Decoding the Genetics of Recurrent Molar Pregnancy

Hydatidiform mole is a condition characterised by abnormal trophoblastic hyperplasia and failure of embryonic tissue development. The risk of recurrence is seen to be associated with biallelic maternal mutations in NLRP7, KHDC3 L and PAD16 genes. Women with such mutations have a major risk of reprod...

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Main Authors: Sumita Mehta, Sunita Bijarnia Mahay, Abhishek Satapathy, Kiran Arora
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-01-01
Series:Journal of Human Reproductive Sciences
Subjects:
Online Access:https://journals.lww.com/10.4103/jhrs.jhrs_121_23
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author Sumita Mehta
Sunita Bijarnia Mahay
Abhishek Satapathy
Kiran Arora
author_facet Sumita Mehta
Sunita Bijarnia Mahay
Abhishek Satapathy
Kiran Arora
author_sort Sumita Mehta
collection DOAJ
description Hydatidiform mole is a condition characterised by abnormal trophoblastic hyperplasia and failure of embryonic tissue development. The risk of recurrence is seen to be associated with biallelic maternal mutations in NLRP7, KHDC3 L and PAD16 genes. Women with such mutations have a major risk of reproductive failure and normal pregnancy is seen in only 1.8%. We report the case of a 31-year-old woman with previous three molar pregnancies who on genetic testing was found to be compound heterozygous for pathogenic variants in the NLRP7 gene (c.2738A>G and c.2078G>C). Accordingly, the woman was counselled regarding assisted reproduction with oocyte donation for a normal pregnancy outcome. At present, the patient has an ongoing 5-month pregnancy through oocyte donation.
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institution Kabale University
issn 0974-1208
1998-4766
language English
publishDate 2024-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Human Reproductive Sciences
spelling doaj-art-e24cd8570c2047a9b467bb207e0361eb2025-02-10T09:41:30ZengWolters Kluwer Medknow PublicationsJournal of Human Reproductive Sciences0974-12081998-47662024-01-01171616410.4103/jhrs.jhrs_121_23Decoding the Genetics of Recurrent Molar PregnancySumita MehtaSunita Bijarnia MahayAbhishek SatapathyKiran AroraHydatidiform mole is a condition characterised by abnormal trophoblastic hyperplasia and failure of embryonic tissue development. The risk of recurrence is seen to be associated with biallelic maternal mutations in NLRP7, KHDC3 L and PAD16 genes. Women with such mutations have a major risk of reproductive failure and normal pregnancy is seen in only 1.8%. We report the case of a 31-year-old woman with previous three molar pregnancies who on genetic testing was found to be compound heterozygous for pathogenic variants in the NLRP7 gene (c.2738A>G and c.2078G>C). Accordingly, the woman was counselled regarding assisted reproduction with oocyte donation for a normal pregnancy outcome. At present, the patient has an ongoing 5-month pregnancy through oocyte donation.https://journals.lww.com/10.4103/jhrs.jhrs_121_23familial recurrent hydatidiform molegenomic imprintinghydatidiform molenlrp7recurrent molartrophoblastic diseases
spellingShingle Sumita Mehta
Sunita Bijarnia Mahay
Abhishek Satapathy
Kiran Arora
Decoding the Genetics of Recurrent Molar Pregnancy
Journal of Human Reproductive Sciences
familial recurrent hydatidiform mole
genomic imprinting
hydatidiform mole
nlrp7
recurrent molar
trophoblastic diseases
title Decoding the Genetics of Recurrent Molar Pregnancy
title_full Decoding the Genetics of Recurrent Molar Pregnancy
title_fullStr Decoding the Genetics of Recurrent Molar Pregnancy
title_full_unstemmed Decoding the Genetics of Recurrent Molar Pregnancy
title_short Decoding the Genetics of Recurrent Molar Pregnancy
title_sort decoding the genetics of recurrent molar pregnancy
topic familial recurrent hydatidiform mole
genomic imprinting
hydatidiform mole
nlrp7
recurrent molar
trophoblastic diseases
url https://journals.lww.com/10.4103/jhrs.jhrs_121_23
work_keys_str_mv AT sumitamehta decodingthegeneticsofrecurrentmolarpregnancy
AT sunitabijarniamahay decodingthegeneticsofrecurrentmolarpregnancy
AT abhisheksatapathy decodingthegeneticsofrecurrentmolarpregnancy
AT kiranarora decodingthegeneticsofrecurrentmolarpregnancy