Department of Medicine, University of Udine, 33100, Udine, Italy.
Institute of Medical Genetics, ASU-FC University Hospital of Udine, 33100, Udine, Italy.
Eur J Hum Genet. 2021 Mar;29(3):447-454. doi: 10.1038/s41431-020-00753-1. Epub 2020 Nov 11.
The Silver-Russell syndrome (SRS) is a rare disorder characterized by heterogeneous clinical features, including growth retardation, typical facial dysmorphisms, and body asymmetry. Genetic alterations causative of SRS mostly affect imprinted genes located on chromosomes 7 or 11. Hypomethylation of the Imprinting Center 1 (IC1) of the chromosome 11p15.5 is the most common cause of SRS, while the Imprinting Center 2 (IC2) has been more rarely involved. Specifically, maternally inherited 11p15.5 deletions including the IC2 have been associated with the Beckwith-Wiedemann Syndrome (BWS), while paternal deletions with a variable spectrum of phenotypes. Here, we describe the case of a girl with a mild SRS phenotype associated with a paternally inherited 1.4 kb deletion of IC2. The father of the proband inherited the deletion from his mother and showed normal growth, while the paternal grandmother had the deletion on her paternal chromosome and exhibited short stature. Together with previous findings obtained in mouse and humans, our data support the notion that deletion of the paternal copy of IC2 can cause SRS.
银- Russell 综合征(SRS)是一种罕见的疾病,其特征为具有异质性的临床特征,包括生长迟缓、典型的面部畸形和身体不对称。导致 SRS 的遗传改变主要影响位于染色体 7 或 11 上的印记基因。11p15.5 染色体印迹中心 1(IC1)的低甲基化是 SRS 最常见的原因,而印迹中心 2(IC2)则较少涉及。具体而言,母系遗传的 11p15.5 缺失包括 IC2 与 Beckwith-Wiedemann 综合征(BWS)有关,而父系缺失则表现出不同的表型谱。在这里,我们描述了一例女孩具有轻度 SRS 表型,与父系遗传的 IC2 的 1.4kb 缺失有关。先证者的父亲从母亲那里继承了该缺失,生长正常,而其祖母的父系染色体上存在该缺失,表现为身材矮小。结合在小鼠和人类中获得的先前发现,我们的数据支持这样一种观点,即 IC2 父系拷贝的缺失可导致 SRS。