Intrauterine growth retardation (IUGR) with or without additional abnormali
ties is recognised as a common feature of maternal uniparental disomy for c
hromosome 16 (mUPD 16) and is usually associated with confined placental mo
saicism (CPM). Although it is likely that the CPM largely contributes to th
e IUGR, postnatal growth retardation and other common abnormalities may als
o be attributed to the mUPD. Five cases with mUPD 16 and CPM were analysed
for common regions of isodisomy using polymorphic markers distributed along
the length of the chromosome. In each case the aberration was consistent w
ith a maternal meiosis I error. Complete isodisomy was not detected in any
of the patients although two patients were found to be mixed with both iso-
and heterodisomy. Interestingly, the patient with the greater region of is
odisomy was the most severely affected. The fact that there were no common
regions of isodisomy in any of the patients supports the hypothesis that im
printed genes, rather than recessive mutations, may play a role in the shar
ed phenotypes.