.08.010

Table 2.

Selected Recurrence-Risk Estimates Calculated from Our Analyses

Parent Age Mosaic in Blood Recurrence-Risk Estimates
Risk Haplotype
Unknown Haplotype
One Affected and Zero Unaffected One Affected and One Unaffected Two Affected and Zero Unaffected Three Affected and Zero Unaffected One Affected and One Unaffected
Mother any unknown 2.60% 2.48% 4.95% 7.07% 2.54%
Father 20 unknown 0.235% 0.234% 0.468% 0.699% 0.235%
Father 25 unknown 0.142% 0.142% 0.28% 0.42% 0.142%
Father 30 unknown 0.102% 0.102% 0.203% 0.305% 0.102%
Father 35 unknown 0.080% 0.079% 0.159% 0.238% 0.080%
Father 40 unknown 0.065% 0.065% 0.130% 0.195% 0.065%
Father 50 unknown 0.048% 0.048% 0.096% 0.143% 0.048%
Unknown 30 unknown 0.197%
Unknown 50 unknown 0.094%
Mother any yes 5.21% 4.72% 9.40% 12.9% 4.96%
Father any yes 5.21% 4.72% 9.40% 12.9% 4.96%

Information gained about recurrence risk from observation of unaffected offspring depends on the chromosome haplotype inherited from the parent who transmitted the mutant allele to the affected offspring. Inheriting the chromosome on which the mutation occurred (the risk haplotype) but with a wild-type allele provides much more information than inheriting the homologous chromosome’s haplotype. Absence of evidence of somatic mosaicism is treated as unknown because only a subset of tissue can be tested. Updating recurrence risk on the basis of additional offspring for an unknown transmitting parent is not considered in this manuscript. We caution against using this model-based table directly in clinical practice.