Methylation analysis in tongue tissue of BWS patients identifies the (EPI)genetic cause in 3 patients with normal methylation levels in blood.

Abstract:

: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.

journal_name

Eur J Med Genet

authors

Alders M,Maas SM,Kadouch DJ,van der Lip K,Bliek J,van der Horst CM,Mannens MM

doi

10.1016/j.ejmg.2014.03.011

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

293-7

issue

6

eissn

1769-7212

issn

1878-0849

pii

S1769-7212(14)00064-0

journal_volume

57

pub_type

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