Detection of hypermethylation at H19DMR at amniocentesis in a fetus with overgrowth, distended abdomen and Beckwith-Wiedemann syndrome

Objective: We present detection of hypermethylation at H19 differentially methylated region (DMR) at amniocentesis in a fetus with overgrowth, distended abdomen and Beckwith-Wiedemann syndrome (BWS). Case report: A 31-year-old, gravida 2, para 1, woman was referred for genetic counseling at 22 weeks...

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Autores principales: Chih-Ping Chen, Schu-Rern Chern, Chien-Hsing Lin, Chin-Yuan Hsu, Hsiang-Yu Lin, Fang-Tzu Wu, Shin-Wen Chen, Wayseen Wang
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Publicado: Elsevier 2021
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spelling oai:doaj.org-article:0918f61cc13b4604a9b64c13384701292021-11-18T04:44:49ZDetection of hypermethylation at H19DMR at amniocentesis in a fetus with overgrowth, distended abdomen and Beckwith-Wiedemann syndrome1028-455910.1016/j.tjog.2021.09.025https://doaj.org/article/0918f61cc13b4604a9b64c13384701292021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1028455921002655https://doaj.org/toc/1028-4559Objective: We present detection of hypermethylation at H19 differentially methylated region (DMR) at amniocentesis in a fetus with overgrowth, distended abdomen and Beckwith-Wiedemann syndrome (BWS). Case report: A 31-year-old, gravida 2, para 1, woman was referred for genetic counseling at 22 weeks of gestation because of fetal overgrowth with fetal biometry equivalent to 24 weeks of gestation and a distended abdomen with an abdominal circumference equivalent to 26 weeks of gestation. She did not undergo any assisted reproductive technology during this pregnancy. Amniocentesis was performed at 23 weeks of gestation. Conventional cytogenetic analysis revealed a karyotype of 46,XX. Array comparative genomic hybridization analysis on the DNA extracted from uncultured amniocytes revealed no genomic imbalance. Methylation analysis on the DNA extracted from amniocytes revealed hypermethylation at H19DMR [imprinting center 1 (IC1)] and normal methylation at KvDMR1 (IC2). The methylation test confirmed the diagnosis of BWS in the fetus. The parents decided to continue the pregnancy. At 36 weeks of gestation, a 4000-g female baby was delivered with macroglossia, ear tags and creases, and an enlarged liver, consistent with the phenotype of BWS. Conclusion: Prenatal diagnosis of fetal overgrowth should include a differential diagnosis of BWS, and methylation analysis of H19DMR (IC1) and KvDMR1 (IC2) is useful under such a circumstance.Chih-Ping ChenSchu-Rern ChernChien-Hsing LinChin-Yuan HsuHsiang-Yu LinFang-Tzu WuShin-Wen ChenWayseen WangElsevierarticleBeckwith-wiedemann syndromeH19DMR (IC1) hypermethylationMethylation testOvergrowthPrenatal diagnosisGynecology and obstetricsRG1-991ENTaiwanese Journal of Obstetrics & Gynecology, Vol 60, Iss 6, Pp 1103-1106 (2021)
institution DOAJ
collection DOAJ
language EN
topic Beckwith-wiedemann syndrome
H19DMR (IC1) hypermethylation
Methylation test
Overgrowth
Prenatal diagnosis
Gynecology and obstetrics
RG1-991
spellingShingle Beckwith-wiedemann syndrome
H19DMR (IC1) hypermethylation
Methylation test
Overgrowth
Prenatal diagnosis
Gynecology and obstetrics
RG1-991
Chih-Ping Chen
Schu-Rern Chern
Chien-Hsing Lin
Chin-Yuan Hsu
Hsiang-Yu Lin
Fang-Tzu Wu
Shin-Wen Chen
Wayseen Wang
Detection of hypermethylation at H19DMR at amniocentesis in a fetus with overgrowth, distended abdomen and Beckwith-Wiedemann syndrome
description Objective: We present detection of hypermethylation at H19 differentially methylated region (DMR) at amniocentesis in a fetus with overgrowth, distended abdomen and Beckwith-Wiedemann syndrome (BWS). Case report: A 31-year-old, gravida 2, para 1, woman was referred for genetic counseling at 22 weeks of gestation because of fetal overgrowth with fetal biometry equivalent to 24 weeks of gestation and a distended abdomen with an abdominal circumference equivalent to 26 weeks of gestation. She did not undergo any assisted reproductive technology during this pregnancy. Amniocentesis was performed at 23 weeks of gestation. Conventional cytogenetic analysis revealed a karyotype of 46,XX. Array comparative genomic hybridization analysis on the DNA extracted from uncultured amniocytes revealed no genomic imbalance. Methylation analysis on the DNA extracted from amniocytes revealed hypermethylation at H19DMR [imprinting center 1 (IC1)] and normal methylation at KvDMR1 (IC2). The methylation test confirmed the diagnosis of BWS in the fetus. The parents decided to continue the pregnancy. At 36 weeks of gestation, a 4000-g female baby was delivered with macroglossia, ear tags and creases, and an enlarged liver, consistent with the phenotype of BWS. Conclusion: Prenatal diagnosis of fetal overgrowth should include a differential diagnosis of BWS, and methylation analysis of H19DMR (IC1) and KvDMR1 (IC2) is useful under such a circumstance.
format article
author Chih-Ping Chen
Schu-Rern Chern
Chien-Hsing Lin
Chin-Yuan Hsu
Hsiang-Yu Lin
Fang-Tzu Wu
Shin-Wen Chen
Wayseen Wang
author_facet Chih-Ping Chen
Schu-Rern Chern
Chien-Hsing Lin
Chin-Yuan Hsu
Hsiang-Yu Lin
Fang-Tzu Wu
Shin-Wen Chen
Wayseen Wang
author_sort Chih-Ping Chen
title Detection of hypermethylation at H19DMR at amniocentesis in a fetus with overgrowth, distended abdomen and Beckwith-Wiedemann syndrome
title_short Detection of hypermethylation at H19DMR at amniocentesis in a fetus with overgrowth, distended abdomen and Beckwith-Wiedemann syndrome
title_full Detection of hypermethylation at H19DMR at amniocentesis in a fetus with overgrowth, distended abdomen and Beckwith-Wiedemann syndrome
title_fullStr Detection of hypermethylation at H19DMR at amniocentesis in a fetus with overgrowth, distended abdomen and Beckwith-Wiedemann syndrome
title_full_unstemmed Detection of hypermethylation at H19DMR at amniocentesis in a fetus with overgrowth, distended abdomen and Beckwith-Wiedemann syndrome
title_sort detection of hypermethylation at h19dmr at amniocentesis in a fetus with overgrowth, distended abdomen and beckwith-wiedemann syndrome
publisher Elsevier
publishDate 2021
url https://doaj.org/article/0918f61cc13b4604a9b64c1338470129
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