Abstract
OBJECTIVE: To investigate whether epigenotyping of patients with isolated hemihyperplasia (IH) can, analogous to genetic screening of patients with Beckwith-Wiedemann syndrome, be used for the prediction of tumor risk and tumor type of individual patients.
STUDY DESIGN: Methylation analysis of H19 and KCNQ1OT1 of 73 patients. Questionnaires were sent to referring clinicians.
RESULTS: In 75% of the clinically confirmed patients with IH no epigenetic defect was detected. Paternal uniparental disomy was found in 15%, demethylation of KCNQ1OT1 in only 6%, and hypermethylation of H19 in 3% of isolated hemihyperplasia cases. Ten percent of the patients with IH had development of a childhood tumor associated with paternal uniparental disomy (2/8) or no methylation defect (2/30). No genetic defect was detected in 10 of 14 additional patients with cancer with IH. In these latter patients, a methylation defect of H19 was seen 3 times and a paternal uniparental disomy once. The female-to-male ratio was 6:1.
CONCLUSIONS: Aberrant methylation of the 11p15 region is not common in patients with IH and can at present not be used for tumor risk determination.
Original language | English |
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Pages (from-to) | 95-100 |
Number of pages | 6 |
Journal | The Journal of Pediatrics |
Volume | 153 |
Issue number | 1 |
DOIs | |
Publication status | Published - Mar 2008 |
Externally published | Yes |
Keywords
- Beckwith-Wiedemann Syndrome/complications
- Child
- Child, Preschool
- DNA Methylation
- Epigenesis, Genetic
- Female
- Genotype
- Humans
- Infant
- Male
- Models, Genetic
- Neoplasms/complications
- Phenotype
- Risk Factors
- Uniparental Disomy