De Novo Rates
Trinucleotide Repeats
Most Common
Methylations
What do I have?
100

Rett Syndrome 

What is almost 100%

100

An autosomal Dominant CAG repeat expansion disorder involving cognitive decline, personality changes and progressive motor disability

What is Huntington Disease

100

Most common inherited cause of intellectual disability 

What is fragile X syndrome?

100

The molecular test that determines whether an individual has Prader-Willi syndrome or Angelman syndrome due to deletion, UPD, or imprinting defects

What is DNA methylation analysis?

100

I have dozens of hamartomatous GI polyps, macrocephaly, and thyroid cancer

What is Cowden Syndrome?

200

NF1 

What is 50% or 1/2

200

Males with intellectual disability, prominent ears involving gene FMR1

What is fragile X syndrome?

200

Most common skeletal dysplasia

What is achondroplasia?

200

Loss of methylation on the maternal allele at 11p15 resulting in overgrowth, macroglossia, omphalocele, and embryonal tumor risk.

What is Beckwith-Wiedemann Syndrome?

200

I have tall stature, lens dislocation, aortic root dilation, and arachnodactyly

What is Marfan syndrome?

300

Achondroplasia 

What is 80% or 4/5

300

An autosomal dominant CAG repeat in the ATXN gene involving incoordination, speech and swallowing difficulties

What is Spinocerebellar ataxia?

300

Most common inherited cancer syndrome

What is Lynch Syndrome?

300

Gain of methylation of the maternal SNURF-SNRPN region causes severe developmental delay, seizures, ataxia, and inappropriate laughter

What is Angelman Syndrome?

300

I developed bilateral vestibular schwannomas in my twenties and now have hearing loss

What is NF2?

400

Duchenne Muscular Dystrophy 

What is 1/3?

400

An autosomal recessive condition involving GAA repeats in the FXN gene that leads to slowly progressive ataxia, cardiomyopathy, and diabetes

What is Freidrick Ataxia?

400

Most common inherited cause of kidney failure 

What is Autosomal dominant polycystic kidney disease ?

400

Loss of methylation at the maternal imprinting region on chromosome 15 causes hypotonia, hyperphagia, and obesity.

What is Prader-Willi syndrome?

400

I have multiple head and neck paragangliomas, and several family members on my father’s side have had similar tumors. My GC explained that my condition is inherited in an autosomal dominant manner but usually only causes disease when inherited from my father (Condition and gene)

hereditary paraganglioma and pheochromocytoma due to SDHD pathogenic variant

500

Tuberous Sclerosis Complex 

What is 2/3?

500

An autosomal dominant condition where you must check the grip

What is Myotonic Dystrophy 1 or DM1?

500

Most common inherited gene causing hearing loss

What is GJB2?

500

loss of methylation in paternal chromosome 11 or maternal uniparental disomy of chromosome 7

What is Russel Silver?

500

As an infant, I developed coarse facial features, hepatosplenomegaly, joint stiffness, developmental delay, corneal clouding, and progressive cardiac disease. My urine shows elevated glycosaminoglycans, and enzyme testing confirmed α-L-iduronidase deficiency

What is Hurler Syndrome?