2007
DOI: 10.1210/jc.2007-0354
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11p15 Imprinting Center Region 1 Loss of Methylation Is a Common and Specific Cause of Typical Russell-Silver Syndrome: Clinical Scoring System and Epigenetic-Phenotypic Correlations

Abstract: The 11p15 ICR1 epimutation is a major, specific cause of RSS exhibiting failure to thrive. We propose a clinical scoring system (including a BMI < -2 SDS), highly predictive of 11p15 ICR1 LOM, for the diagnosis of RSS.

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Cited by 254 publications
(316 citation statements)
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“…LOM at H19 was the most common methylation anomaly in such patients. Most other studies have concluded that LOM at H19 is very unlikely in those patients without features of RSS; 7,8,15,16 however, in this series two patients with LOM at H19 did not have a diagnosis of RSS clearly suggested on the referral details. They were both from the anonymised recruitment arm and therefore detailed phenotypic information has not been confirmed, but both were referred by clinical geneticists.…”
Section: Discussioncontrasting
confidence: 71%
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“…LOM at H19 was the most common methylation anomaly in such patients. Most other studies have concluded that LOM at H19 is very unlikely in those patients without features of RSS; 7,8,15,16 however, in this series two patients with LOM at H19 did not have a diagnosis of RSS clearly suggested on the referral details. They were both from the anonymised recruitment arm and therefore detailed phenotypic information has not been confirmed, but both were referred by clinical geneticists.…”
Section: Discussioncontrasting
confidence: 71%
“…RSS remains a difficult diagnosis to make due to clinical and (epi)genetic heterogeneity. Various clinical criteria have been proposed 6,7 but many of the features are relatively nonspecific, and there is considerable phenotypic overlap between RSS, and low birth weight or short stature due to other causes. Furthermore, some of the features become less apparent with increasing age.…”
Section: Introductionmentioning
confidence: 99%
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“…46 Epigenetic abnormalities are detected in up to 35-65% of patients, the most frequent one being hypomethylation of the H19 ICR (Table 1). [46][47][48][49][50][51][52] Like BWS cases, a proportion of patients with Silver-Russell syndrome show hypomethylation at multiple ICRs (Table 1). 43,53 Moreover, over two-third of such patients have hypomethylation not only at the maternally methylated ICRs but also at another paternally methylated ICR at the DLK1-MEG3 locus (IG-DMR) ( Table 1).…”
Section: Childhood Diseases Associated With Imprint Establishment or mentioning
confidence: 99%