title: The centromeric 11p15 imprinting centre is also involved in Silver-Russell syndrome.
abstract: Silver-Russell syndrome (SRS) is a heterogeneous disorder characterised by severe intrauterine and postnatal growth retardation, limb and body asymmetry, a typical facial appearance and less common dysmorphisms. Recently, epimutations and maternal duplications affecting the short arm of chromosome 11 have been shown to have a crucial role in the aetiology of the disease. Disturbances in the same genomic region cause the overgrowth disorder Beckwith-Wiedemann syndrome (BWS). In BWS, mutations in the telomeric as well as in the centromeric imprinting centres (ICR1 and ICR2) in 11p15 can be observed. In SRS, methylation defects in the imprinted region in 11p15 were considered to be restricted to the telomeric ICR1. They can be detected in about 30% of patients. This article reports on the first patient with SRS with a cryptic duplication restricted to the centromeric ICR2 domain in 11p15. The maternally inherited duplication in this patient included a region of 0.76-1 Mbp and affected the genes regulated by the ICR2, among them CDKN1C and LIT1. This study provides evidence for a role for this imprinting centre in the aetiology of SRS and shows that SRS presents a picture genetically opposite to that of BWS.
authors.affiliation: Institute of Human Genetics, Pauwelsstr 30, D-52074 Aachen, Germany.
authors.forename: Nadine
authors.initials: N
authors.lastname: Schönherr
authors.forename: Esther
authors.initials: E
authors.lastname: Meyer
authors.forename: Andreas
authors.initials: A
authors.lastname: Roos
authors.forename: Angela
authors.initials: A
authors.lastname: Schmidt
authors.forename: Hartmut A
authors.initials: HA
authors.lastname: Wollmann
authors.forename: Thomas
authors.initials: T
authors.lastname: Eggermann
mesh_terms: D000015:Abnormalities, Multiple / Q000235:genetics*; D001506:Beckwith-Wiedemann Syndrome / Q000235:genetics; D002503:Centromere / Q000235:genetics*; D002675:Child, Preschool; D002880:Chromosomes, Human, Pair 11 / Q000235:genetics; D019175:DNA Methylation; D005260:Female; D005317:Fetal Growth Retardation; D020440:Gene Duplication; D018392:Genomic Imprinting; D006130:Growth Disorders / Q000235:genetics*; D006801:Humans; D008297:Male; D018895:Microsatellite Repeats / Q000235:genetics; D011247:Pregnancy; D013577:Syndrome