2013
DOI: 10.1038/gim.2012.94
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Regions of homozygosity identified by SNP microarray analysis aid in the diagnosis of autosomal recessive disease and incidentally detect parental blood relationships

Abstract: Purpose: The purpose of this study was to document the ability of single-nucleotide polymorphism microarray to identify copy-neutral regions of homozygosity, demonstrate clinical utility of regions of homozygosity, and discuss ethical/legal implications when regions of homozygosity are associated with a parental blood relationship. methods: Study data were compiled from consecutive samples sent to our clinical laboratory over a 3-year period. A cytogenetics database identified patients with at least two region… Show more

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Cited by 75 publications
(84 citation statements)
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References 28 publications
(41 reference statements)
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“…Overestimation of total AOH due to false positives or errors in AOH size can erroneously suggest that a given sample exhibits more AOH than that in the general population. Consanguinity is not an uncommon incidental finding in SNP testing, 11,[20][21][22] and AOH findings are not typically confirmed by a second method, so there is a legitimate risk for reporting false-positive AOH results when using LD arrays. AOH results must therefore be reported with these caveats and should never be considered diagnostic for a recessive condition.…”
Section: Discussionmentioning
confidence: 99%
“…Overestimation of total AOH due to false positives or errors in AOH size can erroneously suggest that a given sample exhibits more AOH than that in the general population. Consanguinity is not an uncommon incidental finding in SNP testing, 11,[20][21][22] and AOH findings are not typically confirmed by a second method, so there is a legitimate risk for reporting false-positive AOH results when using LD arrays. AOH results must therefore be reported with these caveats and should never be considered diagnostic for a recessive condition.…”
Section: Discussionmentioning
confidence: 99%
“…The addition of single-nucleotide polymorphism (SNP) probes in microarrays has the added advantage of enabling identification of long contiguous regions of allelic homozygosity (ROH). [1][2][3] These copy neutral aberrations are either multiple across the genome and likely due to identity by descent (IBD), or due to segmental or whole chromosome uniparental disomy (UPD) when restricted to a single chromosome. The associated findings of a cytogenetic abnormality with whole chromosome uniparental disomy is well known and, in some cases, a recurrent phenomenon.…”
Section: Introductionmentioning
confidence: 99%
“…1,7 Incidental detection of parental consanguinity by SNP array in children with developmental or congenital anomalies has been demonstrated in the literature. 2,8 In case 1, SNP array was performed for multiple congenital anomalies.…”
Section: Discussionmentioning
confidence: 99%