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一名贝克威思-维德曼综合征患者中,胰岛素样生长因子2/ H19印记控制区域OCT结合位点的一种新型从头点突变。

A novel de novo point mutation of the OCT-binding site in the IGF2/H19-imprinting control region in a Beckwith-Wiedemann syndrome patient.

作者信息

Higashimoto K, Jozaki K, Kosho T, Matsubara K, Fuke T, Yamada D, Yatsuki H, Maeda T, Ohtsuka Y, Nishioka K, Joh K, Koseki H, Ogata T, Soejima H

机构信息

Division of Molecular Genetics & Epigenetics, Department of Biomolecular Sciences, Faculty of Medicine, Saga University, Saga, Japan.

出版信息

Clin Genet. 2014 Dec;86(6):539-44. doi: 10.1111/cge.12318. Epub 2013 Dec 4.

DOI:10.1111/cge.12318
PMID:24299031
Abstract

The IGF2/H19-imprinting control region (ICR1) functions as an insulator to methylation-sensitive binding of CTCF protein, and regulates imprinted expression of IGF2 and H19 in a parental origin-specific manner. ICR1 methylation defects cause abnormal expression of imprinted genes, leading to Beckwith-Wiedemann syndrome (BWS) or Silver-Russell syndrome (SRS). Not only ICR1 microdeletions involving the CTCF-binding site, but also point mutations and a small deletion of the OCT-binding site have been shown to trigger methylation defects in BWS. Here, mutational analysis of ICR1 in 11 BWS and 12 SRS patients with ICR1 methylation defects revealed a novel de novo point mutation of the OCT-binding site on the maternal allele in one BWS patient. In BWS, all reported mutations and the small deletion of the OCT-binding site, including our case, have occurred within repeat A2. These findings indicate that the OCT-binding site is important for maintaining an unmethylated status of maternal ICR1 in early embryogenesis.

摘要

胰岛素样生长因子2/母源表达基因1印记控制区(ICR1)作为一种绝缘子,可防止CCCTC结合因子(CTCF)蛋白与甲基化敏感位点结合,并以亲本来源特异性方式调控胰岛素样生长因子2(IGF2)和母源表达基因1(H19)的印记表达。ICR1甲基化缺陷会导致印记基因表达异常,进而引发贝克威思-维德曼综合征(BWS)或罗素-西尔弗综合征(SRS)。研究表明,不仅涉及CTCF结合位点的ICR1微缺失,而且OCT结合位点的点突变和小缺失也会在BWS中引发甲基化缺陷。在此,对11例患有ICR1甲基化缺陷的BWS患者和12例SRS患者的ICR1进行突变分析,结果在1例BWS患者的母本等位基因上发现了OCT结合位点的一种新的新生点突变。在BWS中,所有已报道的突变以及包括我们病例在内的OCT结合位点小缺失均发生在重复序列A2内。这些发现表明,OCT结合位点对于维持早期胚胎发育过程中母本ICR1的未甲基化状态至关重要。

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