Human Molecular Genetics, 2002, Vol. 11, No. 11 1317-1325
© 2002 Oxford University Press
Discordant KCNQ1OT1 imprinting in sets of monozygotic twins discordant for BeckwithWiedemann syndrome
1Division of Clinical and Metabolic Genetics and the Research Institute, 2Department of Paediatrics and 3Department of Paediatric Laboratory Medicine, Hospital for Sick Children, Toronto, Ontario, Canada, 4Department of Molecular and Medical Genetics, 5Institute of Medical Sciences, 6Department of Laboratory Medicine and Pathobiology and 7Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada, 8University of North Dakota, Grand Forks, ND, USA, 9Center for Human Genetics, University of Nebraska Medical Center, Omaha, NE, USA, 10Department of Medical Genetics, Memorial University Newfoundland, St John's, Newfoundland, Canada, 11Division of Genetics, Albert Einstein Medical Center, Philadelphia, PA, USA, 12Department of Genetics and Development, Columbia University, New York, NY, USA and 13Ontario Cancer Institute, Toronto, Ontario, Canada
Received January 28, 2002; Accepted March 15, 2002
BeckwithWiedemann syndrome (BWS) presents with visceromegaly, macroglossia, tumor predisposition and other congenital abnormalities, and is usually associated with abnormalities of chromosome 11p15. A number of identical twin pairs, mostly female, have been reported to be discordant for BWS. We show here that the incidence of female monozygotic twins among patients with BWS is dramatically increased over that of the general population. A cluster of imprinted genes within 11p15 is thought to be coordinately regulated via the imprinted expression of KCNQ1OT1, which encodes an untranslated RNA. In skin fibroblasts from five monozygotic twin pairs discordant for BWS, each affected twin had an imprinting defect at KCNQ1OT1 on 11p15, whereas the unaffected twin did not. Five additional monozygotic twin pairs, for whom only blood was available, also displayed an imprinting defect at KCNQ1OT1. It is possible that discordance for BWS in MZ twins is due to unequal splitting of the inner cell mass during twinning, thereby causing differential maintenance of imprinting at KCNQ1OT1. Alternatively, we propose that KCNQ1OT1 is especially vulnerable to a loss of imprinting event, caused by a lack of maintenance DNA methylation at a critical stage of preimplantation development, and that this loss of imprinting predisposes to twinning as well as to discordance for BWS. These data underscore the importance of continued surveillance of children born following assisted reproductive technologies that impact the preimplantation embryo.
* To whom correspondence should be addressed at: Division of Clinical and Metabolic Genetics, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, Canada M5G 1X8. Tel: +1 416 813 6386; Fax: +1 416 813 5345; Email: rweksb{at}sickkids.on.ca
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