4.4 Article

Analyses stratified by maternal age and recombination further characterize genes associated with maternal nondisjunction of chromosome 21

Journal

PRENATAL DIAGNOSIS
Volume 41, Issue 5, Pages 591-609

Publisher

WILEY
DOI: 10.1002/pd.5919

Keywords

aneuploidy; Down syndrome; GWAS; nondisjunction; recombination; stratified analysis; trisomy 21

Funding

  1. National Institutes of Health [R01 HD38979, X01 HG007493]

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Our study identified several genes with consistent patterns of association across groups and in certain subgroups, suggesting both generalized effects and specific effects in maternal nondisjunction of chromosome 21. While our results are epidemiological and cannot definitively prove mechanisms, the patterns we observed align with existing literature on associated genes.
Objective In our previous work, we performed the first genome-wide association study to find genetic risk factors for maternal nondisjunction of chromosome 21. The objective of the current work was to perform stratified analyses of the same dataset to further elucidate potential mechanisms of genetic risk factors. Methods We focused on loci that were statistically significantly associated with maternal nondisjunction based on this same dataset in our previous study and performed stratified association analyses in seven subgroups defined by age and meiotic recombination profile. In each analysis, we contrasted a different subgroup of mothers with the same set of fathers, the mothers serving as cases (phenotype: meiotic nondisjunction of chromosome 21) and the fathers as controls. Results Our stratified analyses identified several genes whose patterns of association are consistent with generalized effects across groups, as well as other genes that are consistent with specific effects in certain groups. Conclusions While our results are epidemiological in nature and cannot conclusively prove mechanisms, we identified a number of patterns that are consistent with specific mechanisms. In many cases those mechanisms are strongly supported by available literature on the associated genes.

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