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      EMQN best practice guidelines for the molecular genetic testing and reporting of chromosome 11p15 imprinting disorders: Silver–Russell and Beckwith–Wiedemann syndrome

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          Abstract

          Molecular genetic testing for the 11p15-associated imprinting disorders Silver–Russell and Beckwith–Wiedemann syndrome (SRS, BWS) is challenging because of the molecular heterogeneity and complexity of the affected imprinted regions. With the growing knowledge on the molecular basis of these disorders and the demand for molecular testing, it turned out that there is an urgent need for a standardized molecular diagnostic testing and reporting strategy. Based on the results from the first external pilot quality assessment schemes organized by the European Molecular Quality Network (EMQN) in 2014 and in context with activities of the European Network of Imprinting Disorders (EUCID.net) towards a consensus in diagnostics and management of SRS and BWS, best practice guidelines have now been developed. Members of institutions working in the field of SRS and BWS diagnostics were invited to comment, and in the light of their feedback amendments were made. The final document was ratified in the course of an EMQN best practice guideline meeting and is in accordance with the general SRS and BWS consensus guidelines, which are in preparation. These guidelines are based on the knowledge acquired from peer-reviewed and published data, as well as observations of the authors in their practice. However, these guidelines can only provide a snapshot of current knowledge at the time of manuscript submission and readers are advised to keep up with the literature.

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          Most cited references29

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          The imprinted H19 noncoding RNA is a primary microRNA precursor.

          Although H19 was the first imprinted noncoding transcript to be identified, the function of this conserved RNA has remained unclear. Here, we identify a 23-nucleotide microRNA derived from H19 that is endogenously expressed in human keratinocytes and neonatal mice and overexpressed in cells transfected with human or mouse H19 expression plasmids. These data demonstrate that H19 can function as a primary microRNA precursor and suggest that H19 expression results in the post-transcriptional downregulation of specific mRNAs during vertebrate development.
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            Placental-specific IGF-II is a major modulator of placental and fetal growth.

            Imprinted genes in mammals are expressed from only one of the parental chromosomes, and are crucial for placental development and fetal growth. The insulin-like growth factor II gene (Igf2) is paternally expressed in the fetus and placenta. Here we show that deletion from the Igf2 gene of a transcript (P0) specifically expressed in the labyrinthine trophoblast of the placenta leads to reduced growth of the placenta, followed several days later by fetal growth restriction. The fetal to placental weight ratio is thus increased in the absence of the P0 transcript. We show that passive permeability for nutrients of the mutant placenta is decreased, but that secondary active placental amino acid transport is initially upregulated, compensating for the decrease in passive permeability. Later the compensation fails and fetal growth restriction ensues. Our study provides experimental evidence for imprinted gene action in the placenta that directly controls the supply of maternal nutrients to the fetus, and supports the genetic conflict theory of imprinting. We propose that the Igf2 gene, and perhaps other imprinted genes, control both the placental supply of, and the genetic demand for, maternal nutrients to the mammalian fetus.
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              Hypomethylation of multiple imprinted loci in individuals with transient neonatal diabetes is associated with mutations in ZFP57.

              We have previously described individuals presenting with transient neonatal diabetes and showing a variable pattern of DNA hypomethylation at imprinted loci throughout the genome. We now report mutations in ZFP57, which encodes a zinc-finger transcription factor expressed in early development, in seven pedigrees with a shared pattern of mosaic hypomethylation and a conserved range of clinical features. This is the first description of a heritable global imprinting disorder that is compatible with life.
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                Author and article information

                Journal
                Eur J Hum Genet
                Eur. J. Hum. Genet
                European Journal of Human Genetics
                Nature Publishing Group
                1018-4813
                1476-5438
                October 2016
                11 May 2016
                1 October 2016
                : 24
                : 10
                : 1377-1387
                Affiliations
                [1 ]Institut für Humangenetik, RWTH University Aachen , Aachen, Germany
                [2 ]Department of Clinical Genetics, Academic Center, University of Amsterdam , Amsterdam, The Netherlands
                [3 ]INSERM, UMR_S 938 , Paris, France
                [4 ]Sorbonne Universities, UPMC Univ Paris 06; UMR_S 938 , Paris, France
                [5 ]Armand Trousseau Hospital, Pediatric Endocrinology , Paris, France
                [6 ]Genetics and Molecular Pathology Laboratory, Monash Health and Hudson Institute , Clayton, VIC, Australia
                [7 ]Institut für Humangenetik, Universität Duisburg-Essen , Essen, Germany
                [8 ]Laboratory of Cytogenetics and Molecular Genetics, Istituto Auxologico Italiano IRCCS , Milano, Italy
                [9 ]Clinical Genetic Unit, Kennedy Center, Rigshospitalet, Copenhagen University Hospital , Glostrup, Denmark
                [10 ]Imprinting and Cancer Group, Cancer Epigenetic and Biology Program (PEBC), Institut d'Investigació Biomedica de Bellvitge (IDIBELL) , Barcelona, Spain
                [11 ]Fetal Growth and Developmental Group, Genetics and Genomic Medicine Programme, UCL-ICH , London, UK
                [12 ]West Midlands Regional Genetics Laboratory, Birmingham Women's Hospital , Birmingham, UK
                [13 ]Center for Pediatrics and Adolescent Medicine, University Medical Center , Mainz, Germany
                [14 ]Department of Medical Genetics, University of Cambridge and NIHR Cambridge Biomedical Research Centre , Cambridge, UK
                [15 ]DiSTABiF, Seconda Università degli Studi di Napoli , Caserta, Italy
                [16 ]Institute of Genetics and Biophysics – ABT, CNR , Napoli, Italy
                [17 ]Program in Genetics and Genome Biology, The Hospital for Sick Children , Toronto ON, Canada
                [18 ]Division of Clinical and Metabolic Genetics, The Hospital for Sick Children , Toronto, ON, Canada
                [19 ]Departments of Paediatrics and Molecular Genetics, University of Toronto , Toronto, ON, Canada
                [20 ]Institute of Medical Science, University of Toronto , Toronto, ON, Canada
                [21 ]INGEMM, Instituto de Genética Médica y Molecular, IdiPAZ, Hospital Universitario la Paz, CIBERER, ISCIII , Madrid, Spain
                [22 ]Human Genetics and Genomic Medicine, Faculty of Medicine, University of Southampton , Southampton, UK
                [23 ]Wessex Clinical Genetics Service, Princess Anne Hospital , Southampton, UK
                Author notes
                [* ]Institute of Human Genetics, University Hospital , RWTH Aachen Pauwelsstrasse 30, Aachen 52074, Germany. Tel: +49 241 8088008; Fax: +49 214 8082394; E-mail: teggermann@ 123456ukaachen.de
                Article
                ejhg201645
                10.1038/ejhg.2016.45
                5027690
                27165005
                a0d9dafb-fa43-4683-9a78-aaf46f617854
                Copyright © 2016 Macmillan Publishers Limited

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. The images or other third party material in this article are included in the article's Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/4.0/

                History
                : 26 November 2015
                : 23 February 2016
                : 29 March 2016
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                Genetics
                Genetics

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