Abstract:
BACKGROUND:Recently, a patient with maternal uniparental disomy of chromosome 16 (UPD(16)mat) presenting with Silver-Russell syndrome (SRS) phenotype was reported. SRS is characterised by growth failure and dysmorphic features. OBJECTIVE:To clarify the prevalence of UPD(16)mat in aetiology-unknown patients with SRS phenotype and phenotypic differences between UPD(16)mat and SRS. METHODS:We studied 94 patients with SRS phenotype of unknown aetiology. Sixty-three satisfied the Netchine-Harbison clinical scoring system (NH-CSS) criteria, and 25 out of 63 patients showed both protruding forehead and relative macrocephaly (clinical SRS). The remaining 31 patients met only three NH-CSS criteria, but were clinically suspected as having SRS. To detect UPD(16)mat, we performed methylation analysis for the ZNF597:TSS-differentially methylated region (DMR) on chromosome 16 and subsequently performed microsatellite, SNP array and exome analyses in the patients with hypomethylated ZNF597:TSS-DMR. RESULTS:We identified two patients (2.1%) with a mixture of maternal isodisomy and heterodisomy of chromosome 16 in 94 aetiology-unknown patients with SRS phenotype. Both patients exhibited preterm birth and prenatal and postnatal growth failure. The male patient had ventricular septal defect and hypospadias. Whole-exome sequencing detected no gene mutations related to their phenotypes. CONCLUSION:We suggest considering genetic testing for UPD(16)mat in SRS phenotypic patients without known aetiology.
journal_name
J Med Genetjournal_title
Journal of medical geneticsauthors
Inoue T,Yagasaki H,Nishioka J,Nakamura A,Matsubara K,Narumi S,Nakabayashi K,Yamazawa K,Fuke T,Oka A,Ogata T,Fukami M,Kagami Mdoi
10.1136/jmedgenet-2018-105463subject
Has Abstractpub_date
2019-06-01 00:00:00pages
413-418issue
6eissn
0022-2593issn
1468-6244pii
jmedgenet-2018-105463journal_volume
56pub_type
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