2023
DOI: 10.1038/s41572-023-00443-4
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Imprinting disorders

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Cited by 28 publications
(14 citation statements)
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“…Accurate estimates of diagnostic yield for individual imprinting disorders are not available as this is influenced by the stringency level of referral clinical indications resulting in lower diagnostic rates in patients routinely analyzed by genetic laboratories compared to those achieved in clinically well-characterized cohorts ( Mackay et al, 2022 ; Eggermann et al, 2023 ). The diagnostic workflow of a specific disorder depends on the frequencies of the different molecular mechanisms and on the expertise of laboratories, but generally, for most conditions, such as AS and Prader-Willi (PWS) or Beckwith-Wiedemann (BWS) and Silver Russell syndrome, mainly due to UPD, CNVs or imprinting defects, all leading to changes in the methylation pattern at specific genomic loci, it starts with tests targeting these epigenetic modifications.…”
Section: Methylation Changes At Imprinted Genomic Regionsmentioning
confidence: 99%
See 1 more Smart Citation
“…Accurate estimates of diagnostic yield for individual imprinting disorders are not available as this is influenced by the stringency level of referral clinical indications resulting in lower diagnostic rates in patients routinely analyzed by genetic laboratories compared to those achieved in clinically well-characterized cohorts ( Mackay et al, 2022 ; Eggermann et al, 2023 ). The diagnostic workflow of a specific disorder depends on the frequencies of the different molecular mechanisms and on the expertise of laboratories, but generally, for most conditions, such as AS and Prader-Willi (PWS) or Beckwith-Wiedemann (BWS) and Silver Russell syndrome, mainly due to UPD, CNVs or imprinting defects, all leading to changes in the methylation pattern at specific genomic loci, it starts with tests targeting these epigenetic modifications.…”
Section: Methylation Changes At Imprinted Genomic Regionsmentioning
confidence: 99%
“…Methylation-Sensitive (MS)-MLPA, which simultaneously detects altered methylation and CNVs, has replaced MS bisulfite conversion-dependent methods and is now routinely applied as a first-tier test for clinically suspected imprinting disorders. This technique analyzes native DNA through methylation-sensitive restriction enzyme digestion, but cannot distinguish between UPD and imprinting defects with few exceptions, needing second-line assays to identify the exact underlying defect and thus enabling adequate genetic counseling with accurate estimation of recurrence risks ( Beygo et al, 2020 ; Eggermann et al, 2023 ). Reduced sensitivity for low-level mosaic alterations and allele dropout are major limitations, with the latter mitigated by using more probes for single loci.…”
Section: Methylation Changes At Imprinted Genomic Regionsmentioning
confidence: 99%
“…A notable exception to the general rule is the parental origin-specific methylation of approximately 20 CG-rich autosomal imprinting control regions (ICRs), ∼1-5 Kb in length. Methylation of these sequences is established during gametogenesis reflecting the parental sex by de novo methyltransferases and maintained post-fertilization by the DNA methyltransferase DNMT1 ( 1 ). As a result, in eutherian mammals, one parental ICR allele is methylated and the counterpart unmethylated.…”
Section: Introductionmentioning
confidence: 99%
“…Genomic imprinting is the gamete of origin-dependent epigenetic marking and expression of genes, and is required for normal development (Barlow and Bartolomei 2014). In humans, its deregulation affects growth, metabolism and neurological functions (Eggermann et al 2023). Imprinting disorders are associated with single or multi-locus DNA methylation abnormalities, which in turn can be traced back to genetic variants occurring in cis or in trans (Monk et al 2019).…”
Section: Introductionmentioning
confidence: 99%