https://nova.newcastle.edu.au/vital/access/ /manager/Index en-au 5 Atypical Angelman syndrome due to a mosaic imprinting defect: case reports and review of the literature https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:34552 UBE3A mutation all affect expression of the UBE3A gene at 15q11-q13. An atypical phenotype is seen in individuals who are mosaic for a chromosome 15q11-q13 imprinting defect on the maternal allele. These patients present with a milder phenotype, often with hyperphagia and obesity or non-specific intellectual disability. Unlike typical AS syndrome, they can have a vocabulary up to 100 words and speak in sentences. Ataxia and seizures may not be present, and the majority of individuals do not have microcephaly. Here we review the current literature and present three individuals with atypical AS caused by a mosaic imprinting defect to demonstrate why DNA methylation analysis at the SNRPN locus needs to be considered in a broader clinical context.]]> Wed 10 Nov 2021 15:05:10 AEDT ]]> Genetic variation affecting DNA methylation and the human imprinting disorder, Beckwith-Wiedemann syndrome https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:45953 T was more prevalent in BWS with KCNQ1OT1 TSS-DMR LOM (pā€‰<ā€‰0.017); however, the relationship was not significant when the Bonferroni correction for multiple testing was applied (significance, pā€‰=ā€‰0.0036). None of the remaining 13 SNVs were significantly different in the two populations tested. The DNMT1 locus was screened in 53 BWS cases, and three rare missense variants were identified in each of three patients: rs138841970: C>T, rs150331990: A>G and rs757460628: G>A encoding NP_001124295 p.Arg136Cys, p.His1118Arg and p.Arg1223His, respectively. These variants have population frequencies of less than 1 in 1000 and were absent from 100 control cases. Functional characterization using a hemimethylated DNA trapping assay revealed a reduced methyltransferase activity relative to wild-type DNMT1 for each variant ranging from 40 to 70% reduction in activity. Conclusions: This study is the first to examine folate pathway genetics in BWS and to identify rare DNMT1 missense variants in affected individuals. Our data suggests that reduced DNMT1 activity could affect maintenance of methylation at KCNQ1OT1 TSS-DMR in some cases of BWS, possibly via a maternal effect in the early embryo. Larger cohort studies are warranted to further interrogate the relationship between impaired MTHFR enzymatic activity attributable to MTHFR rs1801133: C>T, dietary folate intake and BWS.]]> Tue 08 Nov 2022 14:51:28 AEDT ]]> Whole Genome Sequencing Improves Outcomes of Genetic Testing in Patients With Hypertrophic Cardiomyopathy https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:42320 Mon 22 Aug 2022 09:49:26 AEST ]]>