期刊
EUROPEAN JOURNAL OF MEDICAL GENETICS
卷 57, 期 6, 页码 293-297出版社
ELSEVIER SCIENCE BV
DOI: 10.1016/j.ejmg.2014.03.011
关键词
Beckwith-Wiedemann syndrome; Uniparental disomy (UPD); Mosaicism
The Beckwith-Wiedemann syndrome is caused by disturbed imprinting of genes at 11p15.5. Routine diagnostic testing for Beckwith-Wiedemann syndrome (BWS) includes methylation analysis of the imprinting centers ICR1 and ICR2 in DNA extracted from lymphocytes. In approximately 15% of BWS patients the diagnosis cannot be molecularly confirmed. In this study we determined the methylation status in resected tongue tissue of 11 BWS patients and compared this to the genetic defects found by routine diagnostic screening of blood lymphocytes. In all three patients with normal methylation levels in blood, aberrant methylation patterns were found in tongue tissue. In two patients a UPD was detected and the third case had hypermethylation of ICR1. This result shows that tissue specific mosaic (epi) genetic changes, not present in blood, is the underlying defect in at least a subset of BWS patients without a molecular diagnosis after standard genetic testing. (C) 2014 Elsevier Masson SAS. All rights reserved.
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