Publication Date

1-1-2025

Journal

Case Reports in Genetics

DOI

10.1155/crig/4973753

PMID

40761536

PMCID

PMC12321432

PubMedCentral® Posted Date

7-25-2025

PubMedCentral® Full Text Version

Post-print

Abstract

Uniparental disomy (UPD) constitutes an unconventional mode of inheritance that disrupts the typical biparental genetic contribution and may result in phenotypic abnormalities. This report centers on a patient diagnosed with Bartter syndrome Type 1, attributed to a homozygous pathogenic variant in SLC12A1 unmasked by mosaic paternal UPD of chromosome 15. We hypothesize that this pattern (or constellation) emerged from a trisomy rescue event, resulting in two distinct cell lines. Concurrently, the unmasking of a pathogenic paternal SLC12A1 variant by trisomy rescue resulted in the manifestation of Bartter syndrome Type 1. The maternally derived ring chromosome 15 and its impact on nondisjunction and UPD elucidate a unique etiology of Bartter syndrome. Furthermore, the presence of a pathogenic paternal SLC12A1 variant underscores the pivotal role of trisomic rescue and paternal UPD in unveiling a recessive variant.

Keywords

Angelman syndrome, Bartter syndrome, mosaicism, ring chromosome 15, uniparental disomy, UPD

Published Open-Access

yes

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