Fetal growth patterns in Beckwith-Wiedemann syndrome.

Abstract:

:We provide data on fetal growth pattern on the molecular subtypes of Beckwith-Wiedemann syndrome (BWS): IC1 gain of methylation (IC1-GoM), IC2 loss of methylation (IC2-LoM), 11p15.5 paternal uniparental disomy (UPD), and CDKN1C mutation. In this observational study, gestational ages and neonatal growth parameters of 247 BWS patients were compared by calculating gestational age-corrected standard deviation scores (SDS) and proportionality indexes to search for differences among IC1-GoM (n = 21), UPD (n = 87), IC2-LoM (n = 147), and CDKN1C mutation (n = 11) patients. In IC1-GoM subgroup, weight and length are higher than in other subgroups. Body proportionality indexes display the following pattern: highest in IC1-GoM patients, lowest in IC2-LoM/CDKN1C patients, intermediate in UPD ones. Prematurity was significantly more prevalent in the CDKN1C (64%) and IC2-LoM subgroups (37%). Fetal growth patterns are different in the four molecular subtypes of BWS and remarkably consistent with altered gene expression primed by the respective molecular mechanisms. IC1-GoM cases show extreme macrosomia and severe disproportion between weight and length excess. In IC2-LoM/CDKN1C patients, macrosomia is less common and associated with more proportionate weight/length ratios with excess of preterm birth. UPD patients show growth patterns closer to those of IC2-LoM, but manifest a body mass disproportion rather similar to that seen in IC1-GoM cases.

journal_name

Clin Genet

journal_title

Clinical genetics

authors

Mussa A,Russo S,de Crescenzo A,Freschi A,Calzari L,Maitz S,Macchiaiolo M,Molinatto C,Baldassarre G,Mariani M,Tarani L,Bedeschi MF,Milani D,Melis D,Bartuli A,Cubellis MV,Selicorni A,Silengo MC,Larizza L,Riccio A,Fe

doi

10.1111/cge.12759

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

21-7

issue

1

eissn

0009-9163

issn

1399-0004

journal_volume

90

pub_type

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